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Monday 30 October 2017

Centre of Inflammatory Diseases success at ANZSN - a step towards better outcomes for patients with kidney disease

Dr Gan, Dr Hutton, Dr Ooi and Dr Grynberg
Early career Investigators from the Centre of Inflammatory Diseases made their mark at the recent Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology (ANZSN), winning and being first runner up in the awards for early translational research at the Darwin event last month.

Monash University PhD candidates and nephrologists Dr Holly Hutton and Dr Keren Grynberg, and Postdoctoral research fellows Dr Josh Ooi and Dr Poh Yi Gan each received highly competitive awards for their outstanding research.

Consultant nephrologist Dr Hutton was the winner of the Young Investigator Award, the 10th consecutive year a researcher from CID has received this prestigious prize.

The focus of Dr Hutton’s research is MPO-ANCA vasculitis, an autoimmune disease in which the body loses the ability to determine what is 'self'.

“This disease causes the immune system to attack blood vessels, resulting in inflammation and damage to a variety of organs, including the kidneys, lungs and skin,” Dr Hutton said.

Kidney involvement bodes poorly for patients, who may go on to develop end stage kidney disease, and current treatments are non-specific, and have significant side effects. 

“My research defined a damaging role for a protein complex called the NLRP3 inflammasome, that helps ‘sound the alarm’ in infection but in inflammatory diseases can have a dark side. I showed that inflammasome activation in the context of vasculitis is damaging,” Dr Hutton said.

“We now have new drugs that block inflammasome activation, potentially providing more targeted, less toxic therapies for patients with vasculitis.”  

Fellow PhD candidate and Monash Health nephrologist Dr Grynberg received the first Runner-Up Young Investigator Award in the same category for her research into kidney injury.
Kidney disease affects one in ten Australian adults and carries a significant personal as well as economic burden,” Dr Grynberg said.

“At present there are no targeted treatments for episodes of sudden kidney failure or its progression to long term kidney disease.”

“Inflammation and scarring are the main processes in the kidney that lead to impairment in kidney function.”

Dr Grynberg’s research focuses on a pathway within cells, the JNK pathway, that causes inflammation, scarring and injury in the kidney.

“By blocking this pathway using new medications we hope to protect the kidney from injury in vulnerable situations such as cardiac surgery or during kidney transplants,” Dr Grynberg said. 

Meanwhile postdoctoral researcher Dr Ooi took out the ANZSN Basic Science Award. He presented his work that was recently published in the world’s top science journal Nature. The studies showed how a key genetic risk factor for autoimmune disease could protect people from the risk of developing disease.

The work shows the protective power of cells, known as regulatory T cells, that are specific for disease causing proteins.

“Ultimately, I hope my research leads to targeted therapeutic outcomes that limit the use of global immunosuppression,” Dr Ooi said.

In further success, Dr Gan received the first Runner Up in same Basic Science Award for her research that aims to improve outcomes for patients with ANCA-associated glomerulonephritis, an inflammatory autoimmune disease.

“ANCA-associated glomerulonephritis is an important cause of renal failure and current therapies are limited and with significant side effects,” Dr Gan said.

“The recent development of biological therapeutics, such as antibodies against messenger proteins called cytokines, opens the door for more specific treatments for ANCA-associated vasculitis.”

“First, however, we need to understand which cytokines are the key targets. My work has provided proof of principle that these more specific therapies can be applied to this disease.”





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