Log in
Pioneering basic research into the role of oxygen free- radical damage and antioxidant micro-nutrient protection in human periodontal diseases by the Periodontal Research Group in Birmingham has led to the development and marketing of novel toothpaste formulations and new applications for other nutrient products in collaboration with global consumer healthcare companies. This work has changed thinking in the field and has had significant commercial impact in terms of changing business R&D and marketing strategies. Resultant technologies have demonstrated reductions in gingivitis and periodontitis with associated social, economic and health impacts. In addition, our research is enabling Triclosan, an antibacterial compound used widely in soaps, detergents, mouthwashes and toothpastes, to be replaced with more environmentally-friendly, natural and equally efficacious agents.
Jayne's team have co-ordinated a sequence of randomised clinical trials, that have defined the standard of care for ANCA vasculitis treatment and shaped national and international guideline statements, NHS national commissioning guidance and an on-going NICE assessment. Together with Ken Smith his group have pioneered the use of the B cell-depleting agent rituximab, in vasculitis, contributing key evidence that led to its licence approval (USA and EU) for this indication. Ken Smith's group supported by Jayne's clinical team have discovered novel therapeutic biomarkers, patented and being assessed in Phase II clinical studies, that promise to deliver "personalised medicine" in this and related conditions. These activities have harmonised the management of vasculitis, are improving patient outcomes, and have provided a resource for on-going scientific and clinical studies.
Researchers from King's College London (KCL) designed and trialled a series of Oral Mucosal Disease Severity Scoring Systems (ODSS) that are now used routinely in clinical assessment of both serious and common oral diseases. They have changed clinical practice and significantly improved patient care and quality of life. For example, using ODSS has changed the first line treatment for orofacial granulomatosis from drugs to diet control, optimising treatment and definition of disease phenotypes. ODSS has achieved national and international impacts by providing objective evidence for the efficacy of treatments and is now incorporated into international guidelines of good practice and core training for oral medicine specialists.
The spin-out company, Degrasense, has developed and protected intellectual property of technology capable of quantifying specific proteolytic enzymes through changes in electrochemical responses (impedance) at electrodes due to the enzymatic degradation of polymer coatings. The company has detected several specific proteases that are relevant to the monitoring and treatment of a number of conditions including: periodontal disease, multiple sclerosis, haemophilia and hypertension. The technology is currently being validated in a clinical trial as a point of care sensor for the detection of active periodontal disease. Point-of-care sensors provide immediate, low-cost test results in non-laboratory settings, offering a more patient-centred approach to healthcare and earlier detection of disease.
Systemic lupus erythematosus (SLE) is a multi-system autoimmune disease that is subject to relapses (flares) and remissions. Measuring disease activity in multiple systems, some of which may be worsening while others are improving, is a challenge in the management of patients with SLE and also in the conduct of clinical trials of new drugs for the treatment of SLE. The British Isles Lupus Assessment Group (BILAG) disease activity index for measuring lupus was developed by Professors Paul Bacon and Caroline Gordon at the University of Birmingham and has been validated and implemented for clinical trials and routine clinical practice. The instrument is able to capture significant improvement or worsening in lupus disease activity on a system based approach, leading to improved management and treatment of patients. It is the preferred disease activity instrument for international SLE trials recommended by the US Food and Drug Administration and European Medicines Agency, demonstrating impact on health and welfare and public policy and health services.
Research conducted by Professor TM Cox has led to several advances in the management of lysosomal storage disorders; i) development of miglustat (Zavesca®); now available throughout the world (EMA and FDA approved) for adult patients with Gaucher's disease and throughout the European Union and five other countries worldwide for adult and pediatric patients with Niemann- Pick type C disease, ii) development of the potential successor eliglustat; now in Phase 3 clinical trials, iii) identification of a biomarker for Gaucher's: CCL18/PARC, now incorporated into NHS standard operating procedures for monitoring therapeutic intervention. His pre-clinical research into gene therapy for Tay-Sachs disease also helped establish the NIH-funded Gene Therapy Consortium and gain the FDA's pre-IND approval for clinical trials in 2013, which together have raised public awareness of this disease.
Research at the University of Liverpool (UoL) has demonstrated the importance of intestinal tapeworm infection as an important and hitherto unrecognised risk factor for a major life-threatening acute intestinal disease (colic) in the horse. A novel serological test for exposure to the tapeworm infection was developed at UoL to provide a diagnostic tool for research and clinical applications. As a result, "best practice" equine preventive healthcare programmes now include anti-helminth and tapeworm control protocols and anti-tapeworm anthelmintics are licensed for use in the horse and marketed throughout the world. This research has had a major impact on equine health resulting in welfare and economic benefits for horses, their owners, veterinary practices and industry.
Research at the University of Nottingham (UoN) has had influence on development of health policy in the UK and internationally. It is recognised that the risk of diseases related to obesity and insulin resistance, is partly determined by the nutritional environment experienced during early life. Against a background of scepticism researchers at the UoN have generated data that has been critical in demonstrating the biological plausibility of such associations. This has influenced expert panels and non-governmental organisations in framing their current recommendations for nutrition in pregnancy and infancy, which benefit women and children worldwide.
Impact: Health and welfare; policy in the form of national and international guidelines; diagnostic service; engagement with patient groups.
Significance: UoE-formulated diagnostic criteria adopted by the World Health Organisation (WHO), the European Centre for Disease Prevention and Control (ECDC) and US Centers for Disease Control and Prevention (CDC), enable reliable case ascertainment and longitudinal study of disease trends. The UoE Creutzfeldt-Jacob Disease Unit acts as an international reference centre for diagnosis. Case ascertainment has improved.
Beneficiaries: Patients with prion disease and their families, policy-makers, the NHS, charities.
Attribution: The UoE CJD Unit led the work with international collaborators.
Reach: Worldwide; diagnostic criteria are WHO-endorsed and have been adopted worldwide. Pooling of data across Europe has enabled assessment of 11,000 cases of sporadic CJD.
Research led by Dr Watson has demonstrated that chronic pancreatitis (CP) is more common and clinically significant in dogs than veterinary surgeons previously recognised, with strong breed predispositions. Prior to this work, the veterinary profession believed that dogs had a single attack of acute pancreatitis which did not result in the development of exocrine pancreatic insufficiency (EPI) and/or endocrine insufficiency (diabetes mellitus (DM)). The work by Watson has shown the importance of chronic disease and has altered the long term treatment of affected dogs across the profession. It has also prompted companies in the UK, Europe and the USA to increase their focus on low-fat dietary management, pancreatic enzyme supplementation and analgesia improving the quality of life of affected dogs.