Category: Department of Metabolism, Digestion and Reproduction

A letter to our taught students and their loved ones

This is an open letter from Mr Martin Lupton, Vice-Dean of Education to taught students in the Faculty of Medicine and their loved-ones.

Dear Students and their friends and families,

My eldest son has recently returned to University in the UK and, even though I work in both the health and education sector, I have to acknowledge that I have a certain level of anxiety about him. It is very difficult to read the news about all that has happened during this time of COVID and not to worry.

I am telling you this because I want you to understand that I have some inkling of what you may be feeling right now, particularly if you come from overseas or your daughter, son or relation, has just started their university life. The first thing I want to say is “Welcome to the Faculty of Medicine”. We are very proud of what we have achieved during this global pandemic; the Faculty of Medicine at Imperial College has been a key player contributing to the world’s understanding of the virus, the mapping of the virus, teaching people about the virus and developing a new vaccine. However, that is not all that we have been doing. (more…)

‘We answered the call to volunteer at the Lighthouse ‘mega-lab’ for COVID-19 testing’

The team of volunteers celebrating reaching 1 million samples tested. (Image credit: UK Biocentre)

Four Imperial researchers recount their experiences of volunteering at one of the mega-labs built to scale up COVID-19 testing in the UK.

Since March, the UK Biocentre laboratories located in Milton Keynes has become one of four Lighthouse Labs (the others are in Glasgow, Alderley Park in Cheshire and Cambridge) – the largest network of diagnostic testing facilities in British history. Every day the team process and analyse around 30,000 swab samples from across the country to test for the presence of the SARS-CoV-2 virus that causes COVID-19. They use a combination of manual processing and high-throughput robots to inactivate the viral samples, extract the RNA and analyse them with a technique known as quantitative polymerase chain reaction (qPCR) to detect the presence of the virus.

The UK Biocentre labs were uniquely placed to help in the testing efforts, as in normal life they are usually home to around 30 staff processing and archiving clinical samples from hospitals around the UK. 200 volunteers across academia, civil service and industry answered a call to support with COVID-19 testing, including several PhD students and postdocs from Imperial. As their secondments draw to a close, we speak to some of the volunteers to hear about their experience: (more…)

The place they will be born: Mohawk midwives and mothers

This time last year, as part of a pre-doctorate NIHR fellowship, Alison Perry visited a First Nations reserve in Canada to learn about the history of aboriginal women as mothers and the culture of midwifery.

On International Day of the Midwife 2020 we are pleased to republish her article from British Journal of Midwifery.

Just past ‘Bear Paw Gas and Convenience’ and not far from ‘Talking Earth Pottery’ sits Tsi Non:we Ionnakeratstha Maternal and Child Health Centre. The name is Mohawk for ‘the place they will be born’. A sign proudly announces that six babies have been born there so far in March. On the other side of the sign it wishes the community a ‘substance-free’ holiday. It is a First Nations birthing place and a small slice of cultural healing.

Less than 24 hours in Canada, my taxi pulled off Sour Springs Road to drop me off on First Nations Reserve no. 40, roughly halfway between Brantford and Hagersville, Ontario, and more than 100 km south of Toronto’s financial district. I had travelled by plane, train and taxi to get there, and I was late for my long-standing appointment with midwife and manager of the birth centre, Julie Wilson. After almost 20 years in the UK, I was confronted with a kind of reverse culture shock, but I was also aware that I was going somewhere I had never been before. (more…)

Could weight loss improve infertility in obese men?

weight loss infertility

With NHS funding for IVF diminishing, Imperial researchers are looking at weights loss as a way to support men who have obesity-related reproductive dysfunction.

Infertility is the inability to have children after 12 months of regular unprotected intercourse and is fairly common, affecting 1 in 7 couples. Male factor infertility refers to infertility secondary to poor sperm quality, and while it is talked about less than female infertility, it is responsible for 40% of infertile cases. Obesity is a rising global epidemic, so it is no surprise that a quarter of men attending fertility centres are obese.

During the last few decades, tremendous advances have taken place in the treatment of women diagnosed with infertility. However, little progress is made for couples with male factor infertility. Therefore, the only therapy offered to couples is assisted reproduction, such as in-vitro fertilisation (IVF) therapy. IVF is effective but with NHS funding diminishing it can be expensive, as well as having potentially life-threatening complications for the female partner such as ovarian hyper-stimulation syndrome. That’s why we need to look at other options for couples affected by infertility. (more…)

There’s a whole world inside of you: a guide to microbiome research

Kate Gallagher provides an insight into microbiome research; a promising area of science that may pave the way for new treatments for a number of conditions ranging from inflammatory bowel disease to cancer.

You may be familiar with the age-old phrase, ‘you are what you eat’. Whilst I can assure readers that despite ingesting an inordinate amount of Reese’s pieces, you probably aren’t nuts, recent developments in research into the gut microbiome are beginning to tell us that the population of microbes inhabiting our gut may be much more powerful than we’ve previously given them credit for.

What is the microbiome?

The term microbiome refers to the additional set of genes arising from the diverse and unique array of microbes that have established themselves in a variety of habitats throughout our body. This is not to be confused with the term microbiota, simply referring to their names and quantities. These communities of bacteria, viruses, fungi and yeasts can be found in significant proportions in regions such as the gastrointestinal and reproductive tracts, your oral cavity, and skin. Overall, bacterial cells in our body match the number of human cells at a 1:1 ratio, meaning the microbiome has a significant contribution towards our genetic diversity, harnessing great potential to aid our understanding of a number of medical conditions targeted by decades of research. (more…)

Is mycoprotein an ideal food for managing blood sugar levels in Type 2 Diabetes?

For Diabetes Awareness Week, Anna Cherta-Murillo explains how mycoprotein, a food made of fungus, may hold the promise for managing blood sugar levels in Type 2 Diabetes.

If I were to ask you the first thing that comes to mind when you think of fungi, you would probably say mouldy walls, gone-off food, or athlete’s foot. The Fungi kingdom is often not viewed in a positive light. However, we owe a lot to fungi; they produce life-saving antibiotics, have allowed organ transplantations in humans and can recycle many types of waste. In the area of nutrition, some fungi also have the potential to affect human health in a beneficial way, although little research has been devoted to it compared to other foods. In the Nutrition Section of the Department of Medicine at Imperial, we are putting fungi into the limelight and studying the impact of a particular type of fungus on blood sugar levels and appetite in South Asian and European people with Type 2 Diabetes (T2D).

The problem

1 out of 20 people worldwide has T2D, with South Asians being more prone to the disease compared to Europeans (Figure 1). People with T2D have higher blood sugar levels than normal, which over time can increase the chances of developing long-term complications such as blindness, kidney disease and heart failure. It is therefore important to manage blood sugar levels in people with T2D in order to keep blood sugar in the normal range. The first-line strategy to achieve this is by improving dietary intake. Healthy, balanced diets are generally characterised as being high in dietary fibre and protein, which decrease both blood sugar levels and appetite. If blood sugar levels are reduced toward normal levels, the chances of having T2D-related complications are reduced. Likewise, if appetite is decreased, intake of energy-rich foods will likely also decrease, helping to reduce body weight, which is a key risk factor for T2D. However, an ongoing problem with healthy diets is that they are not suitable for all cultures and most of the research around them has been conducted in people of European origin, therefore not being applicable to South Asians. Furthermore, people often find it difficult to stick to these diets. (more…)

Think small: solving the global challenge of malnutrition by looking at metabolites

Dr Jonathan Swann’s research looks at thousands of small molecules called metabolites in an attempt to better understand a bigger problem of malnutrition and infection – a vicious combination.

Around the world, chronic undernutrition burdens the lives of over 150 million children. The effects of early life undernutrition can extend beyond infancy, stunting the physical and cognitive development of children. This stunting can often have wider societal effects including a decrease in the productivity and economic output of a community, restricting its overall progress. To make matters worse, chronic undernutrition is closely associated with repeated and persistent infections.

Such infections are common in resource-constrained settings due to inadequate water supplies and lack of access to basic healthcare. This double burden of malnutrition and infections can combine to drive inflammatory processes in the gut leading to malabsorption of nutrients and impaired immune responses, further exacerbating the malnourished state and persistence of infections. Breaking this cycle of undernutrition, infections and poverty represents a significant challenge.

(more…)

Why I’m running a marathon for dementia research

Dr Luke Whiley, a researcher at Imperial’s UK Dementia Research Institute, is taking on this year’s London Marathon, all in aid of Dementia Revolution.

To coincide with the launch of the UK Dementia Research Institute (UK DRI), the Alzheimer’s Society and Alzheimer’s Research UK have partnered with the Virgin London Marathon to create the Dementia Revolution – a year-long campaign to raise awareness of dementia and the ongoing research that is happening throughout the UK. As a research associate based at the Imperial UK DRI, I will be running the marathon as a representative of the centre and its research.

I have always been a keen runner, but have never completed a marathon. When the opportunity arose to promote the exciting work happening throughout the DRI and to be a part of the Dementia Revolution at the iconic London marathon, I was very eager to get involved. The experience has been very important for me, as I have met many other Dementia Revolution runners at both outreach and training events, and talking to them, hearing their story of how dementia has affected them personally, has further emphasised the importance of the research that I am doing within the UK DRI. (more…)

Why legumes may be the key in the fight against undernutrition

Dr Aaron Lett and Professor Gary Frost explain how Imperial is leading initiatives to address undernutrition in low-middle income countries.

Undernutrition is still a big problem in 2019.

Of the 5.6 million child deaths which occur globally, it is estimated 45% of them can be attributed to undernutrition. The majority of undernutrition occurs in low- and middle-income countries (LMICs) and manifests as stunting, wasting, and underweight.

The World Health Organisation (WHO) reports that today, 155 million children under five years are stunted, 52 million children are wasted, and 17 million are severely wasted. In addition to the negative health impact, undernutrition has significant economic and social implications on these LMICs. Despite current treatments that aim to reverse the nutritional status of individuals with undernutrition, there is still significant morbidity and mortality. (more…)

It takes guts to fight obesity: how hormones could hold the key to sustainable weight loss

To mark National Obesity Awareness Week, Professor Tricia Tan explains how new research is harnessing the power of hormones to treat obesity more effectively.

Obesity has been an issue for centuries. However, it has transformed from a disease that once only touched a small number of people to a major health concern that currently affects one in four adults in the UK. As a result, obesity is now always in the news. Although many obese people are reasonably healthy, we know that obesity increases the risks of developing heart disease, diabetes mellitus (high blood sugar), cancer, respiratory problems (such as sleep apnoea and asthma) and arthritis. Obesity and its related health problems threaten to reverse the gains in lifespan that we have seen through the 20th century. So, how can we begin to tackle it? (more…)