Research Programmes
Stroke Research ProgramOur main research objective is to understand the biology of neural stem cells (NSC) and how these unique cells may be used in cellular therapies to improve clinical outcome after stroke. Over the last ten years we have investigated the factors that generate neurons and how they wire-up the brain to form a functioning nervous system during embryonic development and disease. Each year 53,000 Australians suffer a stroke and one third have significant residual functional disabilities; indeed, stroke is the leading cause of disability in the Australian community. The financial burden is estimated to be greater than $2 billion per annum and the psychological and emotional burden is immeasurable. Stem cell therapy may provide a therapeutic strategy to overcome this burden. In collaboration with Prof. Richard Faull, Auckland University, NZ, we will investigate the neural stem cell response of the human brain following stroke. To our knowledge we have set-up a world first initiative under the auspices of the SA Brain Bank to have patients who die from stroke donate their brain for investigation. A/Professor Simon Koblar Head, Stroke Research Programme Schools of Medicine & Molecular Biomedical Science, University of Adelaide Academic Clinician Neurologist/Stroke Physician, The Queen Elizabeth Hospital Tel: +61 8 8222 6125 Email: simon.koblar@adelaide.edu.au Cardiac RepairHeart failure resulting from weakened heart muscle remains a major cause of ill health and death in our society despite improvements in current clinical therapies. Two major types of heart failure exist. Ischaemic heart failure makes up about 60% of cases and is caused by narrowing of coronary arteries depriving the heart muscle of necessary blood supply. Non-ischaemic heart failure accounts for the remainder of cases and has various causes including viruses, certain drugs and toxins, and some hereditary and metabolic diseases. Recently, different types of stem cells taken from bone marrow have been studied as a way of regenerating and repairing injured cardiac tissue. Mesenchymal stem cells (MSC) are a rare type of cell found in adult bone marrow that have the ability to divide and renew themselves and the potential to develop into different types of mature cells, including bone, cartilage, blood vessel cells and heart cells. Professor Stephen Worthley Helpman Professor of Cardiology, School of Medicine Director Cardiac Catheterization Laboratories Director Cardiovascular MRI Royal Adelaide Hospital Tel: +61 8 8222 5608 Email: stephen.worthley@adelaide.edu.au Tissue Repair
Characterisation and Application of Postnatal Stromal Stem Cells Adult bone marrow contains a non-haematopoietic, stromal stem cell population with the ability to form clonogenic, adherent colonies comprised of fibroblast-like cells (CFU-F: colony forming units-fibroblast). The ex vivo expanded progeny of CFU-F have been shown to develop into different stromal cell lineages (myelosupportive stroma, adipocytes, smooth muscle cells, myoblasts, chondrocytes and osteoblasts) and are thought to arise from a common, self-replicating multi-potential stem cell referred to as mesenchymal stem cells (MSC) or bone marrow stromal stem cells. Our stem cell isolation technology has recently been used to identify MSC-like cells from adipose tissue and dental tissues that exhibit similar growth properties and gene expression profiles to that described for bone marrow derived MSC. This work has resulted in the generation of several patents encompassing the isolation and expansion technologies and use of different MSC preparations for various tissue engineering based applications. These patents have now been licensed to two sister companies, Angioblast Inc. New York, NY. and Mesoblast Ltd., Melbourne Vic. Associate Professor Stan Gronthos Head, Mesenchymal Stem Cell Group and Regenerative Medicine Program Division of Haematology, Institute of Medical and Veterinary Sciences Tel: +61 8 8222 3460 Email: stan.gronthos@imvs.sa.gov.au
Periodontal RepairTo date repair of damaged periodontal tissues relies on implantation of structural substitutes with little or no reparative potential. More recently, tissue-engineering, based on an understanding of the cell and molecular biology of the periodontium, has emerged as an interesting alternative to existing therapies for periodontal regeneration. We have established the presence of mesenchymal stem-like cells (PDLSC) in both human and ovine periodontal tissues capable of sustained renewal and tissue regeneration. We now hypothesize that PDLSC can be used for cellular based therapies to treat damaged periodontal tissues. Professor Mark Bartold Director, Colgate Australian Clinical Dental Research Centre School of Dentistry, University of Adelaide Tel: +61 8 8303 3436 Email: mark.bartold@adelaide.edu.au
The Treatment of Brain Diseases Associated with Lysosomal Storage Disorders More than 40 diseases are classified as lysosomal storage disorders (LSDs). Each results from an inherited genetic defect that causes an enzymatic deficiency or malfunction, in the cell's lysosomes. The lysosome is involved in the breakdown and removal of waste from the cell. When loss of activity of an enzyme of the lysosome occurs, it impairs waste trafficking, causing cellular dysfunction. Patients suffering from lysosomal storage disorders suffer from heart problems, breathing difficulties, stiff joints, skeletal deformities, enlarged heads and a characteristic facial appearance. Further, in some patients, this leads to the development of brain disease, causing mental impairment (leading to hyperactivity, aggressiveness and loss of learned skills such as walking and talking). While individually most of these diseases are rare, as a group their incidence is about 1 in 7,700 live births. Research into lysosomal storage disorders that affect the CNS has also proposed the use of stem cells to treat these diseases. The wider objective of this group is the ‘early diagnosis and effective therapy for all lysosomal storage disorder (LSD) patients’. To this end, a number of genes have been systematically isolated that are involved in LSDs and characterised mutations that effect their efficient expression. This has lead to a number of studies to investigate the pathophysiology of these storage disorders, evaluation of a number of potential therapies and the development of technology to enable newborn screen for these conditions. Professor John Hopwood Head, Lysosomal Diseases Research Unit Department of Genetic Medicine, Women’s and Children’s Hospital, CYWHS Tel: +61 8 8161 7101 Email: john.hopwood@adelaide.edu.au
Understanding Neural Development in Mice and Man using Stem CellsMental Retardation (MR) affects 2-3% of the population and is the most frequent cause of serious disability in children and young adults. In many cases, MR results from changes (mutations) in genes that are critical for the formation of the Central Nervous System (CNS) during embryonic development. We have identified a new causative gene for MR, termed SOX3, that is associated with a MR syndrome in which affected boys also have growth hormone deficiency (X-linked Hypopituitarism or XH). Importantly, SOX3 is active in the neural stem cells that give rise to the entire central nervous system and is generally downregulated during neuronal differentiation. Our overall aim of our stem cell research programme is to understand how SOX3 controls the ability of neural stem cells to differentiate into neurons and to self-renew. Our established Sox3 knock-out and transgenic mouse models provide an ideal platform technology for developing new therapeutic strategies for hypopituitarism/mental retardation, including the use of stem cells to restore neural function. Dr Paul Thomas Discipline of Biochemistry Pfizer Australia Research Fellow and Senior Lecturer School of Molecular and Biomedical Science University of Adelaide Tel: +61 8 8303 7047 Email: paul.thomas@adelaide.edu.au
Blood Disorders
Leukaemia ProgramOur major focus is into understanding the mechanisms underlying normal blood cell growth and differentiation, and the changes associated with leukaemia. We are using novel systems to dissect chemical signaling pathways that control cytokine-induced cell survival, proliferation, differentiation and self-renewal. Aberrant cytokine receptor signaling occurs frequently in acute myeloid leukaemia (AML) and identification of key downstream events will allow development of targeted therapies with reduced toxicity. Myeloproliferative disease (MPD) occurs as a result of changes acquired in the haemopoietic stem cell compartment which induce aberrant growth factor responses and over-production of mature myeloid cells. Through cohort studies of patients with MPD we aim to understand the nature of the changes that are associated with disease initiation and long-term maintenance of disease in these patients. We are also collaborating with A/Prof. Simon Barry (Discipline of Paediatrics) to investigate the ability of cord blood stem cells to form functional regulatory T cells which may have application in treatment of autoimmune disease. Associate Professor Richard D’Andrea Chief Medical Scientist. Department of Haematology and Oncology The Queen Elizabeth Hospital Tel: +61 8 8222 8695 Email: richard.dandrea@adelaide.edu.au
Blood Cell Growth and Differentiation and the Changes Associated with LeukaemiaUmbilical cord blood (CB) is a proven alternative source of haemopoietic stem cells (HSC) for transplantation. The major limiting factor to more widespread use of CB is the characteristic delay in engraftment. MSCs are derived from the non-haemopoietic elements of BM and are capable of in vitro differentiation into multiple mesodermal tissue types including osteoblasts, chondrocytes, myocytes and adipocytes. It has been postulated that MSCs may promote HSC engraftment by enhancement of haemopoietic progenitor proliferation, haemopoietic growth factor production or facilitating homing of transplanted cells through adhesion molecules. MSCs have also been shown to be immunosuppressive and thus may promote engraftment by reducing the recipient alloimmune response. In this project we have characterised MSCs derived from human placenta and assessed their role in CB transplantation in a non-obese diabetic/severely immuno-deficient (NOD/SCID) mouse model and compared outcomes to transplantation using two umbilical cord blood units. Acute myeloid leukaemia (AML) is a clonal, neoplastic proliferation of immature myeloid cells of the haemopoietic system, characterised by aberrant or arrested differentiation. Immunological characterisation of leukaemic cells is important in the diagnosis and prognosis of AML and is increasingly being used in the monitoring of the disease. The presence of Minimal Residual Disease (MRD) in the bone marrow (BM) of patients with AML following chemotherapy is strongly associated with relapse of leukaemia. Identification of patients with a high risk of relapse by MRD techniques may enable new therapeutic strategies to be offered to these individuals.
Dr Ian Lewis Senior Consultant Haematologist, Division of Haematology, & Medical Manager, Therapeutic Products Facility, Institute of Medical and Veterinary Science (IMVS). Tel: +61 8 8222 3328 Email: ian.lewis@imvs.sa.gov.au
Myeloma Research Program (MRP) and Regenerative Medicine Program (RMP) Research in the MRP is focused on the elucidation of mechanisms which govern normal and pathological bone remodelling. Normal physiological bone remodelling is reliant on the coordinated actions of the bone forming osteoblasts and the bone resorbing osteoclasts which act in equilibrium to maintain bone mass and skeletal integrity. In cases of pathological bone loss, this balance is lost. As a model pathological bone loss, our laboratory studies the B cell malignancy multiple myeloma (MM). MM is a disease which affects approximately 6 people per 100,000 people in Australia, has a five-year survival rate of 33% and is universally fatal. The focal osteolytic lesions manifest in a range of debilitating clinical symptoms including bone pain, pathological fractures, spinal cord compression, hypercalcemia and renal failure. Our novel selection protocol provided a means to generate purified populations of MPC for use in a range of different tissue engineering strategies including the repair of bone, cartilage and cardiac tissue. The family of patents surrounding this technology were assigned to Angioblast Systems Inc., New York, USA in November, 2004. In association with Mesoblast Ltd, Melbourne, AUS (established on the basis of our technology and has a market capitalisation in excess of $100 million), we are investigating the therapeutic potential of these prospectively isolated MPC for cardiac and orthopaedic (bone and cartilage) applications. Associate Professor Andrew Zannettino Head, Myeloma Research Program Division of Haematology, Institute of Medical and Veterinary Sciences Tel: +61 8 8222 3455 Email: andrew.zannettino@imvs.sa.gov.au
Cystic Fibrosis and other Inherited DisordersGene Therapy for Inherited Disease Life Long Gene Therapy for Cystic Fibrosis
Gene Therapy for Inherited Disease The main focus of our research is the development of gene therapy for single gene inherited diseases. This currently has three main aims. The first of these is the development of our unique approach to gene therapy for cystic fibrosis airway disease. Current work is focused on enhancing the efficiency of gene delivery by inhibiting the intrinsic immune response to the vector and developing systems for delivery of the vector as an aerosol. The second project is the application of our vector technology to develop a gene therapy based treatment for the lysosomal storage disorders. Thirdly, we continue to further develop our lentiviral vector technology. We believe that both the cystic fibrosis and lysosomal storage disorder projects have a very significant chance of resulting in clinical trials meaning that the continued development of our vector system is a high priority for commercial and clinical outcomes. Application of the lentiviral vector technology to the development of gene therapy for methylmalonic aciduria and corneal transplantation, and for other uses, is being pursued through collaborations with others. Associate Professor Donald Anson Head, Gene Technology Unit, Department of Genetic Medicine, Womens and Childrens Hospital Tel: +61 8 8161 6373 Email: donald.anson@adelaide.edu.au
Life Long Gene Therapy for Cystic Fibrosis The Adelaide Cystic Fibrosis Gene Therapy Group, headed by Dr David Parsons and Dr Don Anson, is developing a safe and effective airway gene therapy to cure the early-fatal genetic lung disease in Cystic Fibrosis. In vivo mouse studies using reported genes already show near lifetime gene expression after a single dosing, suggesting in situ transduction of stem/progenitor cells. This approach also has clear potential for eventual use in humans to detect and monitor airway disease, and any successful treatment, in the smallest airways (< 100um dia).
Our group also attracts strong community support, with significant untied donations allowing rapid pilot studies of new approaches, and the core funds for construction of new CF research laboratories on the WCH campus. Dr David Parsons Principal Medical Scientist Department of Pulmonary Medicine, & Discipline of Paediatrics, School of Paediatrics and Reproductive Health Women’s and Children’s Hospital, CYWHS Tel: +61 8 8161 7004 Email: david.parsons@adelaide.edu.au
Immune DiseasesThe Barry lab is focused on using cord blood stem cells for function based gene discovery using viral vectors. We are developing tools for gene discovery, gene delivery and gene ablation, and applying them in immunological cell settings. The lab uses cellular and molecular approaches to identify and characterize genes involved in the function of a subset of the regulatory T cell population. They are attempting to identify novel proteins on the surface of regulatory T cells, which may be useful as diagnostic or functional markers for autoimmune diseases. Associate Professor Simon Barry Head, Cord Blood Group Discipline of Paediatrics School of Paediatrics and Reproductive Health University of Adelaide Tel: +61 8 8161 6562 Email: simon.barry@adelaide.edu.au Transplantation ResearchResearch in the dendritic cell laboratory is focused on the induction of immunological tolerance for the treatment of organ transplant rejection. Haematopoietic stem cells are a significant and important source of pre-cursor cells for the generation of dendritic cells. The major focus of our laboratory has been the development of novel pre-clinical transplantation models in which we can test tolerogenic therapies. The future direction for research in the Dendritic Cell laboratory includes the application of this technology for pancreatic islet transplantation as well as other solid organ transplants. Dr Toby Coates Renal Transplant Nephrologist Department of Nephrology and Transplantation Services The Queen Elizabeth Hospital Tel: +61 8 8222 7950 Email: toby.coates@nwahs.sa.gov.au
Developmental BiologyIsolation & Characterisation of Porcine Embryonic Stem Cells Ovarian Follicular Stem CellsCyclic Regeneration of Ovarian Thecal Cells
Isolation and Characterisation of Mammalian Stem Cells Work in our lab has increasingly focused on the isolation of porcine embryonic and adult stem cells to improve cloning and gene targeting efficiencies for various research programs. Recent research highlights include: - the isolation and (ongoing) characterisation of porcine embryonic stem cells using novel methodology.
- the isolation and characterisation of porcine mesenchymal stem cells from bone marrow as well as blood
- the isolation and characterisation of porcine adult stem cells.
- The application of novel methodology for the isolation and expansion of embryonic stem cells to other species. Currently pluripotent cells are yet to be isolated from any of the domestic species. The isolation of embryonic stem cells for laboratory (eg rat) and domestic species (eg cattle) would greatly facilitate research as well as commercial applications.
- Currently there is considerable interest in the possibility of generating sperm or eggs from infertile couples using stem cells. Given the Groups background in reproductive biology and its many collaborations in this general area a long term goal for Group could be in this area namely the generation of gametes from infertile individuals using a number of different approaches including the use of adult stem cells.
Associate Professor Mark Nottle Head, Reproductive Biotechnology Group School of Paediatrics and Reproductive Health Discipline of Obstetrics and Gynaecology University of Adelaide Tel: +61 8 8303 4087 Email: mark.nottle@adelaide.edu.au Dr Michelle Lane Early Development Group Discipline of Obstetrics and Gynaecology School of Paediatrics and Reproductive Health University of Adelaide Tel: +61 8 8303 8176 Email: michelle.lane@adelaide.edu.au
Ovarian Follicular Stem CellsOvaries are responsible for producing both eggs and hormones such as oestrogen and progesterone. How ovaries produce hormones is unlike that of any other endocrine organ because the pattern of hormone secretion by the ovary changing on a day-to-day basis. We hypothesized that granulosa cells arise from a population of stem cells, that their progeny can divide (transit amplifying population of cells), and that they differentiate into at least two lineages, cumulus and mural cells. We provided key evidence of stem cells. My established laboratory focuses on the biology of ovarian follicles and its regulation by extracellular matrix. Extracellular matrix is the final set of regulatory molecules other than hormones and growth factors to be examined in the ovary. Our studies we believe will lead to methods for in vitro culture of follicles and maturation of their oocytes, and the regulation by matrix. Our studies may also lead us to understand ovarian tumourogenesis and premature menopause. Professor Raymond Rodgers Ovarian Biology Group Discipline of Obstetrics and Gynaecology School of Paediatrics and Reproductive Health University of Adelaide Tel 08 8303 3932 email raymond.rodgers@adelaide.edu.au
Cyclic Regeneration of Ovarian Thecal CellsIn addition to the production of oocytes, the ovary is the main site of production of female reproductive hormones that play a central role in women’s health. This function is lost in women after menopause, premature ovarian failure, or in cases of ovarian insufficiency. Subsequently mammary regenerative capacity of these stem cells has been definitively proven through gland reconstitution from a single cell. In our ongoing studies we are seeking definitive markers and methods for isolation of ovarian progenitor cells these will be characterised in vitro and their plasticity assessed in a system of ovarian reconstitution. The outcomes of this study will lead to understanding of the natural cyclic regenerative capacity of the adult ovary. In the longer term, therapeutic means to enhance or restore the steroidogenic capacity of ovaries would have major benefits for women’s health problems including cardiovascular disease, osteoporosis, reproductive system cancers and infertility. Dr Darryl Russell Ovarian Cell Biology Group Discipline of Obstetrics and Gynaecology School of Paediatrics and Reproductive Health University of Adelaide Tel: +61 8 8303 4096 Email: darryl.russell@adelaide.edu.au
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