Molecular Characterization Of Human Caliciviruses Causing Gastroenteritis
Funder
National Health and Medical Research Council
Funding Amount
$173,380.00
Summary
A common cause of outbreaks of vomiting and diarrhoea in the community are small viruses approximately 30 nm in diameter. During outbreaks of such viral gastroenteritis, large numbers of people may become ill. The viruses may be transmitted in contaminated food or drink, or passed from person to person. Outbreaks have been associated with hospital wards, nursing homes, school camps, cruise ships and airline flights. The viruses causing these outbreaks are human caliciviruses. They have a structu ....A common cause of outbreaks of vomiting and diarrhoea in the community are small viruses approximately 30 nm in diameter. During outbreaks of such viral gastroenteritis, large numbers of people may become ill. The viruses may be transmitted in contaminated food or drink, or passed from person to person. Outbreaks have been associated with hospital wards, nursing homes, school camps, cruise ships and airline flights. The viruses causing these outbreaks are human caliciviruses. They have a structural resemblance to the rabbit virus recently released in Australia, but possess an alternative host range, and they produce different symptoms in the infected host. The human caliciviruses are difficult to study in the laboratory. They do not replicate in cell culture systems and no animal is known to show symptoms of infection. In this project, the techniques of genetic engineering are being used to develop diagnostic reagents for the viruses, and to study the functions of the proteins encoded by the viral genes. In the longer term, it may be feasible to develop vaccines and drugs against these viruses, but first it is necessary to discover how many types are circulating world-wide and in Australia, and to identify potential targets for antiviral drugs during virus replication.Read moreRead less
Failure to correctly regulate cell death leads to a number of diseases, including cancers and auto-immune diseases. Viruses have the ability to hijack the host cell death machinery for their own benefit. Viral infections have been linked to a number of cancers. We aim to target the ability of viruses to hijack the process of cell death to develop new treatments against virus-linked cancers including Burkitt's Lymphoma and Nasopharyngeal Carcinoma.
Intestinal Adaptation Following Massive Small Intestinal Resection: Mechanisms And Management
Funder
National Health and Medical Research Council
Funding Amount
$256,980.00
Summary
Short bowel syndrome (SBS) remains a major clinical problem in paediatric and adult clinical practice. The Department of Gastroenterology and Clinical Nutrition at the Royal Children's Hospital has gained recognition as a national centre of excellence for the management of infants and children with SBS and intestinal failure. Due to the significant personal and heath-care burden related to SBS there has been an urgent need to improve understanding about the process of intestinal adaptation follo ....Short bowel syndrome (SBS) remains a major clinical problem in paediatric and adult clinical practice. The Department of Gastroenterology and Clinical Nutrition at the Royal Children's Hospital has gained recognition as a national centre of excellence for the management of infants and children with SBS and intestinal failure. Due to the significant personal and heath-care burden related to SBS there has been an urgent need to improve understanding about the process of intestinal adaptation following massive small bowel resection (MSBR) in order to develop new treatments aimed at improving clinical outcome for patients with SBS. Over the past 5 years we have developed a preclinical model for the study of intestinal adaptation in infants using the juvenile pig. Our recent studies in this model have revealed that elemental formula is inferior to whole protein formula suggesting that the current clinical recommendations need urgent re-evaluation. Using the preclinical model in this proposal, we aim to define the mechanisms underlying the adaptive response and evaluate novel therapies aimed at enhancing adaptation following MSBR. Supplementation of enteral feeds with bovine colostrum isolate resulted in normal growth in the preclinical model despite MSBR. In this proposal we plan to advance this observation for the first time to human clinical trials in infants with SBS. Even small gains in enteral tolerance during the early post-operative period may have a significant impact on morbidity and mortality of children with SBS due to parenteral-nutrition related liver disease and gut-related sepsis. This research proposal provides a unique link between studies aimed at providing the scientific basis for understanding the mechanisms of intestinal adaptation using an established preclinical model and translating the results of these studies onto human trials, taking advantage of the clinical expertise available in the management of children with SBS.Read moreRead less