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Dr Denise Furness
To link to this page, please use the following URL: Biography/ BackgroundCurrent Appointments
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Research InterestsDiagnosing risk for pregnancy complications. A number of pathologies of pregnancy, including up to 50% of miscarriages, preeclampsia, intrauterine growth restriction (IUGR), preterm labour, unexplained stillbirth and placental abruption are characterised by an impaired cytotrophoblast invasion and inadequate response of the uterine spiral arteries to undergo physiological transformation. Together these conditions affect more than one quarter of pregnant women in developed societies. We aim to understand the factors that impair placental function and apply this understanding to determining which couples are at risk of developing serious pregnancy complications. We were funded by Government of South Australia to develop predictive tests for couples' risks for complications of late pregnancy, specifically preeclampsia, IUGR and pre-term birth. This is the SA SCOPE (SCreening fOr Pregnancy Endpoints) project (Clinical Director Professor Gus Dekker and Scientific Director Professor Claire Roberts). We have assembled a biobank of samples from women pregnant for the first time, their partners and babies. We are undertaking a targeted gene approach and aim to identify genes that determine a couple's risk prior to the development of symptoms. These genes have already been shown to be important in the control of placental development. We have a particular interest in how the father imparts risk for pregnancy complications in the mother and baby. Furthermore, we are determining whether there are differences in circulating microRNAs (miRs) in the mother in early gestation that are associated with later development of preeclampsia. We have a new cohort Predicting Adverse Pregnancy Outcomes (PAPO) in whom women suffer recurrent pregnancy complications but primarily recurrent spontaneous miscarriage (RSM). It appears that RSM is in the continuum of pregnancy complications associated with poor placentation. We aim to elucidate molecular mechanisms in RSM and identify potential therapeutic targets for subsequent development and testing. PAPO Study Research Group
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