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Awarded Grants 2015 1. Furthering Dr Kavanagh's research into the role of the terminal pathway of complement in atypical haemolytic uraemic syndrome (aHUS). 2. For research into the relationship between complement activation and macrophage phenotype in kidney disease led by Professor Neil Sheerin. 3.Continued work on renal scarring by Dr Ian Logan is supported by the NCKRF Kidney scarring is the end point of essentially all the different diseases that affect the kidney. The accumulation of this scar tissue within the kidney leads to chronic kidney disease and, eventually, end stage renal failure which necessitates dialysis or transplantation. Dr Logan and his team have identified a new factor, called SET9, that is required for the cell signalling pathways that produce scarring. New studies will now characterise SET9 in more detail, to determine whether it might represent a target for future therapy. Dr Logan will use cell models to inhibit the function of SET9 to see whether this prevents the development of scarring. National Awards won off the back of preliminary NCKRF funding: 1. The NCKRF has had a long history of funding research into clinical transplantation at Newcastle University and Hospitals. The National Institute for Health Research, the national organisation responsible for funding clinical research in the UK, has joined forces with NHS Blood and Transplant to establish Centres of research excellence for research into blood transfusion and transplantation. Newcastle University in partnership with Cambridge University has been selected to co-host one of these Blood and Transplant Research Units. Newcastle researchers who have received support from NCKRF, including Professor John Kirby, Mr Colin Wilson and Professor Neil Sheerin, were involved in the application for this award. This is a very prestigious award, which includes £3.9m of research funding, and places Newcastle at the forefront of transplant research in the UK. 2. On the back of an NCKRF award 2014, the national Kidney Research UK fund have agreed, against strong competition, to fund Prof Nicholson (Cambridge), Dr Sarah Hosgood (Cambridge), Mr Colin Wilson (Newcastle) and Mr Chris Callaghan (Guy's Hospital) to run a national multi-centre trial to establish the potential for ex vivo normothermic perfusion (EVNP) to increase both the number of kidney transplants and the longevity. The technique utilises cardiopulmonary bypass equipment to "re-energise" kidneys prior to transplantation and in preliminary studies has been shown to improve early outcomes after transplantation. 1 The award, totalling £750,000, will be used to include over 200 kidney transplants in the trial and also includes a study to look at new technologies, in conjunction with EVNP, to further improve the prospects for kidney transplant recipients. 3. NCKRF funding is vital for renal research and allows investigators to generate preliminary scientific data to allow highly competitive funding proposals to be submitted to national funders such as the MRC. This model has led to a recent successful funding award to Dr John Sayer and Dr Colin Miles. This will provide funding for a new 3 year project to be carried out at the Institute of Genetic Medicine, International Centre for Life, Newcastle upon Tyne. A summary of the planned work is detailed below. Cystic kidney disease is part of a group of disorders referred to as the "ciliopathies" that cause various combinations of cystic kidney disease, retinal degeneration and brain abnormalities in patients. There are no current disease modifying treatments for these conditions. Our work will identify the factors involved in the complex presentation of ciliopathies to answer the question of why patients carrying mutations in the same gene show different symptoms? In addition to the specific benefits to the field of ciliopathies, this proposal will provide a demonstration of the potential of using modern genetics to understand complex human diseases in general. This project is likely to provide long-term benefit to patients with inherited ciliopathies as it brings forward in a tangible way the prospect of personalized medicine and individualized treatments for patients. Specifically, the findings of this research proposal will help to categorize and precisely diagnose specific forms of ciliopathy. 4. The National Study of Membranoproliferative Glomerulonephritis (MPGN) and C3 Glomerulopathy (C3G) – study administrator/data manager role 2013 to 2015 MPGN and C3G are rare kidney diseases that can cause kidney failure in both children and adults. Current treatments are very non-specific (such as drugs that suppress the immune system) and not always effective at preventing the development of kidney failure. There are no treatments that can cure these disorders. Dr Sally Johnson (a children’s kidney specialist at Great North Children’s Hospital, Newcastle) leads a UK-wide collaborative study which is building a large group of patients with MPGN and C3G to learn more about these rare diseases. The study has 3 main elements: 1) Information about individual patients is entered into RADAR (the national 2 database which collects information about patients with rare kidney diseases) by staff at the patient’s own renal unit 2) Blood samples are taken to look for underlying abnormalities that may contribute to developing MPGN/C3G (including genetic testing) 3) The kidney biopsy is reviewed by an expert in MPGN/C3G The main study was funded by Kids Kidney Research. However NCKRF has provided additional support for the study to enable the appointment of a study administrator and data manager, Paul McAlinden. Paul’s role has been crucial to support the local renal units in recruiting patients and ensuring blood and biopsy samples get where they need to go. With Paul’s help, Dr Johnson has now secured longer-term funding for the study from the National Institute for Health Research Rare Disease Translational Research Collaboration. This prestigious funding would not have been achieved without the additional support provided by NCKRF. 3