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Theme 8: Respiratory infectionSupervisors: Dr Paul King Respiratory bacterial infection is extremely common and is probably the most common cause for patients needing to go and seek medical attention. The outcome in respiratory infection is primarily determined by the interaction between the bacterial pathogen and host immune response. The nature of the protective immune response is generally not well understood. We have a longstanding research interest in assessing the immune response to common bacteria. Our work has concentrated on clinical samples from patients and cell lines. We have expertise in wide variety of techniques including flow cytometry, molecular biology, confocal microscopy and intracellular survival assays. 1: The role of toll receptors in diagnosing respiratory infection Dr Paul King and Toll like receptors (TLRs) are expressed by phagocytic cells (neutrophils and macrophages) as an early response to infection and help direct the protective immune response. They are also potentially useful markers of specific infection. This project will assess phagocytic cells and fluid taken from the airways of patient using a test called a bronchoscopy. The cells will be labelled with specific antibodies for TLR 2, 3 and 4 and expression will be measured using flow cytometry. The fluid will be cultured for the presence of bacteria and viruses using standard culture methods. The results of the TLR expression and microbial culture will then be correlated. This project may be able to demonstrate that TLR expression is a new and powerful tool to diagnose respiratory infection. 2: Defining intracellular behaviour of nontypeable Haemophilus influenzae Dr Paul King Nontypeable Haemophilus influenzae (NTHi) is the dominant cause of respiratory bacterial infection including tonsillitis, sinusitis, ear infection and bronchitis. This bacterium has adapted to the human host and is found in the throat of most healthy adults. It only causes clinical disease in a minority of people it infects. One potentially important mechanism of causing disease is the ability to invade host cells and live intracellularly. This project will attempt to define the mechanisms of intracellular survival of NTHi using patient cells and cell lines. The techniques used will include confocal microscopy, flow cytometry and intracellular survival assays. 3: Defining body composition in COPD/bronchiectasis Dr Paul King and Chronic obstructive airways disease (COPD) is one of the most common diseases worldwide and the 4th leading cause of death. A key feature of COPD is nutritional deficiency/loss of protein mass even in subjects with normal weight. This project will investigate mechanisms that lead to nutritional deficiency in COPD. |
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