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ISSUE 60 OCTOBER 2009

Conceptions
of beauty
Wellcome Image
Awards 2009

Medical
engineering
Four new research
centres launch
Developing science
Research capacity
in Africa
Wellcome News Editorial
An exemplar collaboration was between
Wellcome News is published four times
Glasgow obstetricians Ian Donald and John
a year and is available free of charge.
McVicar and engineer Tom Brown, who in
To subscribe, contact: the 1950s launched the field of prenatal
Publishing Department diagnosis by ultrasound scanning. Donald
Wellcome Trust
had come across radar and sonar while
FREEPOST RLYJ-UJHU-EKHJ
Slough SL3 0BP serving as a medical officer in World War
T +44 (0)20 7611 8651 II, and led the development of a prototype
F +44 (0)20 7611 8242 scanner that fused industrial metal flaw
E publishing@wellcome.ac.uk detector technology with Meccano
or go to: sprockets and chains and a borrowed
www.wellcome.ac.uk/wellcomenews hospital bed table. Their 1958 Lancet paper,
‘Investigation of abdominal masses by
We positively encourage letters to the
Editor and suggestions for future articles. pulsed ultrasound’, which demonstrated
Please contact: the utility of the technique, noted that their
The Editor findings “encourage great efforts to refine our
Biology and medicine are powerful
Wellcome News technique”. Such refinements have brought
Wellcome Trust
disciplines in their own right, but they
ultrasound scanning to the forefront of
Gibbs Building do not stand alone. Each interacts with,
antenatal care.
215 Euston Road and is dependent upon, a variety of other
London NW1 2BE It is this spirit of innovation that
disciplines, and we should always look to
underpins our newly awarded funding
E wellcome.news@wellcome.ac.uk enhance these links – for they can stimulate
to four Centres of Excellence in Medical
new ideas, approaches and innovations.
Editor Chrissie Giles Engineering (see page 5). At these centres,
Chemistry, for example, is intimately
Writers Craig Brierley, Chrissie Giles, engineers and medical scientists are using
Mun-Keat Looi, Michael Regnier
linked to biology, explaining the properties
the latest technologies to tackle major
of complex molecules and being central
Design Cosima Dinkel unmet needs in medicine. The Imperial
to drug development. Meanwhile, physics
Assistant Editor Tom Freeman College London team is developing small,
has brought us brain imaging for research
Photography David Sayer tailored artificial knee implants and
and diagnostics and, on a grand scale, the
Publisher Hugh Blackbourn tissue-engineered stem cells to repair joints
Diamond synchrotron in Oxfordshire: a
damaged by osteoarthritis. The Leeds centre
All images, unless otherwise stated, are from massive particle accelerator that is being
the Wellcome Library. Copies of images can is taking a wider view of the ageing body and
be obtained through Wellcome Images
used to solve the structures of proteins and
is working on bioregenerative scaffolds to
(http://images.wellcome.ac.uk). other materials.
repair cartilage, bone, heart valves and blood
Away from the ‘classic’ science areas,
The Wellcome Trust is the largest charity in the UK. vessels. The Oxford team’s work includes liver
It funds innovative biomedical research, in the UK computing has perhaps brought the most
and internationally, spending over £600 million each cancer treatments that are encapsulated in
profound shifts in biomedical research over
year to support the brightest scientists with the best nanoparticles and are guided to their target
ideas. The Wellcome Trust supports public debate the last two decades – and bioinformatics
about biomedical research and its impact on health in the body and released using ultrasound.
has emerged as a discipline in its own
and wellbeing. And finally, King’s College London is
www.wellcome.ac.uk right. Every day, the Wellcome Trust
developing improved imaging tools for
Sanger Institute produces the equivalent
This is an open access publication and, with the detecting arrhythmia and robotic guides to
exception of images and illustrations, the content of one human genome’s worth of DNA
may, unless otherwise stated, be reproduced free aid keyhole surgery procedures.
sequence data; without computing power
of charge in any format or medium, subject to the The Health Innovation Challenge Fund is
following constraints: content must be reproduced on an industrial scale, the capture, storage,
accurately; content must not be used in a another exciting initiative that we hope will
analysis and sharing of these terabytes
misleading context; the Wellcome Trust must be bring many new products, technologies and
attributed as the original author and the title of the of data would be impossible. Parallel
document specified in the attribution. The views interventions into routine healthcare. This
developments in networks are bringing
and opinions expressed by writers within Wellcome collaboration with the Department of Health
News do not necessarily reflect those of the us electronic patient records, which will
Wellcome Trust or Editor. No responsibility is launched its first themed call for proposals in
not only help doctors to look after their
assumed by the publisher for any injury and/or July, under the banner of ‘advancing genetic
damage to persons or property as a matter of patients but also be powerful resources
products liability, negligence or otherwise, or from discoveries into clinical practice’ and with
for researchers looking to understand our
any use or operation of any methods, products, funding of up to £20 million. Given the
instructions or ideas contained in the material long-term health.
herein. ISSN 1356-9112. First published by the tremendous pace of developments arising
The discipline that has had and will
Wellcome Trust, 2009. © The trustee of the from the application of genome sequencing
Wellcome Trust. The Wellcome Trust is a charity continue to have a huge impact on
registered in England, no. 210183. Its sole trustee is to improved understanding of human
healthcare is that of engineering. There
The Wellcome Trust Limited, a company registered variation in health and disease, this initiative
in England, no. 2711000, whose registered office is is a long history of collaboration between
at 215 Euston Road, London NW1 2BE, UK. is both timely and important.
doctors and engineers, bringing us health-
PU-4550/13.5K/10-2009/CD
transforming developments such as hip
Cover: Sperm and ovum in IVF. See pages 8–9. Spike Walker
and knee replacements, pacemakers,
This document was printed on material
dialysis machines and video laryngoscopes,
made from 25 per cent post-consumer
and today it is the fastest-growing area of
50%
waste & 25 per cent pre-consumer waste. Sir Mark Walport
engineering. Director of the Wellcome Trust

WellcomeNews | Issue 60
In this issue 60th
issue
Funding

Latest Trust fellowships news 6


Translational research scheme launches 6
Mary Rose museum wins support 7

3
News
7
Wellcome Library looks back 2
Bioluminescent art on show 3 Research
Win a new book on Henry Wellcome 3
New chlamydia test for men 12
Videos: MRI scans and pain research 12
Using science for good or ill 13
Schistosome genome sequenced 16

2 Noticeboard 17

Features

Medical engineering centres open 5


Wellcome Image Awards 2009 8
African Institutions Initiative 10
Studying adverse drug reactions 14

5
9
WellcomeNews | Issue
WellcomeNews 58 |60
| Issue 3
News
Wellcome Library looks back Thanks for the funding,
The Wellcome Library’s Year in Review users. Read a PDF version of the Year in
50 years on
has been published. Detailing Library Review at library.wellcome.ac.uk/doc_
An email landed in the Wellcome News
activities over 2008, this review highlights WTX055805.html or request a print copy
inbox that we had to share. In 1961,
the Library’s digitisation programme (subject to availability) from t.tillotson@
Dr Karlis Adamsons received a Senior
and features some exciting acquisitions wellcome.ac.uk.
Research Fellowship (SRF) from the Trust.
from the year, including the casebooks The Wellcome Library blog
Now a professor in the Department
of the ‘father of modern forensics’ Sir (wellcomelibrary.blogspot.com) is the
of Obstetrics and Gynaecology at the
Bernard Spilsbury and the notebooks of perfect way to stay in touch with Library
University of Puerto Rico, he says: “I
double Nobel Prize-winning geneticist activities. The blog covers everything from
wanted to contact you to say how much
Fred Sanger. Two of the Library’s updates on Library services to news of
my SRF helped me – specifically because
regular readers, independent researcher new acquisitions, and also includes more
it freed me from the obligations of
Andy Clark and postgraduate student discursive pieces on interesting items from
private practice.” Indeed, of over 200
Katherine Rawling, offer insights into the Library’s collections.
publications Professor Adamsons has
their experiences as Wellcome Library
authored in his career, 90 were published
in 1963–72: during and immediately after
his Fellowship. The financial freedom
afforded by the Fellowship also allowed
him to consult for organisations such as
the National Institutes of Health.
Do you have any comments on
Wellcome News to share? Email us at
wellcome.news@wellcome.ac.uk
and let us know.

• In 2008, the Library recorded over


33 000 visitors to its facilities and over
486 000 unique visitors to its website.
• The Library had over 12 000 registered
readers, of whom 5000 were new
during the year.

New teaching materials online


Take a look at www.wellcome.ac.uk/ Over at www.wellcometreeoflife.
bigpicture for our Big Picture supplement org there are three curriculum-matched
on influenza – a primer and source of lesson plans that help students to use
background information produced in the interactive Tree of Life to explore
light of the unfolding H1N1 flu pandemic. how living things are related. There are
Drawing on the previously published activities for Key Stages 3 and 4, and for Party in the parliament
Big Picture on Epidemics, this online students aged 16–19.
resource looks at past flu pandemics and Also as part of Darwin200, The Great The All Party Parliamentary Group on
places a particular focus on implications Plant Hunt treasure chests have been Medical Research held a summer reception
for, and activity in, the UK. sent to every state primary school in the in July to celebrate medical research
UK, and over 8000 Survival Rivals kits in the UK. Over 150 people attended,
have been ordered by secondary schools. including around 40 MPs and peers
Initial results of ‘A Question of Taste’ – an and representatives from 60 member
experiment in one of the Survival Rivals organisations of the Association of Medical
kits that explores taste and genetics – are Research Charities. Attendees had the
now online, and the UK-wide survey opportunity to talk with researchers from
will remain open until summer 2010. the Wellcome Trust Sanger Institute and
Workshops are underway to allow students the Trust-funded Avon Longitudinal Study
to use molecular biology techniques of Parents and Children, as well as play the
to investigate their findings further. popular ‘Sneeze’ game from our Routes
survivalrivals.org/a-question-of-taste/ Darwin200 project (www.miniclip.com/
‘Swine Flu’ glass sculpture by Luke Jerram.
games/sneeze).

2 | WellcomeNews | Issue 60
Exploring the invisible News in brief
There’s more to bioluminescent bacteria
than their use in scientific research. With
Arts Award funding, artist Anne Brodie,
microbiologist Dr Simon Park and curator
Dr Caterina Albano are exploring the Eyes on the prize
wider relationship between humans and The Wellcome Trust Book Prize’s
microorganisms. first year is going well, with 70 books
By inverting the standard practice of submitted. The Prize is open to fiction
using bacterial bioluminescence as an and non-fiction entries, and celebrates
internal marker, and making it an external the interaction between medicine and
source of light, they expose objects and literature. The judging panel, led by
bodies, surfaces and skin to the soft ethereal Jo Brand, is compiling a shortlist to be
glow of bacterial light, establishing new released at the Cheltenham Literature
points of contacts and visual punctures. Festival in October. The overall winner
Part of their project has been the use of will be announced in November at a
bacterial light to illuminate the personal special reception at Wellcome Collection.
letters and journals of Joseph Lister, held in www.wellcomebookprize.org
the Wellcome Library, producing a series of
ghostly photographs more reminiscent of Career Tracker
X-rays. We’ve launched a new study to give
The project will involve a unique live us a better understanding of the
installation and photographic projections career progression and choices Trust-
at the Old Operating Theatre, St Thomas’s supported researchers make, helping us
Street, London (www.thegarret.org.uk) to improve research and career support.
on 3 December, and projections from 4–7 The first wave of the Wellcome Trust
December. The team will be giving a talk at Career Tracker ran this summer, looking
the Old Operating Theatre on 8 December. at students on Basic PhD Programmes,
bioproject.tumblr.com Research Career Development Fellows
Bioluminescent images from the project. Anne Brodie and
Simon Park
and International Senior Research
Fellows who have recently finished or
New book explores Wellcome’s collection are in the final year of their awards.
The results will appear soon online
A new book about Sir Henry growing team of collecting agents, who and in Wellcome News.
Wellcome’s collection has travelled through Europe, Asia and beyond,
just hit the shelves. An Infinity acquiring objects during the opening
of Things: How Sir Henry decades of the 20th century. It also analyses
Wellcome collected the world the displays at the Wellcome Historical
(Oxford University Press, Medical Museum, which opened in 1913.
£18.99) draws on hundreds
of documents from the We have two copies of the book to
Wellcome Library archives to shed light give away. For a chance to win one,
on the remarkable world of competitive tell us the address of the Wellcome
collecting that Wellcome mastered. Historical Medical Museum. Email your
Author Frances Larson investigates the answer (one entry only per person) to
history of the collection, from Wellcome’s wellcome.news@wellcome.ac.uk using
earliest recorded purchases as a boy to the subject line ‘Henry competition’.
his death in 1936 – by which time his Competition closes 17.00 GMT, 13 November 2009,
collection had become a major enterprise. after which two correct entries will be randomly selected.
Winners will be notified by email by 20 November 2009
The book charts his relationships with his and announced in a future issue of Wellcome News.
Survival of the fittest
The growing field of synthetic biology is
Neuroscientists make memories last the focus of a new Trust bursary scheme
aiming to get UK students to the
Neuroscience has been one of the key The interviews and transcripts are freely
International Genetically Engineered
areas we have supported for nearly 60 available online. www.ucl.
Machine competition (iGEM). Run by the
years. A new Trust-funded research project ac.uk/histmed/audio/
Massachusetts Institute of Technology,
will record interviews with prominent neuroscience
iGEM challenges student teams to build
neuroscientists about the field, providing
biological systems that can operate in
a valuable resource for historians,
living cells. Our scheme will enable up
journalists, policy makers and aspiring Alexander
Kalina/ to five UK teams to compete.
young neuroscientists. iStockphoto

WellcomeNews | Issue 60 | 3
News
Discover the autumn Collection Prizes and honours
in eight discrete rooms. The exhibition
opens in November and is part of our
Identity Project, with further activities
and events to be announced.
Also this autumn, Wellcome Collection
partners with the BBC World Service to
host some of biggest names in science in a
series of talks examining the social impacts
The Trust-funded Tree of Life (above)
of their discoveries and the frontiers of
animation has won the Judges’ Choice
scientific knowledge. The series, hosted
award in the Institutional Category
by philosopher A C Grayling, has already
of The Scientist Video Awards. The
welcomed theoretical physicist Lawrence
video, which can be viewed at www.
Krauss and neurophilosopher Patricia
wellcometreeoflife.org or www.
Churchland. Upcoming guests include
youtube.com/wellcometrust, was
Tejinder Virdee, Seth Shostak and Rajendra
praised for its “beautiful graphics” and
K Pachauri.
“well-written script [that] conveyed info
Sex and revulsion are on the menu for the
in a clear, concise, engaging manner”.
autumn run of Packed Lunches, our series
of lunchtime events where local scientists
Lucinda Jarrett, Wellcome Trust
discuss their research. In October, we
Robert Byron/iStockphoto Fellow and Artistic Director and
welcome Dr Catherine Mercer, a statistician
Chief Executive of artist-led charity
Wellcome Collection has an exciting series at University College London, discussing
Rosetta Life, has been awarded a Clore
of events to tickle your brain this autumn. the National Survey of Sexual Attitudes
Leadership Fellowship. The Fellowships
Our newest exhibition, Identity: Eight and Lifestyle, and Dr Val Curtis from the
aim to strengthen leadership across a
rooms, nine lives, looks at how science has London School of Hygiene and Tropical
range of cultural activities.
tried to determine human identity. From Medicine, talking about the protective
fingerprinting to DNA sequencing, it will power of disgust.
explore different aspects and approaches www.wellcomecollection.org

Wellcome News is 15!

Ah, 1994. Bruce Springsteen in the While the title


charts, the opening of the Channel Trp3 may have
Tunnel, and the publication of the first- lasted just ten
ever issue of Trp3 – the esoteric original issues, Wellcome
name of Wellcome News. News is still going
As in Wellcome News today, funding strong 15 years on.
was a popular topic for issue 1 of Trp3, You can browse
which included articles on the newly present and past Wellcome Trust Senior Research Fellow
constructed Wellcome Trust Centre issues at www. Professor Vikram Patel (above) of the
for Human Genetics in Oxford and the wellcome. London School of Hygiene and Tropical
Functional Imaging Laboratory at the ac.uk/ Medicine has been elected a Fellow
Institute of Neurology, London (now the wellcomenews. of the Academy of Medical Sciences
Wellcome Trust Centre for Neuroimaging). If you have any story ideas, comments or and was also awarded the Chalmers
Other stories included a report on one of queries, let us know by emailing wellcome. Medal for 2009 by the Royal Society for
the Trust’s first-ever funding interviews news@wellcome.ac.uk. And if you haven’t Tropical Medicine and Hygiene for his
conducted via satellite, and a piece by worked it out yet, the derivation of the contributions to the field.
Max Perutz on his efforts to deduce the name Trp3 is revealed at www.wellcome.
alpha-helix structure of proteins. ac.uk/news. A People Award-funded website that
promotes greater awareness of genetics
1 in 10 000 has won the Best Use of New Media
Award at the Association of Healthcare
We’re thrilled to welcome our 10 000th get updates on education, research and Communicators’s Communicating
subscriber to Wellcome News: Dr Farhan development. I’d also like to read more Health Awards. ‘Telling Stories’ aims
Abdul Rauf, a health coordinator and on medical and clinical ethics.” to help nurses, midwives and health
consultant physiotherapist in Karachi, To join Dr Rauf and the thousands of visitors understand how genetics has
Pakistan. “I’m interested in medical others who receive Wellcome News free an impact on the people they care for.
research and development,” says Dr Rauf. every quarter, see www.wellcome.ac.uk/ www.geneticseducation.nhs.uk/
“I’ve subscribed to Wellcome News to subscribe. tellingstories

4 | WellcomeNews | Issue 60
Engineering medicine
Replacement joints that
exactly fit your body’s
needs, monitoring
tools that tell you which
type of medicine will
best cure your illness…
Mun-Keat Looi finds out
about four new Centres
of Excellence in Medical
Engineering.

Professor Reza Razavi in his laboratory at King’s College London.

“The synergy of medicine and engineering Engineering, University of Leeds, points developing countries can afford.”
is a powerful combination that both out, “Medical engineered technologies For more, read our feature article
medics and engineers can benefit from,” have the potential to deliver treatments at on medical engineering at
says Professor Ross Ethier, head of the a cost level that patients, communities and www.wellcome.ac.uk/news.
Department of Bioengineering at Imperial
College London. Indeed, pacemakers,
X-rays, ultrasound and functional Centres of Excellence funded by the Wellcome Trust–
magnetic resonance imaging (fMRI) are
just some of the innovations that have
EPSRC Medical Engineering initiative
come from engineers partnering with
clinicians. Department of Bioengineering, Institute of Medical and Biological
Today, medical engineering is the Imperial College London Engineering, University of Leeds
fastest-growing area of engineering, and • Osteoarthritis • ‘50 years after 50’
the field has had a further boost from Osteoarthritis is the most common cause Professor John Fisher and colleagues
the launch of four Centres of Excellence of chronic pain in the UK. The work aim to make the last 50 years of our
funded by a new initiative from the of Professor Ross Ethier and colleagues (increasingly longer) lives as comfortable
Wellcome Trust and the Engineering includes tailored artificial knee implants as the first 50. They are developing
and Physical Sciences Research Council that replace only the damaged part low-wearing, durable hip and knee
(EPSRC). Projects range from improved rather than the whole joint. They are joint replacements, implants to replace
diagnostic technologies to better knee or also creating tissue-engineered implants discs in the lower back and spine, and
hip implants (see box). that are preconditioned in the laboratory bioregenerative scaffolds to repair heart
Such new technologies have many to withstand the wear and strain of the valves and blood vessels.
implications for healthcare. They may, individual patient’s daily life before they
for example, reduce our current reliance are implanted. Division of Imaging Sciences, King’s
on drugs: “Better diagnostic technologies College London
can help us make more efficient use of Institute of Biomedical Engineering, • Imaging the body
drugs and occasionally develop therapies University of Oxford Professor Reza Razavi and colleagues
that don’t involve drugs at all,” says • Personalised healthcare are concentrating on new imaging
Professor Lionel Tarassenko, Director of Professor Lionel Tarassenko and technologies to aid diagnosis and
the Institute of Biomedical Engineering at colleagues are targeting individual treatment. Examples include computer
the University of Oxford. Furthermore, as patients’ needs at different stages of their models and combined PET and MRI
the development of medical devices has lives. Examples include mobile phone scanners to look at cardiovascular disease
fewer regulatory hurdles than for drugs, software to teach patients how to manage at the cellular level. For psychiatric
the time to get them to market tends to be conditions such as diabetes and asthma, diseases such as depression, their
shorter and the costs can be much lower. and liver cancer treatments encapsulated improved neuroimaging techniques could
Hence, as Professor John Fisher, Director in nanoparticles that are released at the help to improve initial diagnoses and
of the Institute of Medical and Biological right place and time using ultrasound. monitor the effects of drug treatments.

WellcomeNews | Issue 60 | 5
Funding
Prestigious postdoc funding Beit back
We and the Beit Memorial Fellowships were originally founded in 1909 by the
for Medical Research have announced philanthropist Sir Otto Beit in memory of
the launch of the Wellcome–Beit Prize his brother, Alfred Beit, another notable
Fellowships. The new £25 000 Fellowships philanthropist. www.wellcome.ac.uk/beit
will be awarded annually to the top-scoring
early career scientists interviewed for our
Research Career Development Fellowships
and Intermediate Clinical Fellowships.
Andrew Wood, a Sir Henry Wellcome Postdoctoral Fellow. The prizes will be given in addition to the
salary and research expenses provided to the
The Sir Henry Wellcome Postdoctoral
fellows and can be used flexibly in support
Fellowship scheme is now taking
of their research. The first recipients will be
applications for its fourth year of awards.
announced in December 2009.
Who can apply? Talented researchers
These awards replace the Beit Memorial
who are in the final year of their PhD or Alfred Beit (left) and Sir Otto Beit.
Fellowships for Medical Research, which
who have less than one year’s postdoctoral
experience. Candidates should have
no more than 12 months’ postdoctoral Health Innovation Challenge Fund launches
experience by February 2010.
What’s available? £250 000 for a four- We have launched a new £100 million to stimulate the delivery of technologies,
year, full-time fellowship to develop an fund in association with the Department products and interventions to clinical
independent research career in the best of Health to further the development use in the NHS within three to five years.
labs in the UK and overseas. of innovative healthcare products. The The fund will make a series of themed
What’s the deadline? Preliminary Health Innovation Challenge Fund will calls, the first of which, ‘advancing
applications must be received by facilitate technological developments genetic discoveries into clinical practice’,
2 November 2009. Full applications that deliver economic and patient health was announced in July.
will be invited by 1 December 2009. benefits to the UK. By providing ‘gap- www.wellcome.ac.uk/hicf
For further information on the bridging’ funding, the initiative hopes
application process and a taste of what
it’s like to be a Sir Henry Wellcome
Postdoctoral Fellow, watch the video
featuring some of the current Fellows.
www.wellcome.ac.uk/shwpf

Drug Discovery deadlines

The Health Innovation Challenge Fund will support technological innovation in the NHS.

Klebsiella, a bacterium targeted by previous work funded Fellowships strengthen Kenyan research capacity
by Seeding Drug Discovery. John E Richens

The November deadline is fast approaching The Consortium for National Health
for applications to our Seeding Drug Research in Kenya, supported by our Health
Discovery funding stream, which helps Research Capacity Strengthening Initiative,
researchers with a potential drug target or has so far awarded ten research internship
new chemistry to embark on a programme of fellowships to graduates and six Research
compound discovery and/or lead compound Leadership Grants to senior researchers.
optimisation. Preliminary applications must The Consortium is currently processing 68
be received by 9 November. The next round Research Training Fellowship applications
of funding will close in May 2010. for eight training slots under the fellowship
www.wellcome.ac.uk/sdd scheme. www.wellcome.ac.uk/hrcs Researcher in Kenya. Michael Chew

6 | WellcomeNews | Issue 60
Engaging funding for India Museum receives ship-shape support

We are continuing to increase funding in


Indian science, both for research and for
public engagement. Debating Matters –
which brings together students from all
backgrounds to debate topical scientific
issues – will enter its second year in Indian
high schools thanks to an extended
Society Award. Run by the Institute of
Ideas, the competition will culminate with
a final in Delhi on 14–16 January 2010.
www.debatingmatters.com/projects/
debating_matters_india/
Elsewhere, the National Centre for
Painting of the Mary Rose, by Geoff Hunt. © The Mary Rose Trust
Biological Sciences in Bangalore will host our
International Public Engagement workshop The Mary Rose Trust has received will also cover a ‘medicine aboard’ display,
in December. This will bring together £1 million from us towards its new and the construction and fit-out of the
scientists, artists, policy makers, journalists, £35m museum for the 16th-century secondary collection, including racking,
educators and health workers to explore warship. The Capital Award will help displays and environmental controls.
how narrative and storytelling can help to to establish sections of the museum “We believe that the Mary Rose is a great
communicate with and engage audiences in focusing on the medicine practised on vehicle for science education and a new
biomedical science and health issues. board the Mary Rose, as seen through the and exciting way to engage young people
Meanwhile, the Wellcome Trust–DBT eyes of a Barber-Surgeon. The Barber- with modern biomedical science,” said
India Alliance continues to go from strength Surgeon’s cabin will be reconstructed Clare Matterson, Director of Medicine,
to strength, offering fellowships at key career to include a new character case and Society and History at the Wellcome Trust.
stages to support Indian biomedical research a reconstruction of the heads of key For more details on the museum, see
of the highest quality. Applications have members of the ship’s crew. The award www.maryrose.org.
just closed for its Early Career and Senior
Fellowships, with a new round due to open
next year. www.wellcomedbt.org
Awards to make a song and dance about

A People Award has been made to Ymogen On a non-musical note, we have made
for NHS the Musical – Live. The project will a Small Arts Award to Gina Czarnecki of
New vaccine initiative portray a day in the life of a hospital and Forma Arts & Media Limited for ‘Wasted:
the impact of modern medical treatments, Realising the potential of discarded body
Affordable vaccines for developing as well as the hopes and fears of patients parts’. This will generate sculptures exploring
countries are the focus of a new not-for- and staff – in song. Performed by a cast the myths and history surrounding the life-
profit joint venture we have launched with including real health professionals, giving potential of ‘discarded’ body parts,
pharmaceutical company Merck & Co., the musical will draw inspiration including a piece made up of children’s milk
Inc. The MSD–Wellcome Trust Hilleman from user-submitted stories, teeth and another made of preserved
Laboratories will receive up to £90 million and play at a major London human fat from liposuction.
in support from its founders over the next venue.
seven years. The labs, based in India, are The Opera Group has
expected to be operational by the second received a Large Arts Award to
half of 2010. Dr Altaf Lal, as CEO, is leading develop a new opera exploring
on the establishment of a portfolio of the social, emotional and physical
vaccine development projects. aspects of Alzheimer’s disease.
www.wellcome.ac.uk/hilleman Building on research funded by a
Small Arts Award, the team is working
with Institute of Psychiatry at King’s College
London on the production, which will
premiere at the Brighton Festival in
May 2010 before touring the country.
Brent Melton/iStockphoto

WellcomeNews | Issue 60 | 7
Looking at life
This year marks the tenth Wellcome Image Awards.
Here, we present our pick of the winning entries.

The Wellcome Image Awards recognise the two additional categories have been
most informative, striking and technically included: photography and illustration.
excellent images acquired by Wellcome The winners of the tenth awards have
Images. Over the years, the images been selected from images acquired by
presented in the awards have impressed Wellcome Images since the previous
audiences with their powerful insights into awards in 2008.
the structures of the body and the diseases The 2009 awards were presented by
that affect it. Dr Alice Roberts in a ceremony at
Previously, winning images have been Wellcome Collection on 14 October 2009.
created using a range of microscopic Catch a display of all the winning images
techniques, from combinations of light at Wellcome Collection from 15 October
microscopy and innovative histological until spring 2010, or view them at
approaches to electron microscopy and www.wellcomeimageawards.org.
cutting-edge imaging research. This year, To browse Wellcome Images, visit
to celebrate the tenth awards ceremony, images.wellcome.ac.uk.
Sensory nerve fibres at the end of a hair follicle.
Light microscopy image. Spike Walker

3D reconstruction of villi from the mouse small intestine. Multiphoton micrograph. Paul Appleton

8 | WellcomeNews | Issue 60
A premature baby in an incubator in a neonatal unit. Medical Illustration Department, Leicester Royal Infirmary

“Imaging and imagery can help scientists in


many ways: to understand structures that
are too small to be seen by the naked eye,
or perhaps to elucidate the relationship
between structure and function, or even to
illustrate abstract ideas that are otherwise
difficult to grasp...But as well as deepening
understanding, the art of science can also be
– in its own right – beautiful and awe-inspiring.”

Dr Alice Roberts, host, Wellcome Images Awards 2009


Summer plankton. Light micrograph. Spike Walker

Sickle-cell anaemia: a sickle cell alongside a normal red blood cell. Scanning electron micrograph. Co-polymers used in drug delivery. Scanning electron micrograph.
EM Unit, Royal Free Medical School

WellcomeNews | Issue 60 | 9
Platform for research:
the African Institutions
Initiative
Africa has an abundance of pressing research questions, quantitative and interdisciplinary skills
that are difficult to acquire without a
but a shortfall of scientists and research capacity to broad network of collaboration, effective
tackle them. The Wellcome Trust’s £30 million African partnerships, sharing of resources and
exchange programmes among institutions.
Institutions Initiative has recently awarded funding to We will establish well-supported
plug this gap. The Initiative is supporting seven African- postdoctoral research fellowships and
training opportunities, as well as lecturer
led international consortia – involving over 50 scientific ‘buyouts’ – short-term grants that allow
institutions from 18 African countries – with awards scientists to take up to six months out
of teaching to visit a different research
lasting five years. Mun-Keat Looi spoke to the African institution and develop their own research
scientists heading them. proposals.”

One Medicine Africa–UK Research


Southern Africa Consortium for form a single network. Our shared vision
Capacity Development Partnership
Research Excellence (SACORE) is for sustained training and retention of
Programme for Infectious Diseases in
Director: Dr Newton Kunwendo, world-class public health research leaders
Southern Africa (SACIDS)
Malawi College of Medicine in a vibrant research environment, with
Director: Professor Mark Rweyemamu,
“The major obstacle African science shared ownership of activities, enabling
Sokione University of Agriculture, Tanzania
faces is probably the prevailing limited us to address the challenges of infectious
“The most cost-effective approach for
understanding about scientific research diseases of poverty in West Africa.”
addressing Africa’s infectious disease
and its benefits. Science is a profession and
burden is to foster research collaboration
a long-term commitment, and its returns Consortium for Advanced Research
between institutions and sectors. SACIDS
are not always dramatic nor immediate. Training in Africa (CARTA)
will produce postdoctoral students
Our programmes will address the way Director: Dr Alex Ezeh, African Population
whose research activities evolve around
the public and government officials view and Health Research Centre, Kenya
defined themes such as tuberculosis
research, while creating a more conducive “One of CARTA’s aims is to introduce
and haemorrhagic fevers. We hope
environment for researchers. We also skills such as critical thinking, data
that this will encourage collaborative,
plan SACORE sabbaticals that will allow analysis, literature reading, writing skills
thematic research, generating a cadre of
young scientists, who may have just and management – all of which can
scientists focused on research rather than
completed their higher degree training, enhance research. Many universities,
administration.”
to get individual tailored supervision and including those in the North, do not have
mentorship from established scientists at courses for these – people pick them up
Strengthening Research Capacity in
partner intuitions.” through their interactions with other more
Environmental Health (SNOWS)
senior researchers, at regular seminars or
Director: Professor Esi Awuah, Kwame
Research Institute for Infectious at conferences. But these skills are what
Nkrumah University of Science and
Diseases of Poverty (IIDP) encourage scholars to think about how to
Technology, Ghana
Director: Dr Margaret Gyapong, Dodowa manage and conceptualise research; they
“Aspiring water and sanitation
Health Research Centre, Ghana provide ways of challenging people to
researchers suffer from a global shortage
“Africa is losing many of its best think outside of the box.”
of research funding – it is not considered
scientists to the brain drain, partly because
cutting-edge science by the bodies that
of the absence of coordinated institutional One Health Initiative: African
fund research in engineering or health.
strategies and national research Research Consortium for Ecosystem
Moreover, most of the African staff in
environments that enable research. and Population Health
this field have little research training
IIDP is an interdisciplinary consortium. Director: Professor Bassirou Bonfoh, Swiss
or experience, or the funds to carry
We hope to bring together researchers Centre for Scientific Research, Côte d’Ivoire
out research. SNOWS is developing a
from the social sciences, public health, “Research in public and veterinary
programme of short courses for academic
epidemiology and laboratory sciences to epidemiology increasingly demands

10 | WellcomeNews | Issue 60
staff, as well as courses on administrative Training Health Researchers into Our consortium aims to empower
issues for staff who manage grants Vocational Excellence in East Africa institutions to build a critical mass of well-
and administer resources. These are (THRiVE) trained researchers capable of winning
designed to promote the exchange of Director: Professor Nelson Sewankambo, competitive grants, augmented with a
experiences between African universities, Makerere University, Uganda conducive research environment with
Northern universities, and academics and “In Africa, we are not attracting and improved governance and management.
practitioners in government agencies, retaining enough talented individuals We hope our efforts will strengthen
nongovernmental organisations and the to allow us to expand our pool of high- South-to-South collaborations including
private sector.” class scientists. This is in part due to partnerships between the older, stronger
an environment that is not ideal for universities and younger ones in post-
stimulating and supporting trainees conflict areas of Africa.”
at the highest level, with few mentors
and inadequate research infrastructure.

Mali
Senegal

Chad Sudan
Ghana
Côte d’Ivoire Nigeria

Democratic Uganda
Republic
KEY
of the Congo Kenya
Country of lead institution Rwanda
Country of consortium
collaborators
Tanzania
CONSORTIA

Malawi

Zambia Mozambique

Zimbabwe

Botswana

South Africa

Further information on the African


Institutions Initiative and a longer
version of this article are available on
the Wellcome Trust website.
See www.wellcome.ac.uk/aii

WellcomeNews | Issue 60 | 11
Research
New kit takes pain out of chlamydia test Artemisinin resistance spreads
Resistance to artemisinin, the first-line
treatment for malaria, has been detected
in western Cambodia, according to
researchers at the Wellcome Trust–
Mahidol University–Oxford Tropical
Medicine Research Programme in
Thailand. They studied people with
malaria in western Cambodia and north-
western Thailand, looking at the
susceptibility of Plasmodium falciparum
parasites to artemisinin-based drugs.
Their data revealed that patients in western
Cambodia took twice as long to clear the
parasites as those in Thailand.
“It suggests that malaria parasites in
Cambodia are less susceptible to
artemisinin than those in Thailand,” said
Dr Arjen Dondorp, lead author of the
study. “This has very important
consequences for the lifespan of
artemisinin-based combination
therapies. Losing these would be a
disaster for malaria control.”
In a separate study, an analysis of
Kenneth C Zirkel/iStockphoto
parasitology papers from 1996 to 2007
A new urine test can diagnose chlamydia The new test uses a collector that reveals that Trust-funded researchers
infection in men within the hour, gathers six times the amount of Chlamydia make up over three-quarters of the top
improving the ability to treat the infection bacteria than a standard urine sample, and 30 most cited authors in the field. Professor
on the spot and prevent re-transmission. a signal amplification system that boosts Nick White, Chair of the Wellcome Trust
Caused by the bacterium Chlamydia sensitivity. In clinical trials of over 1200 South-east Asia Programme, is at the top
trachomatis, chlamydia is the most men, the new test correctly identified (12 000 citations), with Professor Kevin
common sexually transmitted bacterial infection in 84 per cent of samples. Marsh, Director of the Kenya Medical
infection in the UK. In the majority of “Without an effective and rapid testing Research Institute–Wellcome Trust
cases, people suffer no symptoms, yet programme for men, we are unlikely to Research Programme second (7700
research suggests that the infection succeed in efforts to control chlamydia citations). The most cited paper was
may cause reduced fertility – with more infection,” said Dr Helen Lee from the ‘The global distribution of clinical episodes
serious complications for women – if left University of Cambridge, who developed of Plasmodium falciparum malaria’ by
untreated. Once diagnosed, the disease can the test. “Our test is both accurate and swift, Professor Robert Snow and colleagues at
be treated easily with a one-off antibiotic allowing men attending the clinics to be the Kenya Programme, published in Nature
pill. However, until now, male rapid tested and treated on site in one visit.” and cited over 600 times.
tests for chlamydia have been relatively Nadala EC et al. Performance evaluation of a new rapid Dondorp AM et al. Artemisinin-resistant Plasmodium
inaccurate and have involved urethral urine test for chlamydia in men: prospective cohort study. falciparum malaria. N Engl J Med 2009;361:455–67.
BMJ 2009;339:b2655.
swabs, which can cause discomfort. Neumann R. Publication analysis 1996–2007: parasitology.
Lab Times 2009;3:38–40.

Watching Wellcome: new videos now online


Our YouTube channel is packed with In two related videos, we find out about
thought-provoking videos that examine the London Pain Consortium, a network
the work we do and the people we support. of scientists and clinicians working to
Ever wondered what it’s like to have eliminate chronic pain. Then we meet
your brain scanned? A new video follows a mother and daughter who visit a
our Design Manager, Steve, through an Consortium member about a genetically
MRI scan at the Wellcome Trust Centre for induced pain condition they seem to
Neuroimaging. Researchers always need share. Other videos include Oxford’s Dr
people to take part in scans, and it is hoped Helen McShane on tuberculosis, and
that the video will help to encourage more one on the debilitating condition sleep
volunteers. apnoea.

Scenes from the latest Trust videos.

12 | WellcomeNews | Issue 60
Q&A
Short-sighted view on sports
Scientists studying children from the
Avon Longitudinal Study of Parents
and Children found that short-sighted that in the future it might be possible
children were less physically active than to use neuroimaging techniques to
those without short-sightedness. In the invade people’s privacy and see what’s
study, researchers studied the short- going on in their mind. Another issue
sightedness of nearly 5000 children aged is the development of DNA synthesis
10, and fitted the same children with techniques that might allow the creation
accelerometers to measure their physical of viruses or bacteria that are human
activity at age 12. pathogens for use in biological weapons.
Short-sighted children had lower total
activity, lower levels of moderate-to- Why worry about dual-use?
The ‘dual-use dilemma’ arises when
vigorous activity and were more sedentary The problem of the misuse of science
an area of science has the potential
than those without short-sightedness. has attracted a lot of interest from
to be used to do both good and harm.
Although short-sighted children may be those working in areas such as peace
Tom Douglas recently completed a Trust-
reluctant to join in with vigorous activities studies. There has been an effort by
funded fellowship at the Parliamentary
if they wear glasses, adjusting for glasses academics and governments to develop
Office of Science and Technology, where
wearing in this study made little difference and strengthen chemical and biological
he produced a ‘POSTnote’ briefing
to the results, indicating that other factors weapons conventions, and misuse is
document on this issue.
may be responsible. now on the agenda of science policy
The authors suggest that interventions makers and security policy makers.
What is the dual-use dilemma?
targeted at short-sighted children are However, the dual-use dilemma isn’t
Traditionally, ‘dual-use’ was used to
required, to make them aware of the something that ethicists have really
describe technologies with both military
risks of low physical activity, particularly thought about much in the past, even
and non-military applications, and
as there is evidence that childhood though it’s a practically important
it had positive connotations. More
behaviours can be carried into adulthood. problem that raises difficult ethical
recently, the term ‘dual-use dilemma’
Deere K et al. Myopia and later physical activity in issues. For example, it’s not at all clear
has been used to refer to the quandary
adolescence: a prospective study. Br J Sports Med whether or to what extent scientists are
2009;43:542–44. arising when scientific work can be used
morally responsible for how their work
in ethical or unethical ways, and it’s
gets used. There’s a clear opportunity
not clear whether the risk of misuse is
for ethicists to have an input now.
outweighed by the likelihood of good
uses or not. A classic example is nuclear
What’s next for you?
physics in the first half of the 20th
When I’ve finished my DPhil I’ll be
century, when scientists knew that their
starting a three-year Research Fellowship
work could be used for good (e.g. power
in Biomedical Ethics. The POSTnote,
generation and medicine) and for bad
being neutral, did not give any ethical
Michael Flippo/iStockphoto (e.g. nuclear weapons).
argument as to what should be done.
In my postdoc I’m going to look at some
Gene links to brain tumour What are the major issues today?
specifically ethical questions, including:
More recently, discussion has been
when, if ever, is it necessary to think
The first genetic variants that increase prompted by two studies published
about the risks of scientific work being
the risk of developing glioma, the most in 2001 and 2002 – one reporting the
misused; who should think about these
common form of brain tumour, have synthesis of polio virus, the other the
risks; and how should the risks and
been identified by Wellcome Trust-funded genetic modification of the mousepox
benefits be balanced? I’m also looking
scientists. Researchers from the UK’s virus. These papers coincided with
forward to collaborating with colleagues
Institute of Cancer Research, the USA’s the events of 9/11 and prompted a
at Bradford, Exeter and Bath Universities
University of Texas MD Anderson Cancer concerned response in the USA. There
who have recently been awarded a
Center and colleagues identified five was even some suggestion that scientific
Wellcome Trust Biomedical Ethics
common gene variants after studying the journals might need to be censored.
Enhancement Award to study dual-use.
genomes of over 4000 people with cancer. Now, many people believe that this
Humans have two copies of each gene, so was an overreaction, and think that
What do you do
a person may carry up to ten of the variants it is important to be careful when
outside of work?
associated with glioma. The researchers introducing any new regulations, as
I play cricket and do
found that the more variants a person these could stifle scientific progress.
a bit of sailing and
carries, the greater the risk – indeed, those
hiking. I used to be a
carrying eight or more variants are three What did you include in the POSTnote?
competitive runner
times more likely to develop glioma than The note includes case studies – areas of
and still run a lot.
the general population. science that have raised concerns about
Tom Douglas’s POSTnote is at
Shete et al. Genome-wide association study identifies five misuse – and possible policy responses. www.parliament.uk/documents/
susceptibility loci for glioma. Nat Genet 2009;41(8):899–904. One issue revolves around the concern upload/postpn340.pdf.

WellcomeNews | Issue 60 | 13
Meds behaving badly
Unwanted side-effects can be distressing,
harmful and costly consequences of many
common drugs. The Serious Adverse Events
Consortium, an international collaboration, is
leading the way in understanding the genetic
background to these reactions, and has recently
published its first results. By Chrissie Giles.

Medicines are meant to make us better, Genome screen recognised and recorded in the patient’s
but, for a small proportion of the “The typical way to find out if genetic notes, and permission to obtain and use
population, taking something as routine as factors have a role in an outcome is to look blood samples from the patients must be
a dose of aspirin or a course of antibiotics in families,” says Professor Lon Cardon. A sought – a potentially time-consuming
could trigger a potentially fatal reaction. former Wellcome Trust Principal Research and costly process.
So-called serious adverse events are Fellow and now Head of Genetics at To try to make sure that a particular
severely debilitating or life-threatening GlaxoSmithKline, Professor Cardon sits on event is defined consistently by hospital
reactions to a normal dose of a drug, the Board of Directors of the Consortium. staff and researchers across the world,
and usually require the medication to be “We don’t have that option here because the Consortium is launching the
stopped immediately. these adverse events are rare, and so we Phenotype Standardization Project. It is
Currently, it is almost impossible to hardly ever see them in families.” also looking into how to achieve real-time
tell which people are prone to these The involvement of genetics in these identification of patients with a particular
reactions, meaning that drug-induced events is pure conjecture on some adverse event.
serious adverse events continue to injure level, he adds, although their nature is “We’re experimenting at the moment,”
thousands across the world every year. “idiosyncratic enough” to be genetic. He says Holden. “For example, we’re looking
Enter the Serious Adverse Events describes the results of the Consortium’s to see if we can pull patients in from
Consortium (www.saeconsortium.org), research so far1 – which show a strong pharmaceutical clinical development
an international collaboration founded link between a particular gene type and trials.” He explains that, while there are
in August 2007 by Arthur Holden. The liver damage caused by the antibiotic sensitivities to commercial pressures,
Consortium brings together the Wellcome flucloxacillin – as nothing short of the opportunity to encourage different
Trust, medicines regulators, academic remarkable. companies to share information on
researchers and representatives from ten Published in Nature Genetics, this situations where these events occur,
multinational pharmaceutical companies. research is the result of a genome-wide early in the process, is too good to miss.
association study, an emerging technique The development of nationwide
Something as routine that allows researchers to search for gene electronic patient records, as is planned
as a course of antibiotics variants associated with a particular for the UK, could be a massive boost to
condition across the whole genome. recruiting for research into serious
could trigger a potentially Drug-induced liver injury is rare, adverse events. It could
fatal reaction which adds an extra level of complexity also, Holden hopes,
to recruiting people for studies. What’s eventually help to
Its activities are based on the hypothesis more, the cases collected need to represent prevent the events
that there is some genetic basis to people of different ethnic backgrounds, occurring.
drug-induced serious adverse events. to understand the role of ethnicity in “Eventually we could
Although this is little understood so far, susceptibility to these events. be putting data
Holden is confident about this approach. For the liver damage study, the into an electronic
“Serious adverse events lend themselves Consortium used cases collected medical record
beautifully to genomics: their phenotypes by academic researchers before before people get
[characteristics] are very clear, and you the Consortium was established. given drugs, to help
don’t have a lot of the complexity seen in Retrospectively collected samples are not tailor the drug both
studies that are looking for genetic links to ideal: there is no set standard version to the condition
common diseases.” of how the event under investigation is and the patient.”

14 | WellcomeNews | Issue 60
In translation This variant, HLA-B*5701, lies on “For a long time, people have been
How else might a better understanding of chromosome six, and is one version of discussing the need for a multi-centre,
the genetics underlying serious adverse a key immune gene called HLA-B. In the international collaboration to tackle
events help to prevent them happening? UK and across the EU, people are now serious adverse events,” says Professor
Well, as for many other research areas, routinely screened for the variant before Pirmohamed. “Nobody can have all the
translating laboratory findings into being given abacavir. The frequency of expertise, and Arthur Holden has had the
practice that will improve patient care hypersensitivity reactions in those given foresight to bring together geneticists,
is a priority for Consortium members. the drug has since dropped from 5–7 clinicians, epidemiologists, academics and
per cent to less than 1 per cent.2,3,4 representatives from the pharmaceutical
In its paper on flucloxacillin, the industry. It’s a global effort – that’s the
Consortium identified the same allele, only way we can crack this.”
HLA-B*5701, as conferring susceptibility
to liver injury. However, this event References
occurs roughly once in 10 000 cases, so a 1. Daly AK et al. HLA-B*5701 genotype is a major
predictive test may not be cost-effective. determinant of drug-induced liver injury due to flucloxacillin.
Nat Genet 2009;41(7):816–9.
“However, you could use it diagnostically,
2. Rauch A et al. Prospective genetic screening decreases
to determine if a patient’s acute liver injury the incidence of abacavir hypersensitivity reactions in
is related to flucloxacillin, because of the the Western Australian HIV cohort study. Clin Infect Dis
2006;43:99–102.
high negative predictive value,” Professor
3. Waters LJ et al. Prospective HLA-B*5701 screening and
Pirmohamed says.
abacavir hypersensitivity: a single centre experience. AIDS
The structure of the Consortium, 2007;21:2533–4.
now moving into its second phase, was 4. Zucman D et al. Prospective screening for human
informed by the SNP [single nucleotide leukocyte antigen-B*5701 avoids abacavir hypersensitivity
reaction in the ethnically mixed French HIV population. J
polymorphism] Consortium, which Acquir Immune Defic Syndr 2007;45:1–3.
“It’s a global effort – Holden also organised and led. The
More information at www.saeconsortium.org.
SNP Consortium was a not-for-profit,
that’s the only way international collaboration between the
we can crack this” Trust, academic centres and industry
Munir Pirmohamed established to identify common mutations
in human DNA.

Munir Pirmohamed is Professor


of Clinical Pharmacology at the Getting serious
University of Liverpool and the NHS
Chair of Pharmacogenetics. An adviser Common serious adverse events
to the Consortium, he says that the include:
translatability of its findings depends on
DILI (drug-induced liver injury):
how common and severe the individual
Associated with over 30 medicines,
events being studied are. Still, he adds,
the severity varies but can result in
the Consortium’s work could mark the
acute liver failure and death. Liver
first time that findings from genome-wide
toxicity is also the most common
association studies have been translated
reason for stopping clinical trials.
into practical use.
Things look promising: there is already SSR (serious skin rash):
For the Consortium, this refers to
evidence that knowledge of genetic variants
“Serious adverse Stevens–Johnson syndrome and toxic
linked to serious adverse events can be used to
help to prevent them. In 2002, findings were events lend themselves epidermal necrolysis – related rare
published that linked certain genetic variants beautifully to genomics” reactions that are associated with
with susceptibility to a hypersensitivity over 200 medicines. They cause severe
Arthur Holden
reaction following treatment with the blistering of the skin and mucous
antiretroviral drug abacavir. membranes and can be fatal.

Hypersensitivity syndrome:
This affects the whole body, with
At a glance symptoms including fever, rash and
inflammation of internal organs
Serious adverse events are: (such as hepatitis).
• defined as severe, possibly life-threatening reactions to a normal Cardiac arrhythmias:
or ‘therapeutic’ dose of drug These involve abnormal electrical
activity in the heart.
• often due to an immunological response but can also be due to non-immune
processes, for example, those that trigger abnormal activity in the heart Angioedema:
Swelling of the lower layers of the skin.
• thought to have a genetic and an environmental component, i.e. are multifactorial.

WellcomeNews | Issue 60 | 15
Research
Round-up Are kids best target for flu jabs?
the University of Warwick used computer
modelling to predict the spread of
pandemic influenza and find ways to
control it effectively, particularly where
vaccines are in short supply.
Bone marrow, showing red blood cells. Ivor Mason
They found that vaccinating key
individuals offered sufficient protection to
Measuring iron
others in their household and was a much
Assessing iron deficiency is difficult
more efficient and effective strategy than
but now improved thanks to a new
vaccinating entire households at random.
protocol developed at the Malawi–
“Our models suggest that the larger the
Liverpool–Wellcome Trust Clinical
household – which in most cases means
Research Programme. Bone marrow
the more children living at home – the
iron microscopy, the ‘gold standard’
more likely the infection is to spread,” says
method, is still highly subjective in
Professor Keeling. “This doesn’t mean that
grading iron. The researchers have
everyone in the household needs to be
developed a better way of examining
vaccinated, but suggests that vaccination
samples, assessing iron in bone-marrow
programmes for children might help
fragments, macrophages and red blood
Alexander Raths/iStockphoto control a potential pandemic.”
cells. Phiri KS et al. J Clin Pathol
Targeting children may be the most This ‘herd immunity’ means that
2009;62(8):685–9.
effective way to use limited supplies of flu significantly less vaccine would be required
vaccine, according to research funded by to control the spread of the virus.
Cell sorted
the European Union and us. Dr Thomas House T, Keeling M. Household structure and infectious
Retromer is a cellular machine that
House and Professor Matt Keeling from disease transmission. Epidemiol Infect 2009;137(5):654–61.
transfers material between two
specialised cell compartments: the
endosomal network and the Golgi
Toxic models on the fly Just a fluke? Schistosome
apparatus. Scientists have now
The fruit fly Drosophila melanogaster is
genome sequenced
shown how retromer coordinates the
one of the most commonly used model
selection and movement of material by An international team including
organisms in biology, and has been used
associating with a specific molecular researchers from the Wellcome
extensively to study bacterial infection.
motor. This insight may have important Trust Sanger Institute has
Now scientists at the University of Bath
medical implications, with growing published the complete
have found a way to use Drosophila embryos
evidence for retromer’s role in tissue genome sequence of
to track the way bacterial toxins work in real
and organ development and late-onset Schistosoma mansoni.
time at the critical early stages of infection –
Alzheimer’s disease. Wassmer T et al. The parasitic worm
a system that could prove useful in studying
Dev Cell 2009;17(1):110–22. (known as a
other pathogens and their toxins.
blood fluke) causes
The researchers looked at how embryonic
schistosomiasis, a
Drosophila haemocytes (part of the
disease that causes
organism’s immune system) responded to
about 280 000 deaths in
disease-causing and non-disease-causing
sub-Saharan Africa alone
bacteria, using time-lapsed microscopy.
each year.
While the haemocytes recognised and
There is currently only
ingested non-disease-causing E. coli
one drug used to treat the
with no problems, the disease-causing
disease, and there are growing fears
bacterium P. asymbiotica made them
that the parasites will become
iStockphoto instantly ‘freeze’ and caused significant
resistant to this. The researchers
rearrangement of their structure.
Language learning have already used the sequence to
The scientists were able to reproduce
A study by Professor Dorothy Bishop identify several potential new drug
this effect using a purified toxin found in
and colleagues at the University targets.
P. asymbiotica, by either injecting it into the
of Oxford shows how people good “This genome
haemocyte or introducing it via bacteria
at learning languages are better at sequence catapults
expressing the toxin gene. This, together
processing rapidly presented speech schistosomiasis
with studies of Drosophila mutants – such
syllables than poor language learners. S. mansoni flukes. research into
as those with haemocytes deficient in their CDC/Dr Shirley Maddison
They conclude that language learning a new era,” said Dr
ingestion machinery – suggests that the
depends on our ability to extract and Matthew Berriman of the Sanger Institute,
entry of the toxin into the cell is key to its
remember the important information who co-led the study.
method of action.
contained in a continuous and rapidly Berriman M et al. The genome of the blood fluke
Vlisidou I et al. Drosophila embryos as model systems for
changing stream of speech. Barry JG et monitoring bacterial infection in real time. PLoS Pathog
Schistosoma mansoni. Nature 2009;460(7253):352–8.

al. PLoS One 2009;4(7):e6270. 2009;5(7):e1000518.

16 | WellcomeNews | Issue 60
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ENLIGHTEN ENGAGEMENT POSSET RESTORATION PLETHORA NOMENCLATURE ORIENTAL HIPPOCRATES SYLLOGISM M
TRANSCRIPTION KNOCKOUT INTERIOR SOURCE SNAPSHOT APOCALYPTIC VALUE CANON the dangerous art of surgery
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