From the Editor… - Australasian Society of Thrombosis and
Transcription
From the Editor… - Australasian Society of Thrombosis and
Editor:Joanne Beggs Email: [email protected] Telephone: +61 7 3851 4101 Vol 22 No 1, February 2016 From the Editor… The end of 2015 has seen many changes in the Council membership. Thank you to all those who have served on the Council as the Society cannot exist without the continued support of its members. This is my first Newsletter and I hope I can maintain the high standard set by my previous Queensland counterparts, Dr Pete Wood and Emma Jones-Perrin. The ASTH team has once again organised an excellent meeting in Adelaide. The ASTH workshop and HAA provided a high quality cross-section of speakers, ranging from the practical lab side through to the research area of our work. The World Thrombosis Day (WTD) walk, which I unfortunately could not attend due to work commitments, was well supported and the rain that threatened to ruin the day held off. This year a breakfast followed the walk and those who participated welcomed the sustenance and tasty food. The WTD will now become an annual event and will be formally entered into the yearly events calendar. If you happen to have held local WTD events over the past year or so, please send photos and event notes so I can include them in the Newsletter. A special thank you to Jenny Curnow, our outgoing President, who has worked very hard for the ASTH Council during her time in the role. Jenny is remaining an active member of the Council focusing on the training and education committee. Also a big thank you to Marg Ross who has taken on the role of Secretary while Megan is on sabbatical. Marg has done a great job of trying to keep everyone on track. I have been unable to get a report or update from anyone who attended ASH to include in this Newsletter as I think most people are waiting to attend the ASH Highlights Conference to be held in Brisbane in March 2016. Anyone who wishes to submit a review of any conferences or meetings, please send to us and we can publish in the next Newsletter. We are planning a large increase in membership during 2016 as we are offering anyone under 35 years of age free membership. Members will gain access to webinars, informative newsletters, upcoming events as well as links to interesting scientific articles and publications. Please try and recruit or encourage new members at your sites as our credibility and influence grows proportionally as our membership base increases. Joanne Beggs ASTH Council 2015-2017 Harshal Nandurkar Joanne Joseph Anoop Enjeti Simon McRae Joanne Beggs Natalie Pecheniuk Quintin Hughes Eileen Merriman Jenny Curnow President, Vic Chair, Vice President, NSW Treasurer, NSW Council member, SA Newsletter Editor, QLD Secretary, QLD Chair, New and Emerging Technologies Group, WA Communications, NZ Ex Officio and chair of ASTH Education subcommittee Visit our website www.asth.org.au Printed with the support of 1 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] President’S REPORT (listed in the this Newsletter). The rationale is that these groups will continue to develop our Society’s agenda, with consultation within the membership, outside of the limitations of the bimonthly Council meetings. Please feel free to communicate any points of interest with the subcommittee leaders. Welcome to 2016 and may you succeed in all of your New Year resolutions! For the Society, our resolution is to continue building on the foundation laid down by the membership and previous Council. We had a biannual change in the council and welcomed AnoopEnjeti (Mater Hospital, NSW), Jo Beggs (Queensland Health), Eileen Merriman (North Shore Hospital, NZ) and Natalie Pecheniuk (Queensland University of Technology). HAA2015, particularly the ASTH stream, was a spectacular success thanks to the efforts of the local organising committee. Weather, food, wine, ambience, scientific content and collegiality all contributed to a most enjoyable meeting. Peter Wood has compiled a summary of the meeting in this Newsletter (thanks Pete) and he paints a finer picture of the meeting than I can. On behalf of the membership, I wish to thank outgoing councillors Huyen Tran, Sanjeev Chunilal, Laura Young and Peter Wood for their camaraderie and dedication to the Society. We remain stronger for their efforts. I have the honour of serving you as the incoming President for the next two years with Joanne Joseph as Vice President. My special thanks to Jenny Curnow for her exemplary role as our President for the past two years – I will struggle to meet her contribution and her standards! Jenny will continue on the council to maintain the corporate memory and trim the sails. We recognised scientific excellence within the ASTH stream by large number of awards; these included ASTH Scientific Medal,Werfen ASTH Travel Grant and other Travel Grants. Judging was difficult as it was a very competitive field and heart felt thanks to the judges for the final selections. A full list of the awardees can be found in this Newsletter on page 4. We are working on the consensus reached at the strategic planning meeting held last year. There were a number of important resolutions made. Amongst these were to develop subcommittees with Strategic Planning Leaders The most prestigious recognition by ASTH is the annual Barry Firkin Oration which recognises the enormous contribution made by Professor Firkin to the discipline of haemostasis and thrombosis. The 2015 orator was Professor Rob Medcalf from the Australian Centre for Blood Diseases. He gave a very thought-provoking talk on fibrinolysis which added new dimensions to our understanding of this process. CONTENTS Presidents Report 2 New Members 2 Secretariat News 3 2015 ASTH Award Winners 4 2015 Medal Winning Abstract 5 Upcoming Meetings 5 Overview: 2015 ASTH Workshop, Adelaide 6 Overview: HAA2015 Meeting, Adelaide 7 2016 World Thrombosis Day 7 Career Summaries – Natalie Pecheniuk – Joanne Beggs 8 8 The LOC for the 2016 meeting in Melbourne (Sanjeev, Huyen and I) have been busy assembling an interesting program. We are sure you will approve of the content, but we are less confident about the fickle Melbourne weather. World Thrombosis Day was again remembered at HAA2015 with a walk and breakfast. The original intention may have been a ‘run’ to keep the venous blood flow going but, by the time the meeting comes to Melbourne, it will be lazy saunter along the Yarra sipping our excellent coffee. An important advance within the Society is our intention to develop a new website as determined in the strategic planning meeting. We have selected Internet Vision Technologies (IVT), a software company based in Croydon, Victoria, as the preferred provider. The website will be feature-rich with the capacity to accept membership payments, post blogs, publications etc. We will gratefully accept suggestions/recommendations from any one within the membership. IVT also manages the website for the Australian Haemophilia Centre Directors’ Organisation, with Marg as the secretary. Hence familiarity with just one website will help Marg and both organisations. More on this to follow. New Members The ASTH would like to welcome the following members who have joined since the last newsletter: Mohammed Ali Bazargan, Vic Rucha Patil, India Renee Eslick, NSW Sara Shu-Ling Ng Samantha Youngson, NSW Rachal Davis, TAS Leisa Maree Skillen QLD Emily Geramita, QLD Pauline Beale, QLD Kiara Thompson, QLD Jacqueline Shaw, QLD We all acknowledge the administrative leadership of Marg Ross that maintains the Society’s momentum forward. Again, I wish you all a happy new year and may all your wishes come true. Harshal Nandurkar We would also like to welcome those new members who wish to keep their contact details private. 2 Secretariat news Happy 2016 to all ASTH members! Although the ASTH Scientific Workshop and HAA2015 may have faded into the background as we settle into the new year, I can still feel the dance floor as all rocked to the band. Meeting ASTH members was one of the highlights for me. I hope to see you all again in Melbourne this year at either the Scientific Workshop on 13 November or at HAA2016. The WTD breakfast and walk along the Torrens was a lot of fun and we will continue with this for HAA2016. Sponsors, members and HAA attendees all joined the walk which was followed by a delicious breakfast. Not only do our international speakers deliver on the podium, they also know how to let their hair down on the dance floor Steve Watson (University of Birmingham, UK) The new year has a full agenda for the secretariat in 2016 before Megan Sarson takes up the role again in January 2017. I am working closely with our secretary Natalie Pecheniuk reviewing and changing the society’s Articles of Association and steering a name change for ASTH in 2016. The Science and Education Trust terms of reference are also long overdue for a review and the first draft will go to Council in February. The final TOR will be posted on the ASTH website. As flagged in the last Newsletter, ASTH will have a new website in 2016 with online payments and a more interactive module for members to get involved and communicate with each other through forums. I do need support with the new website and I am still seeking tech/ design-savvy members to help with this task. Pete Wood, outgoing Editor for ASTH, on the dance floor World Thrombois Day Save the date in your diary – 13 October 2016. Start planning early for this event so that I can ensure you have the resources needed for a successful day. Membership Fees 2015-2016 Would members who have forgotten to pay fees for 2015‑2016 please pay up now? You can access a membership form at http://www.asth.org.au/join if you have misplaced the renewal sent out in July to all members. Have a think about taking out a 3 year subscription – it takes away the hassle of having to remember to send the form back for 3 years! Plus, there’s a small discount and if you are under 35, membership is free! Workshop Feedback Feedback from the 2015 will be analysed soon, however, at a brief glance, the biggest issue was water – not enough drinking water! We will make sure this is addressed in 2016. AGM 2016 The 2016 AGM will take place on Tuesday, 20 November at HAA2016 in Melbourne. I am happy to take renewals at this stage over the phone on a Wednesday or Thursday. If all goes to plan 2016-2017 membership fees will be paid online!! Please encourage your colleagues to join ASTH in 2016 – all new members need endorsement by a financial ASTH member. Education Subcommittee The ASTH Education subcommittee has started planning for its face-to-face meeting in Sydney in March. There have been some additions to the group since last reported in October – Grace Gilmore, WA and Renne Eslick, NSW. Clinical Trials Group The new terms of reference for the CTG group have been endorsed by the ASTH Council. Eileen Merrimen will chair CTG for the first six months of 2016 while Huyen Tran is on sabbatical in France. Meeting dates for the year have been set and we do hope to see more members join in monthly discussions. If you are interested in joining CTG teleconferences, please contact Marg at [email protected] for the dial-in details. The next scheduled meeting date is 24 February 2016. Western Australia and Queensland ASTH members rocking on the dance floor 3 Marg Ross 2015 ASTH Award Winners 2015 ASTH Medal Winner David Rabolini Jenny Curnow with ASTH Medal Runner up Danielle Blunt Jenny Curnow awarding Susan Jarvis the Werfen ASTH Travel Grant ASTH Medal AHCDO ASTH Conference Award Winner Stephanie P’ng (Fiona Stanley Hospital, WA): How effective coordination of perioperative management in patients with inherited bleeding disorders leads to safe and effective haemostasis at sites external to the HTC. David Rabbolini (Royal North Shore Hospital): A homozygous mutation in the transcription factor FLI1 causes giant platelet alpha-granule formation similar to that observed in Paris-Trousseau thrombocytopenia. Runners up Poster Prizes Danielle Blunt (SA Pathology): Anticoagulation reversal and outcomes in Warfarinassociated intracranial haemorrhage (WAICH). Workshop Poster Prize Sarah Just (Prince of Wales Hospital): Platelet Aggregation by Flow Cytometry – A New Diagnostic Tool for Thrombocytopenic Patients, Shauna French (Australian Centre for Blood Diseases/ Monash University): Inhibition of the platelet thrombin receptor, PAR4, impairs platelet procoagulant function and is sufficient to provide an anti-thrombotic effect in human blood. HAA Scientific Poster Rucha Patil (National Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, India): A simple clot based assay for detection of pro coagulant cell-derived microparticles. Werfen ASTH Travel Grant Susan Jarvis (St Vincents Hospital): Calibration of Anti-Xa assay with STA-Multi Hep Calibrator under-estimates LMWH and over-estimates UFH Levels. HAA Clinical Poster Prize Sarah Clark: Low annualised bleeding rates with recombinant factor VIII Fc fusion. Robert Medcalf receiving the Barry Firkin Award from Jenny Curnow Rucha Patil receiving the HAA Scientific Poster Award from Jenny Curnow 4 2015 MEDAL WINNING abstract A homozygous mutation in the transcription factor FLI1 causes giant platelet alpha-granule formation similar to that observed in Paris-Trousseau thrombocytopenia D. Rabbolini, W. Stevenson, L. Beutler, S. Gabrielli, Q. Chen, J. Mackay, T. Brighton, C. Ward and M. Morel-Kopp Aim A platelet-related bleeding disorder has been associated with a variably sized deletion of chromosome 11q23 in Paris‑Trousseau thrombocytopenia. The identified common deleted region of 11q23 contains the transcription factor FLI1. We have examined the relationship between the inheritance of a novel FLI1 mutation and the phenotype of this chromosome 11 deletion syndrome. Method We have screened families with inherited thrombocytopenia for mutations in blood transcription factors using a next generation sequencing targeted gene panel. This screen has identified families with mutations in GFI1B (n=2 families), RUNX1 (n=2), GATA1 (n=1) and FLI1 (n=1). Result A novel FLI1 mutation, p.Arg324Trp, was identified in a consanguineous family with both asymptomatic parents having the mutation in the heterozygous state. Two daughters with moderate thrombocytopenia (platelet count 65-76 x109/L) and a lifelong bleeding history (ISTH-SSC Bleeding Assessment Tool scores of 12 and 17) have homozygous p.Arg342Trp mutations. These individuals have abnormal platelet function with impaired collagen induced aggregation and the presence of giant fused alpha-granules on electron microscopy. Abnormal giant granules were seen in 4% of circulating platelets from these daughters that was similar to the frequency of giant alpha-granule inclusions observed in patients with Paris-Trousseau thrombocytopenia. These observations were validated with luciferase assays that demonstrate significant reduction in transcription at the promoters of FLI1 target genes GP6, GP9 and ITGA2B with the identified mutant FLI transcript compared to wild-type transcript (P<0.05 for all comparisons). Conclusion Autosomal recessive inheritance of a novel FLI1 mutation phenocopies the platelet pathology present in Paris-Trousseau thrombocytopenia suggesting abnormalities in FLI1 are responsible for the bleeding defect observed in individuals with inherited abnormalities of chromosome 11q23. UPCOMING MEETINGS MEETING WHERE/DATES CONTACT American Society of Haematology Highlights Brisbane – 5-6 March 2016 http://www.hematology.org/highlights American Society of Haematology San Diego, USA 3-6 December 2016 http://www.hematology.org/Annual-Meeting 17th NATA Symposium – Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis Dublin, Ireland 14-15 April 2016 http://www.nataonline.com/content/17thannualnata/symposium- AIMS SA Conference “This Stuff will kill you” Adelaide – 21-22 May 2016 www.aims.org.au Joint AIMS and NZIMLS South Pacific Congress Brisbane 13-15 September 2016 http://www.nzimls.org.nz/ events,listing,330,nzimlsaims-south-pacificcongress.html World Thrombosis Day Local sites – 13 October 2016 www.worldthrombosisday.crg ASTH Scientific Workshop Melbourne, 13 November 2016 HAA 2016 Melbourne, 13 November 2016 ISTH Congress 2017 Berlin, Germany – Date TBA 9th Congress of the Asia-Pacific Society Taipei, Taiwan – 6-9 October 2016 5 http://www.haa2015.com http://www.apsth2016.org/index.html OVERVIEW: 2015 ASTH WORKSHOP, ADELAIDE The majestic River Torrens. shadowed by the recently renovated Adelaide Oval, provided a magnificent backdrop for the 2015 ASTH Workshop held within the Adelaide Convention Centre. The session after lunch was devoted to platelets and was suitably spearheaded by our internationally invited speaker, Steve Watson, from the University of Birmingham in the UK. Steve’s expertise in the field of platelet biology is recognised around the globe so we were indeed fortunate that he agreed to speak at the Workshop, prior to his HAA commitments. The first session kicked off with ASTH stalwart and Adelaide local, Susan Rogers, who provided a comprehensive overview of work she has undertaken aimed at better understanding the Calibrated Automated Thrombin generation test. Prof. Watson’s presentation was both entertaining and informative, focusing on the role of platelet function testing in today’s coagulation laboratories, rounding out his presentation with the role Next Generation Sequencing (NGS) is likely to play in helping to increase our understanding of the complex and multifunctional platelet. His presentation dovetailed perfectly with the subsequent speaker, David Rabbolini, who has been collaborating with Steve Watson’s lab in the development of a platelet specific NGS panel. The global assay theme continued with another local, David Roxby, and banana-bender Emma Jones-Perrin who discussed use of the ROTEM for providing realtime analysis of coagulation in the setting of liver transplantation, highlighting not only the obvious benefit for the patient, in what is a high-risk procedure, but also for the Health budget bottom line stemming from a reduction in blood product usage. The session finished with a presentation from newly elected ASTH councillor Joanne Beggs, also from Queensland, detailing her lab’s workup of a FVIII assay using their newly acquired ACL TOP 700 platform. David’s thought-provoking presentation highlighted both the potential clinical utility of NGS technology, and also the issues involved with dealing with the sheer volume of information generated and how best to interpret it. The final speaker of the platelet session was ASTH rising star Justin Hamilton from Monash, who presented data generated by his group utilising an interfering RNA to selectively knock-out the PI3KC2a platelet receptor in mice. Great to see this technically demanding work being performed here in Australia. The current ‘hot topic’ in thrombosis and haemostasis circles would undoubtedly be DOAC reversal, and so the session prior to the lunchbreak was dedicated to the latest DOAC reversal information and research. Sanjeev Chunilal began the session by providing an overview, direct from the latest ISTH held in Toronto, of a potential ‘new wave’ of DOACs specific for contact factor pathway factors. After a quick break for afternoon tea, the focus switched back to the bench with another Adelaide local and longtime Workshop contributor, Elizabeth Duncan, presenting results from her assessment of the Overall Fibrinolysis Potential Assay. The last speaker of the day was Prahlad Ho who offered a clinical perspective on the benefits of global assays, which in my opinion is what the ASTH is all about, i.e. laboratory and clinic working together for the ultimate benefit of the patient. This was followed by a comprehensive review by Noel Chan detailing the current status of the various anti-Xa and anti-thrombin reversal agents, Andexanet, Idarucizumab and the broad spectrum Aripazine. Finally, the session rounded out with some direct-fromthe‑coalface results provided by New Zealand’s own, Gordon Royle. Gordon presented data from the Idarucizumab trial (BI 1321.3) collected from the five enrolled sites across New Zealand, highlighting both the utility and potential pitfalls of Idarucizumab for the reversal of Dabigitran. The Workshop wound up with the traditional Sundowner. Generously sponsored by Werfen, it showcased some fantastic South Australian produce which was washed down with world-class wines from the Barossa, Claire Valley and the Adelaide Hills, along with well-crafted ales from the famous Coopers Brewery (making the author particularly happy). The poster session was held prior to the lunch break, and this year the prize for Best Poster was won by Sarah Just for her poster “Platelet Aggregation by Flow Cytometry – A New Diagnostic Tool for Thrombocytopenic Patients”. We have been trialling the new poster session format whereby each presenter gives a 2-3 minute overview of the data presented in their posters to the assembled attendees for the last three Workshops, and the general consensus amongst the membership is that we should continue with this approach. We may move the Poster Session slot to another point in the day as a number of rumbling tummies could be heard in anticipation of the lunch buffet waiting for them in the trade display room just metres away. As a final note, I would like to take this opportunity to offer my deepest and most heartfelt thanks to Marg Ross for helping me in the both the lead up to the Workshop, and also during the day proper. Marg was very much dropped in the deep-end, filling in for the original Super Woman, Megan Sarson, while she is away on her two year leave of absence. However, she has stepped up to the plate with aplomb and was a major driver contributing to the success of the Adelaide Workshop. Thanks Marg! See you all next year in Melbourne (remember November, not October)! Quintin Hughes 6 OVERVIEW: HAA2015 meeting, Adelaide This was the first HAA without a conference bag! Fine if you were expecting it, but not if you had an armful of goodies gleaned from the trade exhibition and nowhere to put them!. The conference app worked well and the centre was reasonably easy to navigate. Mark also reviewed the “best evidence for reversal of DOACs” on Tuesday, but was outshone by Gordon Royle (Middlemore, NZ) with his review of the NZ experience with Idarucizumab (and in particular the joke about the lion’s brother!?!? – you missed your calling, Gordon). The Adelaide meeting offered a good mix of basic science and clinical expertise from Europe and the North Americas (well, mainly Canada). The last of the overseas invited speakers was Dr Paula James (Ontario, Canada). Her interest is in the genetic basis of inherited bleeding disorders. She participated in the Wednesday session on Issues with vWD. Her lecture covered aspects of peri-partum care with some good case studies as examples of the difficulty in managing these patients and the laboratory participation required to assist those decisions. This was relevant to both clinicians and laboratory scientists involved with such patients. Emmanuel Favaloro (Sydney, NSW) concluded the session with an excellent review of the available laboratory testing available for vWD and the limitations of the tests. Professor Steve Watson (Birmingham, UK) provided a scientific insight into the complex world of platelets which are no longer just interested in stopping bleeding but are significantly involved in “the development of the lymphatic system and blood cerebrovasculature” as documented in the vascular biology symposium on Sunday. He had presented in the Saturday workshop on “the role of platelet function testing and next generation sequencing in the identification of platelet function disorders”. His presentations were both informative and full of practical advice and opinion delivered in a casual and entertaining manner. The World Thrombosis Day (WTD) walk continued its success again with a stroll along the river with increasing participation from all delegates, not just ASTH. Professor Alan Michelson (Boston, MA, USA) is the doyen of platelet biology and function, as the world recognised published head in the area (Editor of Platelets textbook). He gave a predominantly clinically focussed talk in the Sunday afternoon platelet symposium on the advances in anti-platelet therapy. The conference dinner was held at the Adelaide Oval. The entertainment was planned to be a cooper constructing a barrel on‑stage. However, Simon McRae confabulated some story about a burglary and the participants inability to attend. One of the sales team from the Yalumba winery took over the reins and gave us tales of her travels selling the products throughout the world. It was hard to believe she wasn’t a professional comedian and was the highlight of the night. There was also a live camera feed into the kitchen and the head chef; a cross between Masterchef and Big Brother. Then the Canadians arrived from colder climes and, suitably warmed up, were enthusiastic and animated. Professor Mark Crowther (Hamilton, Canada) has a particular interest in antiphospholipid antibodies and their clinical sequelae. He started off the show on Sunday morning in the APS symposium with a practical and authoritative session on the “optimal management of APS”. The symposium was well supported with local representation by Tiffany Hughes (Adelaide) and Roslyn Bonar (RCPA) who both gave excellent talks. Overall, a great conference. Melbourne has a lot to live up to next year. Well done to the SA organising committee. Dr Pete Wood Past Newletter Editor 2016 WORLD THROMBOSIS DAY A message from Louise Banner, International Society on Thrombosis and Haemostasis (ISTH) Please ask your local network to join the global WTD campaign. At this time, we have approximately 330 WTD partner organisations, but our new goal for 2016 is 500! Please help by asking all organisations that you work with on WTD activities to sign up and be counted. Partners can include: hospitals/clinics, academic institutions, non-profit organisations, societies, and companies. Plus, individuals can now also join the campaign as official partners. Everyone added to the WTD partner list will receive all updates and new resources. Ask them to join at www.worldthrombosisday.org/join/. 7 CAREER SUMMARIES Natalie Pecheniuk my work on HDL anticoagulant activity, which helped with the establishment of my lab and continuation of my work on lipoproteins. During that time I also established collaborations with another JCU research group and were able to reverse acute coagulopathy using a resuscitation solution in models of severe haemorrhagic shock. PhD My interests and career in thrombosis and haemostasis research started in the mid-1990s, a perfect time in the field just when many of the molecular and genetic determinants for thrombophilia’s were determined. At the time of finishing my Bachelor’s degree, my interests were in DNA technologies and fortunately I was able to complete my Honours research year at the CRC for Diagnostic Technologies based at QUT, where I used novel DNA technology to identify the prevalence of Factor V Leiden in the Australian population. This sparked my interest in thrombosis research and I then commenced my PhD at QUT under the mentorship of Neville Marsh where I completed studies on the DNA analysis of common genetic variations which predispose to thrombophilia. These studies involved blood donors, families, osteoarthritis and women with pregnancy loss and pre-eclampsia. I became a member of the ASTH in 1997. I will never forget my first HAA meeting in Sydney 1998 when Rogier Bertina was the guest speaker. Towards the end of my PhD studies, I was fortunate to attend the ISTH meeting in Washington DC in 1999 and whilst in the US, I made a laboratory visit to the lab of John Griffin at Scripps Research Institute, La Jolla/ San Diego, CA. I moved back to Brisbane in 2011 and back to QUT as a biochemistry academic and head my lab at the Institute of Biomedical Innovation. I teach into biomedical science, medical laboratory sciences, pharmacy and nutrition/ dietetics programs, in addition to the usual academic duties. I have strong collaborations with ARCBS looking at the coagulopathy associated with transfusion and continue my previous research interests in coagulopathy in resuscitation/transfusion; thrombophilias; the protein C pathway; and regulation of coagulation at the prothrombinase complex. I am currently study area coordinator for Human Biochemistry and have mentored several students in the mentioned areas of research who have also continued their paths/interests in haemostasis research. With my 20 year anniversary in the field of haemostasis, I look forward to my time on the ASTH council and hope to promote the role of basic research in the field, which compliments the strong clinical research carried out by our membership. Joanne Beggs With an offer from John Griffin to join his lab, I received my PhD in 2001 and that same year I made the move to the USA for my post-doctoral position at The Scripps Research Institute. Of course, working in the Griffin Lab my focus was on the Protein C pathway and in particular the role of lipids and lipoproteins as cofactors in this pathway. Some of my research highlights included the role of cholesterol in enhancing phospholipid-dependent APC activity, HDL deficiency and dyslipoproteinemiaassociated with VTE and risk of recurrence; CETP genotypes are associated with the HDL deficiency in VTE, and various other molecular risk factors for VTE. I am currently in the role of Advanced Scientist Coagulation and Special Investigation at the RBWH Brisbane. The RBWH is part of Pathology Queensland providing a state-wide service encompassing 33 laboratories overall. I am the Chair of the Coagulation Subcommittee of the Haematology Discipline Working Party, the committee which is responsible for overseeing coagulation testing across all 33 laboratories. The RBWH central laboratory performs all specialised haemostasis testing including thrombophilia, platelet aggregation and electron microscopy testing and haemophilia investigation. During my time at Scripps I held an American Heart Association Fellowship, received ISTH travel awards and was eventually appointed staff scientist in the Griffin lab. Scripps was a fabulous environment for haemostasis research, I worked with Mary-Jo Heeb, and the lab was next door to Zaverrio Ruggeri’s lab, other notable labs at that time included Nigel Mackman, WolfrumRuf, Tom Edginton and the list goes on.I was fortunate to spend 7½ wonderful years in that lab and my ties to past and present members of the Griffin lab will always remain strong. Prior to my time at RBWH, I worked as a multi-skilled scientist at the Prince Charles Hospital, Brisbane and the Canberra Hospital in the haematology and coagulation department, specialising in coagulation investigations. During 2015, I participated in the Twinning Program with the World Federation of Haemophilia, where I trained a Philippine staff member from the Brokenshire Hospital in Davao City. I found the work a very rewarding and emotional experience and it is something I want to continue to do in the future. In 2008 I returned home to Australia, to my first academic role at James Cook University, Townsville, in the Faculty of Medicine, Health and Molecular Sciences, primarily lecturing in Biochemistry/Molecular Biology and starting my independent lab (a challenge on your own in northern QLD). In 2010, I was awarded the Kanematsu Award for I am also a member of ISTH and AIMS. 8