Postgraduate Research Opportunities at the Telethon Institute for Child Health Research Student project booklet 2014 Welcome to the Telethon Institute for Child Health Research The Telethon Institute for Child Health Research is the largest medical research facility in Western Australia and with more than 500 staff and students, the Institute is also one of Australia’s largest research facilities dedicated to child health. Our multidisciplinary approach brings together clinical researchers, laboratory scientists and epidemiologists all under the one roof to tackle the many complex childhood diseases and issues from a range of different angles. The Institute has a proven track record of translating research findings into actions that make a real difference to the lives of children everywhere. The Institute has strong affiliations with Princess Margaret Hospital for Children and the School of Paediatrics and Child Health at The University of Western Australia, as well as widereaching collaborations with leading research organisations around the world. We are also affiliated with UWA through the Centre for Child Health Research and with the state’s other four universities. You can find out more about areas of research and opportunities for students at the Institute by: • Reading the Postgraduate Student Project Booklet. This gives a range of suggested projects and should be considered a guide to the opportunities available, not a definitive list. • Referring to the Institute website - www.childhealthresearch.org.au • Contacting individual researchers for further information about research projects. • Contacting Kathy Vial for general queries on (08) 9489 7799 or email study@ichr. uwa.edu.au • Attending the Prospective Students Evening at the Institute on Wednesday August 14th, 2013 at 4:00pm. Stan and Jean Perron Awards (for research conducted principally at the Institute) With the support of the Stan Perron Charitable Foundation, since 2005 the Telethon Institute for Child Health Research has established several prestigious awards aimed at supporting exceptional postgraduate research students who are undertaking their research at the Institute. Stan and Jean Perron Scholarships These Scholarships accompany PhD scholarships which commence in 2014 and are won by the recipients through their enrolling Universities in a separate application process. The amount will be $5000 per year each for the duration of the scholarship, paid in conjunction with that scholarship. To be eligible for consideration, a student has to enrol full-time for a research higher degree (PhD or equivalent) at the University, and conduct the research principally within the Institute under the supervision of one or more of the Institute’s researchers. This Scholarship is supplementary to a scholarship awarded to the student through the University. Successful applicants must have First Class Honours (or equivalent) and have been awarded an APA. At least three awards will be given in 2014 and applications will be judged on merit. For more information or a copy of the application form please contact: Kathy Vial, Academic Services Manager, Telethon Institute for Child Health Research By mail: PO Box 855 West Perth WA 6872, or by email (kvial@ichr.uwa.edu.au) or telephone enquiries: 08 9489 7799. Application due date: Friday 1st November 2013. Reminder: Requirement for Concurrent Scholarship. Applicants are also required to have submitted an application form for the Australian Postgraduate Awards/University Postgraduate Awards directly to the relevant University Scholarships Office (or equivalent) by the specified closing date (Thursday 31st October 2013, for UWA). Stan and Jean Perron Award for Excellence Students intending to enrol in a PhD at the Institute may be interested to know of the Stan and Jean Perron Award for Excellence. The Award is designed to recognise outstanding research performance whilst a student is undertaking research at the Institute. The Award has the value of $5000 for one year, and will be awarded to the research higher degree student whose performance is deemed the best in the preceding 12 months. More than one award may be made in any year. If you’d like further information, please contact: Kathy Vial Academic Services Manager kvial@ichr.uwa.edu.au Research areas Aboriginal health Our Aboriginal researchers work with Aboriginal communities to help children overcome the many hurdles they face - higher rates of pre-term birth, lower birth weight, SIDS, infectious diseases and emotional and behavioural problems. Bioinformatics and data services Bioinformatics is an exciting and relatively new field of science, encompassing the branch of life science that applies information technology to the field of biology to help understand various biological processes. The primary goal of bioinformatics is to increase the understanding of biological processes. Asthma, allergy & respiratory disease We are looking at the environmental and biological factors that could be linked to asthma, as well as the effects of UV light and vitamin D on the immune system. Our researchers are also working on improved treatments for children with cystic fibrosis and working towards preventing this disease. Children’s cancer and leukaemia Leukaemia is the most common cancer in children and our research focus is on why some children don’t respond to therapy and relapse. We are investigating paediatric brain tumours and ways to reduce their devastating impact. We are also looking at the genetic, dietary and environmental risk factors for childhood cancer. Child development and wellbeing Datasets and cohort studies There is a broad range of interacting factors that affect children’s development and wellbeing. Thousands of families are helping us as we investigate language difficulties, school readiness, and pathways to health and wellbeing. The Telethon Institute has a range of long-term studies to expand our knowledge on all aspects of child health. A number of databases underpin our population-based research and these can now be linked to other datasets to provide a more complete picture of child health. Diabetes, obesity and related disorders Our researchers are conducting research which aims to improve the lives of children and adolescents living with diabetes, obesity and other endocrine conditions. Children with Type I diabetes require insulin injections every day for the rest of their lives. Related to the increasing rates of childhood obesity is type 2 diabetes in children. Disability and developmental disorders From conception through childhood, our research into disabilities and developmental disorders encompasses any condition that disrupts ‘typical’ child development. We are looking are Down Syndrome, Rett syndrome, Autism Spectrum Disorders, birth anomalies, cerebral palsy and Fetal Alcohol Spectrum Disorder. Drug discovery Our Drug Discovery Technology Group is focused on developing new therapies to target disease-causing interactions between proteins; both inside and outside of cells, as well as the development of ‘mimetic’ vaccines against discontinuous epitopes. Genetic impacts on health Our researchers are world leaders in the application of genetic and metabolomic approaches to identify biological markers of complex disease, helping us to find better treatments and ways of preventing disease. Modern research tools allow us to look at all of our genes, to identify genetic and metabolic biomarkers of complex diseases like infections and diabetes. Infectious disease Worldwide, 10 million children under the age of five die from infection each year. Our infectious disease researchers are involved in understanding the inner workings of disease, including the pathway from immunity to infection; disease surveillance; risk factors in the development of disease; vaccine development and trials. Environmental impacts on health The physical environment, which includes diet, housing and pollution, can have a large impact on child health and disease. These can affect health at all stages of childhood development. Our researchers use spatial epidemiology, data linkage and pollution monitoring to better understand environmental influences on childhood health. Impacts on policy and practice One of the aims of the Telethon Institute is to improve the health of all children by translating research outcomes to influence public health policy. Our impact on health policy and practice in the last decade has been significant including mandatory fortification of breadmaking flour with folate to prevent neural tube defects and the Western Australian Aboriginal Child Health Survey. Mental health Around one in five Australian children will develop some form of behavioural problem by the time they reach adulthood. Poor mental health in childhood is a significant predictor of mental health problems later in life and also impacts negatively on physical health and school achievement. Much of our work is dedicated to understanding how mental health problems develop and working towards mental illness prevention. Pregnancy and maternal health Emerging research is focusing on pregnancy as a crucial time in determining of the future health and wellbeing of the child. We are looking at multiple factors during pregnancy that can influence the way in which the unborn child is programmed for future life outside the womb including maternal lifestyle factors such as stress, hypertension, substance use, nutrition and obstetric risk. For more information about our research areas, visit www.childhealthresearch.org.au Table of Contents ABORIGINAL HEALTH (No projects in 2014) .......................................................................... 4 ASTHMA, ALLERGY AND RESPIRATORY DISORDERS ............................................................ 5 Manipulation of airway surface liquid acidity in cystic fibrosis .................................................... 6 Assessing the effects of community derived rhinoviral infection on airway epithelial cells ........ 7 Antibiotic treatment to combat viral-induced inflammation in cystic fibrosis ............................. 8 New technologies and methodologies to grow airway epithelial cells from children with cystic fibrosis ........................................................................................................................................... 9 Immune privileged cell therapy for children with cystic fibrosis ................................................ 10 The identification of the human rhinovirus C receptor .............................................................. 11 Development of a high throughput bacterial-specific IgG assay system for use in paediatric asthma cohort studies ................................................................................................................. 12 Deriving global population reference ranges for the gas transfer lung function test ................ 13 The Identification of Thoracic Targets for Prevention and Intervention in Bronchopulmonary Dysplasia...................................................................................................................................... 14 Identifying the clinical utility of the multiple breath washout (MBW) test in early cystic fibrosis lung disease .................................................................................................................. 15 The utility of breath analysis for lung disease biomarkers using the R-Tube/SPME collection device combined with metabolomics ......................................................................................... 16 Viral and bacterial interaction in the airway – which is the critical factor for developing severe secondary infection? ................................................................................................................... 17 Exploring the impact of respiratory syncytial virus infection of dendritic cells .......................... 18 Assessment of the relationship between vaccination and allergies ........................................... 19 Dendritic cells and the induction of allergic airways inflammation ............................................ 20 Type I Interferon immunomodulation of allergic asthma ........................................................... 21 BIOINFORMATICS AND DATA SERVICES ............................................................................. 22 Evaluating bioinformatics data processing platforms to support metabolomics-driven discovery of disease biomarkers ............................................................................................... 23 CHILD DEVELOPMENT AND WELLBEING ............................................................................. 24 The built environment and child health and development ........................................................ 25 Physical activity in the early years............................................................................................... 26 Pathways to preventable and unexplained deaths in childhood and young adulthood in Western Australia........................................................................................................................ 27 Investigating medium-long term neurocognitive and neurobehavioural consequences of weight gain and nutrition in the first year of life ...................................................................... 28 Long-term influence of early nutrition on metabolic health OR Analysis of metabolic profiles in adolescents by mass spectrometry-based metabolomics: biomarkers for metabolic consequences of early programming (scientific title) ....................... 29 CHILDREN’S CANCER AND LEUKAEMIA ............................................................................... 30 microRNA and childhood brain tumours .................................................................................... 31 Immunity to Melanoma .............................................................................................................. 32 New uses for old drugs: repurposing drugs to treat childhood brain cancer ............................. 33 Investigating medium-long term neurocognitive and neurobehavioural outcomes in medulloblastoma and cerebellar pilocytic astrocytoma ............................................................. 34 The role of connective tissue growth factor (CTGF) in leukaemogenesis and haematopoiesis . 35 Novel peptide based drugs for the treatment of sonic hedgehog dependent cancers .............. 36 Does chemotherapy alter the primary cilium in normal brain and brain tumours?................... 37 Understanding the genetics of paediatric brain tumours ........................................................... 38 1 Testing the efficacy of an Akt inhibitor in childhood brain cancer treatment ............................ 39 A novel treatment strategy for non-SHH and non-WNT medulloblastoma................................ 40 Developing novel techniques and assays for the pharmacokinetic evaluation of chemotherapeutics in childhood brain tumour models ............................................................. 41 Adjuvant therapy in a preclinical melanoma brain tumour model ............................................. 42 DATASETS AND COHORT STUDIES (No projects in 2014) ................................................. 43 DIABETES, OBESITY AND RELATED DISORDERS ................................................................. 44 Neurocognitive outcomes in children with type 1 diabetes ....................................................... 45 Human enteroviruses in the aetiology of type 1 diabetes .......................................................... 46 Profiling previous weight loss attempts in obese youth ............................................................. 47 Psychosocial outcomes in children and adolescents with type 1 diabetes ................................ 48 Evaluating the effectiveness of an innovative Acceptance and Commitment Group-based Intervention in Adolescents with Type 1 Diabetes ..................................................................... 49 Exploring perinatal complications seen in a contemporary Type 1 Diabetes cohort ................. 50 Relationship between BMI and Type 1 Diabetes in Western Australia ...................................... 51 DISABILITY AND DEVELOPMENTAL DISORDERS ................................................................ 52 Transition from school experiences of young people with Down syndrome and post-school quality of life................................................................................................................................ 53 Management of long bone fracture in Rett syndrome ............................................................... 54 Online survey of gastro-intestinal issues and their management in Rett syndrome.................. 55 How are families of girls with Rett syndrome responding to research suggesting that the symptoms of Rett syndrome might be prevented or halted with advances in medical knowledge ................................................................................................................................... 56 MECP2 duplication syndrome: a new cause of intellectual disability ......................................... 57 Comparison of Parent-report and Medicare data in a longitudinal study .................................. 58 Process evaluation of lay booklets on recommended management for scoliosis and gastrointestinal disorders in Rett syndrome ............................................................................... 59 Online survey of sleep issues and their management in Rett syndrome.................................... 60 Socio-economic differences and parental satisfaction with services for children with disability ..................................................................................................................................................... 61 Longitudinal analysis of behaviour in Rett syndrome ................................................................. 62 Development of an environmental stimulation measure for Rett syndrome ............................ 63 The quality and quantity of post-school activities for young people with Down syndrome prior to the NDIS .................................................................................................................................. 64 Assisted reproductive technology and cerebral palsy ................................................................ 65 The cost of childhood intellectual disability and autism spectrum disorder without intellectual disability in Western Australia: A cost-of-illness study ............................................................... 66 The International CDKL5 Disorder database – Follow-up study and governance ...................... 67 Understanding the CDKL5 Disorder and its impact on families .................................................. 68 ENVIRONMENTAL IMPACTS ON HEALTH (No projects in 2014) ..................................... 69 GENETIC IMPACTS ON HEALTH (No projects in 2014) ...................................................... 70 INFECTIOUS DISEASE .............................................................................................................. 71 Determining the pathogen specific risk of infection in a birth cohort by data linkage .............. 72 Health economic analysis of the of acute rheumatic fever and rheumatic heart disease in Australia ...................................................................................................................................... 73 Understanding client needs in rheumatic heart disease control ................................................ 74 Understanding the reasons for under-vaccination of infants in WA .......................................... 75 The relationship between clinical markers and the regulation of immunological pathways in acute HIV infection in Africans .................................................................................................... 76 Cellular immune responses to infection and vaccination in otitis-prone children ..................... 77 Investigating antimicrobial peptide responses in children with otitis media ............................. 78 Metabolomics to characterize host-pathogen interactions in bacterial infections .................... 79 2 MENTAL HEALTH (No projects in 2014) .............................................................................. 80 PREGNANCY AND MATERNAL HEALTH (No projects in 2014)......................................... 81 PRINCESS MARGARET HOSPITAL FOR CHILDREN .............................................................. 82 Obesity: The mechanics of lung function impairment and risks related to Perioperative Respiratory Adverse events (PRAE)............................................................................................. 83 SCHOOL OF PAEDIATRICS AND CHILD HEALTH .................................................................. 84 Are genome-wide DNA methylation profiles associated with asthma and allergy in children exposed to a “Western” environment? ...................................................................................... 85 Infant nutrition ............................................................................................................................ 86 Mechanims of acute asthma and viral respiratory illness in children ........................................ 87 Food allergy: Pathways to very early sensitization ..................................................................... 88 3 ABORIGINAL HEALTH (NO PROJECTS IN 2014) ASTHMA, ALLERGY AND RESPIRATORY DISEASE Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Manipulation of airway surface liquid acidity in cystic fibrosis Asthma, allergy and respiratory disorders Epithelial Research Group January 2014 Dr André Schultz (SPACH) A/Professor Anthony Kicic (TICHR) Dr Erika Sutanto (TICHR) Professor Stephen Stick (SPACH) Project Outline Cystic fibrosis (CF) is the most common life-shortening genetic disease in Australia. Individuals with CF suffer from progressive airway inflammation, infection and lung damage eventually resulting in respiratory failure. CF disease is caused by defects in the genes coding for the cystic fibrosis transmembrane regulator (CFTR) protein. The precise mechanism by which defective CFTR cause CF disease is not yet clear, but CFTR is known to play a critical role in the regulation of airway surface liquid (ASL) through ion transport. The thin (±740µm) ASL layer that lines the airways is the micro environment in which pathogens come into contact with the airways, proliferate, and cause inflammation and epithelial damage. ASL contains an abundance of antimicrobial molecules including immunoglobulins, lysozyme, and lactoferrin, defensins, and neutrophil products such as proteases that act against bacteria. Every molecular process in the ASL, whether bacterial of immunological, has an optimal acidity (pH) at which it occurs. Therefore a small change in ASL pH will influence a large number of molecular processes involved in both host defence and pathogenic attack. An increasing body of evidence suggest that dysfunctional CFTR bicarbonate transport which results in reduced ASL pH is the driving force behind CF airway inflammation, infection and eventual lung disease. Measuring ASL pH in humans has always been a major challenge. Novel luminescent micro fibre-optic technology developed by our research group has made accurate and reproducible measurement of ASL pH possible. This project will make use of air-liquid interface human bronchial epithelial cell cultures and luminescent micro fibre-optic technology for in vitro measurement of ASL pH and testing of candidate drugs to change and correct ASL pH in CF. As the carbonic anhydrase inhibitor acetazolamide has been shown to inhibit epithelial bicarbonate secretion in vitro carbonic anhydrase activators (e.g. imidazole derivatives) are expected to stimulate epithelial bicarbonate secretion and raise ASL pH. cAMP agonists like forskolin are also expected to raise ASL pH. We anticipate repurposing of an existing drug for clinical use to correct abnormal pH in CF. Project suitable for Honours Masters Essential Qualifications BSc. (hons for higher degree) Cell culture Essential Skills Additional Skills Funding Contact for further information Some understanding of molecular biology and cell biology. Motivated and team player Sound oral communication and written skills Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available André Schultz Andre.Schultz@health.wa.gov.au 9340 8830 6 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Assessing the effects of community derived rhinoviral infection on airway epithelial cells Asthma, allergy and respiratory disorders Epithelial Research Group January 2014 A/Professor Anthony Kicic (TICHR) Professor Stephen Stick (SPACH) Dr Erika Sutanto (TICHR) Epithelial cells of the lung airways function as a barrier that prevents injurious particles, toxins and infectious agents from entering the body. They are also important for maintaining the airway structure and function. In addition, epithelial cells had been suggested to play role in the host’s response to infection and contribute to inflammatory damage seen in several respiratory diseases such as asthma, cystic fibrosis and COPD. Respiratory viral infections play a role as the most common cause of childhood wheezing. Although there are a number of pathogens, respiratory syncytial virus (RSV) and rhinovirus (RV) are the most common amongst them. Particular attention has been focused on RV as its infection during infancy is a significant risk factor for development of wheezing and asthma in later life. It has also been suggested that RV plays a role in serious respiratory diseases leading to increased morbidity and mortality. This project will aim to (i) identify and culture community strains of RV, (ii) investigate the propensity of epithelial cells to cause inflammation in response to respiratory viruses and compare responses in cells from children with respiratory diseases from healthy children and (iii) compare newly identified community strains of RV with currently utilized laboratory strains of RV to determine whether inflammatory responses are non-specific or dependent upon the type of virus. The generation of a repository of community isolates of RV will facilitate many investigations that will be beneficial for patients, hospital and the community at large Project suitable for Honours Masters Essential Qualifications BSc. (hons for higher degree) Essential Skills Some understanding of molecular biology and cell biology Additional Skills Funding Contact for further information Motivated and team player Sound oral communication and written skills Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Anthony Kicic anthonyk@ichr.uwa.edu.au 9340 8140 7 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Antibiotic treatment to combat viral-induced inflammation in cystic fibrosis Asthma, allergy and respiratory disorders Epithelial Research Group January 2014 A/Professor Anthony Kicic (TICHR) Dr Erika Sutanto (TICHR) Professor Stephen Stick (SPACH) Cystic fibrosis (CF) is a genetically inherited disease affecting mostly the Caucasian population. There are over 300 individual with CF in WA and 12-15 newborns are diagnosed each year following newborn screening. As part of the Australian Respiratory Early Surveillance Team for CF, we have demonstrated that early lung damage present early in life and that the lungs of children with CF are prone to inflammation from birth. The airways in the lungs are lined with specific type of cells, the epithelial cells, whose roles are to provide barrier to the external environment and as such are continually exposed to pollutants, allergens and pathogens. In CF, this epithelial function is defective, and one of the earliest trigger for inflammation is viral infection, which are common in young children. Recently, we have published data demonstrating the abnormal responses of CF cells to viral infection compared to healthy cells. This study aims to investigate the potential of using antibiotic treatment, including azithromycin to ameliorate these responses. Outcomes from this study would help us to better understand the mechanism(s) involve in innate immune response to viral infection and to provide an avenue for better patient management. Project suitable for Honours Masters Essential Qualifications BSc. (hons for higher degree) Essential Skills Some understanding of molecular biology and cell biology. Additional Skills Motivated and team player Sound oral communication and written skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Anthony Kicic information anthonyk@ichr.uwa.edu.au 9340 8140 8 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline New technologies and methodologies to grow airway epithelial cells from children with cystic fibrosis Asthma, allergy and respiratory disorders Epithelial Research Group January 2014 A/Professor Anthony Kicic (TICHR) Dr Erika Sutanto (TICHR) Professor Stephen Stick (SPACH) Cystic fibrosis (CF) is a genetically inherited disease affecting mostly the Caucasian population. There are over 300 individual with CF in WA and 12-15 newborns are diagnosed each year following newborn screening. As part of the Australian Respiratory Early Surveillance Team for CF, we have demonstrated that early lung damage present early in life and that the lungs of children with CF are prone to inflammation from birth. The airways in the lungs are lined with specific type of cells, the epithelial cells, whose roles are to provide barrier to the external environment and as such are continually exposed to pollutants, allergens and pathogens. In CF, this epithelial function is defective, and one of the earliest trigger for inflammation is viral infection, which are common in young children. Establishing and expanding CF epithelial cells in vitro presents its own unique challenges. In addition to the normal technical challenge of collecting sufficient cells, the predisposition of CF children to respiratory infection poses an increased risk of contaminating organisms. The lack of functional CFTR protein may also influence establishment due to its involvement in many essential cell processes. This study aims to investigate a new co-culture methodology to establish and expand these cells and to compare their characteristics to that of cultures currently established. Outcomes from this study will identify the factors influencing culture establishment as well as develop new methods to expand this in vitro without affecting their lineage characteristic and function. Project suitable for Honours Masters Essential Qualifications BSc. (hons for higher degree) Essential Skills Cell culture Some understanding of molecular biology and cell biology. Additional Skills Motivated and team player Sound oral communication and written skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Anthony Kicic information anthonyk@ichr.uwa.edu.au 9340 8140 9 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Immune privileged cell therapy for children with cystic fibrosis Asthma, allergy and respiratory disorders Epithelial Research Group January 2014 A/Professor Anthony Kicic (TICHR) A/Professor Yuben Moodley Dr Erika Sutanto (TICHR), Professor Stephen Stick (SPACH) Project Outline Cell therapy has the potential to address several aspects of Cystic Fibrosis (CF) such as reducing inflammation and augmenting repair. Certain stem cell subtypes may be differentiated into airway epithelium and replace damaged or defective airway epithelium. Preliminary data we have generated has shown that human amnion epithelial cells (hAECs; with normal ion transport) which can be readily isolated in abundance from the amnion membranes of human placenta after birth, display features of embryonic and multipotent stem cells, as shown by the ability to differentiate in vitro into several lineages derived from the three germ layers. The use of hAECs has several advantages over other stem cells. There are no ethical issues with hAECs since and they are readily available from discarded placental tissue compared with ESCs that are derived from embryos. hAECs are not acquired from invasive procedures as compared to mesenchymal stem cells (MSCs) which require bone marrow aspiration. Furthermore, hAECs are non-immunogenic and have been successfully administered to immunocompetent animals, as well as human subjects. Importantly, hAECs have been previous shown to the ability to differentiate into lung epithelium and reduce inflammation as well as fibrosis. Finally, hAECs have not been genetically manipulated, as is the case with other stem cell approaches, such as those that use induced pluripotent stem cells (iPs). This project provides a potential paradigm shift in the treatment of CF, a lethal genetic condition with a prevalence of approximately 1 in 2,500 births in Australia. The major defects in CF arise from mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene that results in compromised ion transport and reduced airway surface liquid height (ASL). The resulting self-perpetuating cycle of inflammation, airway infection, and progressive structural lung damage leads to end-stage lung disease. Conventional treatments, while useful, do not cure or halt progression of the disease. However, we propose an exogenous non-immunogenic novel cell based therapy using hAECs to potentially correct the consequences of abnormal CFTR function. This approach had not been attempted before and outcomes from this project will assess the feasibility to use cell-based therapy in the form of hAECs to correct reduced ASL in CF. Project suitable for Honours Masters PhD Essential Qualifications BSc. (hons for higher degree) Essential Skills Cell culture Some understanding of molecular biology and cell biology. Additional Skills Motivated and team player Sound oral communication and written skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Anthony Kicic information anthonyk@ichr.uwa.edu.au 9340 8140 10 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline The identification of the human rhinovirus C receptor Asthma, allergy and respiratory disorders Molecular Paediatrics/Clinical Sciences Early-mid 2014 A/Professor Belinda Hales (TICHR/SPACH) A/Professor Anthony Kicic (PMH/TICHR/SPACH) Professor Peter Le Souëf (PMH/TICHR/SPACH) Human rhinoviruses (HRV) are highly prevalent respiratory pathogens which besides causing common upper respiratory infections are strongly associated with exacerbations and the development of asthma in susceptible children. Discoveries made in the last few years have shown that the previously unrecognised species, HRV-C, is especially associated with more severe respiratory disease requiring hospitalisation and could have the greatest propensity to exacerbate asthma. For this reason we have produced recombinant viral capsid proteins of rhinovirus type C to investigate immune responses to this new species in children with asthma. HRV-C is unable to be easily cultured as the receptor for HRV-C is not known. For this project the viral capsid protein VP1 of HRV-C will be used to generate polyclonal antibodies to identify the receptor for HRV-C on freshly isolated epithelial cells collected from children with a rhinovirus infection. VP1 is the most surface exposed of the four capsid proteins and is required to gain entry into cells. Our preliminary studies already show children and adults produce robust antibody responses against VP1 and polyclonal antibodies to VP1 from HRV-A and HRV-C can be readily produced in mice. What isn’t clear is whether antibodies to VP1 will be able to bind to the infecting virus on epithelial cells and whether they can be used to pull down the receptor and enable it’s identification using proteomics. The identification of the receptor for HRV-C has enormous implications in understanding it’s mechanism of action and potentially identifying pathways to treat rhinovirus infections. Project suitable for Honours Masters PhD Essential Qualifications Honours/BMedSci: BSc (Biochemistry, Biotechnology, Microbiology or similar discipline), medical undergraduates wishing to undertake a BMedSci PhD: 1st class Honours or equivalent in a biological discipline (2A considered depending on academic transcript) Essential Skills Excellent writing skills, good communication skills, motivated. Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Belinda Hales information belinda@ichr.uwa.edu.au 9489 7871 11 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Development of a high throughput bacterial-specific IgG assay system for use in paediatric asthma cohort studies Asthma, allergy and respiratory disorders Molecular Paediatrics /Cell Biology Early 2014 A/Professor Belinda Hales (TICHR/SPACH) Professor Patrick Holt (TICHR) Professor Peter Le Souëf (PMH/TICHR/SPACH) Our group has already shown children with asthma have reduced antibody responses to two common constituents of the respiratory microbiome, namely Haemophilus influenza and Streptococcus pneumoniae. Metagenomic profiling is currently being conducted on nasopharyngeal samples collected from young children with asthma and healthy children to identify other relevant organisms. The aim of this project is to develop a Luminex-based multiplex assay for bacterial-specific IgG targeted at 5 common potential pathogens identified within the lung microbiomes of infants and young children. Initially DNA encoding protein antigens from selected bacterial strains will be cloned and used to produce recombinant polypeptide antigens. The antigens that will be produced will be conserved amongst the target bacteria and will be antigenically distinct from antigens expressed by related strains. The structurally validated antigens will then be used in our standard DELFIA immunoassay to determine their antigenicity before proceeding to the development of a multiplex Luminex based assay which incorporates all 5 antigens. The Luminex assay will then be evaluated in paediatric cohorts, including in cohorts from Princess Margaret Hospital and from our international collaborators. The proposed study will build on our prior findings of aberrant immunity to pathogens of the respiratory tract in children who develop asthma and allergy. The project will identify, clone and express antigens of bacterial pathogens that are commonly found in the respiratory microbiome of young children to extend these studies in infants and children with virus-associated bronchiolitis and/or asthma exacerbations. Project suitable for Honours Masters PhD st Essential Qualifications PhD: 1 class Honours or equivalent in a biological discipline (2A considered depending on academic transcript) Essential Skills Excellent writing skills, good communication skills, motivated. Strong background in molecular biotechnology desirable. Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Belinda Hales information belinda@ichr.uwa.edu.au 9489 7871 12 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Deriving global population reference ranges for the gas transfer lung function test Asthma, allergy and respiratory disorders Paediatric Respiratory Physiology Group January 2014 or earlier Professor Graham Hall (TICHR) Dr Sanja Stanojevic (Toronto Hospital for Sick Children) Lung function test results are used to make important medical decisions. Interpretation of these test results relies on the availability of appropriate reference data to help distinguish between health and disease and to assess the severity and nature of any functional impairment. The Global Lung Function Initiative (GLI) group has developed spirometry reference equations that span from 3-95 years is applies to multiple ethnic groups. We propose building on this success and expertise by expanding our work to develop new reference equations for the measurement of the transfer factor for carbon monoxide in the lung (TLCO). This project will involve working with a range of international investigators to: - Collate and clean submitted TLCO data - Develop regression models based on the LMS – cubic-spline approach that allows TLCO reference ranges to be defined - Investigate the impact of ethnic and/or methodological factors that impact on these regression models Project suitable for Honours Masters PhD Essential Qualifications BSc (or similar) with a major in mathematics/statistics/epidemiology and a strong interest in applied statistics and how it can be applied in real world biological settings. Check eligibility with relevant University Essential Skills Additional Skills Funding Contact for further information Ability to work with infants and families Interest in respiratory epidemiology and/ or physiology Applicant should apply for APA, UPA or other scholarship Top-up scholarship may be available to exceptional students Full scholarship available Professor Graham Hall grahamh@ichr.uwa.edu.au 13 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline The Identification of Thoracic Targets for Prevention and Intervention in Bronchopulmonary Dysplasia Asthma, allergy and respiratory disorders Princess Margaret Hospital for Children (PMH) Paediatric Respiratory Physiology Group March 2014 Professor Graham Hall (TICHR) Dr Shannon Simpson (TICHR); Dr Andrew Wilson (PMH); Professor Jane Pillow (KEMH) Bronchopulmonary dysplasia (BPD) remains the most significant chronic lung complication following preterm birth and the most common form of chronic lung disease in infancy. Although BPD is often assessed in relation to the lung alone, the clinical picture is more of a complex multisystem disorder with multiple contributory factors including abnormal pulmonary vascular, chest wall and respiratory muscle development and their contributions to respiratory problems in very preterm infants are unknown. We will quantify the pulmonary, cardiac and respiratory muscular contributions to the development and persistence of BPD in a large cohort of very preterm infants by performing comprehensive respiratory, cardiac and diaphragmatic function testing prior to initial hospital discharge (KEMH) and again at 12 months of age (PMH). Risk indices for perinatal adverse exposures and abnormal function of each system will be used to develop a predictive model to identify infants at high risk of developing BPD and who may benefit from early intervention. This project will involve the measurement, analysis and interpretation of: - lung function in infants - And/or cardiac function in infants - And/or respiratory muscle function in infants - Development of a predictive risk index to identify those preterm infants most at risk of adverse outcomes throughout the first years of life. Project suitable for Honours Masters Essential Qualifications BSc (or similar); MBBS. Check eligibility with relevant University Applicants will require a valid Working with Children Check Essential Skills Ability to work with infants and families Additional Skills Interest in neonatology and physiology Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship may be available to exceptional students Full scholarship available Contact for further Professor Graham Hall information grahamh@ichr.uwa.edu.au 14 PhD Title of Project Major Research Theme Identifying the clinical utility of the multiple breath washout (MBW) test in early cystic fibrosis lung disease Asthma, allergy and respiratory disease Associated Research Theme Start Date Available immediately Chief Supervisor Professor Graham Hall (TICHR) Other Supervisors Professor Stephen Stick (TICHR and PMH), Dr Kathryn Ramsey (TICHR) Project Outline The prevalence of structural lung disease increases dramatically during the preschool years in children with cystic fibrosis, thus the preschool years represent a critical window for intervention. The multiple breath washout (MBW) test is a simple, easy to perform lung function test that has shown promising potential to be used in clinical trials in school-age children with CF. However, the clinical utility of the MBW test in preschool children with CF has yet to be explored. This project will involve: - Measurement of MBW and other lung function tests in preschool children with cystic fibrosis - Correlation of lung function outcomes with clinical outcomes including the presence and extent of structural lung disease, pulmonary inflammation and lower respiratory infections in preschool children with cystic fibrosis. This project would be highly suited to individuals that would like a clinical / child focus to their research. Exposure to a wide range of clinical and scientific disciplines is available and the opportunity to work with a dynamic team with a focus on improving child health. This project is suitable Honours for Essential Qualifications BSc or MBBS Essential Skills Additional Skills Funding Contact for further information Masters PhD Ability to work with young children and families, Working with Children Check is compulsory Confident with computers and computerised equipment Applicant should apply for APA, UPA or other scholarship Top-up scholarship possible Full scholarship possible Professor Graham Hall grahamh@ichr.uwa.edu.au 15 Title of Project Major Research Theme The utility of breath analysis for lung disease biomarkers using the RTube/SPME collection device combined with metabolomics Asthma, allergy and respiratory disease Associated Research Theme Start Date Metabolomics in health and disease Chief Supervisor Assistant Professor Michael Clarke (UWA) Other Supervisors Professor Graham Hall (TICHR), Professor Jane Pillow (UWA and PMH), Dr Shannon Simpson (TICHR) Project Outline Bronchopulmonary dysplasia (BPD) remains the most significant chronic lung complication of preterm birth and the most common form of chronic lung disease in infancy. Current sampling techniques used to assess lung molecule production in this patient group are either invasive (bronchiolar lavage sampling), or may be inappropriate for lung assessment (urine and plasma). Breath sampling potentially represents a non-invasive, specific sample type to assess lung disease biomarkers and drug levels (both inhaled and ingested). Aim: To establish collection protocols to sample breath from infants enrolled in an ongoing study which is designed to fully quantify and characterise lung function abnormalities in very preterm infants. Exhaled breath condensate (EBC) samples will be collected into a modified R-Tube™ collection device that also contains a solid phase micro-elution (SPME) volatile molecule trapping fibre. Analysis of oxidative stress and inflammation in EBC will be determined by measuring 8-Isoprostane and Leukotriene B4 respectively. Volatile molecules trapped on the SPME fibre will be assayed separately using GCMS. Biomarkers will be assessed against current testing procedures to determine their potential utility in the management of BPD. All biochemical testing will be performed at the UWA Centre for Metabolomics at UWA. This project would be highly suited to individuals that would like a clinical / child focus to their research with emphasis on new analytical technologies. Exposure to a wide range of clinical and scientific disciplines is available and the opportunity to work with a dynamic team with a focus on improving child health. Honours Masters PhD This project is suitable for Essential Qualifications Essential Skills Additional Skills Funding Contact for further information Feb 2014 BSc or MBBS with a strong interest in clinical biochemistry Ability to work with young children and families, Working with Children Check is compulsory Confident with computers and computerised equipment Applicant should apply for APA, UPA or other scholarship Top-up scholarship possible Full scholarship possible Assistant Professor Michael Clarke (UWA) michael.clarke@uwa.edu.au 16 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Viral and bacterial interaction in the airway – which is the critical factor for developing severe secondary infection? Asthma, allergy and respiratory disorders (SPACH) Paediatric respiratory infections group March 2014 Professor Mark Everard (SPACH) Dr Angela Fonceca (SPACH) The interaction of potential pathogens such as non-typable haemophilus influenza (NTHi) with the host microbiota and viruses is poorly understood. NTHi repeatedly colonises the upper airway throughout life without causing significant disease. However it is also capable of causing significant disease in the form of otitis media [middle ear infections], sinusitis and bacterial bronchitis. It is commonly associated with airways diseases such as COPD seen in smokers and bronchiectasis when its ability to exist as a biofilm plays a key role. NTHi and other organisms that can become pathogens such as streptococcus pneumonia interact with each other and viruses. Respiratory viral infections appear to predispose to initiation of acute and chronic disease caused by the organisms and are also important in initiating exacerbations of disease severity. This study aims to explore the role of viral co-infections in both the initiation of disease and in the causation of exacerbations. Students will be trained in cell culture techniques needed to complete viralbacterial infections. Confocal microscopy, ELISA and PCR techniques will be used to assess cellular morphological changes and signalling. Project suitable for Honours Masters PhD Essential Qualifications BSc with Honours (min 2:1) Essential Skills Working knowledge of aseptic technique, cell culture and completion of PAWES course would be considered an advantage Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Mark Everard information Mark.everard@uwa.edu.au 93408174 17 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Exploring the impact of respiratory syncytial virus infection of dendritic cells Asthma, allergy and respiratory disorders (SPACH) Paediatric respiratory infections group March 2014 Professor Mark Everard (SPACH) Dr Angela Fonceca (SPACH) The respiratory syncytical virus [RSV] remains a major cause of morbidity and mortality with an estimated 500,000 infants dying worldwide each year due to RSV infections. To date it has not been possible develop and effective vaccine and it is likely that poor long term memory responses following infection contributes to poor herd immunity and hence plays a factor in the viruses ability to cause annual epidemics of disease. We have shown that RSV productively infects dendritic cells, key cells in antigen presentation, and is also able to remain dormant within these cells. It is likely that this ability to infect DCs affects their ability to effectively present antigen and also provides the virus with a natural reservoir during the summer months between the winter epidemics. Understanding the interaction of RSV and DCs and the impact of this on the hosts immune response is likely to be key to developing effective preventative and therapeutic strategies. This project will look to develop in vitro and animal models to further explore this important topic. Students will be trained in cell culture techniques needed to complete viralbacterial infections. Confocal microscopy, ELISA and PCR techniques will be used to assess cellular morphological changes and signalling. Project suitable for Honours Masters PhD Essential Qualifications BSc with Honours (min 2:1) Essential Skills Working knowledge of aseptic technique, cell culture and completion of PAWES course would be considered an advantage Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Mark Everard information Mark.everard@uwa.edu.au 93408174 18 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Assessment of the relationship between vaccination and allergies Asthma, allergy and respiratory disorders Infectious Diseases Epidemiology/ Vaccine Trials Group February 2014 Dr T Snelling (TICHR) Professor Peter Richmond (SPACH/TICHR) Allergic diseases have replaced infections as the most common cause of chronic morbidity among children in developed countries. For some allergic conditions, most notably allergy to foods, the incidence among young children continues to increase. While the cause is not known, some have speculated that changes in infant vaccination practices over the past 2 decades may have contributed to this increase. This project will investigate the possible relationship between infant immunisation and allergic diseases in early childhood. The project will combine observational or quasi-experimental analyses of the association between allergy and vaccination, with a pilot randomised control study based at the Princess Margaret Hospital. The project will provide excellent research experience in study design and analysis, including in all facets of the design and conduct of randomised control trials. Project suitable for Honours Masters PhD Essential Qualifications MBBS Essential Skills Additional Skills Previous research experience or training in biostatistics is desirable but not essential. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Tom Snelling information tsnelling@ichr.uw.edu.au 19 Title of Project Key Research Area Research Group Start Date Co Supervisor s Other Supervisors Project Outline Dendritic cells and the induction of allergic airways inflammation Asthma, Allergy and Respiratory Disease Cell Biology and Immunology February 2014 Dr Vanessa Fear (TICHR) Initial development of atopic asthma is strongly linked with viral infection early in life, and more recently delayed development of innate immunity, including the antiviral cytokine Type I Interferon. The normal adaptive immune response to inhaled antigen is initiated by airway dendritic cells (DC) and leads to the generation of immunologic tolerance. During asthma the dendritic cell response to usually innocuous antigens/allergens results in airways inflammation and development of a Th2 memory cell response. This Th2 memory cell response is the underlying mechanism responsible for asthma. This project will investigate the impact to type I IFNs on the development of bone-marrow derived dendritic cell cultures and their ability to induce an immune response in vivo. Dendritic cells will be characterised with regard to maturation, phenotype, tissue homing capacity, and induction of inflammatory responses. Techniques used: Animal models of disease; Tissue preparation; Tissue culture; Flow cytometry; Cell sorting; Histology; ELISA; Immunex assay; Proliferation assays; Fluorescent labelling of cells and cell transfer. Honours Masters PhD This project is suitable for Essential Qualifications BSc Essential Skills Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Vanessa Fear information vfear@ichr.uwa.edu.au 9489 7836 20 Title of Project Key Research Area Research Group Start Date Supervisor Other Supervisors Project Outline Type I Interferon immunomodulation of allergic asthma Asthma, Allergy and Respiratory Disease Cell Biology and Immunology February 2014 Dr Vanessa Fear (TICHR) Asthma is a chronic disease effecting over 12% of the Australian population. Recent data strongly indicates that asthmatics experiencing severe viral exacerbation of disease, requiring hospitalization, are deficient in their type I Interferon response. The type I Interferons (IFNs) are expressed early in the innate immune response to viral challenge, induce antiviral responses and alert surrounding cells to the presence of pathogen. Current scientific evidence determining the reduced type I Interferon expression in asthmatics has been limited to two type I Interferon subtypes viz. IFNa2 and IFNb. In humans, however, there are over 14 type Interferon subtypes, including 13 IFNa subtypes and two isoforms of the IFNb. This laboratory has a panel of Type I IFN subtypes for investigation of immunomodulation of asthmatic disease in a murine model of asthma. The efficacy and underlying mechanisms of the IFN subtypes will be investigated. Techniques used: Animal models of disease; Tissue preparation; Tissue culture; Flow cytometry; Cell sorting; Histology; ELISA; Immunex assay; molecular biology, cell signalling; and DNA gene therapy. This project is suitable Honours Masters for Essential Qualifications BSc Essential Skills Cell biology; molecular biology; immunology Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Vanessa Fear information vfear@ichr.uwa.edu.au 9489 7836 21 PhD BIOINFORMATICS AND DATA SERVICES Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Evaluating bioinformatics data processing platforms to support metabolomics-driven discovery of disease biomarkers Bioinformatics Genetic and Health January 2014 Dr Saskia Decuypere (TICHR) Metabolomics is a biomedical discipline that is primarily based on advanced mass-spectrometry (MS) to simultaneously profile hundreds of metabolites in a biological sample (or metabolic profile). Such metabolic profiling of healthy and diseased individuals plays an increasingly important role in the discovery of diagnostic disease biomarkers and was recently introduced at TICHR for the study of cancer and infectious diseases. Metabolomics based biomarkerdiscovery largely depends on bioinformatics-driven processing of crude MS signals which results in a data matrix with quantitative information of all detected metabolites. This matrix is the starting point for downstream statistical and biological comparison of the studied samples. Although the principles for this type of MS data processing are well established, in practice metabolomics data analysis for biomarker studies is a challenging task requiring innovative bioinformatics and biostatistics solutions. A large number of MS data processing packages have been developed in recent years, and all offer different functionalities and have different shortcomings. This project will comparatively evaluate the performance of leading packages to analyse metabolomics data sets from biological models and clinical patient cohorts. The objective is to identify and implement the best-performing tools into configurations for biomarker discovery studies. Student projects will involve introduction to mass-spectrometry technology, bioinformatics processing of crude MS data, and univariate/multivariate biostatistics. Project suitable for Honours Masters PhD Essential Qualifications Masters – enrolment in relevant Masters course Essential Skills Advanced computer skills, familiarity with R environment, understanding of multivariate statistics, ability to work in interdisciplinary research, willingness to learn, good communication skills. Additional Skills Familiar with Linux and Windows OS, keen interest in infectious disease biology, diagnosis and control. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Saskia Decuypere information sdecuypere@ichr.uwa.edu.au 9489 7886 23 CHILD DEVELOPMENT AND WELLBEING Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline The built environment and child health and development Child development and wellbeing Population Science Flexible Asst/Prof Hayley Christian (TICHR & Centre for the Built Environment and Health - School of Population Health - UWA) W/Prof Steve Zubrick (TICHR) Dr Steve Ball (TICHR) The main aim of this research is to identify aspects of the built environment that are important for child health and development. This project will help fill the knowledge gap on how to design urban landscapes that are supportive of good child health outcomes. The built environment incorporates land use patterns, transportation systems, building design and social infrastructure including public open space, and creates conditions that optimal (or detrimental) for child health and development. This research project will involve a systematic review of the relationship between the built environment and child health and development outcomes. The project will aim to develop measures of the built environment for examining the relationship with child health and development within different settings (i.e., home environment, local neighbourhood, childcare facilities). While research on the impact of the built environment on health in adults has increased rapidly over the past decade, little is known of the effect of the built environment on early childhood health and development. This is important because efforts to create environments that support healthy child development could have a large impact on the health of children over their lifetime and are especially critical for the overall health and wellbeing of the community. Only a handful of studies have examined the role of physical neighbourhood characteristics on child health and development outcomes. More evidence is required to determine what is a child-friendly environment in the context of neighbourhoods and what are optimal levels of built environmental features (e.g., density, connectivity, mixed-use) for early child health and development? Project suitable for Honours Masters PhD Essential Qualifications For PhD candidates: minimum of 2A Honours degree For Masters candidates: degree in public health, epidemiology, or related field. Essential Skills Ability to conduct quantitative research Excellent writing skills Statistical analysis Ability to work as part of a team Good interpersonal and communication skills Additional Skills Knowledge of child health behaviours Familiarity with SPSS Geographic Information Systems skills desirable Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Asst/Prof Hayley Christian information hayley.christian@uwa.edu.au 6488 8501 25 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Physical activity in the early years Child development and wellbeing Population Science Flexible Asst/Prof Hayley Christian (TICHR & Centre for the Built Environment and Health - School of Population Health - UWA) W/Prof Steve Zubrick (TICHR) The main aim of this research is to examine the influence of the physical, social and policy environment on young children’s physical activity and sedentary behaviour while attending childcare. This project will provide information on how best to create a healthy childcare environment. The project will involve qualitative research with children, parents, staff and key stake holders in the childcare setting, objectively measuring the physical activity and sedentary behaviour of young children and the physical, policy and social environment of childcare centres. This research will form the basis for an intervention study. There is growing interest in built environment interventions targeted at increasing children’s physical activity because of their potential reach and impact on the health and well-being of future generations. In the last decade there has been a 20% increase in the number of 0-4 year olds in Western Australia (WA) with 63% of WA 2-3 year olds attending some type of child care. The child care setting is where children spend a considerable portion of their time, thus this is an important setting in which children should have the opportunity to accumulate physical activity and other forms of unstructured physical play. Project suitable for Honours Masters PhD Essential Qualifications For PhD candidates: minimum of 2A Honours degree For Masters candidates: degree in public health, epidemiology, or related field. Essential Skills Ability to conduct quantitative and qualitative research Excellent writing skills Statistical analysis Ability to work as part of a team Good interpersonal and communication skills Additional Skills Knowledge of child health behaviours Familiarity with SPSS Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Asst/Prof Hayley Christian information hayley.christian@uwa.edu.au 6488 8501 26 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Pathways to preventable and unexplained deaths in childhood and young adulthood in Western Australia Child development and wellbeing Paediatric Mortality January 2014 Professor Fiona Stanley (TICHR) Dr Carrington Shepherd (TICHR) Dr Amanda Langridge (TICHR) Dr Kristjana Einarsdottir (TICHR) The study aims to elucidate and quantify the pathways to premature and unexplained mortality among children and youth in Western Australia, including those in disadvantaged groups. The Telethon Institute has had a long-term, active involvement in ascertaining the patterns and trends in mortality of Aboriginal and non-Aboriginal infants, children and young people in Western Australia since 1980. This study will extend on this work, and apply a quantitative methodology to explore specific pathways to death, including unexplained deaths. It will draw upon unique, individually linked population-level administrative data from Western Australia’s statutory and health data collections (that include information on cause of death, births registrations, hospitalisations, juvenile justice, child protection) and utilise a range of designs (e.g. case-control) and analytic techniques (e.g. multivariate analysis and modelling). The study forms part of a collaboration with Professor Fiona Stanley and Professor Ruth Gilbert (University College London) that aims to guide the development of practical interventions and population health strategies that can prevent poor health and death in the early life course. Project suitable for Honours Masters PhD Essential Qualifications For PhD candidates: a minimum of 2A Honours degree or a Masters degree in a related field. Essential Skills Background knowledge in relevant areas, such as developmental health, epidemiology and population health. Knowledge of quantitative data analyses is essential. Additional Skills Experience in the analyses of linked datasets would be advantageous but not essential. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Carrington Shepherd information carringtons@ichr.uwa.edu.au 08 9489 7839 27 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Investigating medium-long term neurocognitive and neurobehavioural consequences of weight gain and nutrition in the first year of life Child development and wellbeing Developmental Neuroscience and Nutrition Research Groups As soon as possible Joint supervisors: Jonathan Foster & Wendy Oddy (TICHR) A recently published paper has created considerable interest concerning the relationship between early postnatal weight gain and nutrition during the first year of life and subsequent intellectual development. Specifically, recent research from the University of Adelaide published in the journal Pediatrics has shown that weight gain and increased head size in the first month of a baby's life is linked to a higher IQ at early school age (see the following link: http://pediatrics.aappublications.org/content/early/2013/06/12/peds.20123497). We wish to undertake a similar study in the Raine cohort. We will examine weight in the first year of life and investigate its correlation with neurocognitive development at six years. It may also be feasible to examine the relationship between weight gain in the first year of life and its relationship with later cognitive development, through additional data that are available through the Raine cohort. Project suitable for Honours Masters Essential Qualifications 3 year Bachelors degree in a biomedical or relevant social science (e.g. psychology, nutrition) Essential Skills Literacy, numeracy and an enquiring scientific mind Additional Skills Familiarity with SPSS would be an advantage Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Jonathan Foster information Jonathan.Foster@health.wa.gov.au 0452 266598 28 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Long-term influence of early nutrition on metabolic health OR Analysis of metabolic profiles in adolescents by mass spectrometry-based metabolomics: biomarkers for metabolic consequences of early programming (scientific title) Child development and wellbeing Nutrition in Population Sciences Early 2013 Professor Wendy H. Oddy (TICHR) Dr Rae-Chi Huang (TICHR) Background: A shorter duration of breastfeeding in early infancy may be associated with an increased risk of the metabolic syndrome (MetS) in later adolescence and young adulthood. The aim of this project is to investigate in detail, associations between sensitive periods of early infant feeding and prevalence of the MetS as defined by metabolomics and cluster analyses at 20 years, in a prospective pregnancy cohort. Methods: Infant feeding history was assessed by parent/guardian questionnaire in 2420 children participating in The Western Australian Pregnancy Cohort (Raine) Study. Blood samples drawn at the age of 20 years from study participants will be used for mass spectrometry-based targeted metabolomics. Metabolic profiling data will be analyzed for associations with covariates indicative of early programming (infant nutrition, early growth) and with variables of the current metabolic state at age 20 (BMI, waist-hipratio, food frequency questionnaire, plasma lipids, liver enzymes, presence of metabolic syndrome or diabetes type 2 according to established diagnostic criteria (IDF, ATP)). A broad range of metabolites from protein, energy and lipid metabolism (amino acids, acyl-carnitines, hexoses, phosphatidylcholines, lysophosphatidylcholines and sphingomyelins) will be analyzed in Germany by direct infusion-tandem mass spectrometry in all available (~ 1300) blood samples from study participants. Adjustment will be made in multivariate logistic regression for relevant covariates. To date: Following multivariate adjustment, breastfeeding cessation prior to four months of age was associated with an increased prevalence of being at risk for the MetS at 1, 8, 14 and 17 years adding support to our hypothesis. This study supports the theory that a shorter duration of breastfeeding is associated with a higher prevalence of being in the high risk cluster for MetS in later adolescence. Project suitable for Honours Masters PhD Essential Qualifications BSC (Hons) Nutrition, Biochemistry or similar relevant degree Essential Skills Data analysis Additional Skills Passion and dedication Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Professor Wendy Oddy information wendyo@ichr.uwa.edu.au Mob: 0413030052 / Wk: 08 9489 7879 29 CHILDREN’S CANCER AND LEUKAEMIA Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline microRNA and childhood brain tumours Children’s cancer & leukaemia Brain Tumour Research Program Feb 2014 Dr Peter Dallas (TICHR) Dr Kim Carter (TICHR) Dr Keith Giles (WAIMR) MicroRNAs (miRNAs) are small non-coding RNA molecules with important regulatory roles in mammalian development. Concomitant with their functional importance, deregulated miRNA expression has been linked to the pathogenesis of many cancers, including medulloblastoma (MB), the most common type of malignant brain tumour affecting children. Four molecular sub-types of MB have been described providing an opportunity to devise new treatments that are sub-type specific, more effective, and less damaging to normal cells. We have identified several deregulated miRNAs and their putative mRNA targets that are associated with the more aggressive MB subtypes. The aims of this project are to investigate and confirm these miRNA/mRNA interactions, and assess their functional significance using our panel of MB cell lines. Ultimately, this research may open up new avenues for the treatment of MB. Project suitable for Honours Masters PhD Essential Qualifications BSc Biomedical Science or equivalent Essential Skills Molecular biology and/or tissue culture experience, good communicator and team player Additional Skills Knowledge of cancer and/or miRNA biology Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Peter Dallas information peterd@ichr.uwa.edu.au 94897854 31 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Immunity to Melanoma Children’s cancer & leukaemia Tumour Immunology March 2014 Dr Jason Waithman (TICHR) Dr Vanessa Fear (TICHR), Dr Elke Seppanen (TICHR), Professor Prue Hart (TICHR) Metastatic melanoma is a disease that is on the rise in the human population. Clinically, disease progression begins in the skin and final stages involve spread of tumour cells beyond the primary site where they can proliferate and establish a metastatic focus. Common sites include regional lymph nodes and sadly, once distant metastases are evident, patient prognosis is dismal and the median survival is ∼ 6 months. Clearly, new treatments are desperately needed to prevent and treat this disease. My research focuses on harnessing the power of the immune system to destroy melanoma. To truly understand the disease, living systems must be employed that correctly depict the course of disease. I have developed a novel transplantable cutaneous mouse model of melanoma that more closely mimics the human condition than other commonly used subcutaneous models employed worldwide. This is best highlighted by consistent metastatic formation in regional lymph nodes, a process not observed in the classical subcutaneous model. My team is using this model to elucidate the immune sentinels responsible for initiating cellular immunity to melanoma. Our hypothesis is that distinct populations within the skin comprise a component of the complex immunosurveillance program and that our model is ideal for elucidating their function. We hope to identify that distinct populations of these sentinels provide a more favourable anti-tumour response. Such a discovery provides the potential for new vaccination strategies to target candidate immune sentinels with specific novel tumour-specific antigens for the promotion of enhanced anti-tumour cellular responses that assist in disease control and prevention. In addition, we are in the process of setting up multiple preclinical models of melanoma to test the efficacy of novel treatments as well as determine the underlying mechanisms in current successful immunotherapies. It is hoped the results from these studies will identify new approaches and improve existing protocols to mediate complete and durable responses in people suffering from melanoma. Project suitable for Honours Masters PhD Essential Qualifications Greater than credit average for Hons; BSc (Hons) or equivalent in biological discipline for Masters or PhD Essential Skills Good organisational skills, motivation and dedication Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Jason Waithman information jwaithman@ichr.uwa.edu.au (08) 9489 7833 32 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline New uses for old drugs: repurposing drugs to treat childhood brain cancer Children’s cancer & leukaemia Brain Tumour Research Program ASAP Dr Tobias Schoep (TICHR) Dr Nicholas Gottardo (TICHR), Dr Raelene Endersby (TICHR), Peter Dallas (TICHR) The Brain Tumour Research Program is led by the practicing clinician Nicholas Gottardo and contains several senior scientists with expertise in cancer research. Survival rates for childhood brain cancers are poor and are not improving. We focus on understanding both the basic biology of childhood brain cancers and developing new therapies for the treatment of these cancers. One strategy for developing new therapies is the use of high-throughput screening and rational selection to take drugs used to treat other diseases, and repurpose them for the treatment of childhood brain cancer. Drug effectiveness and mechanisms of action will be evaluated in tissue culture and mouse models of childhood brain cancer. Those drugs that enhance existing therapies used to treat childhood brain cancer will be of special interest. We are also interested in how to improve the delivery of drugs to the brain for therapy. We invite you to discuss the details of research projects in this area. As well as gaining a greater depth of understanding of cancer biology, you can expect to gain skills in: i) drug discovery methodologies ii) tissue culture and associated assays, iii) molecular engineering and vector production, v) biochemical and immunological techniques and assays, iv) animal work and downstream analyses such as histological analyses. You will also connecting and working with a network of national and international collaborators. Project suitable for Honours Masters Essential Qualifications For Honours or Masters: greater than credit average For a PhD: First class Honours degree or equivalent Essential Skills Willingness to work with small animal models Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Tobias Schoep information tschoep@ichr.uwa.edu.au 9489 7897 33 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Investigating medium-long term neurocognitive and neurobehavioural outcomes in medulloblastoma and cerebellar pilocytic astrocytoma Children’s cancer & leukaemia Cancer/Developmental Neuroscience As soon as possible Joint supervisors: Profs Jonathan Foster & Nick Gottardo (TICHR) N/a Cognitive impairment has been reported in medium-long term follow-up of children who have suffered from malignant brain tumours. We here seek to determine to what extent this may be attributable to the brain lesion per se and consequent surgery as distinct from radiotherapy and/or chemotherapy. We will focus in this project on the following conditions: medulloblastoma and cerebellar pilocytic astrocytomas. We will assess children who underwent either i) surgery alone for cerebellar pilocytic astrocytomas or ii) surgery and subsequent chemotherapy and radiotherapy for medulloblastoma and compare their medium-long term functional outcome with a control group who are matched on relevant sociodemographic variables. The focus of cognitive assessment will be on the domains of intelligence, executive function, attention, perception and memory – as these are the cognitive domains which have been cited in the literature to date. Our approach will enable us to dissociate the impact of a) the radiotherapy and/or chemotherapy as distinct from b) the brain lesion per se and subsequent surgery to the cerebellum. Project suitable for Honours Masters Essential Qualifications 3 year Bachelors degree in a biomedical or relevant social science (e.g. psychology) Essential Skills Literacy, numeracy and an enquiring scientific mind Additional Skills Familiarity with SPSS would be an advantage Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further A/Prof Jonathan Foster information Jonathan.Foster@health.wa.gov.au 0452 266598 34 PhD Title of Project Key Research Area Research Group Start Date Supervisors Other Supervisor Project Outline The role of connective tissue growth factor (CTGF) in leukaemogenesis and haematopoiesis Children’s Cancer and Leukaemia Leukaemia Team March 2014 Dr Meegan Howlett (TICHR) and Mr Laurence Cheung (TICHR) Professor Ursula Kees (TICHR) Acute lymphoblastic leukaemia (ALL) is the most common cancer in children and accounts for approximately 80% of leukaemia cases, with peak prevalence at 2 to 5 years of age. Moreover, B-lineage ALL is the most common type of ALL in children with an incidence of about 85% while T-cell ALL accounts for 15% of cases. High expression of CTGF has been consistently identified in patients with ALL across several patient cohorts. Specifically, high CTGF expression is exclusive to B-lineage ALL and is secreted by ALL cells, but is not found in T-cell ALL. Moreover, high levels of CTGF expression in B-lineage ALL are linked to poor outcome in patients. The project is designed to further elucidate the role of CTGF in leukaemogenesis and haematopoiesis. The student will be part of the team to address key issues that regulate the function of CTGF. To perform the project, the student will develop expertise in • Animal handling and tissue preparation; • Tissue culture; • Paraffin sectioning and Immunohistochemistry; • Flow cytometry and cell sorting; • RNA and protein extraction; • Gene expression analysis Project suitable for Honours Masters Essential Qualifications BSc or equivalent Essential Skills Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Laurence Cheung information lcheung@ichr.uwa.edu.au 94897859 35 PhD Title of Project Novel peptide based drugs for the treatment of sonic hedgehog dependent cancers Key Research Area Children’s cancer & leukaemia Drug discovery (Phylogica) Research Group Drug discovery/Brain Tumour Research Program Start Date Feb 2014 Chief Supervisor Dr Peter Dallas (TICHR) Other Supervisors Dr Nadia Milech (TICHR) Project Outline Phylomers are a novel class of peptides that are being developed by the Institute’s drug discovery team to treat a wide range of diseases, including cancer. One of the cancers the drug discovery and brain tumour teams are interested in is medulloblastoma (MB), the most common type of childhood malignant brain tumour. The growth of some MB is driven by deregulated sonic hedgehog (SHH) signalling, which is also associated with the pathogenesis of a broad range of other tumours, including basal cell carcinoma (BCC), and cancers of lung, pancreas, prostate, and breast. Importantly, targeted inhibition of Smoothened, an integral component of the SHH signalling cascade, can be clinically effective for treating patients with BCC and MB, including those with metastatic disease. Thus, inhibitors of the SHH pathway may be broadly effective for cancer treatment in diverse contexts. Activation of GLI proteins is the culmination of SHH signalling, and these proteins are therefore attractive targets for therapeutic intervention. The aim of this project is to screen Phylogica’s extensive Phylomer libraries using a bacterial two-hybrid screening system to identify Phylomers that bind to GLI proteins. The inhibitory capabilities of Phylomers isolated in this way will then be investigated in vitro and ex vivo using a suite of established cell line models prior to testing using biophysical models and animal systems. Project suitable for Honours Masters PhD Essential Qualifications BSc Hons in a biomedical/biotechnology or related discipline Essential Skills Molecular biology experience Additional Skills Comfortable working with small animal models Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Peter Dallas information peterd@ichr.uwa.edu.au 94897854 36 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Does chemotherapy alter the primary cilium in normal brain and brain tumours? Children’s cancer & leukaemia Brain Tumour Research Program Flexible, available immediately Dr Raelene Endersby (TICHR) Dr Nicholas Gottardo (PMH), Miss Hilary Hii (TICHR) The Brain Tumour Research Program is a collaborative group comprising clinicians, neurosurgeons and laboratory scientists. We focus on understanding mechanisms underlying formation of childhood brain tumours, development of experimental models of disease as well as identifying and testing potential new therapies. One in five childhood cancers arise in the central nervous system. Medulloblastoma is the most common malignant brain tumour that affects children. Abnormal activity of the Sonic Hedgehog pathway is a known causative factor in a subset of human and mouse medulloblastomas. Activity of this pathway is exquisitely controlled in a poorly understood organelle known as the primary cilium which exists on most mammalian cell types. The primary cilium is a microtubule-based organelle that protrudes from the plasma membrane and acts much like an ‘antenna’ to sense extracellular signals. One of the chemotherapeutics used in the treatment of medulloblastoma, vincristine, is a microtubule inhibitor. Moreover several new drugs in clinical trial for this disease target proteins that reside in the primary cilium. The goal of this study is to determine the impact of these treatments on tumour growth in an animal model of SHH-subtype medulloblastoma with particular focus on the activity of the primary cilium. In addition, neurotoxicty of these treatments will be assessed in normal brain. Techniques include: animal work (colony management, drug treatment, tissue harvesting), histology (tissue processing, paraffin sectioning, cryosectioning, immunohistochemistry) and advanced imaging (fluorescence and confocal microscopy). Project suitable for Honours Masters PhD Essential Qualifications Honours/Masters: greater than distinction average. *Medical undergraduates wishing to undertake a BMedSci are also suitable Essential Skills Excellent communication and interpersonal skills, willingness to learn new skills and work with animals, good organisational skills, initiative, dedication, ability to work independently Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Raelene Endersby information rendersby@ichr.uwa.edu.au 37 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Understanding the genetics of paediatric brain tumours Children’s cancer & leukaemia Brain Tumour Research Program Flexible, available immediately Dr Raelene Endersby (TICHR) Dr Mark Cruickshank (TICHR), Dr Nicholas Gottardo (PMH) Paediatric brain tumours, like medulloblastoma (MB), can be defined into multiple molecular subgroups by gene expression profiling and genomic DNA analysis. This provides important insights into the pathogenesis of MB and highlight targets for therapeutic development. However, whilst many targeted anti-cancer agents have recently been developed, evaluation of their efficacy is delayed due to a lack of model systems that accurately reflect the various subtypes of these diseases in children. To address this, we have generated a panel of unique cell lines representative of various primary and relapsed paediatric brain tumours. Furthermore, to more closely resemble their natural microenvironment, we have established mouse models for these diseases by orthotopic transplant providing a unique resource in the preclinical analysis of novel therapies. However, the preclinical utility of these new models requires full characterisation of their underlying genetic alterations such that molecularly targeted therapies are assessed in the most appropriate systems. Our study aim is to identify mutations across the coding regions of several new models of paediatric brain tumours using whole-exome capture and deep sequencing. The sequence information will be integrated with DNA copy number alterations and gene expression analyses to identify genes or pathways that might drive cancer growth. Significant tumour causing mutations will be further assessed in our cell lines and mouse models to determine the mechanisms by which they influence cancer initiation, progression and/or therapeutic resistance. Techniques include: In vitro culture of patient-derived cancer cells, DNA and RNA extraction, bioinformatic analysis (exome sequencing, analysis of DNA copy number microarrays, DNA methylation microarray analysis), protein extraction/analysis, establishment of new brain tumour models by intracranial implant. Project suitable for Honours Masters PhD Essential Qualifications Honours/Masters: greater than distinction average. PhD: First class Honours degree or equivalent (eg. Masters by research) in biological discipline, computer science or statistics. Essential Skills Excellent communication and interpersonal skills, interest in computer programming, willingness to learn new skills, good organisational skills, initiative, dedication, ability to work independently Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Raelene Endersby information rendersby@ichr.uwa.edu.au 38 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Testing the efficacy of an Akt inhibitor in childhood brain cancer treatment Children’s cancer & leukaemia Brain Tumour Research Program Flexible, available immediately Dr Raelene Endersby (TICHR) Dr Jacqueline McGlade (TICHR), Dr Tobias Schoep (TICHR), Dr Nicholas Gottardo (PMH) Project Outline Primitive neuroectodermal tumours, including medulloblastoma and pineoblastoma, are the most common malignant brain tumours of childhood. Despite improvements in surgery and radiotherapy, as well as intense chemotherapeutic regimens, many children with these tumours remain incurable and survivors are often left with devastating long-term side effects. Therefore new therapeutic approaches are required to improve cure rates and minimise treatment related consequences. To this end, we have developed several tumour cell lines derived from patients with these cancers and performed a high-throughput drug screen to identify potential new drugs for treatment. Through this we have identified a number of promising drugs that require further validation to determine if they have true anti-cancer actions. One of these is an inhibitor that blocks the Akt kinases. The Akt proteins play a key role in multiple cellular processes such as glucose metabolism, apoptosis, proliferation, transcription and cell migration. The activation of Akt is also one of the most frequent alterations observed in human cancer, therefore, understanding Akt and its pathways is important for the creation of better therapies to treat cancer and tumour cells. Several of our brain tumour models exhibit abnormal Akt activation. This study aims to perform a preclinical study to determine the effect that Akt inhibition has on paediatric brain tumours. The anti-tumour activity of the drug MK-2206 will be compared with conventional chemotherapy in cells isolated from brain tumour patients. The potential synergy of this new drug with conventional chemotherapeutics will also be determined. Synergistic drug combinations will be evaluated in mouse models to determine if these novel treatments are more effective that conventional chemotherapeutics. Techniques include: cell culture, in vitro drug testing, proliferation assays, cell death assays, drug interaction studies, protein extraction/analysis, intracranial implant, mouse handling, drug administration to animals, live animal imaging, tissue collection/processing/sectioning, histology, immunohistochemistry, computational data analysis. Project suitable for Honours Masters PhD Essential Qualifications Honours/Masters: greater than distinction average. PhD: First class Honours degree or equivalent (eg. Masters by research) in biological discipline. *Medical undergraduates wishing to undertake a BMedSci are also suitable Essential Skills Excellent communication and interpersonal skills, willingness to learn new skills and work with animals, good organisational skills, initiative, dedication, ability to work independently Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Raelene Endersby information rendersby@ichr.uwa.edu.au 39 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline A novel treatment strategy for non-SHH and non-WNT medulloblastoma Children’s cancer & leukaemia Brain Tumour Research Program Flexible, available immediately Dr Raelene Endersby (TICHR) Dr Jacqueline McGlade (TICHR), Dr Tobias Schoep (TICHR), Dr Nicholas Gottardo (PMH) Medulloblastomas, the most common malignant paediatric brain tumours, are molecularly divided into four major groups: SHH, WNT, Group 3 and Group 4. Group 3 tumours, which often overexpress and frequently amplify the MYC oncogene, are the most aggressive and least curable. The Telethon Institute Brain Tumour Research Program is part of an international collaboration where our colleagues have identified a novel chemotherapeutic drug combination that appears effective in a mouse model of Group 3 medulloblastoma. These drugs are both FDA-approved compounds with activity as an inhibitor of the folate pathway and an inhibitor of nucleotide synthesis. The aims of this project are to experimentally determine the efficacy of this new treatment in multiple in vitro and in vivo experimental models of medulloblastoma, which represent several of the different molecular subtypes of the disease. Preclinical studies will determine the effects of treatment on survival and will be molecularly studied to reveal the antitumour mechanisms of treatment. Techniques include: cell culture, in vitro drug testing, proliferation assays, cell death assays, drug interaction studies, protein extraction/analysis, intracranial implant, mouse handling, drug administration to animals, live animal imaging, tissue collection/processing/sectioning, histology, immunohistochemistry, computational data analysis. Project suitable for Honours Masters PhD Essential Qualifications Honours/Masters: greater than distinction average. PhD: First class Honours degree or equivalent (eg. Masters by research) in biological discipline. *Medical undergraduates wishing to undertake a BMedSci are also suitable Essential Skills Excellent communication and interpersonal skills, willingness to learn new skills and work with animals, good organisational skills, initiative, dedication, ability to work independently Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Raelene Endersby information rendersby@ichr.uwa.edu.au 40 Title of Project Developing novel techniques and assays for the pharmacokinetic evaluation of chemotherapeutics in childhood brain tumour models Key Research Area Children’s cancer & leukaemia Research Group Brain Tumour Research Program Start Date Flexible, available immediately Chief Supervisor Dr Raelene Endersby (TICHR) Other Supervisors Dr Nicholas Gottardo (PMH) and other interstate (UNSW/CCIA) and international supervisors (St Jude Children’s Hospital) (TBA) Project Outline For the past three decades, advances in the treatment of central nervous system (CNS) tumours such as medulloblastoma have only been modest. One particular challenge facing treatment of brain tumours is the delivery of therapeutically effective concentrations of anti-cancer agents to the target site in the brain. The sanctuary of the brain is protected by several barrier systems such as the blood-brain barrier (BBB) and the blood-cerebrospinal fluid barrier (BCSFB). These barriers restrict the passage of anti-cancer drugs into the brain via several protective mechanisms. We employ a translational approach to identifying new treatments for brain cancer. This includes the identification of new drugs that might be effective therapies by targeting known oncogenic pathways (eg. Akt) or via highthroughput screening. Potential new drugs are tested for anti-cancer action in different mouse models that are representative of the human disease. However, for many of these compounds the concentrations that are achievable in brain tumours are unknown. The aims of this study are to learn and establish methods to enable cerebral microdialysis sampling, a technique for sampling unbound molecules in brain extracellular fluid (ECF) via semi-permeable probe, to assess the pharmacokinetics of several conventional brain tumour chemotherapeutics, with particular focus on the concentration of drug within brain tumours. A secondary aim is to perform pharmacokinetics on the most promising novel anti-brain tumour compounds identified by high-throughput drug screening. This work will be performed in collaboration with colleagues at the Children’s Cancer Institute of Australia and at St Jude Children’s Research Hospital (USA) and thus requires a student/postdoc of exceptional calibre. Techniques include: mouse handling, intracranial implantation, drug administration to animals, live animal imaging, tissue collection/processing, histology, immunohistochemistry, intratumoral microdialysis, drug detection/measurement (LC/MS, HPLC), pharmacokinetic modeling. Project suitable for Honours Masters PhD Essential Qualifications Overall above distinction average in undergraduate degree, first class Honours degree or equivalent (eg. Masters by research) in biological discipline. Additional laboratory experience highly desirable. *Project also suitable for early-career postdoctoral fellow Essential Skills Excellent communication and interpersonal skills, willingness to learn new skills and work with animals, good organisational skills, initiative, dedication, ability to work independently and contribute to team goals, desire to travel Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Raelene Endersby information rendersby@ichr.uwa.edu.au 41 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Adjuvant therapy in a preclinical melanoma brain tumour model Children’s Cancer & Leukaemia Tumour immunology and Brain Tumour Research Program Flexible, available immediately Dr Jason Waithmann (TICHR) Dr Raelene Endersby, Dr Vanessa Fear, Dr Meegan Howlett (all TICHR) Metastatic melanoma leads to brain metastases in 74% of patients. Current treatments including surgical resection, radiosurgery, whole brain radiation and/or chemotherapy have had limited success and brain metastasis is the direct cause of death in 60-70% of patients. Thus, new experimental approaches are required to develop efficacious therapies for the treatment of brain metastases. Immunotherapy for patients with metastases to brain and extracranial sites is a developing area of research. Most commonly, T cells are targeted for activation of anti-tumour activity with recent therapies directed to either stimulation of endogenous T cells infiltrating the tumour or transformation of host T cells to detect melanoma antigens specifically. Other forms of immunotherapy involve the application of antibodies or molecules that specifically block T cell inhibition. A recent example is Ipilimumab, approved by the FDA in 2011, which extends the longevity of tumour-specific T cells within the body leading to increased efficacy of treatment. Ipilimumab was initially developed in a murine preclinical melanoma model and rapidly translated into clinical use, becoming the first new therapy for melanoma in over a decade. This project involves the development of a preclinical murine melanoma brain tumour model to investigate new adjuvant immune therapy protocols. Melanoma cell lines expressing firefly luciferase will be transplanted into mouse brain and kinetics of tumour growth assessed using non-invasive longitudinal bioluminescence imaging. Furthermore, the initiation of T cell responses to intracranial tumour antigens and the application of adjuvant therapies in modulating anti-tumour T cell immunity will be explored. Techniques include: cell culture, mouse handling, intracranial implant, intravenous and intracarotid inoculation of mice, live animal imaging, tissue processing, histology, immunohistochemistry, flow cytometry, cell sorting. Project suitable for Honours Masters PhD Essential Qualifications Honours/Masters: greater than distinction average. PhD: First class Honours degree or equivalent (eg. Masters by research) in biological discipline. *Medical undergraduates wishing to undertake a BMedSci are also suitable Essential Skills Excellent communication and interpersonal skills, willingness to learn new skills and work with animals, good organisational skills, initiative, dedication, ability to work independently Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Raelene Endersby information rendersby@ichr.uwa.edu.au 42 DATASETS AND COHORT STUDIES (NO PROJECTS IN 2014) DIABETES, OBESITY AND RELATED DISORDERS Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Neurocognitive outcomes in children with type 1 diabetes Diabetes, obesity & related disorders- Child development and wellbeing Diabetes & Obesity Research Team March 2014 Professor Tim Jones (PMH, SPACH, TICHR) Jenny Mace (PMH) Type 1 Diabetes Mellitus (T1DM) is an autoimmune disease where destruction of cells in the pancreas causes a failure to produce sufficient (or any) insulin, where insulin is a hormone required throughout the body to facilitate the utilisation of glucose with the blood stream as a source of energy. If left untreated, the consequences are fatal, however treatment via insulin supplementation has been in use since the 1920’s. In Western Australia (WA), approximately 100 children per year are diagnosed and begin treatment for T1DM. Research has indicated that children with T1DM may experience deficits in their neurocognitive development compared with healthy children. It has been reported that individuals with the disease performed more poorly on a number of measures, including speed of information processing, executive functioning and IQ, than healthy controls. Whilst the impact that T1DM has on the developing brain remains controversial, evidence suggests that these deficits may reflect the occurrence of episodes of severe hypoglycaemia. Research has also suggested that fluctuating chronic blood glucose levels can affect both grey and white matter density and hippocampal volumes. Studies have found that diabetic patients aged 25-40 years, with disease duration of 12-25 years, showed modest (approximately 5% on average) reductions in grey matter density compared with controls. Grey matter density reductions have also been linked to a history of severe hypoglycaemia. The aim of the project is to examine the neurophysiological development of children with T1DM by analysing data from Magnetic Resonance Imaging (MRI) scans and electroencephalograms (EEG). This project will be part of a wider study assessing the neurocognitve development of children with type 1 diabetes. Project suitable for Honours Masters Essential Qualifications Honours degree Essential Skills Data handling skills, basic statistical analysis skills, strong quantitative background. Additional Skills Experience with programming languages is desirable. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Katie McNamara katie.mcnamara@health.gov.au information kmcnamara@ichr.uwa.edu.au 93407856 45 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Human enteroviruses in the aetiology of type 1 diabetes Diabetes, obesity & related disorders Molecular Paediatrics/ Diabetes and Obesity Research Early 2014 A/Professor Belinda Hales (TICHR/SPACH) Dr Aveni Haynes (PMH/TICHR/SPACH) A/Professor Elizabeth Davis (PMH/TICHR/SPACH) Recent data including from our Diabetes team has shown a cyclical pattern in the incidence of childhood type 1 diabetes suggesting a role for environmental factors. Viral infections, particularly gut-trophic enterovirus infections, are strongly associated with islet autoimmunity or type 1 diabetes. The Molecular Paediatrics group has a strong interest in respiratory enteroviruses as human rhinoviruses (HRV) are detected in the majority of children admitted to hospital with asthma exacerbations. In addition to investigating immune response to the lung-trophic rhinovirus antigens we have also produced gut-trophic enterovirus antigens and found a remarkable degree of cross-reactivity between all enteroviruses. We propose that children who develop type 1 diabetes have strong immune responses to all enterovirus species that contributes to the immunopathology of the disease. The project will initially identify whether children with type 1 diabetes have high anti-enterovirus antibody responses compared to healthy controls. Specifically we will compare cross-reactive and species specific responses between gut-trophic and lung trophic enterovirus antigens that have already been produced in the Molecular Paediatrics laboratory. The PhD project will investigate this in more detail including whether polyclonal antibodies raised against these enteroviruses bind to human pancreatic islet tissue. Most studies have only focussed on one enterovirus species and this project will significantly increase our knowledge of the role of all enterovirus species in the pathogenesis of type 1 diabetes. Project suitable for Honours Masters PhD Essential Qualifications Honours/BMedSci: BSc (Biochemistry, Biotechnology, Microbiology or similar discipline), medical undergraduates wishing to undertake a BMedSci PhD: 1st class Honours or equivalent in a biological discipline (2A considered depending on academic transcript) Essential Skills Excellent writing skills, basic statistical analysis, motivated Additional Skills Interest in immunology and diabetes Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Belinda Hales information belinda@ichr.uwa.edu.au 9489 7871 46 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Profiling previous weight loss attempts in obese youth Diabetes, obesity & related disorders Diabetes and Obesity Research Team February 2014 Dr Jacqueline Curran (PMH, SPACH) Assoc/Prof Elizabeth Davis (PMH, SPACH, TICHR), Rachelle Kalic (TICHR) With one in 4 Western Australian children and adolescents now being obese variety in treatment options are being sought. Obese youth with severe or complex obesity will eventually require treatment at tertiary services by way of multidisciplinary lifestyle programs such as the CLASP service at PMH. Obese adults prior to seeking treatment through tertiary treatment centres have often attempted to lose weight by using treatments available in their community. These treatments may take the form of unstructured diets (“lowfat diet”), structured diets (Lite n’ Easy), unstructured exercise (“going for walks”), structured exercise (personal training), complementary and alternative therapies (acupuncture) or over the counter medications. The majority of these treatments have been created for use in an adult population and may or may not be appropriate/safe for use in youth. To date there have been no reports describing the use of these weight loss treatments in youth. The aims of this project are to; - Determine the number and type of weight loss attempts before engaging with tertiary programs of youth - Determine the facilitators and barriers to these weight loss attempts All current and new patients of the PMH CLASP service will be asked to provide information (approx n= 100) An electronic questionnaire/interview will be used for data collection. The data collected will be used by the CLASP team to provide targeted treatment for the individual. Collectively the data will be used to describe the use and type of treatments utilized by youth. In addition the information gathered may assist tertiary and community weight loss treatment providers with a means to prescribe successful personalised treatments dependent on previous weight loss treatments attempted. Project suitable for Honours Masters PhD Essential Qualifications Completed undergraduate degree but not honours Essential Skills Statistical and data analysis skills, good written and verbal communication skills Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Rachelle Kalic information Rachelle.Kalic@health.wa.gov.au 9340 7857 47 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Psychosocial outcomes in children and adolescents with type 1 diabetes Diabetes, obesity & related disorders- Child development and wellbeing; Mental health Diabetes and Obesity Research Team March 2014 Assoc/ Prof Elizabeth Davis (PMH, SPACH, TICHR) Jenny Mace (PMH) Type 1 Diabetes Mellitus (T1DM) is an autoimmune disease where destruction of cells in the pancreas causes a failure to produce sufficient (or any) insulin, where insulin is a hormone required throughout the body to facilitate the utilisation of glucose with the blood stream as a source of energy. If left untreated, the consequences are fatal, however treatment via insulin supplementation has been in use since the 1920’s. In Western Australia (WA), approximately 100 children per year are diagnosed and begin treatment for T1DM. Individuals with type 1 diabetes are more at risk of developing adverse psychosocial outcomes than the general population. The burden of managing diabetes can not only affect the individual, but the whole family as well. Youth with T1DM are twice as likely to develop depression than their peers in the general population and have an increased chance of developing unhealthy eating attitudes and behaviours. The general psychosocial implications of having T1DM during childhood and adolescence also have a large-scale impact on the daily lives of these individuals. Research indicates that a youth’s quality of life can be adversely impacted by diabetes related complications and the pressure of daily disease management. Psychosocial risk is also predictive of poor diabetes outcomes, showing that the relationship between diabetes and psychosocial health is two-way. The purpose of the project is to review the psychosocial risk factors in children and adolescents with type 1 diabetes in Western Australia. Data collection will primarily involve questionnaire completion by patients and their families. The project will aim to determine whether youth with type 1 diabetes have poorer psychosocial outcomes than their peers. Furthermore, we aim to establish the type of psychosocial issues that are present in this group in order to direct future clinical care. Project suitable for Honours Masters Essential Qualifications Honours degree Essential Skills Data handling skills, basic statistical analysis skills Additional Skills Knowledge of psychosocial or mental health research Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Katie McNamara katie.mcnamara@health.gov.au information kmcnamara@ichr.uwa.edu.au 93407856 48 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Evaluating the effectiveness of an innovative Acceptance and Commitment Group-based Intervention in Adolescents with Type 1 Diabetes Diabetes & Obesity Related Disorders -Mental health Paediatric Consultation Liaison (PCL) Research Group August 2013 Ms Wendy Radcliffe – (PMH) Assoc/Prof Elizabeth Davis (PMH, SPACH, TICHR); Dr. Tiziana Bufacchi (PMH) Adolescence can be a very difficult experience for a young person with Type 1 Diabetes. During this time the management regime will often intensify and change with an expectation for self-management. As if the burden of having a chronic disease was not enough adolescents must negotiate the complexity of developmental issues such as academic outcomes, peer pressure, family relationships, stress and depression etc. PCL offers mental health services to the consumers and their families of the Endocrinology and Diabetes Department of PMH. We are proposing to facilitate a pilot group of adolescents using the curricula already developed and based on the principals of Acceptance and Commitment Therapy. The group would specifically target adjustment to illness and emotion regulation. This research would facilitate and analyse the collection of psychometric measures pre and post group intervention from the participants, parents and school. There is potential for this group, if successful to be further developed to be a regular intervention strategy with this client population and help forge links with NGO’s. Project suitable for Honours Masters PhD Essential Qualifications Completed Honours requirements in BPsych. Essential Skills Skills in statistical and data analysis and good skills in written and verbal communication Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Wendy Radcliffe information wendy.radcliffe@health.wa.gov.au 93407030 49 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Exploring perinatal complications seen in a contemporary Type 1 Diabetes cohort Diabetes, obesity & related disorders-epidemiology of type 1 diabetes Diabetes & Obesity Research Team January 2014 A/Professor Elizabeth A Davis (PMH, SPACH, TICHR) C/Professor Timothy W Jones (PMH, SPACH, TICHR); A/Professor Sunalene Devadason (SPACH) Type 1 Diabetes (T1D) is an autoimmune disease where destruction of cells in the pancreas causes a failure to produce sufficient (or any) insulin, where insulin is a hormone required throughout the body to facilitate the utilisation of glucose with the blood stream as a source of energy. If left untreated, the consequences are fatal, however treatment via insulin supplementation has been in use since the 1920’s. In Western Australia (WA), approximately 100 children per year are diagnosed and begin treatment for T1D. Research has shown that woman with T1D have higher rates of miscarriage, higher rates of small or large for gestational age babies and higher rates of congenital malformations (especially kidney or heart related). It has also been shown that pregnancy may be linked with the progression of diabetes related complications, for example eye damage. Western Australia Linked Health Data The WA Data Linkage Branch, which sits within the WA Department of Health, holds linkages between over 60 databases containing over 36 million records. One of the core state databases is the Midwives Notification System (WAMNS), which has comprehensive birth records on all births in WA (>20 weeks gestation or >400g rams) since 1980 (423,643). The WA Childhood Diabetes Database (WACDD), stored and maintained on site at PMH, contains information on all (>99%) children in WA diagnosed with T1D aged <16 years. Data from clinic visits (approximately 1 every 3 months) is recorded detailing diabetes management indicators, treatment regimes and complications experienced as well as general anthropometric measures and general demographics. A linkage of the WACDD and WAMNS will form the primary dataset for this project. This enable the following aims to be addressed: - What are the current rates of complications experienced by women with T1D? Have these changed during the past decade? - How do diabetes management factors during childhood effect perinatal complications? Project suitable for Honours Masters PhD Essential Qualifications Honours (are research experience equivalent) Essential Skills Data handling skills, basic statistical analysis skills, health research experience Additional Skills Biostatistics training, Perinatal epidemiology experience Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Elizabeth Davis information Elizabeth.Davis@health.wa.gov.au 9340 7023 50 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Relationship between BMI and Type 1 Diabetes in Western Australia Diabetes, obesity & related disorders Diabetes Research Group Any date Associate Professor Elizabeth Davis Dr Aveni Haynes Questions to be answered: 1. Has there been a change in the prevalence of childhood obesity and overweight in children diagnosed with Type 1 diabetes in Western Australia? 2. Can the increasing incidence of Type 1 diabetes in Western Australia be partly explained by the increasing prevalence of childhood obesity and overweight ? 3. Is there a difference in the BMI of children diagnosed with Type 1 diabetes between metropolitan and non-metropolitan areas of Western Australia? Methods: Data on the BMI of children diagnosed with Type 1 diabetes will be extracted from the Western Australian Childhood Diabetes Database (WACDD), a prospective population-based diabetes register at Princess Margaret Hospital. The BMI between 3 and 6 months after diagnosis will be used to determine the mean BMI in children diagnosed with Type 1 diabetes by gender, age group, place of residence and year of diagnosis. Trends in the mean BMI over time and by place of residence will be analysed to examine whether or not changes in BMI may be contributing to the increasing incidence of childhood Type 1 diabetes in Western Australia and the greater rate of increase in incidence in non-metropolitan compared to metropolitan areas of the State. Project suitable for Honours Masters PhD Essential Qualifications Undergraduate degree Essential Skills Data extraction, data manipulation, statistical analysis using SPSS or similar software package. Ability to critically appraise scientific literature Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Aveni Haynes information Aveni.Haynes@health.wa.gov.au 0409 372 550 51 DISABILITY AND DEVELOPMENTAL DISORDERS Title of Project Key Research Area Transition from school experiences of young people with Down syndrome and post-school quality of life Disability & developmental disorders Research Group Start Date Chief Supervisor Other Supervisors Intellectual Disability Research Group January 2014 Professor Helen Leonard Ms Jenny Bourke Dr Jenny Downs Dr Terri Pikora Project Outline This project will use data collected in 2009 and 2011 as part of an ARC project investigating the experiences of young people with Down syndrome and their families as they transition from school to adulthood. The extent of involvement of families in transition planning, awareness of services and school preparation for post-school occupation may impact on the post-school outcomes experienced. The general well-being of the young person with Down syndrome as measured by their level of satisfaction in 2009 and by the Kidscreen survey in 2011 may also be affected by many factors. This project will explore these transition experiences and quality of life outcomes for the young person with Down syndrome. Project suitable for Honours Masters PhD Essential Qualifications Degree in health science, science, psychology or other health-related area Essential Skills Knowledge of statistical analysis/ data management Computer competence Ability to work as part of a team Additional Skills Interest in developmental disabilities and service provision Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Professor Helen Leonard/ Jenny Bourke information hleonard@ichr.uwa.edu.au / jennyb@ichr.uwa.edu.au 0419956946 / 0419903834 53 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Management of long bone fracture in Rett syndrome Disability & developmental disorders Intellectual Disability Research Group January 2014 Dr Jenny Downs (TICHR) Professor Helen Leonard (TICHR) Project Outline The Australian Rett Syndrome Database is a population-based longitudinal database established in 1993. The InterRett International Phenotype Database was established in 2002, and contains data about girls and women with Rett syndrome worldwide. Those with Rett syndrome have 4 times the risk of fracture compared with the general population, and fracture commonly occurs in the long bones. Yet there is little known on how best to manage long bone fracture in Rett syndrome which can have long term implications because of poor mobility. This project will involve conducting interviews with families of children with Rett syndrome whose daughter has had a long bone fracture and who live in Australia or internationally. The interviews will explore experiences with clinical processes, orthopaedic management and rehabilitation as well as burden of caring. Strategies that were helpful and unhelpful will be identified. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area. Essential Skills Communication skills Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Medical or health background Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard hleonard@ichr.uwa.edu.au 0419956946 Contact for further information 54 Title of Project Online survey of gastro-intestinal issues and their management in Rett syndrome Key Research Area Disability & developmental disorders Research Group Intellectual Disability Research Group Start Date January 2014 Chief Supervisor Dr Jenny Downs (TICHR) Other Supervisors Professor Helen Leonard (TICHR) Dr Madhur Ravikumara (PMH) Dr Alison Anderson (TICHR) Project Outline The InterRett International Rett Syndrome Phenotype Database contains data from families with a child with Rett syndrome and clinicians involved in their management. Some of the common comorbidities of Rett syndrome relate to gastrointestinal function and include feeding difficulties, poor growth, reflux, constipation and abdominal bloating. This project will involve consulting with families of children with Rett syndrome, clinical experts and the literature to develop a questionnaire to explore gastrointestinal issues and their management in children with Rett syndrome. The questionnaire will then be administered online to InterRett families (n>1000) to collect information about these issues and their management. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area. Essential Skills Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Medical or health background Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard hleonard@ichr.uwa.edu.au 0419956946 Contact for further information 55 Title of Project Major Research Theme Associated Research Theme Start Date Chief Supervisor Other Supervisors Project Outline How are families of girls with Rett syndrome responding to research suggesting that the symptoms of Rett syndrome might be prevented or halted with advances in medical knowledge Understanding Disability Social and Emotional Wellbeing 2013 or 2014 Professor Helen Leonard (TICHR) Dr Jenny Downs (TICHR) Rett syndrome is a severe neurodevelopmental disorder mainly affecting females and resulting in severe intellectual and physical disability. It is characterised by a short period of normal development followed by a regression of function (including loss of hand skills and communication ability) and the appearance of hand stereotypes. In 1999 the methyl-CpG binding protein 2 (MECP2) gene was found to be associated with the disorder. The clinical diagnosis which is confirmed by molecular testing in ~80% of cases is made in accordance with sets of clinical and necessary criteria. An Australian population-based study of Rett syndrome (AussieRett) has been in existence for 12 years with a current enrolment of over 357 cases born since 1976. There have been advances in medical technology which may herald the prevention of symptoms developing in Rett syndrome and may halt further development of symptoms in young women diagnosed with Rett syndrome. Anecdotally, families have talked about what the affects of these measures might look like. Mixed emotions have been expressed as to how they would decide if their daughter should be treated; anxiety around how they would cope with a possibly very different caring role; and questions as to whether their daughter would still be the same person as before treatment. This project is suitable for Essential Qualifications Essential Skills Additional Skills Funding Contact for further information This research seeks to articulate how families of girls with Rett syndrome are responding to research suggesting that the symptoms of Rett syndrome might be prevented or halted with advances in medical knowledge. Honours Masters PhD Bachelor’s degree in social work, psychology, or other health-related area or Postgrad qualifications in counselling Knowledge of qualitative research Ability to work as part of a team Interest in genetic and population Health and the possible effects on social wellbeing Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard 0419956846 or hleonard@ichr.uwa.edu.au 56 Title of Project Major Research Theme MECP2 duplication syndrome: a new cause of intellectual disability Understanding Disability Associated Research Theme Start Date Chief Supervisor Other Supervisors The early years Project Outline This project is suitable for Essential Qualifications Essential Skills 2013 or 2014 Professor Helen Leonard (TICHR) Alison Anderson (TICHR) Jenny Downs (TICHR) Ami Bebbington (TICHR) Individuals who have two or more copies of the Methyl CpG Binding Protein 2 (MECP2) gene, located on the Xq28 chromosome, have been found to share a distinct clinical phenotype known as MECP2 duplication syndrome. Loss or mutation of the protein produced by this gene is associated with the rare disorder Rett syndrome which mostly affects females and is well described in the literature. By contrast, the clinical outcomes arising from excess dosage of MECP2 are less well understood and cases of MECP2 duplication reported to date are predominantly male. The incidence and prevalence of the syndrome are totally unknown, as there have been no population-based studies undertaken. The aim of this project will be to use data collected at national and international levels and to: estimate the birth prevalence of the disorder in Australia; describe the natural history of MECP2 duplication syndrome and describe the natural history of MECP2 duplication syndrome and investigate associations between the phenotype and underlying genomic anomalies. Honours Masters PhD Bachelor’s degree in science, health science or other health-related area including genetics Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard 0419956846 or hleonard@ichr.uwa.edu.au Contact for further information 57 Title of Project Start Date Chief Supervisor (and Department) Other supervisors (and department) Project Outline This project is suitable for Essential qualifications Essential skills Additional Skills Funding Contact for further information Comparison of Parent-report and Medicare data in a longitudinal study 2013 or 2014 Professor Helen Leonard (TICHR) Ami Bebbington (TICHR) This project will compare data from Medicare to data submitted by parents and carers of people with Rett syndrome to the Australian Rett syndrome Database. The Australian Rett syndrome database is a database of initial and followup questionnaires from a population-based study of people with Rett syndrome in Australia born since 1976. In these questionnaires parents and carers were asked to provide details on the health service use and medication used by their child (person in care) during the study period. We have Medicare data from the corresponding time frame. This could be expanded to a Masters by including a comparison with similar data on Down syndrome. Honours Masters PhD Degree in health science, science(including mathematics), psychology or other health-related area Knowledge of statistical analysis/data management Computer Competence Ability to work as part of a team Interest in population health and linked data Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard 0419956946 or hleonard@ichr.uwa.edu.au 58 Title of Project Process evaluation of lay booklets on recommended management for scoliosis and gastrointestinal disorders in Rett syndrome Key Research Area Disability & developmental disorders Research Group Intellectual Disability Research Group Start Date January 2014 Chief Supervisor Dr Jenny Downs (TICHR) Other Supervisors Professor Helen Leonard (TICHR) Dr Alison Anderson (TICHR) Ms Deirdre Croft (TICHR) Project Outline Rett syndrome is a neurodevelopmental disorder with severe disability, usually caused by a mutation on the MECP2 gene. Rett syndrome occurs rarely and as such, most clinicians have limited experience managing those with Rett syndrome. To provide clinical guidance, the Rett Syndrome Study Team has used consensus methods to develop recommendations for the assessment and management of both scoliosis and gastrointestinal disorders. Findings were published in the peer reviewed literature and then developed into lay booklets as a reference for families. The scoliosis booklet was disseminated in 2010 and has since been translated into Spanish, Danish and Hungarian. The gastrointestinal booklet will be disseminated later in 2013. This project will involve a process evaluation of the both booklets to determine how the information has been received and translated into everyday management. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area. Essential Skills Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Medical or health background Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard hleonard@ichr.uwa.edu.au 0419956946 Contact for further information 59 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Online survey of sleep issues and their management in Rett syndrome Disability & developmental disorders Intellectual Disability Research Group January 2014 Dr Jenny Downs (TICHR) Professor Helen Leonard (TICHR) Dr Alison Anderson (TICHR) Dr Kingsley Wong (TICHR) The InterRett International Rett Syndrome Phenotype Database was established in 2002 and contains data from clinicians managing Rett syndrome and from families with children with this condition worldwide. A large proportion of girls and women with Rett syndrome experience dysfunctional sleep including night waking, screaming and laughing with considerable burden for those affected and their families. There is little known about the management of sleep problems in Rett syndrome. This project will involve consulting with families with a child with Rett syndrome, clinical experts and the literature to develop a questionnaire to explore problems with sleep and their management in children with Rett syndrome. The questionnaire will then be administered online to InterRett families (n>1000) to collect information about these issues and their management. This project could be extended to a PhD by an additional study monitoring sleep disturbance in the Australian Rett syndrome cohort and possibly evaluating an intervention. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area. Essential Skills Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Medical or health background Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard hleonard@ichr.uwa.edu.au 0419956946 Contact for further information 60 Title of Project Major Research Theme Associated Research Theme Start Date Chief Supervisor Other Supervisors Project Outline This project is suitable for Essential Qualifications Essential Skills Socio-economic differences and parental satisfaction with services for children with disability Understanding Disability Social and emotional wellbeing 2013 or 2014 Dr Sonya Girdler (Curtin) Professor Helen Leonard (TICHR) Jenny Bourke (TICHR) This project will explore the impact of socio-economic factors on parental satisfaction with services for people with Rett syndrome and Down syndrome. Parents of children with Rett syndrome have participated in the Australian Rett syndrome database, a longitudinal study that has operated since 2000. Since 2002, we have collected information on parental satisfaction with medical services (MPOC), therapy services, provision of special equipment, respite, and education services. Information about these aspects has also been collected in the two waves of the Down syndrome NOW questionnaire. Information on a range of socio-economic factors such as parental income, work status, occupational skill level and location (SEIFA and ARIA) are also available. This project will use information from the two data collections to determine if there is any relationship between satisfaction and socio-economic status and whether that differs for the two conditions. Honours Masters PhD Bachelor’s degree in occupational therapy, social work, psychology, health science or other health-related area Basic statistical skills Additional Skills Interest in developmental disabilities Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard 0419956846 or hleonard@ichr.uwa.edu.au Contact for further information 61 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Longitudinal analysis of behaviour in Rett syndrome Disability & developmental disorders Intellectual Disability Research Group January 2014 Dr Jenny Downs (TICHR) Professor Helen Leonard (TICHR) Dr Geoffrey Hammond (TICHR) Project Outline The Australian Rett Syndrome Database was established in 1993 and has since collected data longitudinally on medical conditions, functional abilities and family factors for the population of girls and women with Rett syndrome in Australia. Behaviour is measured with the Rett Syndrome Behaviour Questionnaire, the only measure currently available for Rett syndrome. However, some of the items relate to physiological rather than psychological function and its validity is uncertain. Using the large and longitudinal data collection in the Australian Rett Syndrome Database, this project will investigate the value of each of the items, potentially adjust the scale and assess its new measurement properties. Using the longitudinal data, this study will then analyse the longitudinal trajectory of behaviour in Rett syndrome. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area. Essential Skills Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Medical or health background Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard hleonard@ichr.uwa.edu.au 0419956946 Contact for further information 62 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Development of an environmental stimulation measure for Rett syndrome Disability & developmental disorders Intellectual Disability Research Group January 2014 Dr Jenny Downs (TICHR) Professor Helen Leonard (TICHR) Mr Peter Jacoby (TICHR) Project Outline Rett syndrome is a neurodevelopmental disorder with severe disability that is usually caused by a mutation on the MECP2 gene. There are difficulties performing daily tasks in relation to communication, gross motor and hand function, and feeding skills. We know very little about the effects of environmental stimulation on the development and maintenance of skills in Rett syndrome. Data from multiple sources will be integrated to develop an environmental enrichment scale including the literature, and video of functional abilities and questionnaire data already collected by the Australian Rett Syndrome Study. This project will also involve conducting interviews with parents who have a daughter with Rett syndrome and experienced therapists to identify additional items that could be included in the scale. Initial content validation and reliability testing will be conducted. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area. Essential Skills Computer skills Basic statistical skills Additional Skills Interest in developmental disabilities Medical or health background Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Professor Helen Leonard hleonard@ichr.uwa.edu.au 0419956946 Contact for further information 63 Title of Project Key Research Area The quality and quantity of post-school activities for young people with Down syndrome prior to the NDIS Disability & developmental disorders Research Group Start Date Chief Supervisor Other Supervisors Intellectual Disability Research Group January 2014 Professor Helen Leonard (TICHR) Ms Jenny Bourke (TICHR) Ms Ami Bebbington (TICHR) Ms Deirdre Croft (TICHR) Project Outline This project will use data collected in 2009 and 2011 as part of an ARC project investigating the experiences of young people with Down syndrome and their families as they transition from school to adulthood. The transition from a structured and regulated environment at school to activities undertaken post-school can have a chaotic effect on families. Describing the full range of post-school activities, whether employment based, further learning or recreational, will be based on a “weekly diary” provided by parents in 2011. The influence of environmental factors such as support services on the accomplishment of their daily activities (as reported by parents in 2011) will be investigated. This study will provide information on the effect of disability support services prior to implementation of the NDIS. Project suitable for Honours Masters PhD Essential Qualifications Degree in health science, science, psychology or other health-related area Essential Skills Knowledge of statistical analysis/ data management Computer competence Ability to work as part of a team Additional Skills Interest in developmental disabilities and service provision Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Professor Helen Leonard/ Jenny Bourke information hleonard@ichr.uwa.edu.au / jennyb@ichr.uwa.edu.au 0419956946 / 0419903834 64 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Assisted reproductive technology and cerebral palsy Disability & developmental disorders Developmental Disorders Research Group Immediate start possible Dr Michele Hansen (TICHR) Professor Carol Bower (TICHR), A/Prof Eve Blair (TICHR) Western Australia is the only Australian state, and one of very few places in the world, with a statutory Reproductive Technology Register (RTR). This Register contains information on all assisted reproductive technology (ART) procedures undertaken in WA since April 1993. These data can be linked to the Midwives’ Notification of Birth System (MNS) in order to identify all ART and non-ART births in the state and to the other health registers in order to assess a range of health outcomes beyond the immediate birth episode. This project involves analysis of a linked dataset incorporating information from the RTR, MNS and the Western Australian Register of Developmental Anomalies (WARDA) providing information on all ART and non-ART births in WA during the time period 1994-2002, and further information about any children diagnosed with cerebral palsy. The project will examine the prevalence of cerebral palsy in ART and non-ART infants. We have detailed information about the cerebral palsy diagnosis, severity and whether there are other co-existing conditions, including birth defects. Recent reports in the literature have had conflicting results about whether the increased risk of cerebral palsy observed in ART infants remains after adjustment for multiple births and preterm birth. We will address this issue with these data. This project would be suitable for an honour’s thesis or the thesis component of a Master of Public Health degree Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science or health science; or eligibility to enrol for Honours Essential Skills Knowledge of statistical techniques/ multivariate analyses, experience in using SPSS, data management skills. Good written and verbal communication skills. Background knowledge in epidemiology, biostatistics and public health Additional Skills Experience in the analyses of linked datasets would be advantageous but not essential. Background knowledge in reproductive technology and cerebral palsy also advantageous but not essential. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Michele Hansen information michele@ichr.uwa.edu.au 9489 7771 65 Title of Project The cost of childhood intellectual disability and autism spectrum disorder without intellectual disability in Western Australia: A cost-of-illness study Key Research Area Disability & developmental disorders Research Group Developmental Pathways Project Start Date August 2013 Chief Supervisor Professor Helen Leonard (TICHR) Other Supervisors Professor Elizabeth Geelhoed (School of Population Health, UWA), Dr Rebecca Glauert (TICHR) Project Outline The aim of the study is to examine the burden and cost estimates of childhood intellectual disability in Western Australia using linked populationbased data. A subproject on the Developmental Pathways in WA Children Project (DPP), this project will be able to link data sources including health, education, community and disability, and judicial services. This will enable the quantification of costs of care attributed to intellectual disability as well as the contribution of childhood disability to education, child maltreatment and juvenile justice for example. Ultimately informing the prioritisation of interventions, policies and the necessary allocation of resources to service this special population. Project suitable for Honours Masters PhD Essential Qualifications For PhD candidates: a minimum of 2A Honours degree or a Masters degree in a related field. Essential Skills Background knowledge in relevant areas, such as developmental health, psychology, disability, health economics, medical sociology/anthropology, social epidemiology and population health. Knowledge of quantitative data analyses. Additional Skills Experience in the analyses of linked datasets would be advantageous but not essential. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Rebecca Glauert information rglauert@ichr.uwa.edu.au 9489 7754 66 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline The International CDKL5 Disorder database – Follow-up study and governance Datasets & cohort studies Disability & developmental disorders Intellectual Disability Research Group March 2013 Professor Helen Leonard (TICHR) Dr Jenny Downs (TICHR) The CDKL5 disorder is caused by mutations within the Cyclin-dependent Kinase-like 5 (CDKL5) gene. Key clinical features include seizure onset in the majority before 3 months of age, global developmental delay and impaired gross motor abilities, gastrointestinal and sleep issues, impaired muscle tone and bruxism. The International CDKL5 Disorder Database was established in 2012 in collaboration with the International Foundation for CDKL5 Research to further develop our understanding of the clinical features of this disorder. The database aims to collect information from families and clinicians on individuals with the CDKL5 disorder. It also aims to become a resource so that researchers from across the world can conduct meaningful and collaborative research into the CDKL5 disorder. The aim of this project is to design and implement the governance required for this database. You will also be involved in designing the first family followup questionnaire and continue collaborations with the CDKL5 centres of Excellence in the USA to collect clinician data. Project suitable for Honours Masters PhD Essential Qualifications Honour’s degree in health science, science, psychology or other healthrelated area. Students with Honors in Law also qualified to apply. Essential Skills Knowledge of statistical analysis Computer competence Ability to work as part of a team Passionate about collaboration Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Stephanie Fehr information sfehr@ichr.uwa.edu.au 94897782 67 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Understanding the CDKL5 Disorder and its impact on families Disability & developmental disorders Intellectual Disability Research Group March 2013 Dr Jenny Downs (TICHR) Ms Stephanie Fehr (TICHR) Professor Helen Leonard (TICHR) Mutations within the Cyclin-dependent Kinase-like 5 (CDKL5) gene have been identified in children and adults who have been diagnosed clinically with a multitude of conditions and disorders, including West syndrome, X-linked Infantile Spasms syndrome, epileptic encephalopathy and the early-onset seizure variant of RTT. However through research conducted at the Telethon Institute for Child Health Research this disorder is now known as the CDKL5 Disorder. Key clinical features include seizure onset in the majority before 3 months of age, global developmental delay and impaired gross motor abilities, gastrointestinal and sleep issues, impaired muscle tone and bruxism. In 2012 the International CDKL5 Disorder database was established at the Telethon Institute for Child Health Research in collaboration with the International Foundation for CDKL5 Research. This database was the first to start collecting information from families at an international level and aims to help in further defining the clinical features and family impact of this disorder. The aim of this project is to further examine the clinical presentation of individuals with the CDKL5 disorder and investigate the impact that this disorder has on family functioning. Project suitable for Honours Masters PhD Essential Qualifications Bachelor’s degree in science, health science or other health-related area including genetics. Essential Skills Computer skills Basic statistical skills Additional Skills Interest in intellectual disabilities or rare disorders Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Stephanie Fehr information sfehr@ichr.uwa.edu.au 94897782 68 ENVIRONMENTAL IMPACTS ON HEALTH (NO PROJECTS IN 2014) GENETIC IMPACTS ON HEALTH (NO PROJECTS IN 2014) INFECTIOUS DISEASE Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Determining the pathogen specific risk of infection in a birth cohort by data linkage Infectious disease Infectious diseases February 2014 Dr Claire Waddington (TICHR) Dr Tom Snelling (TICHR) Both enteric (gut) and bloodstream infection are frequent cause of ill health in children and young adults and causes a significant number of deaths worldwide. This project will examine which pathogens are responsible for these infections in children in WA, who are most at risk, and what predicts the outcome. Patients presenting to WA’s health care facilities with a pathogen in their stool or blood will be identified. Using data linkage, a process by which information stored on public records is brought together, data on pathogens will be linked to patient data. This will allow us to identify the patient’s age, Aboriginal status, postcode, main diagnosis, other illnesses, and what happened to the patient as a result of the infection. WA covers a vast geographical area of 2.5 million km2, and has a population of 2.5 million of whom an estimated 3% are Aboriginal and Torres Strait Islander peoples. This will allow comparisons between different geographical and climatic regions in the state, with postcode data of the place of admission used to categorise populations into both metropolitan, rural and remote regions, as well as climatic regions (arid, tropical and temperate). Similarly, patients will be classified by Aboriginal status and comparisons made as to how common gut infections are, and what the main pathogens are. Using these data, opportunities for prevention, such as vaccination will be identified. Students will gain skills in data linkage, biostatistics and epidemiology relevant to infectious diseases and public health. Project suitable for Honours Masters PhD Essential Qualifications A minimum of 2A Honours degree in a related field for masters applicants Essential Skills Background knowledge of public health, infectious disease or biostatistics Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Claire Waddington information cwaddington@ichr.uwa.edu.au (08) 9489 7848 72 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Health economic analysis of the of acute rheumatic fever and rheumatic heart disease in Australia Infectious disease Infectious diseases January 2014 Dr Claire Waddington (TICHR) Professor Jonathan Carapetis (TICHR) Mr Jeffrey Cannon (TICHR) Acute rheumatic fever (ARF) is a complication of infection with the bacteria Group A Streptococcus (GAS) that leads to heart damage (rheumatic heart disease; RHD). Worldwide, at least 15.6 million people suffer with RHD, and 233,000 people die annually. RHD occurs almost exclusively in resource-poor settings, including in the Aboriginal populations of Australia who experience rates of RHD that are amongst the highest in the world. The majority of RHD is the result of recurrent GAS infection in patients who have already had ARF. This recurrent infection can be prevented by penicillin treatment, but this requires painful monthly injections that are logistically difficult and expensive to provide. As a result most patients at risk of RHD do not receive adequate penicillin, and patients continue to suffer with, and die of, preventable heart disease. Our team are developing long-acting penicillin preparations that will provide a practical, less painful method of treatment compared to monthly injection for the prevention of RHD. Additionally we are persuing vaccines agains GAS for the prevention of ARF. This project will focus on the health economic appraisal of the burden of ARF and RHD in Austrlaia and modelling of the economic impact of long acting penicillin and GAS vaccines. This work will support the implementation of these two interventions and hence the control of ARF and RHD in Australia. Project suitable for Honours Masters PhD Essential Qualifications A minimum of 2A Honours degree in a related field for masters applicants Essential Skills Background knowledge of biostatistics or economics Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Claire Waddington information cwaddington@ichr.uwa.edu.au (08) 9489 7848 73 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Understanding client needs in rheumatic heart disease control Infectious disease Infectious diseases February 2014 Dr Claire Waddington (TICHR) Professor Jonathan Carapetis (TICHR) Mr David Hendrickx (TICHR) Acute rheumatic fever (ARF) is a complication of infection with the bacteria Group A Streptococcus (GAS) that leads to heart damage (rheumatic heart disease; RHD). Worldwide, at least 15.6 million people suffer with RHD, and 233,000 people die annually. RHD occurs almost exclusively in resource-poor settings, including in the Aboriginal populations of Australia who experience rates of RHD that are amongst the highest in the world. The majority of RHD is the result of recurrent GAS infection in patients who have already had ARF. This recurrent infection can be prevented by penicillin treatment, but this requires painful monthly injections that are logistically difficult and expensive to provide. As a result most patients at risk of RHD do not receive adequate penicillin, and patients continue to suffer with, and die of, preventable heart disease. Our team are developing long-acting penicillin preparations that will provide a practical, less painful method of treatment compared to monthly injection for the prevention of RHD. Additionally we are persuing vaccines agains GAS for the prevention of ARF. This particular research project will focus on determining the acceptability and practical processes required for the successful implementation of these new treatment technologies. A mix of research methods, ranging from indepth interviews to surveys, will be applied to improve our understanding of the patient’s needs in rheumatic heart disease control, as well as their attitudes towards the proposed treatment methods. This study will be an essential step in ensuring the overall effectiveness of the newly developed treatment regimens. Students will learn skills in qualitative research and gain experiences in the fields of public health, infectious diseases and consumer and community participation. Project suitable for Honours Masters PhD Essential Qualifications A minimum of 2A Honours degree in a related field for masters applicants Essential Skills Background knowledge of public health, vaccinology or qualitative research methods Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Claire Waddington information cwaddington@ichr.uwa.edu.au (08) 9489 7848 74 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Understanding the reasons for under-vaccination of infants in WA Infectious disease Infectious diseases February 2014 Dr Claire Waddington (TICHR) Dr Tom Snelling (TICHR) Western Australia (WA) has the lowest rates of infant vaccination for any state in Australia, according to data from the Australian Childhood Immunisation Register (ACIR). Vaccine uptake in WA exhibits considerable variability between different regions of the state, and is particularly low in Aboriginal and Torres Strait Islander peoples. Current ACIR data does not address the issue of timeliness of vaccination, nor does it appraise uptake for all recommended vaccines, meaning that the true rates of age-appropriate vaccination is lower that then figures suggest. Reasons for under-vaccination of infants are likely to differ between socio-economic and geographic groups, but are not known for WA. The knowledge of health care professionals providing vaccinations is important in vaccine delivery but has not been assessed in WA. Attendance of children at secondary and tertiary level paediatric services may allow opportunistic ‘catch up’ vaccination of undervaccinated children, but the practicality of this has not been assessed for WA. This project or projects will focus around 3 specific research projects: 1. A case-control, computer-assisted telephone interview study of children in a birth cohort in WA will be conducted to ascertain reasons for non-vaccination and under-vaccination in geographic regions identified as having low vaccination rates 2. A postal questionnaire study assessing the knowledge of vaccinators in the state will be conducted 3. Children recorded on the EDIS database for children attending emergency care departments in the state will be assessed for vaccine completeness by checking their details on the ACIR database. Vaccine completeness will also be assessed for children attending any PMH service, and parents of children who are non-vaccinated or under-vaccinations will be asked to complete a questionnaire assessing reasons for non-vaccination and willingness to receive catch-up vaccination at PMH The results of this research will be used to identify interventions to increase vaccine uptake. Students will gain skills in qualitative research methods, vaccinology and public health. Project suitable for Honours Masters PhD Essential Qualifications A minimum of 2A Honours degree in a related field for masters applicants Essential Skills Background knowledge of public health, vaccinology or qualitative research methods Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Claire Waddington information cwaddington@ichr.uwa.edu.au (08) 9489 7848 75 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline The relationship between clinical markers and the regulation of immunological pathways in acute HIV infection in Africans Infectious disease UWA School of Paediatrics and Child Health (SPACH) Centro de Investigação em Saúde de Manhiça (CISM) March 2013 Professor Peter Le Souëf (SPACH) Dr Holly Clifford (TICHR) A/Professor Denise Naniche (CRESIB) Human immunodeficiency virus (HIV) remains a major global public health problem as one of the most devastating infectious diseases to have emerged in recent history. Sub-Saharan Africa carries the highest burden of HIV and HIV-related mortality in the world, with the virus responsible for approximately 1.2 million fatalities in the region each year. In this study, acute cases of HIV presenting to a clinic in southern Mozambique with self-reported fever will be studied. Acute HIV is infection is common in this part of Africa, allowing prospectively larger numbers of cases to be studied at earlier stages of disease. Peripheral blood mononuclear cells (PBMCs) from forty patients with confirmed acute HIV, and forty uninfected controls, will undergo whole-genome microarray analysis. Gene expression results will be compared to a panel of potential HIV biomarkers in blood and stool samples taken from these patients at baseline presentation, and at one-month follow-up. It is hypothesised that a set of host genes expressed during early HIV infection will corroborate findings of protein-based biomarkers of early HIV, and reveal other potential candidates useful in identifying HIV infection in the acute phase. Project suitable for Honours Masters Essential Qualifications Essential Skills Additional Skills Interest in developing world medicine and public health Interest in laboratory work and genetics Competency in Portuguese useful though not essential Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Erica Parker information ericaparker01@gmail.com 76 PhD Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Cellular immune responses to infection and vaccination in otitis-prone children Infectious disease Vaccine Trials Group Early 2014 Dr Lea-Ann Kirkham (SPACH/TICHR) Dr Ruth Thornton (SPACH/TICHR), Dr Peter Richmond (SPACH/TICHR/PMH) Middle ear infections (OM) are the most common reason for GP visits, antibiotic prescriptions, and surgical procedures for children in Australia. Over 80% of children will have one ear infection by the age of 3 years and over 1/3 will have recurring OM, placing a significant burden on healthcare systems. OM can result in hearing loss, which has a major effect on speech development and school performance. Australian Indigenous children have the highest rates of OM in the world, which the World Health Organization has identified as “a massive public health problem requiring urgent attention”. There is currently no vaccine that provides adequate protection against recurrent OM. We are investigating the immune system of children with recurrent OM and how they respond to bacterial infection/vaccination in order to develop improved therapies including new OM vaccines. Normally, when the immune system encounters a foreign particle, either through infection or vaccination, memory cells are produced which are important for lasting immunity. We do not know whether otitis-prone children form memory cells upon vaccination but there is evidence that memory cell responses to bacterial proteins are dysfunctional in otitis-prone children. We believe that understanding the cellular immune response to bacteria and vaccination holds the key to preventing OM. We propose that immune cells from otitis-prone children will be less able to respond to and kill bacteria that cause OM in comparison to immune cells from healthy children. This project will involve using established and novel immunoassays to measure and compare immune cell memory and bacterial killing capacity in stored immune cells isolated from the blood of otitis-prone and healthy children. This will determine whether otitis-prone children form immune memory to infection or vaccination (Aim 1) and whether immune cells from otitis-prone children are deficient in their ability to kill the bacteria that cause ear infections (Aim 2). This study challenges the current paradigm for understanding the pathogenesis of OM and will guide treatment and prevention strategies, including better vaccines that boost cellular immunity, to reduce the burden of OM. Project suitable for Honours Masters PhD Essential Qualifications Honours or Masters degree in relevant field e.g. immunology, microbiology Essential Skills Basic laboratory skills, Aseptic handling techniques Additional Skills Preferred but not required: Cell culture, PBMC stimulation, bioplex immunoassays, microbial culture Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Lea-Ann Kirkham information lea-ann.kirkham@uwa.edu.au 9340 7907 77 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Investigating antimicrobial peptide responses in children with otitis media Infectious disease Vaccine Trials Group ASAP Dr Lea-Ann Kirkham (SPACH/TICHR) Dr Andrew Currie (Murdoch University/SPACH), Professor Peter Richmond (SPACH/TICHR/PMH) Otitis media (OM) is a common childhood disease in which pathogens transcend the eustachian tube and infect the middle ear. Fluid accumulates behind the ear drum causing painful bulging and inflammation. Recurrent OM episodes can result in hearing loss and if left untreated the ear drum can rupture. OM is responsible for the greatest number of GP visits, antibiotic prescriptions, and surgical procedures for children in industrialised countries. Our research group is currently investigating adaptive and innate immune responses in children with recurrent OM and comparing this with healthy children to determine whether immune deficiencies correlate with OM susceptibility. Antimicrobial peptides (AMPs) are produced in microgram quantities by a range of cell types and are among the most ancient innate defence systems of the animal kingdom. The role of AMPs in preventing infection in humans is not well understood but there are suggestions that AMPs can kill the bacteria that cause OM. In this project, the candidate will use a range of cellular, molecular, microbiological and immunological methods on primary samples from children with and without recurrent ear infections to examine how the human AMP system protects against infection and whether this is impaired in children with recurrent OM. This represents an exciting new area of human immunology/infection research with ramifications for preventing infectious diseases. There is potential to develop this project into a higher degree. Project suitable for Honours Masters Essential Qualifications Undergraduate degree in relevant field e.g. biological/medical sciences including immunology, microbiology Essential Skills Basic laboratory skills Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Lea-Ann Kirkham information lea-ann.kirkham@uwa.edu.au 9340 7907 78 PhD Title of Project Metabolomics to characterize host-pathogen interactions in bacterial infections Key Research Area Infectious disease Research Group Genetic and Health Start Date January 2014 Chief Supervisor Dr Saskia Decuypere (TICHR) Other Supervisors Co-ordinating supervisor: Professor Jenefer Blackwell (TICHR) Co-supervisor: Garth Maker (Murdoch University) Project Outline Improving control of infectious diseases is all too often hampered by a lack of understanding of pathogenesis and underlying host-pathogen interactions. While hypothesis-driven research previously generated fragmented knowledge on the nature of infections, the technology-driven 'omics' disciplines can provide a holistic insight into host/pathogen interactions. Metabolomics offers the possibility to illustrate the ongoing metabolism of a cell, and can show us what is happening at the cellular interface where host and pathogens meet and interact. These fundamental insights are in turn excellent starting points for applied metabolomics research that seeks to discover biomarkers of disease. Our metabolomics research focuses on infectious diseases in Australia. This study will mostly focus on melioidosis, which is an emerging climate-sensitive infectious disease that mainly affects and kills those suffering from diabetes or health problems ensuing from poor socio-economic status. The following specific objectives will be pursued: (i) optimisation of metabolomics methodology to study bacterial infections in in vitro models, and (ii) characterisation of in vitro models for melioidosis with non-targeted metabolomics to improve our understanding of the interaction between host and bacterium, and to assess host-bacterium interaction dynamics during infection progression and treatment. The results are expected to provide insights on the metabolic basis of the relation between diabetes and melioidosis, but will also advance the identification of metabolite biomarkers suitable for (i) identifying melioidosis in diabetic and non-diabetic patients and (ii) monitoring therapeutic response. The metabolite biomarkers could lead to the development of pointof-care diagnostics, which are urgently needed to improve the clinical management of melioidosis. Student projects will involve cell culture, metabolite extraction from cultured cells, chromatography-mass spectrometry analysis, bioinformatics and multivariate statistical analyses of collected mass spectrometry data. Project suitable for Honours Masters PhD Essential Qualifications For Honours Project – eligibility to enrol Masters – enrolment in relevant Masters course For PhD – 1st or upper 2nd class BSc in relevant subject, or MSc with distinction Essential Skills Understanding of metabolism and biology of infectious diseases, computer competence, competence at the laboratory bench, ability to work in interdisciplinary research, willingness to learn, good communication skills. Additional Skills Keen interest in bioinformatics, biostatistics and infectious disease diagnosis and control. Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Saskia Decuypere information sdecuypere@ichr.uwa.edu.au Telephone – 089489 7886 79 MENTAL HEALTH (NO PROJECTS IN 2014) PREGNANCY AND MATERNAL HEALTH (NO PROJECTS IN 2014) PRINCESS MARGARET HOSPITAL Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Obesity: The mechanics of lung function impairment and risks related to Perioperative Respiratory Adverse events (PRAE) Princess Margaret Hospital for Children (PMH) Asthma, allergy and respiratory disorders Paediatric Physiology at the Telethon Institute for Child Health Research Flexible Professor Graham Hall (TICHR) Professor Britta Regli-Von Ungern-Sternberg, Dr Anoop Ramgolam Obesity concerns about 25% of children in Australia today. It has been demonstrated to impair respiratory mechanics and reduce lung function. Additionally the latter are also impaired during surgery due to anaesthetic agents and the supine position. Obese/overweight children undergoing surgery might thus be at a higher risk of having a Perioperative Respiratory Adverse Event (PRAE). The aim of this study is thus to assess how obesity coupled to surgical conditions affect the occurrence of PRAE and therefore devise prevention strategies to be used by the hospital during surgical procedures. • Children with a BMI≤25 and children with a BMI≥25 undergoing elective surgery under general anaesthesia will have to be recruited for this study. • After a pre-anaesthetic assessment prior to surgery, the children will perform lung function and respiratory mechanic testing in the sitting and supine positions and these measurements will be repeated in theatre following the induction phase of anaesthesia. • Multiple Breath Washout (MBW) will be used to assess the Functional Residual Capacity (FRC, which is the volume of air in the lung after a normal passive expiration) and derive the Lung Clearance Index (LCI) which is a measure of ventilation distribution. • Forced Oscillation Technique (FOT) will be used to study the mechanical impedance of the respiratory system and extract the total respiratory resistance and reactance in line with international guidelines. Coupled with additional research in this area this project could be extended beyond a Honours or Masters project to be suitable for a PhD Project suitable for Honours Masters PhD Essential Qualifications Physiology/human biology and/or Biomedical instrumentation/techniques A valid working with children check is compulsory Essential Skills Excellent and proven communication skills Ability to work with children and parents Team attitude Additional Skills Ability to manage potentially stressful situations Interest in signal/data processing/management and troubleshooting Curious mind Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship may be available Full scholarship available Contact for further Professor Graham Hall – grahamh@ichr.uwa.edu.au information 83 SCHOOL OF PAEDIATRICS AND CHILD HEALTH Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Are genome-wide DNA methylation profiles associated with asthma and allergy in children exposed to a “Western” environment? UWA School of Paediatrics and Child Health (SPACH) Gene and environment interaction on asthma and allergy January 2014 A/Professor Guicheng Zhang (SPACH) Professor Peter Le Souëf (SPACH), Professor Jack Goldblatt (SPACH), Dr Belinda Hales (TICHR), Dr Phil Stumbles (TICHR) Australian Born Chinese (ABC) children have a significant prevalence of asthma and allergy to the same level as, or even higher than the local population. This prevalence of asthma and allergy in ABC children is related to the Chinese immigrant families assimilating Western diets and lifestyles and being exposed to new indoor and outdoor environments after moving from China (an asthma low-risk environment) to Australia (an asthma highrisk region.) Methylation, which is an environmentally induced epigenetic code, has essential roles in cellular processes including genome regulation, development and disease. We, therefore, hypothesize that “Western” environmental influences have altered methylation profiles in ABC Children and this is the mechanism by which allergy and asthma have increased in countries like Australia in the past several decades. In the present study, we aim to identify signatures of DNA methylation in ABC children to elucidate the aetiology of asthma and allergy. We will investigate genome-wide DNA methylation profiles in 50 ABC children in Perth and these profiles will be compared with 50 China Born Chinese (CBC) children in China, For ABC and CBC children, dietary patterns and exposure to indoor allergens and endotoxin will also be investigated in order to ascertain environmental risk factors in the “Western” environment, potentially to develop effective preventive measures for asthma and allergy. Project suitable for Honours Masters PhD Essential Qualifications Honours Essential Skills Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further A/Professor Guicheng Zhang information Guicheng.zhang@uwa.edu.au 93407906 85 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Infant nutrition UWA School of Paediatrics and Child Health (SPACH) Centre for Neonatal Research and Education – Nutrition Group Semester one or two 2014 W/Professor Karen Simmer Adj Senior Lecturer Ben Hartmann This $6,000 scholarship is funded by the Raine Foundation and is for a student undertaking Honours in the area of infant nutrition, with potential emphasis on human milk banking. Research will be undertaken in the Faculty of Medicine, Dentistry and Health Science, most likely at the King Edward Memorial Hospital node although this will be determined by the needs of the project. Students may start mid-year. Project suitable for Honours Masters PhD Essential Qualifications Eligibility for Honours as determined by the Faculty of Medicine, Dentistry and Health Science at UWA. Essential Skills Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Ms Diane Arnott information Diane.arnott@uwa.edu.au 9340 1208 86 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Mechanims of acute asthma and viral respiratory illness in children UWA School of Paediatrics and Child Health (SPACH) SPACH Asthma Genetics Research Group March 2013 Ass/Professor Ingrid Laing (SPACH/TICHR) Dr Joelene Bizzintino (SPACH/TICHR), Dr Guicheng Zhang (SPACH/Curtin), Professor Peter Le Souëf (SPACH), Professor Jack Goldblatt (Director, Genetic Services of WA), Project Outline Asthma and respiratory illnesses are the most common reason for children to need emergency medical treatment in Western Australia. We have recruited and studied 500 children during their attack and when they have recovered. We have studied the aetiology of this illness, particularly in the area’s of genetics, respiratory viruses, immunology and treatment, finding differences between children having asthma attacks and healthy children in each of these area’s. Further research is being conducted on each of these aspects of the study. Positions for students are available depending on their area of interest and prior studies. Each project would use a variety of laboratory techniques to further the applicants’ laboratory skills. Students may also assist our team with recruitment and follow-up of study children, including sample processing. Project suitable for Honours Masters PhD Essential Qualifications BSc. Essential Skills Good communication & team participation skills, some laboratory experience Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Dr Ingrid Laing information Email ingrid@ichr.uwa.edu.au Telephone 0405 352 952 87 Title of Project Key Research Area Research Group Start Date Chief Supervisor Other Supervisors Project Outline Food allergy: Pathways to very early sensitization UWA School of Paediatrics and Child Health (SPACH) Childhood Allergy and Immunology Research (CAIR) March 2014 Professor Susan Prescott (SPACH) A/Prof Debbie Palmer (SPACH) A/Prof Deborah Strickland (TICHR) Asst/Prof Paul Noakes (SPACH) Food allergy has recently emerged as a substantial public health issue and is now a recognised area of need. Australian pre-schoolers have experienced a 5-fold increase in food anaphylaxis over just 10 years, and now >20% of 1 yrold infants are sensitized to foods and >10% have clinical food allergy. To date, there is very little known about the mechanisms involved in achieving oral tolerance induction and how this can be harnessed for better treatment and prevention of food allergy. This project will investigate the role of very early allergen exposure on the development of clinical tolerance or sensitisation. Specifically, the project will focus on the neonatal period i.e. cord blood (reflecting in utero events), to examine the very early initiation (and consolidation) of immune responses. The projects methods would likely include cryopreservation, immunophenotyping and cell culture as well as statistical analysis. Students may also assist our team with recruitment and follow‐up of study children, including sample processing. Project suitable for Honours Masters PhD Essential Qualifications BSc. Essential Skills Good communication & team participation skills; some laboratory experience. Additional Skills Funding Applicant should apply for APA, UPA or other scholarship Top-up scholarship available Full scholarship available Contact for further Name: Dr Paul Noakes information Email: paul.noakes@uwa.edu.au Telephone: 9340 7054 88 TELETHON INSTITUTE FOR CHILD HEALTH RESEARCH Proudly supported by the people of Western Australia through Channel 7 100 Roberts Road, Subiaco Western Australia 6008 PO Box 855, West Perth Western Australia 6872 Telephone 08 9489 7777 Facsimile 08 9489 7700 www.childhealthresearch.org.au ABN 86 009 278 755 Company limited by guarantee