How do neurons in breast cancer tumours control anti-tumour immune responses?

Immune cells can be very effective at killing cancer cells, but tumours have the ability to suppress the immune system. This is why some of the best cancer therapies work by turning the immune system back on. To do this, it is key to understand what controls immune responses in the tumour. In inflammation, it has been shown that neurons can control the immune system. Interestingly, there is evidence that by removing neurons, cancer growth is reduced. We have discovered that when the “heat sensing” TRPV1 neurons are removed in mice, the tumor will grow much slower. We will looked at changes in immune cells using flow cytometry, which allows us to measure over 20 different immune cell types and discovered that these mice may have lower numbers of a rare cell type called ILC2. Next we are trying to understand how neurons are affecting these cells and the tumor growth. Finally, we will design a cell culture system where neurons and mini-cancers will be grown together to see if the tumors are secreting something that changes the expression of genes by neurons. This will lead to the development of novel therapies that activate the immune system by targeting neurons and provide new information on therapeutic avenues for breast cancer.

Investigating the influence of residential green space on cognitive decline and dementia

The global population is aging rapidly. This demographic shift towards an older population poses a major public health challenge and highlights the need to identify strategies to support healthy aging. Prior research has suggested that green space may promote cognitive health, but there are gaps in knowledge that limit the application of findings in planning and policy to optimize health benefits. In this work, we will use long-term data on aging to study the influence of residential green space exposure on cognitive decline and dementia among middle-aged and older adults. We will advance existing knowledge by studying the health impacts of specific green space types and forms of contact, as well as pathways linking green space to health outcomes. We will use these findings to develop and apply an index of green space characteristics that are supportive of healthy cognitive aging that may be used by urban planners to direct the design of greening strategies. We will communicate our research findings to scientists, policy makers, and the public. Our aim is to help guide the creation of urban planning and public health policies that improve population health. This work will help to advance initiatives to support healthy aging.

Structure-function relationship of retinal guanylyl cyclase, a key enzyme in phototransduction

Light adaptation is the ability of visual system to adjust its performance to the ambient level of illumination. It is fundamentally vital for the normal functioning of the visual system. During the normal cycle of day and night, the illumination of the earth’s surface varies over 11 orders of magnitude. The daily cycle of sensitivity adjustment is managed by switching between rod and cone pathways of retina. These pathways involve retinal guanylyl cyclase (retGC), an enzyme encoded by the GUCY2D gene expressed in rod and cone photoreceptors. In the light-induced signal cascade, retGC restores cGMP levels in the dark in a calcium-dependent manner. Mutations in GUCY2D are associated with recessive Leber congenital amaurosis-1 (LCA1) as well as dominant and recessive forms of cone-rod dystrophy (CORD). Presently, the molecular structure of retinal GC has not been determined; thus, its mechanism, interaction with other regulators, and identity of crucial residues conferring the activity of this enzyme have been elusive. We aim to fill this gap in our knowledge by determining the molecular structure of retGC. This information will enhance our understanding of the role of retGC in photoreceptors and diseases.

Gender equity through strengthening maternal nutrition and health in resource-limited settings

Rural, remote and marginalized people in areas of suboptimal healthcare service delivery are at increased risk of poor health outcomes during and after pregnancy, such as high blood pressure. Eating nutritious foods during pregnancy has been recognized to support healthy development of the baby, but less is known about the impact on the health of mothers, especially after childbirth. This gap limits the ability to make evidence-based recommendations and contributes to a lower prioritization of mothers’ well-being.
The proposed research seeks to answer the following research questions:
1. What is the current evidence on the impact of nutrition on women’s health during and after pregnancy?
2. Is there a relationship between maternal diets with imbalanced nutrients in sub-Saharan African countries and developing high blood pressure between 20-34 weeks of pregnancy, after 34 weeks, and/or after childbirth?
3. What strategies can be co-designed with community partners to strengthen maternal nutrition and health capacities of vulnerable pregnant populations?
Findings aim to support maternal interventions to support gender equity and reduce health inequities for rural, remote and marginalized populations in Canada and globally.

Engagement and citizenship in long-term care: An exploration of resident and family councils

Resident and family councils refer to groups within long-term care (LTC) homes composed of residents and/or family members who meet on a regular basis to discuss matters of concern. In B.C., LTC residents and their family members have the right to participate in these councils, providing a potential avenue to influence decision-making. However, little is known about these councils, how they work, and whether they enable residents and families to influence change.
My postdoctoral research aims to address this knowledge gap through a qualitative study exploring how LTC councils work, how they engage residents and families in decision-making, and the broader contexts in which they operate. First, we will analyze the legal frameworks governing resident and family councils across Canada and compare how they define councils and the specific rights they afford. To explore how councils operate in practice, we will conduct ethnographic fieldwork in two LTC homes. Researchers will observe council meetings and conduct in-depth interviews with residents, family members and staff. Findings from the study will be used to create user-friendly resources highlighting promising approaches and policy recommendations.

Understanding sex differences in beta-cell resilience to stresses in type 1 diabetes

Type 1 diabetes (T1D) involves the loss of insulin-secreting beta-cells, the main cell type in the pancreatic islets. A special feature of beta-cells is that they must make large quantities of insulin protein, which is very demanding and leaves them vulnerable to stress. Stressed islets are less functional and may die. Islets from females appear more resilient than islets from males to stresses relating to insulin production. However, we lack knowledge on how female islet cells achieve this, and preclinical research rarely studies both sexes. This project will characterise the mechanisms that occur in male and female islets in response to T1D-related stresses. We will generate and analyse large datasets to identify key stress response events in mouse and human donor islets. Results will be presented at scientific conferences. By understanding these mechanisms, we will likely identify therapeutic targets that can lead to future drug and cell therapies for T1D. A focus on sex differences is also key to ensuring appropriate research translation to a wider population. Finally, a fundamental understanding of sex differences in protein synthesis has implications for studies in other cells and organs, as all cells need to make protein.

Structural and Functional Investigation of Neuronal Calcium Channel Modulation

Cells contain highly complex protein structures that allow signals to be relayed from the outside environment using signaling receptors to proteins inside of the cell. One mechanism involves assembling protein complexes across different cell layers linked by proteins such as junctophilins (JPH). JPH proteins are found in the brain and muscles and work by interacting with receptors on the outer layer while simultaneously interacting with proteins on inner cellular structures such as the endoplasmic reticulum (ER). Thus, JPH places the outer layer of the cell and the ER in proximity allowing for a direct exchange of signals. This is essential for muscle contraction and memory and is linked to human genetic diseases. However, the interaction sites between these JPH proteins and their effect on receptors, such as voltage-receptor channels (Cav2), remain elusive. Here, we want to use X-ray crystallography and electron microscopy to solve the protein structure of JPH and find how it interacts and regulates Ca¬v receptors. This work will provide insights into JPHs’ molecular structure, cellular function and role in genetic diseases. The JPH-Cav molecular complex will serve as a resource for future mechanistic studies and drug designs.

Strengthening mental health in Horn of Africa (IGAD region) and Somalia (MH Care-Somalia).

Globally mental, neurological and substance use disorders (MNS) affect 10%, but jumps to 22% in conflict settings while 75% of persons with MNS in conflict settings such as Horn of Africa region lack access to mental health care. The region has faced decades of conflict and climactic shocks that eroded resilience and coping mechanisms. While the mental health services including its workforce are almost non-existent, it is unlikely the region will be able to train sufficient mental health specialists. That is why we propose developing of regional mental health strategy and enhance capacity through task-sharing using WHO Mental Health Gap Action Program (mhGAP) to train frontline workers. mhGAP is designed to support non-specialist to provide MNS services for conflict-affected communities
The research and KT activities include; regional stakeholder engagement, contextualized training materials, trainers of trainees to ensure local capacity and website/social media presence
The anticipated outcomes and; increased access to services, improved awareness and enhanced workers capacity
Potential impacts. The project aims to strengthen mental health through policy and capacity building with potential to cascade across the region

Optimization of cardiovascular health in postpartum women with reproductive and pregnancy-related risk factors

Heart disease is the number one killer of women worldwide and the leading cause of premature death in Canada. In recent years, heart disease related death and illness has increased in women after childbirth. Besides well-known risk factors, women after childbirth face an additional burden of pregnancy-related risk such as high blood pressure and diabetes during pregnancy, however, the risk often gets unrecognized in primary care. Though there are many risk prediction models, they are designed to predict risk in general population and do not take into account the reproductive risk factors that limits their use in women after childbirth. My program of research on Women’s Heart Health, aims to answer the following questions: 1) What are the contribution of reproductive and pregnancy-related risk factors in predicting the heart disease risk in women after childbirth? 2) What is the feasibility and acceptability of using risk prediction tool in primary care? 3) What is the effectiveness of risk prediction tool in screening heart disease risk in women after childbirth? The proposed local research in BC will aid in solving a problem in Canada by recommending a heart disease risk assessment and risk management of women after childbirth.

The Lifetime Exposures and Asthma Outcomes Projection Model (LEAP): A Platform for Improving Asthma Prevention in Canada

Asthma is the most common chronic disease among children in Canada. It has several main causes that occur in utero and early in life. These ‘risk factors’ can be reduced through public health interventions that prevent asthma before it develops. Despite the opportunity to drastically reduce asthma in Canada, little progress has been made on asthma prevention due to a poor understanding of which interventions to invest in and when they should be applied. My objective is to provide high quality evidence to patients, providers and policy makers on how healthcare resources can best be used to prevent asthma in children. My research program will accomplish this objective using a computer simulation model of asthma (the Lifetime Exposure and Asthma Outcomes Projection [LEAP] model), which simulates the development and life trajectory of asthma. I will evaluate a series of preventative interventions that patients and knowledge users have identified as priorities, and determine their lifetime health benefits and impact on the healthcare system. I will work closely with patients, providers and policy makers to make sure the resulting policy recommendations are aligned with their values and can be implemented in healthcare systems.