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Pre-eclampsia is a major contributor to death and disability in pregnancy. Diagnosis, based on accurate blood pressure (BP)/proteinuria determination, is limited by measurement errors and being late features of the disease. In collaboration with industry, King's College London (KCL) researchers have developed an inexpensive, accurate, simple BP device suitable for rural clinics. This device allows intervention to reduce mortality/morbidity and is currently being rolled out in a Gates Foundation project in Africa and Asia. KCL researchers have also helped the company Alere Inc. with the development of a diagnostically accurate test of placental growth factor (PlGF) in women with suspected pre-eclampsia: Alere Triage®PlGF. This demonstrates high sensitivity, superior to current tests, and following commercialisation is being adopted internationally. Their work is additionally reflected in guidelines of international standards for BP device accuracy.
Haemophilia, an inherited bleeding disease, is treated by frequent and extremely expensive infusions of recombinant versions of the missing factors. Advances in gene therapy have now been achieved at UCL, with successful treatment of Haemophilia B in 10 severely affected patients. The novel factor IX expression cassette has been patented and licensed to an industrial partner (UniQure). Savings to the NHS in excess of £1.5m have already been made and increase every month. Pre-clinical advances have also been made in Haemophilia A, and the factor VIII expression cassette has been patented and licensed to an industrial partner (BioMarin).
The electrocardiogram (ECG) is one of the most commonly used medical tests which assist in diagnosing heart disorders worldwide. However, diagnosis relies on accurate interpretation of ECG recordings. Studies by University of Glasgow researchers have led to changes to international guidelines for ECG-based diagnosis of a heart attack (myocardial infarction; MI) and have led to significant refinements to the automated ECG analysis software called the `Glasgow Program'. Commercialisation of the Program since 2008 has resulted in its incorporation into some of the market-leading medical devices, with approval of the Glasgow Program by the FDA and more than 40,000 devices sold worldwide, potentially aiding millions of patients around the world. The Program assists hospital doctors, family practitioners and others such as first responding emergency services, e.g. ambulance and fire services, with the reliable interpretation of ECGs, enabling rapid and accurate diagnosis and treatment of patients with a variety of heart problems.
Research by the University of Southampton has helped transform the understanding and treatment of chronic lymphocytic leukaemia (CLL), the most common leukaemia, affecting around 2,400 patients each year in the UK and 17,000 in the USA. Southampton's widely cited studies revealing the existence of two subsets of CLL have been crucial in giving clinicians and patients in the UK and overseas a much clearer indication of the likely disease course. The predictive information is now included in all clinical trials and in international guidelines, delivering greatly improved care. The research has also inspired the development of a new drug given "breakthrough" status by the Food and Drug Administration in the United States.
As a result of University of Sheffield research in 1995-2002, a new gold standard treatment for major bleeding on warfarin has been established, ensuring the more effective treatment of tens of thousands of patients requiring emergency anticoagulation reversal each year in the UK alone. The treatment, using prothrombin complex concentrate (PCC) was demonstrated to be superior to fresh frozen plasma (FFP), the standard alternative at the time, and two PCCs have now been licensed for this indication in the UK.
UK and international guidelines now recommend PCC over FFP.
A new procedure for the measurement and characterisation of polycrystalline exchange bias systems has been developed which has impacted significantly the manufacture of computer hard drive read-heads by companies such as Seagate Inc and Western Digital Corp. The new measurement procedure has enabled a typical 40% increase in the thermal stability of the antiferromagnetic materials used in computer hard drive read heads. The procedure has also improved the manufacturing process of the read-heads giving increased material performance and has resulted in a ~25% improvement in the resolution of detecting a bit.
Asthma and Chronic Obstructive Pulmonary Disease (COPD) are common, global diseases which cause considerable morbidity and mortality. Worldwide, around 235 million people suffer from asthma, while COPD accounts for 3 million, or 5% of all, global deaths, according to the World Health Organization (WHO). The relationship between inflammation and airway dysfunction is central to an understanding of their pathogenesis and treatment. The respiratory medicine group in the Department of Infection, Immunity and Inflammation has shown that optimal management of these conditions requires measurement of airway inflammation to stratify treatment regimes, an approach incorporated into national guidelines in 2012. In the late 1990s the group characterised a new clinical syndrome: `eosinophilic bronchitis', which is one of the commonest causes of chronic cough. The group's work has helped to launch a new class of drugs for asthma and to change the conceptual framework by which anti-inflammatory drugs for asthma are being developed.
Myeloproliferative neoplasms (MPN) are a group of blood disorders that affect more than 9,000 people in the UK every year. King's College London (KCL) research on the biology, diagnosis and treatment of MPN has had the following significant impacts:
Biopta is a profitable, award-winning company spin-out from Glasgow Caledonian University (GCU). Established in 2002, to deliver commercial products and services developed by university employees, it employs 19 staff across its Glasgow and Beltsville (Maryland USA) offices. It specialises in the provision of instruments and services monitoring drug effects in ethically donated, healthy and diseased human tissue, and counts eight of the top 10 major pharmaceutical companies as clients. To date, Biopta has provided early stage testing on more than 400 new drugs, designed to treat conditions such as high blood pressure, asthma and irritable bowel syndrome, determining their efficacy and potential side effects.
Research by Professors Tamara Galloway, David Melzer, and Michael Depledge at Exeter identified, for the first time, associations between exposure to the widespread environmental contaminant bisphenol A (BPA) and changing incidences of disease. The research showed that higher exposures to BPA are associated with an increased risk of cardiovascular disease and hormonal changes. The research has influenced policy development worldwide, raised public awareness of environmental chemical health risks, stimulated public debate and critical media analysis, and is stimulating enhanced public, policy-maker and business interest in anthropogenic chemicals in the environment and their implications for human health.