RESEARCH PROJECTS
Transcription
RESEARCH PROJECTS
Accident and Emergency Medicine Academic Unit miRNAs have recently emerged as modulators in RESEARCH PROJECTS hematopoiesis, immune responses and inflammation. To our knowledge, there is no study exploring the Expression Profiles of MicroRNAs in Acute pathological role of miRNA(s) in AA and Appendicitis: Potential Molecular Markers to investigating the diagnostic performance of miRNA(s) Improve Diagnostic Accuracy for diagnosis. In view of this, we will study the expression profiles of miRNAs in appendices and GRAHAM C A RAINER Timothy Hudson potential miRNA(s) for accurate AA diagnosis. This CHAN Pui Yee Cangel LEUNG Ling Yan can help doctors distinguish AA from other 27 June 2011 abdominal problems and avoid needless surgery. CUHK Research Committee Funding (Direct (MD10800) Grants) Acute appendicitis circulations of AA patients, and thus identifying (AA) is characterized by inflammation of the appendix. It is the most common Anthropometric and Physiological Measurements in Healthy Children abdominal surgical emergency. Early diagnosis and prompt operative intervention is the key for RAINER Timothy Hudson CATTERMOLE successful AA management. However, it is still a Giles Nicholas# CHAN Siu Wa Stewart* SO challenge to accurately diagnose patients with Hung Kwan (Paediatrics) atypical presentations or other conditions with Edward* Smith Brendan symptoms similar to AA. A negative appendectomy 1 October 2010 rate as high as 20% has been judged to be acceptable Health and Health Services Research Fund for many surgeons who advocate early surgical intervention for AA treatment to avoid perforation. This project will derive age- and sex-matched normal However, removing a normal appendix is an ranges and formulae for Chinese children, and also economic burden on both patients and hospital normal ranges for cardiac output measured by resources. Nevertheless, misdiagnosis and delay in ultrasound. A new technique has been developed for surgery can lead to complications like perforation and measuring cardiac output – the Ultrasound Cardiac finally peritonitis. Therefore, there is an urgent need Output Monitor [USCOM Pty Ltd., Coffs Harbour, to identify novel circulating biomarkers to diagnose NSW, Australia]. Introduced for the first time for AA clinical use in 2001, this device provides a more accurately than the conventional diagnostics. non-invasive, Doppler ultrasound measure of cardiac MicroRNAs (MiRNAs), small non-coding RNAs of output (CO) and other cardiovascular parameters. about However, there are no normal ranges using this 22 nucleotides, are endogenous post-transcriptional regulators. MiRNAs regulate technique for Chinese children. gene expression and have a critical role in many Objectives: biological and pathological processes. In addition to 1. their role in development and carcinogenesis, To determine the ranges of values of vital signs in Chinese children aged 1 month to 12 years in Hong Kong, according to age and Faculty of Medicine Accident and Emergency Medicine Academic Unit 2. 3. gender; burden on the community. Rapid diagnosing of stroke To determine the ranges of values of patients is critical to facilitate early installment of USCOM-derived cardiovascular indices in appropriate therapy. However, it is still very difficult Chinese children aged 1 month to 12 years in to diagnose stroke at the early phase, and there are Hong Kong, according to age and gender; and limitations on the ability of diagnostic imaging to To construct formulae relating age, weight, help with the necessary speed. Therefore, a reliable other and valid biomarker is invaluable for this clinical anthropometric measurements, vital situation. signs and cardiovascular indices. Design: Cross-sectional study. MicroRNAs Setting: New Territories Maternal and Child Health non-coding RNAs, regulate gene expression and have Clinics, kindergartens and primary schools mostly a critical role in many biological and pathological from the Shatin area. processes. MiRNAs have been recently reported as Participants: 1260 Hong Kong Chinese children aged useful biomarkers in various diseases such as cancer 1 month to 12 years old. Inclusion criteria: The child and acute myocardial infarction. In this study, we will be Included if reported as healthy by therefore aim to investigate firstly whether circulating parent/guardian on the consent from. Exclusion miRNA profiles can be used for differentiation of 40 criteria include any current or long-term illness or if patients with different stroke subtypes; secondly taking any medications. whether circulating miRNA profiles can be used for Main Outcome Measures: Tables and graphs of prognosis of post-stroke morbidity and mortality; normal values for vital signs and USCOM-derived thirdly the relationships between the dynamic variables. changes of the circulating miRNAs in 8 patients and Formulae relating measurements age with and anthropometric physiological and (MiRNAs), small endogenous progression of stroke at five designated time points (starting at admission to 96 hours after admission). USCOM-derived variables. Twenty healthy volunteers will act as controls. (MD10741) This study will permit the development of novel specific miRNA profiles as a new strategy for Circulating MicroRNA Profiles – A Novel differentiation of acute stroke subtypes and Strategy for Diagnosis and Prognosis of Acute risk-stratification in patients with stroke. Biologically, Stroke the study of circulating miRNA and its changes will enhance RAINER Timothy Hudson GRAHAM C A CHAN Pui Yee Cangel LEUNG Ling Yan our understanding of the disease pathophysiology. (MD10895) 1 April 2011 CUHK Research Committee Funding (Direct Grants) Please refer to previous issues of this publication for more details of the following ongoing research at the department: Stroke is a major public health problem in the world. It is associated with a high mortality and morbidity Edition Title/Investigators despite recent treatment advances and is major cost Faculty of Medicine Accident and Emergency Medicine Academic Unit YAU Wah Hon* 2009-10 Anthropometric, Physiological Peggo* and USCOM (Ultrasound Cardiac Output Monitor) Measurements in Siu Wa Stewart CATTERMOLE Giles Nicholas# GRAHAM C A LEE Ka Hing Herman* RAINER Timothy Hudson 2009-10 A Prospective Investigation of the Prognostic Value ‘TIMI’ and ‘Front Door TIMI’ in Chinese Patients Presenting to RAINER Timothy LAM Kwok Wai Healthy Children and Adolescents (MD09683) CHAN the Emergency Department with Undifferentiated Chest Pain (MD09357) Hudson GRAHAM C A 2009-10 Comparison of Oral Prednisolone and Hudson CATTERMOLE Giles Oral Indomethacin in the Treatment of Nicholas# Acute Gout-like Arthritis: A Multi-centre, (Medicine Double-blind, TSAY Xiu Hui* Randomized Trial RAINER Timothy YIP Wai Kwok Gabriel & Therapeutics)# (MD09932) CHENG Chi Hung RAINER 2009-10 Development and Valiation of Timothy Hudson GRAHAM C A Risk-adjusted Outcomes for Systems of MAN Chi Yin* Emergency Medical Care (MD09328) TAM Lai Therapeutics) HJ Janssens* (Medicine & Shan CHOI Yu Fai* YAU Wah Hon* RAINER Timothy Hudson Steve Goodacre* LEE Ka Hing Herman* LAM Kwok Wai Peggo* 2009-10 Assessment of Functional Outcome in Patients Sustaining Moderate and Major 2009-10 Comparison of Oral Prednisolone and Oral Indomethacin in the Treatment of Trauma (MD09326) RAINER Timothy Hudson Acute Guot-like Arthritis: A Multi-centre, GRAHAM C A Double-blind, Hung POON Wai Sang (Surgery) Randomized Trial YEUNG Hiu (MD09812) HO Hiu Fai* KAM Chak Wah* CHENG Chi Hung MAN Chi Yin* CATTERMOLE Giles Nicholas# GRAHAM C A TAM Lai Therapeutics) Shan HJ Janssens* (Medicine CHOI Yu Fai* Peter Cameron* & Faculty of Medicine Department of Anaesthesia and Intensive Care RESEARCH PROJECTS surgery will be recorded using established instruments. We will then conduct association analysis to identify the SNPs and its haloptypes that Genetic Determinants of Persistent Pain after may predispose patients to chronic post-surgical pain. Surgery The proposed study represents a unique opportunity to determine the genetic contribution of persistent CHAN Matthew Tak Vai KONSTANTATOS Alex* 1 January 2011 Australian and New Zealand College of Anaesthetists, Research Grant pain after surgery. We have confirmed patient participation from an existing cohort of patients. Our patient population undergoes major abdominal surgery and so the rate of chronic post-surgical pain should be high. This will maximize the power to detect potential association between candidate The primary goal of this project is to identify the genetic polymorphisms and chronic post-surgical genetic contributions of persistent pain, 12 months pain. after major abdominal surgery. We hypothesize that (MD10386) patients with candidate genetic polymorphisms are associated with higher rates of chronic post-surgical Anaesthesia-related pain. The aims of the proposed research are: Passive Smokers (1) in Adult to determine the incidence and impact (on patients’ quality of life) of new chronic pain that has arisen and persisted from major (2) Complications LEE Anna GIN Tony CRITCHLEY Lester Augustus Hall CHUI Po Tong abdominal surgery, performed 12 months ago; 1 November 2010 to correlate single nucleotide polymorphisms Health and Health Services Research Fund (SNPs) within the candidate gene loci with the (3) risk of developing chronic post-surgical pain; Tobacco smoking is known to increase the risk of and complications in patients undergoing anaesthesia and to correlate potential haplotype blocks (sets of surgery. There is a strong notion that second hand SNPs) with the risk of developing chronic smoke (passive smoking) is toxic and has a post-surgical pain. carcinogenic potential that would be qualitatively In an existing prospective cohort of 400 patients similar to that of mainstream smoke. However, little undergoing major abdominal surgery, DNA samples is known about the association between exposure to from saliva or blood will be collected and analyzed passive smoking and the risk of anaesthesia-related for the presence of 13 candidate SNPs. These genetic complications in adults. The objectives of this cohort variants have diverse biologic functions that may study are: (1) to estimate the prevalence of passive affect the kinetics and dynamics of opioid receptors, smoking in adult never-smokers and ex-smokers axonal inflammation and experimental pain response. undergoing general anaesthesia for elective major Patients’ experience and impact of pain that has surgery; arisen and persisted for 12 months after the indexed intraoperative and (2) to and determine early the risk of postoperative anaesthesia-related complications associated with Faculty of Medicine Department of Anaesthesia and Intensive Care passive smoking. The smoking status will be CHAN Matthew Tak Vai determined using patient’s reported smoking history Tony and the concentration of a sensitive tobacco-specific Cheong biomarker in urine by mass spectrometry. The Therapeutics) Stephen HALL* David GIN HUI Shu (Medicine & attending anaesthesiologist will be partially blinded to the smoking status. Outcomes to be measured will 2009-10 ENIGMA-II Trial: Nitrous Oxide include intraoperative and postoperative respiratory Anesthesia and Cardiac Morbidity after complications Major (pulmonary, and postoperative infectious, renal, morbidity gastrointestinal, cardiovascular, neurological, haematological, wound Surgery: A Randomized Controlled Trial (MD09783) CHAN Matthew Tak Vai and pain). The results of the study will be used to support anti-tobacco interventions, develop 2009-10 Re-defining the Warning Criteria for guidelines for healthcare professionals for better Intraoperative patient management, and for future health economic Monitoring (BL09701) studies. Accurate quantification of the attribution of CHAN Matthew Tak Vai passive smoking to the occurrence of anaesthesia-related adverse events is important for Tony Neurophysiologic GIN WANG Yixiang (Imaging & Interventional Radiol) future health services planning as well as for future development of anti-tobacco public health policies in 2009-10 Cardiac Morbidity after Nitrous Oxide Hong Kong. Anesthesia: A Randomized Controlled (MD10796) Trial (CU09614) CHAN Matthew Tak Vai Please refer to previous issues of this publication for more details of the following ongoing research 2009-10 Can We Predict Postoperative Cardiac Complication with Endothelial Function at the department: Test (MD09902) Edition CHAN Matthew Tak Vai Title/Investigators GIN Tony 2002-03 Perioperative Ischemic Evaluation Study 2009-10 DREAM-regulated (MD02634) CHAN Matthew Tak Vai YIP Wai Gene Profiles in Dorsal Horn Neurons after Central Sensitization (MD09875) Kwok Gabriel* CHAN Matthew Tak Vai 2006-07 Visualizing Expired Expression Air Dispersion CHENG Hon Ki Christopher (School of During Common Respiratory Therapy : Biomedical Sciences) A Simulator Model to Assess the Risk of Xiaodong LIU Quanmeng LIU Nosocomial Infection (MD06974) Faculty of Medicine Department of Anaesthesia and Intensive Care 2008-09 ACCESS: A Controlled Comparision of KHAW Kim Sun Dean Eritoran Tetrasodium and Placebo in Warwick Patients with Severe Sepsis (MD08962) Lester Augustus Hall NGAN KEE CRITCHLEY GOMERSALL Charles David 2009-10 Determination and Quantification of the 2009-10 A.R.I.S.E. Australasian Resuscitation in Sepsis Evaluation Randomised Controlled Trial (MD09655) JOYNT Gavin Matthew TIAN Qi# GRAHAM C A (Accident and Emergency Medicine Lipophilic Intrathecally GOMERSALL Charles David Interaction of Local Anaesthetics and Academic Unit) Opioids for Pharmacodynamic Administered Analgesia: A Modelling-based Investigation in Labouring Parturients (CU09734) NGAN KEE Warwick Dean KHAW Kim Sun LEE Anna 1998-99 Ropivacaine as an Intrathecal Agent: Part I – A Dose Response Study (MD98153) Faculty of Medicine Department of Anatomical and Cellular Pathology levels of SIRT1 and advancement in tumor grades RESEARCH PROJECTS (P=0.006). At the cellular level, down-regulation of SIRT1 consistently induced growth suppression and Functional Characterization of the Role of Sirtuin senescence in a panel of HCC cancer cell lines. 1 (SIRT1) in Hepatocellular Carcinoma Remarkably, SIRT1-silencing also caused telomere dysfunction-induced foci that were clearly associated KO Chi Bun Anthony W.I. LO WONG with reduced expressions of telomerase reverse transcriptase (hTERT), protection of telomeres 1 Nathalie homolog (POT1) and POT1-interacting protein 1 1 November 2010 Research Grants Council - General Research Fund (PTOP) concomitantly. Given that these genes are well known for their role in telomere maintenance, our preliminary data therefore revealed a hitherto Hepatocellular carcinoma (HCC) is the fifth most undiscovered role of SIRT1 in telomere maintenance common malignancy worldwide. In Hong Kong HCC via the regulation of telomeric genes expression. The is the third most common cause of cancer mortalities. central theme of this proposal is thus to elucidate the Despite its high prevalence and inferior prognosis in molecular basis of SIRT1 in telomere maintenance general, to date, our understanding of the liver and to evaluate the potential value of SIRT1 pathogenesis is limited. Treatment of HCC is inhibition as a therapeutic targets in HCC. Our complicated by the fact that the disease is often objectives include: 1) Elucidating the correlation diagnosed at an advanced stage when it is no longer between amenable to curative surgery, and that current expressions systemic chemotherapeutics are mostly inefficacious. Characterizing the role of SIRT1 in telomere A better understanding on the molecular basis of maintenance; 3) Elucidating the transcriptional HCC is therefore urgently required to facilitate regulation development of new therapeutic strategies. Sirtuin 1 expression; and 4) Evaluating the anti-tumorigenic (SIRT1) is a histone deacetylase that has been role of SIRT1-silencing/-inhibition in vivo. Our implicated in gene regulations and stress resistance. proposed Although SIRT1 overexpression is observed in a understanding of the role of SIRT1 in HCC number of cancers and is thought to play a role in tumorigenesis, and development of SIRT1 inhibitors tumorigenesis, as potential HCC therapeutics. the underlying molecular basis remains largely unexplored. Our studies on SIRT1 in SIRT1, in POT1, primary of PTOP, and HCC specimens; SIRT1-mediated studies should hTERT hTERT provide a 2) gene better (CU10672) HCC found that, whereas SIRT1 was expressed at very low levels in normal livers, it is commonly Investigation of Oncogenic Properties of over-expressed in HCC cell lines and tumors (70% of Interleukin 15 (IL15) and Receptor IL15R in cases). To further establish the value of SIRT1, tissue Nasopharyngeal Carcinoma microarray analysis of >140 paired HCC tumor and adjacent non-tumoral liver tissues revealed a profound positive correlation between the expression LAU Kin Mang LO Kwok Wai 30 June 2011 Faculty of Medicine Department of Anatomical and Cellular Pathology EBV infection in NPC carcinogenesis, eventually CUHK Research Committee Funding (Direct facilitating development of better strategies in disease Grants) controls. EBV infection is a strong predisposing factor for the (MD10647) development of NPC. Its viral products have been demonstrated to stimulate/modulate various cytokines productions, which are believed to be contributory to the carcinogenesis of various EBV-associated diseases. In line with these findings, our recent Role of Inositol Polyphosphate 4-phosphatase Type II (INPP4B) and PI3K/AKT Signaling Cascade in EBV-associated Nasopharyngeal Carcinoma studies on gene expression profiling of NPC and normal nasopharyngeal epithelial cells showed that upregulated genes in NPC were predominantly involved in interactions. the cytokine-cytokine Among them, the receptor simultaneous upregulation of interleukin-15 (IL15) and its receptor IL15Rα is ranked most significant. This might in turn suggest the likely involvement of an autocrine/intracrine interaction of IL15-IL15Rα that may have enhanced NPC development. We propose to elucidate the oncogenic effects of the IL15/IL15Rα interacting loop in the NPC tumorigenesis in this project. oncogenic roles of the IL15-IL15Rα assembly, especially the non-secretable isoform of IL15, for their effects on in-vitro and in-vivo cell growth, anchorage-independent tumorigenicity, cell migration and invasion capacities, as well as the re-sensitization cisplatin; 2) to delineate the IL15-IL15Rα-mediated signaling pathways in NPC; and 3) to elucidate activating mechanisms that underlie IL15-IL15Rα upregulations in NPC. CHUNG Tin Yun Grace TO Ka Fai TSAO Sai Wah* 1 January 2011 Research Grants Council - General Research Fund Nasopharyngeal Carcinoma (NPC) is endemic in Southern China with an incidence rate of ~25 to 30/100,000 per annum. Targeted interventions represent promising therapeutic approaches for this highly malignant cancer, but an understanding on the provide novel information on developing targeted in NPC, chemotherapeutic and agents re-sensitization via disrupting pre-requisite. Aberrant activation of the PI3K/AKT pathway, which involved in the control of cell proliferation, apoptosis and oncogenesis, is widely implicated in many human cancers. Recent studies have begun to demonstrate constitutively activated AKT signals in a majority of primary NPCs. However, the precise role of this aberrant PI3K/AKT signaling in the NPC tumorigenesis and the molecular mechanisms by which AKT is constitutively activated remain unclear. Despite there We envisage results obtained from this project could therapies molecular basis and signaling paths involved is In this proposal, we aim 1) to investigate in NPC the to LO Kwok Wai to the IL15-IL15Rα signaling axis. Furthermore, findings could also enhance our better understanding on the EBV-positive NPC biology and the significance of have only few studies describing the genetic alterations of PI3K/AKT signaling constituents in NPC, our group has demonstrated high-level amplification of PIK3CA in 20% of primary tumors. By high-density oligonucleotide microarray, we recently found that expression of INPP4B, a negative regulator of the PI3K/AKT pathway was consistently Faculty of Medicine Department of Anatomical and Cellular Pathology down-regulated in EBV-positive NPC tumor lines. 30 June 2011 Furthermore, we showed, for the first time, that CUHK Research Committee Funding (Direct INPP4B was transcriptional silenced by promoter Grants) hypermethylation and histone modification in NPC. We hypothesize that epigenetic inactivation of Nasopharyngeal carcinoma (NPC) is a unique INPP4B is one of the key mechanisms in activating EBV-associated epithelial malignancu which is PI3K/AKT signaling cascade and thereby contributes highly invasive and metastatic. Although cancer to the oncogenesis of EBV-associated NPC. The stem-like cells (CSCs) have been identified in a present study hence proposes to investigate the variety functional path by which INPP4B exerts its effect on EBV-associated NPC is yet to be elucidated. PI3K/AKT pathway in the NPC tumorigenesis and to Recently, we have isolated the sphere-forming cells define the molecular mechanism(s) that underlie the (‘spheroids’) from the EBV-positive NPC cell line INPP4B inactivation in NPC. Firstly, based on our C666-1. By in vitro anchorage-independent cell assay, recent preliminary findings, we will extend our we confirmed that these sphere-forming cells analysis on the genetic and epigenetic changes to exhibited self-renewal and sphere-forming ability. INPP4B and other key components of the PI3K/AKT Expression of multiple stem-cell markers was pathway in a large cohort of NPC. Correlative assessed and CD44+SOX2+cells were shown as analysis will be carried out to substantiate the major cell population in isolated C666-1 spheroids. significance with We hypothesized that the CD44+SOX2+ cells are clinicopathologic outcome of NPC patients. Secondly, CSC of EBV-associated NPC. In this proposal, we the tumor suppressive function of INPP4B and its seek support for comprehensive characterization of role in PI3K/AKT signaling pathway will be the properties of NPC CSCs. In vivo tumorigenic examined in EBV-positive NPC cells in detail. We potential of the isolated sphere-forming cells and will also investigate the effect of INPP4B knockdown CD44+ NPC cells will be confirmed using nude on transforming nasopharyngeal epithelial cells. athymic mice model. Furthermore, we will assess the Finally, we will determine the potential therapeutic chemoresistance of CD44+ NPC cells to conventional value in targeting the PI3K/AKT pathway, and in chemotherapeutic agents. By duel-color IHC staining, combination with chemotherapy, in pre-clinical the prevalence of CD44+SOX2 cells in primary EBV-positive NPC models. Our proposed studies tumors and its correlation with clinical parameters should provide better understanding on the signaling will be determined. To isolate novel surface markers paths involved in NPC and basis for future specific for NPC CSCs, isolated sphere-forming and development for more efficacious therapies. monolayer cells will be subjected to cDNA (CU10716) microarray of these alterations of tumor analysis. types, The their EBV existence and in cellular microRNA transcription profiles in CSCs will also be Cancer explored. The differentially expressed genes and Stem-like Cells in EBV-positive Nasopharyngeal microRNAs identified will delineate the signaling Carcinoma pathways, drug-resistance mechanisms and biological Characterization of CD44-positive properties associated with NPC CSCs. Our proposed LO Kwok Wai LUN Samantha Wei Man studies should provide better understanding on CSCs Faculty of Medicine Department of Anatomical and Cellular Pathology in EBV-associated NPC and important basis for upregulation of p73, suggesting that both p53 and future development for more efficacious therapies. p73 are involved in DNA damage-induced apoptosis. (MD10843) The aim of this project is to determine the role of PDAM in cisplatin-induced apoptosis through delineation of the relationships between PDAM and Functional Study of PDAM in Human Cancer p53/p73. Results from this study will provide insights NG Ho Keung PANG Chung Sean Jesse into the molecular basis of DNA damage-induced apoptosis and may identify novel therapeutic targets (Pathology Teaching Laboratory) for enhancing chemosensitivity in human cancer. 1 May 2011 (MD10579) CUHK Research Committee Funding (Direct Grants) Functional Characterizations of Wnt/β-Catenin Cells respond to DNA damage by activating cell Activated Transcription Factor ZFX in Human cycle arrest for DNA repair or by inducing apoptosis, Hepatocellular Carcinoma through activation of multiple signaling pathways with p53 acting as the central regulator. Disruption of these signaling pathways would cause accumulation of mutated DNA resulting in carcinogenesis. It is thus essential to understand the molecular basis that determines the cell’s choice between survival and WONG Nathalie LAI Keng Po CHING Kar Keung TO Ka Fai 1 June 2011 CUHK Research Committee Funding (Direct Grants) apoptosis after genotoxic stress. Our group has identified a novel gene KIAA0495/PDAM whose Wnt/β-catenin signaling is one of the commonly expression activated was frequently downregulated in pathways in human hepatocellular oligodendroglial tumors. Such deregulated expression carcinoma (HCC), and is known to act as a was attributed to genomic loss and epigenetic co-activator to induce transcription of genes related modifications, implicating the involvement of PDAM to cell proliferation, differentiation, angiogenesis and in oligodendroglial tumors. While evaluating the anti-apoptosis. Approximately 50-70% of HCC relevance we tumors show accumulated levels of β-catenin in both uncovered a novel mechanism of cisplatin resistance, cytoplasm and nucleus, however the precise β-catenin wherein cisplatin-treated glioma cells harboring activated genes in HCC remains largely elusive. By wild-type p53 showed increased viability after chromatin PDAM depletion. Upregulation of two anti-apoptotic promoter genes, BCL2 and BCL-xL was also detected in identified a transcription factor, ZFX, as a highly cisplatin-resistant cells. Notably, when BCL-xL was ranked direct target of β-catenin. Based on ChIP-PCR knocked down in PDAM-depleted cisplatin-treated and luciferase reporter assays, we were able to verify cells the induced drug resistant phenotype was that ZFX is transcriptionally regulated by β-catenin. abrogated. These findings suggest that PDAM may In addition, primary HCC cases showed frequent act as a negative regulator of DNA damage response. concordance in the expression of β-catenin and ZFX. Additionally, Functionally, prelim analysis suggested siRNA of PDAM cisplatin in chemosensitivity, treatment also induced immunoprecipitation microarray analysis followed (ChIP-chip), by we Faculty of Medicine Department of Anatomical and Cellular Pathology depletion of ZFX in HCC cell line readily suppressed 2008-09 CD8+ Regulatory T-cells in Immune cell viability, self-renewal and colony forming Escape of Epstein-Barr Virus Infected abilities. In line with a role for ZFX in stemness Nasopharyngeal Carcinoma (CU08683) maintenance, an inhibition on the expression of LAU Kin Mang LO Kwok Wai stem-like cell markers, Notch1 and Sox2, was also NG Heung Ling Margaret observed in ZFX depleted HCC cells. Taken together, HASSELT Andrew our results suggested that ZFX is a downstream (Otorhinolaryngology, Head & Neck effecter of β-catenin, and likely play a role in Surgery) stemness maintenance of HCC. Here, we propose to (Otorhinolaryngology, Head & Neck investigate the functional role(s) and underlying Surgery) Charles VAN WOO Kong Sang John action of ZFX in the hepatocarcinogenesis. This study would provide a better understanding on the ZFX-induced activities that promoted HCC 2009-10 Investigation of GPR30 in Tumorigenicity of Prostate Cancer Cells development. (MD09743) (MD10449) LAU Kin Mang NG Chi Fai (Surgery) HO Shuk Mei* Please refer to previous issues of this publication for more details of the following ongoing research 2007-08 Elucidating the Role JAG1 in Nasopharyngeal Carcinoma (CU07714) at the department: LO Kwok Wai Edition of Grace Title/Investigators CHUNG Tin Yun TO Ka Fai TSAO Sai Wah* 2008-09 Telomeres Acquire Distinct Heterochromatin Characteristics during 2008-09 Epstein-Barr Virus Carcinogenesis siRNA-induced RNA Interference in Laboratory (MD07634) Mouse Cells (MD08916) LO Kwok Wai and 2008-09 Study on Nasopharyngeal Carcinoma of Genetics: Targeting NFB Signaling Pathway (MD07455) OREBP/TonEBP/NFAT5 Trafficking. LO Kwok Wai TO Ka Fai CHUNG Tin Yun Grace TSAO Sai (CU08661) KO Chi Bun Functional Characterizations Nucleocytoplasmic TO Ka Fai CHUNG Tin Yun Grace Anthony W.I. LO 2008-09 Molecular Wah* YAO Xiaoqiang (School of Biomedical Sciences) 2008-09 Characterization of LTBR Amplification in EBV-positive Nasopharyngeal Carcinoma (CU08707) Faculty of Medicine Department of Anatomical and Cellular Pathology LO Kwok Wai CHOW Shuk Nga Lillian (Li Ka Shing Institute of Health Sciences)# CHUNG Tin 2009-10 Neural Induction of Embryonic Stem Cells Using Serotonin for Ischemic Stroke (MD09746) Yun Grace TO Ka Fai NG Ho Keung 2009-10 Tumor Suppressor Function of NOTCH-regulator NUMB EBV-positive Nasopharyngeal Grace 2008-09 Micro RNA Laboratory (MD08984) TO Ka Fai CHUNG Tin Yun TO Ka Fai Kent (Surgery) in Carcinoma (CU09717) LO Kwok Wai TSAO Sai TSANG Kam Sze LO Kwok Wai WONG Nathalie TONG Hung Man Joanna Wah* 2008-09 Defining the Oncogenic Functions of 2007-08 Determination Biological of the Clinical Significances of and Platelet Factor 4 (PF4), a Tumor Suppressor Gene Encoding an Angiogenesis Viral-human Fusion Transcripts (CU08763) WONG Nathalie CHAN Lik Yuen Henry (Medicine & Therapeutics) Inhibitor and Regulated by Promoter CHING Methylation PATERLINI-BRECHOT, Patrizia* at 4q13.3 in Multiple Myeloma (MD07718) LAU CHENG Chi Keung CHENG Suk Hang JIANG Hua* HOU Jian* FU Weijun* ZHU Rong* 2008-09 Hepatitis B Insertional WONG Nathalie Keung Cancers (Integrated Genome Mutagenesis Laboratory (MD08658) CHING Kar CHAN Lik Yuen Henry (Medicine 2006-07 Asian Keung TO Ka Fai NG Heung Ling Margaret Kin Mang Kar & Therapeutics) PATERLINI-BRECHOT, Patrizia* Research) (MD06550) NG Ho Keung TO Ka Fai LO 2008-09 Centre for MicroRNA Study – Basic Research and Clinical Potentials in Kwok Wai WONG Nathalie Cancer (MD08670) 2007-08 Elucidation of Functional Significances of MicroRNAs in Medulloblastoma (CU07723) Kwok Wai Alice* NG Ho Keung Jesse WONG Nathalie PANG Chung Sean (Pathology Laboratory) Kwok Wai Teaching LAU Kin Mang LO TO Ka Fai LO WONG Sze Tsai CHOW King Lau* POON Chuen Wai (Paediatrics) CHENG Sze Lok (Institute of Digestive Disease) POON Wai Sang (Surgery) Faculty of Medicine Department of Anatomical and Cellular Pathology 2009-10 Role of GEF-H1 in the Activation of Oncogenic Epithelial-to-Mesenchymal Keung Carcinoma (MD09914) WONG Nathalie Transition (CU09777) WONG Nathalie Amplicon of Chr. 8q24 in Hepatocellular CHING Kar CHING Yick Pang* CHUNG Kit Ying# TO Ka Fai 2009-10 Functional Characterization of Novel Oncogene BOP1 within Causal Genomic Faculty of Medicine School of Biomedical Sciences exocrine RESEARCH PROJECTS glands of which development and differentiation are dependent on sex steroid hormones from gonads (ovary and testis). Thus, the initial Investigation of Underlying the Molecular Pathogenesis of Mechanisms growth and development of both cancers are Respiratory dependent on gonadal steroids, estrogens for breast cancer and androgens for prostate cancer. Based on Diseases and Injuries this hormone-dependent properties, it forms the CHAN Hsiao Chang ZHONG Nan Shan* biological basis for the hormone therapy for both cancers, using various strategies to suppress the ZHOU Wenliang YU Siu Bun Sidney circulating gonadal steroids by either surgical 1 October 2009 (ovariectomy The Ministry of Science and Technology of and orchiectomy) or chemical castration (e.g., LHRH analogs) to suppress the China endogenous levels of sex steroids and also The Respiratory Epithelium is the first line of defense anti-hormones to inhibit the hormone actions via against pathogens coming through the airways. targeting However, underlying (antiestrogens for estrogen receptors in breast cancers pathogen-induced immune responses and the role of and antiandrogens for androgen receptor in prostate epithelial cells in interacting with other immune cells cancer) expressed in these cancer cells. Moreover, upon pathogens challenge remain largely unknown. many breast and prostate cancer patients will develop The project will use human epithelial cell lines, rat resistance to hormone therapy and progress to a fatal primary airway stage of hormone-independence and metastasis (bone (MD09300) metastasis is a common features of both cancers), the detailed mechanisms to their hormone nuclear receptors leading to high mortality, of which it remains a Orphan Nuclear Receptors Receptors, (ERRs), as Estrogen-related New Targets in Hormone-dependent Prostate and Breast Cancers significant clinical problem. Recent findings from our laboratories and also others indicate that members of ligand-independent orphan nuclear receptors are important regulators of many basis cellular functions CHAN Leung Franky VANACKER Jean and also play regulatory roles in the development of many diseases, including cancer and osteoporosis. Marc* ZOU Chang Among 1 January 2011 these orphan nuclear receptors, estrogen-related receptors (ERRs), play important France/Hong Kong Joint Research Scheme roles in the control of many metabolic processes and Breast cancer and prostate cancer are the common also in the growth regulation of breast and prostate cancers in women and men in both Western and cancers. In this joint France-Hong Kong collaborative Asian are study, we aim to determine the functional roles of developed in different organs and sexes, both cancers ERRs (particularly the ERRα subtype) in the prostate share many common biological characteristics and and breast cancer cell migration and invasion, and clinical features. Both cancers are developed in also in the androgen signaling in hormone-refractory countries. Although these cancers prostate cancer. We strongly believe that through this Faculty of Medicine School of Biomedical Sciences collaborative study we will not only gain a better and also mostly ineffective, partly due to poor insight on the fundamental significance of ERRs in responses both breast and prostate cancers and also their chemotherapeutic agents. The mechanisms involved potential use as a novel therapeutic target for this in the progression to androgen-independent stage are hormone-dependent cancers. still not fully understood, partly due to lack of (MD10593) appropriate experiment models. Based on this of patients to antiandrogens and background, we are currently establishing a novel in Characterization of Molecular Determinants of vitro Resistance to Antiandrogen Treatment in Prostate androgen-independent Cancer and Therapeutic Evaluation of Human LNCaP-BC generated by prolonged treatment of an Neutralizing Monoclonal Antibodies for Prostate androgen receptor-positive and androgen-responsive Cancer Treatment Using a Newly Established in prostate cancer cells LNCaP with a non-stereoidal vitro Model of Antiandrogen-resistant and model of antiandrogen-resistant prostate cancer and cells antiandrogen bicalutamide. In this proposal, besides the in vitro growth phenotype characterization of Androgen-independent Prostate Cancer LNCaP-BC cells, we also plan to investigate the CHAN Leung Franky ZHANG Yan functional significance of the microRNA miR-221, 1 April 2011 which became LNCaP-BC CUHK Research Committee Funding (Direct significantly cells, in the up-regulated in progression to hormone-resistance stage and also the therapeutic Grants) evaluation of two human neutralizing monoclonal Prostate cancer is a commonly diagnosed male cancer antibodies against insulin-like growth factors as in many Western and also Asian countries. Recent potential surveys indicate the its incidence rates are rising androgen-independent rapidly in China and also Hong Kong (with a rank of proposal. We expect that through this study we will 4 th among all neoplasms in Hong Kong in 2007), novel treatment prostate of cancer advanced in this gain a better understanding on the roles of likely due to increasing aging population and dietary microRNAs consumption of animal fats. The initial growth of hormone-resistance in advanced prostate cancer and most and also the potential use of human monoclonal androgen-dependent. Therefore, surgical treatment antibodies targeting to insulin-like growth factors as a (prostatectomy) new therapeutic strategy for hormone-refractory clinical prostate cancers and is slow hormone-therapy in (androgen-deprivation) are effective. However, many prostate cancer. prostate cancer patients under hormone-therapy will (MD10848) relapse and progress to a fatal the development of metastatic androgen-independent stage (described clinically as Proposal for Establishing a Transgenic Core castration-resistant and hormone-refractory prostate Facility to Serve the Needs of Biomedical cancer) Scientists in the Chinese University of Hong Kong when hormone-therapies treatment both fail. options primary and Unfortunately, for the secondary current metastatic hormone-refractory prostate cancer are still limited CHAN Wai Yee LEE Ka Ho Kenneth WAN Chao LEE Sau Tuen Susanna (School of Life Faculty of Medicine School of Biomedical Sciences Sciences) KWAN Kin Ming (School of Life serve the needs of transgenic technology for the Sciences) LAN Hui Yao (Li Ka Shing Institute entire University. of Health Sciences) CHUI Yiu Loon (Chemical (MD10652) Pathology) JAMES Anthony Edward (Laboratory Animal Services Centre) Microglia: A Study of Their Embryonic Origins and Migration 1 October 2010 Focused Investments Scheme - Scheme D CHAN Wood Yee The establishment of transgenic animal models has become an integral part of modern biomedical research. The ability to over-express or disrupt gene expression provides a very powerful 1 June 2011 CUHK Research Committee Funding (Direct Grants) and indispensable approach to studying gene function. Microglia are mononuclear phagocytes that reside The development of transgenic and knockout/in within the central nervous system. Despite intense technologies has provided the means to generate studies, the precise origin of microglia still remains animal models to elucidate the functions of specific controversial. The view still commonly held is that genes under normal and disease states. It also tissue-resident microglia are derived from circulating permits the production of transgenic animals for blood monocytes and these cells take up residence in studying the bioactivities and toxicity of new drugs. the central nervous system late in gestation or after Almost all high impact publications reported in birth. However, our own findings and investigations biomedical journals have used transgenic animal by others on the development and differentiation of models to probe gene function. microglial progenitors support the view that resident In 1999, a small scale transgenic facility was microglia are derived from mesodermal progenitors established in the Laboratory Animal Services Centre that are distinct from monocytes and that they arise (LASEC) in CUHK. With increasing demand of from outside the neuroepithelium and migrate into using transgenic animal models for research in the developing central nervous system during CUHK, a larger and more efficient TCF that could embryonic and fetal development. To prove these, we assist and speed up investigators to generate propose to phenotypically characterize microglial transgenic and mutant animals is in urgent need. progenitors in mouse embryos, use transgenic mice in Past experience at other universities has indicated which microglial progenitors are genetically labeled that the efficiency and success rates of generating to determine migratory behaviours of microglia with transgenic and knockout models are greatly enhanced time-lapse live cell imaging, orthotopically transplant in a Transgenic Core Facility (TCF). More genetically labelled microglial progenitors from importantly, the availability of the TCF will allow transgenic embryos to normal embryos so as to track investigators to apply for competitive grants with a the migration of labelled microglial progenitors and higher technical content and therefore a greater rate lastly ascertain the role of the phenotypic marker and of success in being awarded. This application is to lineage-specific markers in mouse embryos by seek support for establishing a Core Facility that will knockdown. The results will provide us with critical information on the ontogeny of microglia in embryos, Faculty of Medicine School of Biomedical Sciences which in turn may give insight into the development An Investigation into G Protein-coupled Receptor of new means to manipulate microglia for the 30-mediated treatment of various brain diseases. Caudal Epididymal Function Estrogen Action in Regulating (MD10739) CHENG Hon Ki Christopher CHEN Yangchao Functional Characterization of MicroRNA-218 in Pancreatic Ductal Adenocarcinoma ZHOU Wen Liang* 1 January 2011 Research Grants Council - General Research CHEN Yangchao Fund 1 April 2011 Male fertility is a complex and subtly orchestrated CUHK Research Committee Funding (Direct process. Spermatozoa produced by the testis during Grants) spermatogenesis are immature and are incapable of was undergoing fertilization. They acquire their motility reduced in several tumor types including prostate and fertilizing capacity during their passage through cancer, breast cancer, cervical carcinoma and gastric the lumen of the epididymis in a process known as cancer. Change of miR-218 level correlates with spermiogenesis. different malignant stages in breast cancer and dependent upon hormones acting through endocrine prostate cancer. miR-218 has been shown to play an and important role in tumor metastasis of gastric cancer. testosterone, miR-218 level is significantly reduced in primary luteinizing hormone are key regulators in deciding pancreas germ cell fate. In addition, evidence now indicates Expression significance of microRNA-218 tumors. of However, miR-218 in (miR-218) the functional pancreatic ductal paracrine Normal testicular pathways. follicle function Hormones stimulating such hormone is as and the importance of estrogen in sperm maturation by adenocarcinoma (PDAC) remains elusive. affecting epididymal function. The G protein-coupled Our preliminary study has shown the downregulation receptor 30 (GPR30) is a newly characterized of miR-218 in pancreatic cancer cells as compared membrane-bound with non-tumorigenic pancreactic ductal epithelial mediating cells. Chenmically synthesized miR-219 mimics transcriptional events of estrogen. But whether dramatically inhibited pancreatic cancer cell growth GPR30 is involved in mediating the actions of in vitro. In this proposal, we aim to characterize the estrogen on male reproduction is not known. In our putative tumor suppressing functions of miR-218 in preliminary studies we have identified the expression PDAC. We will establish a lentiviral vector of GPR30 in the rat caudal epididymal epithelium at expressing pre-miR-218 (Lenti-miR218). We will use both the mRNA and protein levels. Moreover, in Lenti-miR218 to infect pancreatic cancer cells. The primary culture of caudal epididymal epithelial cells, functional we have demonstrated that the GPR30-specific significance of miR-218 will be both estrogen the receptor rapid capable of responses and characterized in vitro and in vivo in animal models. agonist G1 stimulates a sustained chloride ion (MD10371) conductance. Based on these initial findings obtained by us so far, we propose the following hypothesis: that the action of estrogen on male reproduction is at Faculty of Medicine School of Biomedical Sciences least in part mediated through GPR30 by regulating CXC chemokine expressions. Importantly, a novel caudal during CXC chemokine tumour-induced factor (TIF) was spermiogenesis. This proposal describes the initial identified. Sequence analysis indicates TIF is a studies that we have performed to reach this hamster orthologue of mouse DCIP1 and rat CINC2 hypothesis. More importantly, this proposal describes which are pro-inflammatory chemokines but their a series of logically designed experiments to roles in cancer development have not yet been substantiate this hypothesis. We aim at achieving the characterized. Abundant expression of TIF was found following objectives: (1) to clearly define where the in testis, kidney and blood cells. In vitro functional receptors are located in the rat epididymis and to studies showed that TIF induced migration of mouse study different neutrophils, and formation of vascular like structure developmental stages of the rat; (2) To find out what from rat aortic explants. To our surprise, TIF intracellular second messengers are involved in the inhibited stimulation of chloride ion conductance through fibroblasts (MEF) via induction of cell cycle arrest at activation of this receptor; and (3) To employ G1/G0 phase. Consistent with the observation, pharmacological xenograft formation was significantly reduced if epididymal their secretory gene functions expression agents and at RNA interference proliferation really acts through this receptor in the epididymis to co-inoculated with MEF into nude mice. These trigger results imply TIF may act as a tumour suppressor via events. The successful stably embryonic CHO observed that mouse techniques to prove that the endogenous estrogen the cells of of expressing fibroblast TIF accomplishment of this project will contribute induction towards understanding the physiological significance Cancer-associated fibroblasts have been shown to be of this receptor in male reproduction. In the long run, an effective target for treating various tumours. such information will be useful for the design of Hence, TIF and/or its functional orthologues may approaches in the manipulation of male fertility in represent a new therapeutic modality for their health and in disease. anti-tumourigenic (CU10628) fibroblasts. To extend our work, we propose to effect growth were exerting on arrest. stromal investigate the mechanistic nature of TIF-induced Does CXC Chemokine Tumour-induced Factor fibroblast quiescence. Results of present study will (TIF) Suppress Tumour Growth via Induction of allow us to unveil the molecular and cellular bases of Fibroblast Quiescence? the anti-tumourigenic effect of TIF. Importantly, our results would help to formulate new strategies for CHEUNG Wing Tai cancer 15 March 2011 quiescence. CUHK Research Committee Funding (Direct treatment via induction of fibroblast (MD10552) Grants) A Peptide Targeting Tumor Blood Vessels for Using oncogenic GPCR mas as a study model, our Drug Delivery and Cancer Diagnosis lab has found that mas-stably transfected cells exhibited a dramatically increased anchorage-independent growth and up-regualation of CHO Chi Hin REN Jianwei ZHANG Lin SHEN Jing Faculty of Medicine School of Biomedical Sciences 15 December 2010 associated with more than 80% of gastric cancers. Roche R&D Center (China) Ltd The molecular mechanism of H. pylori-associated cancer, however, is still not fully understood. It has become evident that the extent of angiogenic MicroRNA (miRNA) is a novel class of molecules heterogeneity in malignant neoplasms is regulated by that regulates the expression of other genes. Aberrant the organ microenvironment. Even orthotopic and expression of miRNA has been documented in ectopic organ environments differentially influence various types of cancers. The influence of H. pylori the sensitivity of tumor cells to chemotherapeutics. infection on the expression pattern of miRNA in the We have successfully applied the phage display pathogenesis of gastric cancer remains unknown. In technology to isolate peptides specifically targeting this proposal, we suggest that a holistic approach the vasculature of the orthotopic colorectual tumor combining animal model of H. pylori infection, but hardly detected in normal organs in normal mice. high-throughput miRNA array technique, clinical These peptides could recognize blood vessels in sample analysis, and cell-based functional assays can human colorectual cancer, and provide targeted effectively delivery of a proapoptotic peptide to the vasculature pathological significance in the development of H. of tumor mass in mice. Thus, the data demonstrate pylori-associated that these peptides may be useful as an imaging or miRNA altered by H. pylori infection may improve drug delivery agent for colorectual cancer. The current diagnostics and prognostics of gastric cancer current study is to identify the binding sites for these and may provide a rational basis for miRNA-directed peptides in the vasculatures of tumor blood vessels in gene therapy in the treatment of this disease in future. the colon. We shall also investigate whether these (MD10345) identify and gastric verify cancer. miRNA Discovery of of peptides have the similar homing ability to tumors at other sites including those at the metastatic organs. Studying (MD10463) Tobacco Smoking and Osteoporosis and Its the Causal Relationship between Pathogenic Mechanisms Identification of Pathogenic microRNAs in Helicobacter Pylori-associated Gastric Cancer using a Combined Approach of Animal Study and Clinical Samples Analysis CHO Chi Hin Therapeutics) CHO Chi Hin 1 June 2011 CUHK Research Committee Funding (Direct Grants) YU Jun (Medicine & WU Ka Kei (Institute of Digestive Disease) Tobacco smoking has been implicated in the development of osteoporosis. This conclusion is 1 January 2011 largely based on large scales of epidemiology studies. Research Fund for the Control of Infectious The Diseases exact mechanisms are largely unknown. Moreover, among these population studies, other confounding factors such as physical activity, alcohol Helicobacter pylori (H. pylori) infection, one of the drinking and body mass are not always considered most prevalent infectious diseases in the world, is along with tobacco smoking. It is still not conclusive Faculty of Medicine School of Biomedical Sciences about their causal relationship. It is also noted that regulatory network, there are intriguing differences although there are various studies concerning nicotine, between the two. These cells differ in morphology, the major active ingredient in tobacco smoke, on dependence of distinct signaling pathway to promote bone metabolism and formation, its adverse actions ESC identity, and expression of various cell surface are still conflicting. It is suggested that tobacco markers. Herein we propose to perform systematic components other than nicotine may be equally, if not comparison of the transcription profiles in human more, a risk factor for osteoporosis in humans. The ESCs (hESCs) and mouse ESCs (mESCs), for the current project using a tobacco smoking model in purpose of identifying unique regulators to hESCs, as animals aims to demonstrate the direct effects of well as unraveling the mechanisms that regulate cigarette smoking without the interference of other puripotency in different ESCs. Series of microarray confounding and data will be obtained from our previous experiments active and further analyzed using Partek Genomics Suite components in tobacco smoke responsible for the and Significance analysis of microarrays (SAM). detrimental effects on bone. Lastly, to further define Genes differentially expressed in hESCs and mESCs these effects, the mechanisms of actions on isolated will be further validated and analyzed using real-time osteoblasts will be investigated. Results from these PCR, shRNA-mediated knocking-down and iPSC studies would prone us to better understand the direct generation assays. The comparison made in this work and causal relationship between tobacco smoking and will use mESCs as reference to reveal molecular osteoporosis. The active components in tobacco mechanism underpinning the pluripotency in hESCs smoke and their mechanisms of action on bone and human induced pluripotent stem cells (iPSCs) information these generated from somatic cells. Identification of information are important to develop effective potential new regulators to hESCs may then enhance measures and therapeutic agents to prevent and treat our ability to reinstate pluripotency in differentiated osteoporosis in humans. cells, as well as to harness the full potential of (MD10355) hESCs/iPSCs for clinical applications. formation. factors, We will also also on bone define be structures the exact defined. All (BL10680) Pluripotency in Human and Mouse Embryonic Investigation on the Anticancer Components of Stem Cells Rubinoboletus Ballouii FENG Bo NG Huck Hui* FUNG Kwok Pui LIU Ji Kai* HAN Quanbin 1 April 2011 CUHK Research Committee Funding (Direct (Institute of Chinese Medicine)# LAU Bik San Clara (Institute of Chinese Medicine) Grants) 1 December 2010 Embryonic stem cells (ESCs) can self-renew and State Key Lab - Open Fund undergo multi-lineage differentiation. Although both human and mouse ESCs share many similarity, including abundantly expressing Oct4 and Nanog, the key components to govern the pluripotency Faculty of Medicine School of Biomedical Sciences 本研究計畫利用高速逆流色譜,在活性篩選指導 Growing evidence shows that mitochondria-derived 下,發現並鑑定玉紅牛肝菌中有關抗癌活性的有效 ROS are important in the regulation of vascular 成分,並研究其作用機制。 function 玉紅牛肝菌是一種較為少見的食用菌,對其化學成 complications. 分及相關生物活性的研究至今仍為空白。我們同劉 Uncoupling protein-2 (UCP2), a newly identified 吉開教授合作,對其抗癌活性進行了初步研究,結 member of the mitochondrial anion carrier family, 果顯示,其乙醇提取物對人乳腺癌細胞株 MCF-7 participates in the regulation of mitochondrial 的生長有明顯抑制作用,而對正常細胞沒有細胞毒 membrane potential and inhibition of mitochondrial 作用。考慮到該菌類的食用歷史,我們希望從中能 ROS production. Although UCP2 is protective 夠發現毒性低而活性強的抗癌物質。 against atherosclerosis and endothelial cell apoptosis, 由於樣品十分珍貴,目前所有的樣品量只有數百 a direct action of UCP2 in the vascular function is 克,所以我們計畫採用一種新的技術來追蹤活性成 still unknown. We intend to determine if UCP2 分,即高速逆流色譜配合液-質聯用法。該法可以 deficiency 將樣品損失降到最小,並提供快速準確的活性追蹤 associated with diabetic conditions through two main 及成分鑒定,必要時還可以直接將活性成分分離純 mechanisms, 化並利用核磁共振技術鑒定其結構。 production and impeding mobilization of endothelial 通過本項研究,我們希望可以發現玉紅牛肝菌中的 progenitor cells which are capable of repairing the 抗癌活性成分,並初步確定其在誘導細胞凋亡、抑 injured endothelial layer in disease. To achieve this, 制血管生成以及免疫調節等方面的作用。 we will investigate whether (1) UCP2 deficiency (BL10372) accelerates endothelial dysfunction associated with and in the accelerates progression endothelial increasing of diabetic dysfunction mitochondrial ROS diabetes in both genetic and diet-induced obese Novel Roles of Uncoupling Protein-2 against mouse models, which is reversed by UCP2 Endothelial Dysfunction and Delayed Endothelial over-expression; (2) UCP2 deficiency impairs the Regenerative Repair in Diabetes endothelial regenerative repair by reducing the number and/or function of circulating endothelial HUANG Yu XU Aimin* progenitor cells; and (3) UCP2 plays a central role in 30 December 2010 the vascular benefits of PPARδ activation. The Research Grants Council - General Research Fund findings shall provide scientific support for UCP2 to act as a potentially important protector against diabetic vasculopathy and a conceptual framework The endothelium is a major regulator of vascular for further anti-diabetic drug research, which targets homeostasis. Loss of endothelial monolayer integrity UCP2 and function represents an important early step in the complications. induction of vascular disease associated with (CU10661) in the treatment of diabetic vascular hyperglycemia in diabetes and obesity. Positive roles of oxidative stress in mediating metabolic syndrome Pivotal Role of Protein Kinase Cδ in Angiotensin and cardiovascular dysfunction are well established II-induced although the source of reactive oxygen species (ROS) Expression – A Link to Vascular Inflammation is not clear under different pathological conditions. and the Clinical Relevance Endothelial Cyclooxygenase-2 Faculty of Medicine School of Biomedical Sciences 1 January 2011 HUANG Yu WONG Siu Ling# Research Grants Council - General Research 29 June 2011 Fund CUHK Research Committee Funding (Direct Human embryonic stem cells (hESC) hold great Grants) promise as sources of tissue for regenerative Healthy endothelium is crucial in preserving the medicine and therapeutics. In addition, their utility as integrity of tools to study the origins and biology of human pro-inflammatory mediators can result in altered disease must not be underestimated. HESC give rise endothelial function. Cyclooxygenase-2 (COX-2) can to tissue-specific adult stem cells and, ultimately, to be chronically up-regulated by risk factors such as all mature tissues in the body. diabetes, hypertension and metabolic syndromes in Disruptions to normal stem cell function can have which elevated circulating and tissue levels of catastrophic angiotensin II (Ang II) have been reported. Activated life-threatening or devastating disease. Understanding rennin-angiotensin how such diseases arise will afford novel insights into of vascular function. system Expression and exaggerated consequences and result in expression of COX-2 are found co-localized in how we can better prevent and treat them. human vascular inflamed tissues. However, it Neural crest (NC) cells are multi-potent, migratory, remains obscure whether COX-2 acts directly as a tissue-invasive cells that originate in the ectoderm of downstream effector in mediating Ang II-induced vertebrate embryos and play a central role in the vascular pathologies. In the proposed study, we aim vertebrate body plan. Several highly aggressive to test the hypotheses that Ang II can induce human cancers, including neuroblastoma, malignant endothelial COX-2 expression via PKC activation, melanoma and peripheral primitive neuroectodermal and tumors—also known as Ewing’s sarcoma family the up-regulated COX-2 causes vascular dysfunction and inflammation. Results of this study tumors (ESFT)—are believed to be of NC origin. shall provide novel molecular basis on how we may Neuroblastoma is a common childhood malignant prevent the expression of the pro-inflammatory tumor of NC origin, arising in the sympathetic COX-2. Specific phosphopeptide mimetic inhibitors nervous system. Among the genetic alterations targeting PKC may represent a better therapeutic identified in neuroblastoma, amplification of the alternative oncogene MYCN is strongly associated with highly compared to COX-2 inhibitors in combating vascular inflammatory disease. malignant behavior and poor prognosis. Importantly, (MD10310) transgenic mice with targeted expression of human MYCN in NC-derived cells develop neuroblastomas Human Embryonic Stem Cells as Tools to that mirror the human disease, demonstrating that Investigate the Oncogenic Basis of MYCN in MYCN over-expression can be an initiating event in Neuroblastoma the pathogenesis of neuroblastoma. We have successfully developed an efficient procedure for the JIANG Xiaohua CHAN Hsiao Chang TSANG Kam Sze Kent (Surgery) rapid differentiation of hESC into human neural crest stem cells (NCSC). This proposal aims to exploit the considerable advantage of the hESC system in order Faculty of Medicine School of Biomedical Sciences to better understand the roles played by MYCN during revert to a primitive cell population (dedifferentiated normal NC development and in tumorigenesis. We MSCs) exhibiting enhanced cell survival and higher hypothesize that the pathogenesis of neuroblastoma efficacy in neuronal differentiation compared to involves genetic alterations of MYCN that disrupt unmanipulated MSCs both in vitro and in vivo. In an embedded NC developmental programs. We attempt to explore the molecular mechanisms therefore propose to conduct a study to (1) analyze underlying dedifferentiated MSC identity, we found the normal function of MYCN in human NC that some microRNAs altered in line with the differentiation by using RNAi-mediated knockdown; neuronal (2) dedifferentiation evaluate the consequences of MYCN phenotype during process. differentiation and We hypothesize that overexpression on human NC differentiation and miRNA-dependent epigenetic mechanisms play oncogenesis; and (3) identify other potential genetic critical roles in the regulation of dedifferentiation changes that may contribute to the tumorigenesis of process of MSCs. Thus, the general objective of this neuroblastoma by comparing the gene expression proposal is to elucidate the molecular mechanisms profiles of NCSC, MYCN-over-expressing NCSC, underlying the dedifferentiation of MSC – and in MYCN-overexpressing particular, how miRNA(s) participate in the NCSC progeny, and neuroblastoma stem cells. reprogramming By creating novel hESC-based models to study the which leads to enhanced cell survival and origin and biology of neuroblastoma, we aim to gain neuronal differentiation. Our specific aims are: novel insights into the origin and biology of these (1) process of dedifferentiation, To identify key miRNA(s) most specifically tumors that will aid in the development of more linked to the dedifferentiated phenotype of effective and less toxic therapies. MSCs; and (2) (CU10667) To elucidate the roles of identified miRNA(s) in maintaining the dedifferentiated phenotype of MSCs by gain or loss of functional analysis. Role of microRNAs in Dedifferentiation-driven The insights afforded by proposed studies will Reprogramming MSCs advance our knowledge of miRNA-dependent cell JIANG Xiaohua fate determining program in somatic stem cells, and 1 May 2011 also shed new light on the regulation of dedifferentiation in MSCs. On the other hand, the CUHK Research Committee Funding (Direct differentiated MSCs have the potential to offer Grants) therapeutic advantages for overcoming the major Mesenchymal stem cell transplantation has been hurdles currently faced with cell-based therapy. shown to improve functional outcome in brain (BL10929) ischemic disorders. However, low in vivo survival and differentiation potential of the transplanted cells Effect of Scutellariae Radix (Huangqin) and Its limits their overall effectiveness and thus clinical Major usage. Our recent study has shown that after in vitro Rhinovirus-provoked Asthmatic Inflammation in induction a Cell Model of Cultured Human Bronchial of neuronal differentiation and dedifferentiation, MSCs-derived neuron progenitors Flavonoids on Preventing Epithelia Faculty of Medicine School of Biomedical Sciences effect(s) on mucosal protection in airway epithelia. KO Wing Hung HUANG Yu This may lead to potential therapeutic applications in 1 December 2010 rhinovirus – induced asthma exacerbations. (MD10634) Research Fund for the Control of Infectious Diseases Self-assembled Synthetic Ion Channels: Design, Scutellariae Radix (Huangqin), the root of Scutellaria Characterization and Biomedical Applications baicalensis Georgi, has been frequently used in combination with other herbs in Traditional Chinese KO Wing Hung YANG Dan* Medicines (TCM) for centuries. Scutellariae Radix 1 February 2011 has been shown to possess multiple biological RGC - Collaborative Research Fund (CRF) activities, including anti-viral. It has been used to treat inflammatory- related disorders in China and Developing drugs that modulate the functions of ion Japan for many years. Many biological activities of channels or regulate ion transport across cell Scutellariae Radix are related to the flavonoids in the membranes have received significant attentions in herb (e.g., baicalein, baicalin, wogonin). pharmaceutical industry. Each year over US$6 billion Bronchial asthma is a serious disease that affects are generated from the sales of drugs associated with millions of people worldwide. It is characterized by ion channel functions. We have discovered a novel immune cell infiltration that is associated with class of small molecules that self-assemble into epithelial damage and altered ion transport functions. synthetic chloride channels in the lipid membranes. Respiratory virus infection is the major common In this proposed research, we plan to continue our precipitants of exacerbations in asthma. The most inter-disciplinary collaborations by combining the commonly found virus for common colds is human expertise in chemistry, physiology, cardiology and rhinovirus. Our laboratory has recently adopted a pharmacology to discover synthetic ion channels that simplify cell model of asthmatic inflammation of transport small anions or cations across biological airway epithelia. Our preliminary data suggest that membranes and explore their potential biomedical baicalelin reduced the IL-6 and IL-8 mRNA and applications. The proposed research is expected to protein expressions in inflammed epithelia. further The purpose of the present proposal is to investigate pharmacological properties of synthetic chloride whether the total extract and the major flavonoids channels, to apply the concept to develop other derived from Scutellariae Radix have beneficial synthetic ion channels for the transport of small ions, effect in preventing rhinovirus – induced asthma and to discover lead compounds for the treatment of exacerbations in a cell cultured model of human human diseases associated with channel dysfunction, bronchial epithelia. Experiments will be conducted such as cystic fibrosis, asthma, hypertension, and using myocardial infarction. The collaborative research biochemical, immunological and improve the ion transport and electrophysiological approaches. The information project obtained from this study will give us a better collaboration among the PC and co-Is, and advance understanding new research frontiers at the interface of chemistry, of the therapeutic potential of will enhance the already existing Scutellariae Radix with respect to their specific Faculty of Medicine School of Biomedical Sciences biology, medicine, and pharmacology in Hong Kong endothelium-dependent responses resulted from and around the world. diabetes. However, their long-term benefits on human (MD10495) are still under investigation. Ergothioneine, a chemical rich in mushroom, has been proposed to A Mechanistic Study of Scutellaria Baicalensis possess potent antioxidant activities, involving the Georgi Rosiglitazone removal of cell toxic radical species or chelating of Co-administration on the Treatment of Type 2 metal ions. However, the biological relevance of Diabetes Mellitus these findings is unclear because most of the (Huangqin) and preceding studies were performed in cell-free systems. KWAN Yiu Wa It is not known whether ergothioneine can protect HO endothelial cells from oxidative stress. However, our LEUNG Pak preliminary data demonstrates that ergothioneine can YEUNG Hok Keung John KONG Siu Kai (School of Life Sciences) Ho Pui (Electronic Engineering) be taken up by endothelial cells. Ergothioneine also Heng George* CHAN Shun Wan* preserves the viability of endothelial cells and restore 1 November 2010 the endothelium-dependent relaxation of arteries in Health and Health Services Research Fund high glucose condition. Most importantly, our data Potential patentable information/data may be shows that the endothelial protective effect of generated from this project and therefore no abstract ergothioneine is stronger than that of other of this project will be available. antioxidants such as vitamin C and vitamin E. Three (MD10413) key issues will be addressed in this project. First, the transport system by which ergothioneine is taken up Protective Effect of Ergothioneine on Endothelial into endothelial cells will be characterized. Second, Cell Funtion Against Oxidative Stress the antioxidant and anti-apoptotic effects of ergothioneine on endothelial cells will be studied. KWAN Yiu Wa LEUNG Pak Heng George* Third, we will strengthen our preliminary study that ergothioneine can protect endothelial functions from XIA Zhengyuan* damage by diabetes. It is generally accepted that 1 January 2011 Research Grants Council - General Research Fund protection of endothelial cells against oxidative stress may prevent diabetes-related cardiovascular events. We hope that the findings in this study could advance It has been well established that endothelial function our knowledge on cardiovascular drug development, is impaired in diabetes, resulting in a number of particularly those associated with diabetes. pathophysiological (MD10872) processes in cardiovascular diseases. A considerable body of evidence implicates generation of reactive oxygen species as an important Electrophysiological Studies of Danshen and pathogenic factor in diabetic endothelial dysfunction. Gegen on Smooth Muscle Cells Isolated from Rat Acute administration of antioxidants that includes Basilar Artery glutathione, vitamin C, vitamin E, flavonoids, and polyphenols are known to improve the abnormal Faculty of Medicine School of Biomedical Sciences LAM Fu Yuen YEUNG Hok Keung John established anti-inflammatory agent, dexamethasone. Current single drug treatments of arthritic diseases KWAN Yiu Wa have problems of limited efficacy and/or high 1 January 2011 toxicity. Therefore, the benefits of combined Institute of Chinese Medicine treatments with dexamethasone and the two PARs The objectives of this research project are: antagonisits will also be investigated. The proposed 1) To perform electrophysiological studies on the study will provide a better understanding on the effects of the Danshen and Gegen formulation significance of PARs in arthritis pathophysiology, on IKATP and ICa channels in smooth muscle and give indiction on the potential of using PARs cells isolated from rat basilar artery; antagonists for treatment of arthritic diseases. 2) To perform con-focal microscopy studies on (MD10743) the effects of the Danshen and Gegen 3) formulation on [Ca2+]I in smooth muscle cells Modulation of Human Mast Cell Functions by isolated from rat basilar artery; and Osteopontin To determine the mechanisms of the vasodilator actions of the active constituents of LAU Hang Yung Alaster Danshen and Gegen in rat basilar artery (by 1 January 2011 pharmacological approach). (BL10838) Research Grants Council - General Research Fund Proteinase-activated Receptors as Therapeutic Mast cells are key multifunctional effector cells of Target in Inflammatory Joint Diseases the immune system which release and synthesize myriads of chemical mediators, cytokines and LAM Fu Yuen LAU Hang Yung Alaster angiogenic factors. Osteopontin is an extracellular 1 June 2011 matrix-associated glycoprotein originally described in CUHK Research Committee Funding (Direct Grants) bone metabolism which is now also recognised to be an important regulator of various immune responses. Both mast cells and osteopontin have separately been In recent years there has been increasing interest in implicated in the mediation of acute and chronic proteinase-activated receptors (PARs) as mediators of inflammatory reactions that are associated with inflammation. Four members of the PARs family are allergy, innate immune host defence responses, known (PAR1 to PAR4), two of which (PAR2 and angiogenesis, PAR4) are suspected to play a part in inflammatory However, until recently the effects of osteopontin on arthritides. This proposed study aims to use the newly mast cell functions have not been investigated. It was available PAR2 and PAR4 antagonists to elucidate the demonstrated in mice that osteopontin induced importance of these receptors in arthritis pathogenesis. chemotactic migration of mast cells and enhanced The individual and combined anti-arthritic effects of IgE mediated degranulation of mast cells through these antagonists will be examined in an animal binding to the cell surface receptors CD44 and the v model of arthritis, and compared with that of an integrin. Furthermore, osteopontin was shown to wound healing and metastasis. Faculty of Medicine School of Biomedical Sciences regulate the magnitude of an IgE-mediated passive Effects of Selected Anti-asthmatic Drugs on cutaneous anaphylaxis reaction through modulation Toll-like Receptor 2 Induced Human Mast Cell of skin mast cell degranulation. Thus osteopontin is Activation capable of modulating the functions of mast cells which contribute to antimicrobial, inflammatory and LAU Hang Yung Alaster angiogenic responses. The discovery is inspiring but 30 June 2011 required further confirmation. Furthermore, mouse mast cells are known to be different from human CUHK Research Committee Funding (Direct Grants) mast cells in many aspects. It is hence the aim of the present project to provide an extensive investigation Toll like receptors (TLRs) are a group of pattern into the regulation of human mast cells by recognition receptors which play critical roles for osteopontin. By employing primary human mast cells host defense in innate immunity against microbial cultured from progenitors isolated from human buffy infections. Recent studies have demonstrated that coat preparations, the current study will investigate TLRs also contribute to the pathogenesis of asthma. how osteopontin modulates the functions of human Mast cells are pivotal effector cells in airway mast cells especially when they are activated through inflammation different mechanisms that represent innate immune through IgE receptors to release immediately granule responses (toll like receptor activators) and adaptive stored preformed mediators, followed by newly immune response (cross-linking of IgE receptors). synthesized lipid derived mediators and finally We will also evaluate if osteopontin can regulate the various cytokines. Expressions of TLRs have been migration of human mast cells. Since both the level demonstrated in mast cells and activation of these of osteopontin and the number of mast cells are receptors can induce the synthesis and release of increased in chronic inflammatory conditions, we cytokines without the concurrent release of granule will investigate the effects of osteopontin on the preformed mediators. TLR activation initiates distinct expression of vascular endothelial growth factors (the signaling pathways from those mediated by IgE most potent inducers of new blood vessels formation) receptor activation and involves adaptor molecules and matrix metalloproteinase 9 (an important factor such as MyD88. Various classes of anti-asthma drugs for matrix degradation) in human mast cells as these including factors are important for tissue remodelling and agonists and phospdodiesterase inhibitors have been tumorigenesis. This study will be the first to provide shown clinically relevant and useful information for the inflammatory mediators release from mast cells. better understanding of the role of osteopontin-mast However, their effects on TLR induced cytokine cell inflammation. release from mast cells have not been reported. We Consequently, the results will facilitate the better hypothesize that since IgE receptors and TLRs design activate mast cells through different signaling interactions of in therapeutic human agents for controlling and are conventionally activated chromones, to modulate β 2-adrenergic IgE receptor receptor mediated inflammation-associated pathological conditions. pathways, the release of cytokines induced by the two (CU10693) types of receptors will be differentially modulated by the selected classes of anti-asthmatic drugs described above. It is hence the aim of the current study to Faculty of Medicine School of Biomedical Sciences evaluate the hypothesis by investigating the effects of residing in the fibrotic liver to inhibit ECM synthesis anti-asthmatic drugs on TLR2 induced IL-8 release and improve liver function. In China, there are 120 and related signaling molecules in the human mast million hepatitis sufferers who potentially could cell line LAD2. develop liver fibrosis. This represents a huge market (MD10884) for liver disease medicines worth an estimated 10 billion RMB. Efficacy of Reversine as a Potent Inhibitor of (MD10632) Liver Fibrosis Functional Analysis of the Novel Anti-apoptotic LEE Ka Ho Kenneth HOU Zhibo CHAN Gene, BRE, in Knockout Mice John* CHEN Gan-yi* LIN Wei-qi* 1 September 2010 LEE Ka Ho Kenneth CHAN John* Innovation & Technology 30 June 2011 Commission-University-Industry Collaboration CUHK Research Committee Funding (Direct Prog.: Matching Grant for Joint Research Grants) Zhang Long Industrial Co Ltd. Brain and Reproductive organ-Expressed (BRE) gene Liver fibrosis is the consequence of chronic cycle of produces a 44KD peptide that plays important roles liver damage and repair, induced by alcoholism, in autoimmune diseases, drugs, viral hepatitis etc. The regulation of ubiquitination. BRE acts like an adaptor disease is typified by excessive production and protein holding together and also facilitating the accumulation of extracellular matrices (ECM) by function of various important protein complexes, activated hepatic stellate cells (HSC). The end-stage such as the BRISC, BRCA1-A, DISC, TNFR1, Fas of liver fibrosis is cirrhosis and liver dysfunction. We and other yet unidentified protein complexes. This have identified a smell cell permeable molecule name many account for the multifunctional nature of BRE. Reversine which could inhibit activated HSC from BRE is involved in the pathogenesis of esophageal producing collagen type I (the major ECM produced carcinoma, hepatoma and leukemia. In this proposed during liver fibrosis) in culture. In this propose study, study, we will investigate the role BRE plays in we will use Microarray, real time RT-PCR, development and differentiation. We will first immunohistochemistry , proteomics and western blot establish when and where BRE is expressed in mouse to determine all the different types of ECM and embryos. This will provide primarily data on which ECM-regulating enzymes that Reversine is capable of tissues and organs BRE may be functionary involved. suppressing/promoting in activated HSC. In addition, We will also examine which cell type in major adult understand the molecular mechanism of how mouse organs (i.e., lungs, spleen, thymus, adrenal, Reversine exerts its effect on activated HSC. Most gland, testis, kidney, brain, heart and liver) expresses importantly, we want to determine whether Reversine BRE – again to provide tentative insight into BRE is function in vivo. Using rat fibrotic models, we will function in these organs. We will then create BRE determine whether Reversine encapsulated in vitamin knockout mice to determine whether disrupting BRE A/liposomes could specifically target activated HSC expression will affect the development of organs that DNA-repair and cell-survival through its Faculty of Medicine School of Biomedical Sciences we pre-determined expressed BRE. Also, establish expected to provide detailed understanding of how how components making up the BRCA1-A complex, IncRNAs TNFR1 and Fas are affected inside the mutant cells. proliferation in spermatogenesis. This contribution is (MD10689) significant regulate because cell cellular differentiation and differentiation and proliferation are the fundamental processes in Spga-IncRNA3, A Novel Long Non-coding RNA mammalian development. Dysregulation of these that developmental programs is known to associate with Regulates Developmental Programs of Spermatogonial Stem Cells gametogenesis defects and cancer that affect billions of people worldwide. The findings are expected to LEE Tin Lap substantially change the concepts in developmental 30 June 2011 and cancer biology, which could lead to the CUHK Research Committee Funding (Direct Grants) development of novel therapeutic strategies. (MD10783) Spermatogonial stem cells (SSCs) are male germ line An Investigation into the Potential Mechanism(s) stem cells that control spermatogenesis by their for the Hyperglycemic Effects of Nicotinic Acid ability to both self-renew and generate subsequent germ cell types into spermatozoa through rounds of LEUNG Po Sing differentiation. Although factor like Glial cell 1 April 2011 line-Derived Neurotrophic Factor (GDNF) is known Merck Sharp & Dohme tobe important in self-renewal of SSCs, the exact mechanisms that govern SSCs differentiation and In this project, we hypothesize that nicotinic acid pluripotency remain largely unknown. To identify the increases PPAR-γ and UCP-2 expression and inhibit differentiation and self-renewal mechanisms, we accumulation of cAMP, whilst inducing levels of performed large-scale transcriptome studies on male NADH and NADHPH, resulting in reduction of germ cells by whole-genome tiling microarrays and insulin secretion and beta-cell mass in pancreatic sequencing approaches. The findings suggested islets; and that there is a nicotinic acid receptor majority of SSC genome is transcribed and is far located in pancreatic islets with a potential role in the more than current gene annotations. We found a huge modulation of these effects. number of transcript species are known as long In order to test this hypothesis, we set up a sequence non-coding RNAs (IncRNAs). By applying various of objectives as follow: bioinformatics pipelines, we have identified a number (i) to study whether nicotinic acid predominantly of SSC-specific IncRNA candidates and examined reduces islet beta-cell insulin release and/or their effects on cellular differentiation using C18-4 beta-cell mass rather than increasing insulin SSC in vitro differentiation model. We found a resistance; potential candidate, code-named as Spga-IncRNA3, (ii) to study the expression and regulation of demonstrated significant differentiation inhibition, nicotinic acid receptor and its concomitant suggesting it may be important in maintaining stem actions on pancreatic islet cell functions; cell state of SSCs. Our contribution in this study is Faculty of Medicine School of Biomedical Sciences (iii) to study how nicotinic acid affects pancreatic development. As such, a potential skeleton-endocrine islet cell secretory functions, beta-cell mass and axis exists and may play a role in islet cell function beta-cell inflammation; and and T2DM. Therefore, we hypothesize that (iv) to further elucidate the underlying mechanism(s) upregulation of Hh signaling in mature osteoblasts by which nicotinic acid induces hyperglycemic contributes to aberrant glucose homeostasis and islet effects. cell function. In this project, we test this hypothesis by using a genetic engineered Patched1(Ptch1) (MD10399) mutant mouse which has ubiquitous activated Hh Hedgehog Signaling in Osteoblasts Regulates signaling in mature osteoblasts to study glucose Glucose homeostasis and islet cell function. The findings of Homeostasis and Pancreatic Islet this project will provide a novel role of Hh signaling Function as a skeleton-islet axis in the regulation of glucose LEUNG Po Sing MAK King Lun Kingston homeostasis in diabetes. (MD10683) CHENG Qianni 30 June 2011 CUHK Research Committee Funding (Direct Development of Chinese Herbal Medicine-based Products Grants) The pathogenesis of type 2 diabetes (T2DM) is LIN Ge characterized 15 November 2010 by pancreatic islet beta-cell insufficiency of insulin secretion followed by insulin resistance, thus leading to impaired Sinoveda Canada Inc. glucose homeostasis, as evidenced by hyperglycemia and This project aims to using our developed proprietary finally chronic complications. Normal blood glucose pharmaceutical platform technology to study a levels are maintained by adequate insulin secretion in traditional Chinese medicine Rhizoma Chuanxiong, response context, and development of a Rhizoma Chuanxiong-based mammalian Hedgehog (Hh) signaling is believed to Product for the prevention and treatment of regulate insulin promoter activation via Hh receptors cardiovascular problems. located in islet cells, thus indicating the potential (MD10572) to hyperglycemia. In this involvement of Hh signaling in modulating islet cell function and glucose homeostasis in T2DM. As a Metabolism and Pharmacokinetics of Red Clover well-known regulatory factor in mammalian cell Components development, Hh signaling has been recently reported as a key modulator of bone formation and bone LIN Ge resorption in the skeleton and these findings are 1 December 2010 related to the development of osteoporosis. Sinoveda Canada Inc. Furthermore, it has been shown that insulin signaling in the skeleton regulates whole body glucose This aim of this project is to evaluate the homeostasis pharmacokinetic profiles and distribution pattern of via modulation of osteoblast Faculty of Medicine School of Biomedical Sciences two formulations of Red Clover: immediate release metabolites and the resultant unique pyrrole-protein form and commercial available Promensil in female adducts, particularly blood pyrrole-protein adducts, Sprague Dawley rats. have potential values for the understanding and (MD10749) diagnosis of PA intoxication. Therefore, the aim of this proposal is to investigate Pyrrole-protein Adducts: A Potential Biomarker the of hepatotoxicity Pyrrolizidine Alkaloid Exposure and biochemical mechanisms to develope of PA-induced mechanism-based technology for the assessment of PA intoxication. In Hepatotoxicity the proposed study: 1) LIN Ge WANG Jiyao* YE Yang* firstly, protein modifications by toxic metabolites of PAs and blood pyrrole-protein 1 January 2011 adducts in rats will be investigated by using Research Grants Council - General Research Western Fund blot, ELISA, HPLC-MS, and proteomic analysis; The growing awareness of incidences in natural 2) then, the correlations among PA exposure, product poisonings leads to more government and blood pyrrole-protein adducts and liver injury public will concerns worldwide. Among various be elucidated in rats to develop phytotoxins, pyrrolizidine alkaloids (PAs) are one of mechanism-based technology with unique the most common causes of natural product biomarker(s) specific towards PA-induced poisonings in human, because their wide distribution hepatotoxicity; and in higher plant families with over 6,000 known 3) finally, the developed mechanism-based PA-containing plants to date. PAs are well-known technology will be applied for the diagnosis of hepatotoxic and may cause hepatic sinusoidal PA poisonings in the patients who have been obstruction syndrome (HSOS). Yearly, numerous exposed to PA-containing Chinese medicinal cases of PA intoxications have been reported due to (CM) herbs and developed liver injery or the consumption of PA-containing herbal teas, herbal HSOS. medicines and nutritional supplements as well as The significance of the proposed proposal is to PA-contaminated products. understand the mechanism of PA intoxication and to However, to date no suitable and specific methods establish a novel mechanism-based technology with are available for the diagnosis and assessment of PA unique biomarker(s), which will provide 1) a intoxication. diagnostic measure specific towards PA poisoning for foods and dietary induce clinical application; 2) a scientific assessment of hepatotoxicity via metabolic activation to generate potential hepatotoxicity and dose threshold of toxic pyrrolic metabolites, which act with cellular PA-containing natural products; and 3) rational for macromolecules to form pyrrole-protein adducts the relevant authorities to establish regulations for the responsible for toxicity. However, the downstream safe use of PA-containing natural products. mechanisms are The obtaining results will certainly benefit Hong unclear. Thus, we hypothesize that PA intoxication is Kong, Mainland China and global public health in Regardless of of structures, PA-induced all PAs hepatotoxicity associated with protein modifications by their toxic Faculty of Medicine School of Biomedical Sciences diagnosis, treatment and prevention of PA-induced screening kits will be used for investigating hepatotoxicity. interactions with P450 isozymes. Nude mice with (CU10713) xenograft tumor and PK rat model will be used for evaluating in vivo beneficial effects. Beneficial Interaction between Chinese Medicine Study instruments: HPLC-MS; Microplate reader; Marsdenia Tenacissima and Anti-cancer Drugs Flow Cytometer, Western blot and RT-PCR system. via Reversal of ABC Drug Transporter-mediated Interventions: Multidrug Resistance formulation(s): mixtures of anti-cancer drug(s) with 1) Novel anti-cancer cocktail ABC transporters inhibitor(s); or 2) with M. LIN Ge TO KKW (School of Pharmacy) YE tenacissima extract. Main outcome measure and analysis: The main Yang* measure include: IC50 (cytotoxicity); efflux ratios 10 February 2011 (transporters substrate); intracellular accumulation Health and Health Services Research Fund (MDR Purpose: Evaluation of potential benefits of reversal (interaction activity); types); Ki, combination Km, Vmax index (P450 integrated approaches in combination use of Chinese interactions); average weight of tumor, rate of tumor medicine (CM) Marsdenia tenacissima with cytotoxic inhibition, and bioavailability (enhancing in vivo anti-cancer drugs. anti-cancer activity). Hypothesis: M. tenacissima has multidrug resistance (MD10947) (MDR)-reversal activity against three major ATP-binding cassette (ABC) transporters but do not Unidentified Liver Disease Outbreak, Tigray, produce Ethiopia: Pyrrolizidine Alkaloids (PA) Biomarker combining other this significant CM bioactivities, with the thus ABC Study transporter-substrate anti-cancer drugs has potential benefits to circumvent the ABC transporter-mediated LIN Ge LI Na# drug resistance without causing any significant 1 October 2011 adverse effects. SciMetrika LLC Objective: To investigate M. tenacissima with potential MDR reversal activity for Since 2007, CDC has provided ongoing support to regaining/synergizing efficacy of anti-cancer drugs Ethiopia via circumventing ABC transporter-mediated MDR. collaborating Design and subject: In vitro cell lines include human unidentified liver disease (ULD) in the rural cancer cells MCF-7, NCI-H460 and SF-268 for subsistence framing region of Tigary, Ethiopia. cytotoxicity assay; Caco-2 monolayer cells for ABC Results from previously conducted epidemiologic, transporters substrate and inhibition study; parental laboratory, and toxicologic studies are not supportive and their resistant sublines with overexpression of of an infectious etiology and suggest a food-borne ABCB1 (SW620/Ad300), ABCC1 (MCF-7/VP-16), toxic exposure contributing to morbidity and or ABCG2 (MCF-7/FLV1000) for MDR reversal mortality among both humans and animals. The activity and mechanism study. Supersomes P450 leading hypothesis as to the cause of the outbreak MoH, to EHNRI, and investigate the other partners outbreak of Faculty of Medicine School of Biomedical Sciences remains exposure to toxic pyrrolizidine alkaloids Melanocytes are pigment-producing cells which are (PA’s) via contamination of grains and potentially responsible for melanogenesis and skin pigmentation. other foodstuffs. One limitation of all previous The research has been the lack of laboratory methods to machinery is tyrosinase, and most of the investigation confirm PA exposure in human clinical specimens. into its mechanism of action is based on purified We plan to apply new qualitative laboratory methods tyrosinase from mushroom or mouse melanocytes to analyze serum specimens collected from ULD which is, however, not completely applicable to cases and asymptomic community members for PA human. Given to the clinical and cosmetic concerns metabolites Serum for their functions to human skin, large amount of specimens were collected during the December 2008 healthy melanocytes are required for pigmentation collaborative investigation, which involved a census research. Melanocytes are localized to the basal layer and active case finding in 4 villages in the Kiberto of the skin and their isolation normally required tabia of Tigray, Ethiopia. We will compare the mechanical dissection of the epidermis from the percent of specimens with detectable levels of dermis, followed by enzyme digestion and a series of pyrrole-protein differential chemical treatments until an enriched (pyrrole-protein adducts adducts). among cases and key enzyme initiating the melanogenic asymptomatic community members. melanocyte population is obtained. This method is In addition to testing already collected serum not only time-consuming, expensive but possibly specimens, Ethiopia proposes to result cases living in affects affected communities for an in-depth clinical Dielectrophoresis investigation. Liver biopsy and serum specimens dielectrical particles or cells in the presence of collected as part of this investigation will also be non-uniform electrical fields, which has the potential tested for PA metabolites. In the PA-poisoned person, to separate cells in a short duration. In addition, it has liver tissue contains a higher concentration of PA advantages of offering low-cost, micro- to nano-scale, metabolite than serum, thus is a more desirable and chemical-free separation conditions, and the cells testing matrix. We will also be able to compare the obtained may retain their physiology. It is anticipated results from analyses of individuals’ liver and serum, through this cross disciplinary endeavor between thus better understanding the utility of the serum test biomedical sciences and engineering to provide an for prospective diagnostic purposes. alternative (MD11377) preparation and melanogenesis study. the normal physiology (DEP) separation is of the method the cells. movement for of melanocyte (MD10331) Dielectrophoretic Isolation and Purification of Screening of Aqueous and Organic Extracts of a Pigment Cells Variety of Fungi for the Ability to Antagonize the LIU Wing Keung Ken LI Wen Jung Pathogenic Yeast Candida Albicans (Mechanical & Automation Engg) 21 June 2011 CUHK Research Committee Funding (Direct Grants) NG Tzi Bun HUI Mamie (Microbiology) WONG Ho WANG Hexiang* 6 December 2010 Faculty of Medicine School of Biomedical Sciences Research Fund for the Control of Infectious NG Tzi Bun Diseases HUI Mamie (Microbiology) WONG Ho WANG Hexiang* A spectacular array of antifungal biomolecules have been identified in humans, other vertebrates, invertebrates, plants, fungi and bacteria. Recently it 17 January 2011 Research Fund for the Control of Infectious Diseases has been reported that plant defensins, despite structural dissimilarity from human defensins, are active as antifungals in humans but do not have toxic effects. It is known that some fungi can biologically control (antagonize) other fungi. We have isolated a number of antifungal proteins/peptides with different N-terminal amino acid sequences from the fruiting bodies of edible mushrooms. Candida albicans is the major etiologic agent in candidiasis and C. albicans infections account for a large percentage of nosocomial infections that can have a high mortality. In view of the development of resistance of C. albicans to existing antifungal drugs, there is a need to find new anti-Candida agents. The aforementioned edible mushroom species and also a variety of fungi maintained in our laboratory have not been tested for inhibitory acyivity toward C. albicans, hence the intent of the present investigation is to secreen various edible mushrooms and other fungi accessible to us for anti-Candida activity. Hopefully aqueous and/or ethyl acetate extracts of some mushrooms with anti-Candida activity can be identifying in the present study and used as the basis of an in-depth investigation in the future. Those extracts with antifungal activity will be tested for pH stability, temperature stability and resistance to proteases Defensins are antimicrobial peptides with a cystine stabilized, antiparallel β-sheet core and an N-terminal α-helical stretch. Defensins are also present in plants. Plant defensins are active against human pathogenic fungi such as Candida albicans. Because they are nontoxic to human cells, plant defensins are potential antifungal therapeutics. Recently, radish (plant) defensin was reported to induce programmed death in Candida albicans cells whereas previously human defensin has been shown to disturb the permeability of cell membrane. Lactoferrin is a milk glycoprotein with antimicrobial, anticancer and immunomodulatory activities. Lactoferrin derived from lactoferrin by pepsin digestion and lactoferrampin, another lacroferrin-derived peptide, are also active. The aim of the present investigation is to elucidate the mechanisms of antifungal action of a plant defensin, white cloud bean defensin which is active against C. albicans, and the lactoferrin derived peptides lactoferricin and lactoferrin. An understanding of the mechanisms of their antifungal action on planktonic C. albicans is important to their development as potential new antifungal agents. (MD10418) digestion under conditions which mimic internal milieu of the human gastrointestinal tract. (MD10530) Anti-Emetic and Anti-Nausea Investigation of Ghrelin Agonists in a Cisplatin Model of Acute and Delayed Emesis Mechanisms of Antifungal Action of a Bean Defensin, Lactoferrin and Lactoferrin-derived RUDD John Anthony Claudio Pietra* Peptides on Planktonic Candida Albicans Faculty of Medicine School of Biomedical Sciences 1 January 2011 positioned cephalochordates as the basal group within Helsinn Heathcare SA chordates, with vertebrates diverging later. Moreover, the genome of the Chinese amphioxus possibly The treatment of cancer with chemotherapeutic drugs differs from other amphioxus species based on a may induce side effects of nausea and emesis. In the mitochondrial proposed studies, the ability of compounds to prevent divergence of Chinese amphioxus from two Atlantic such side effects will be investigated using an amphioxus established ferret model of cisplatin-induced acute Sequencing more amphioxus species will therefore and delayed emesis. allow (MD10423) amphioxus genomes in comparison to the vertebrate genome species more analysis ~112 showing million comprehensive years the ago. investigation of counterparts. Next-generation Sequencing of the Chinese Description: In this study, we will focus on the Amphioxus Genome and Transcriptomes - Insight sequencing of the Chinese amphioxus genome and into the Sequence Conservation and Divergence in transcriptome Proto-vertebrate Ancestor and Vertebrates sequencing platforms. We have an undisclosed using the ultra-high throughput methodology to culture Chinese amphioxus in large TSUI Kwok Wing CHEN Jun Yuan* FUNG quantity and will have an ample supply of amphioxus Yin Wan Wendy# for this study. Analyses of the genome and 1 November 2010 transcriptome sequences of an additional amphioxus Research Grants Council - General Research species will provide greater insight into the simple yet sophisticated molecular footprints marking the Fund divergence of amphioxus-like organisms and Aim: The aim of this research is to establish the use vertebrates from a common ancestor. of amphioxus as a model organism for the study of Significance: In-depth analyses of the amphioxus evolution of vertebrates from a common ancestor. genome and transcriptome in this study will provide Background: Amphioxus, or lancelet, is a worm-like grounds to renew the current interpretation of the marine amphioxus genome in respect to vertebrate evolution. invertebrate Cephalochordata of under the the phylum subphylum Chordata. Conservation of key developmental genes in Cephalochordates are widely used as a model system amphioxus and vertebrates strengthens the use of the for evolutionary developmental biology to understand amphioxus model system as a missing link to further the basic patterning mechanisms involved in chordate the study of vertebrate evolution and development. body plan and the origin of vertebrates. Biologists Ultimately, genome sequence information from recognize amphioxus as a pre-vertebrate organism further research on amphioxus species will position having many features resembling those of vertebrates. amphioxus on the tree of life more precisely. Discovery of fossil remains of chordates from the Amphioxus should become a standard model early Cambrian has shed some light on the organism providing both a pre-duplicated genome set divergence of cephalochordates and vertebrates from and a common ancestor during or prior to the Cambrian understanding of the evolutionary mystery of explosion. Recent molecular phylogeny studies have vertebrates. primitive body plan allowing greater Faculty of Medicine School of Biomedical Sciences leading HPC service provider in the region with over (CU10647) 100 clients. It will utilize its expertise to deliver a A High Performance Computing Solution to parallelized and optimized DNA sequence assembly Enable Bioinformatics Research program that requiring minimal computing resources. This solution could facilitate the development of TSUI Kwok Wing CHAN Ting Fung Philos (School of Life Sciences) ZHOU Taojun* bioinformatics research in Hong Kong and enable the commercialization of medical DNA analysis. (BL10464) CHENG Chi Kan* 1 September 2011 Cluster Technology Innovation & Technology Commission-University-Industry Collaboration Role of Hypoxia Inducible Factor-1α Pathway in Skeletal Regeneration Prog.: Matching Grant for Joint Research WAN Chao CHAN Kai Ming (Orthopaedics & Bioinformatics brings together the expertise of Traumatology) molecular biology and information technology to (Orthopaedics & Traumatology) uncover knowledge from a vast quantity of biological William* data by using computational approaches. In recent 1 January 2011 years, the focus of bioinformatics research has shifted from small-scale genomes (e.g., virus and bacteria) to CHAN Wai Yee LI Gang LU Weijia Research Grants Council - General Research Fund more sophisticated species such as human genome. This significantly scales up the demand on the Bone has a unique ability to regenerate and repair computation power for DNA analysis. Not to mention itself postnatally. However, in clinic about 10% of human genome, only assembling the DNA sequence fractures have impaired healing. This results in of a fish genome takes more than 50 times of the enormous direct and indirect cost to the individual computation time of a bacteria one. The tedious and society. A hallmark of impaired bone healing is a computation run time in terms of weeks or even reduction in vascular supply and nutrient availability months of at the site of injury, suggesting that impaired blood bioinformatics development. This project leverages vessel formation is a major contributor to the both the strengths of the Hong Kong Bioinformatics pathology. Following injury, disruption of normal Center (HKBIC) of CUHK and Cluster Technology circulation in bone leads to hypoxia of adjacent Limited to deliver a high performance computing tissues. (HPC) solution for DNA sequence assembly, the first component of the intermediate cartilaginous callus of and critical computational procedure of DNA the healing bone, are ideally positioned to sense and analysis. Established in 1998, HKBIC is well respond to fluctuations in oxygen and nutrient supply recognized the during the healing process. The hypoxia inducible identification of SARS-coronavirus genomes in 2003 factor-1α (HIF-1α) pathway has emerged as the and has published world-leading research results in central pathway responding to hypoxia a wide variety prestigious journals such as Nature Genetics and of organisms. HIF-1α impinges on gene programs Science. ClusterTech, on the other hand, is the which influence angiogenesis (e.g., VEGF) and now in becomes the the field. It major barrier involved in We reasoned that chondrocytes, the Faculty of Medicine School of Biomedical Sciences cellular metabolism (e.g., glut1). HIF-1α levels are Molecular controlled by regulated proteolysis through an Hypoxia/HIF Pathway in Regulating Biological oxygen Behavior of Mesenchymal Stem Cells sensitive mechanism. Under normoxic and Cellular Mechanisms of conditions, HIF-1α undergoes prolyl hydroxylation and is ligated by von Hippel-Lindau protein (pVHL), WAN Chao DENG Lianfu* an E3 ubiquitin ligase and then degraded by the 1 January 2011 proteosome. Under hypoxia, HIF-1α prolyl NSFC/RGC Joint Research Scheme hydroxylation is inhibited, and HIF-1α accumulates in the nucleus where it forms a dimer with the HIF-1β Large bone defects or facture non-union are difficult subunit, and then transactivates HIF responsive genes. skeletal disorders in clinic Orthopaedics. The Our recent studies have shown that HIF-1α is pathology of the impaired healing is characterized by strongly induced during bone repair, and increased less capacity of bone formation associated with HIF-1α activation in bone in a mouse model decreased vascular supply and lacking of reparative increases postnatal bone acquisition. In this proposal, stem we will test the hypothesis that during fracture hypoxia/HIFα is an important developmental and healing chondrocytes use the HIF-1α pathway to reparative signal that controls the coupling of sense low oxygen tension and transmit signals that angiogenesis and osteogenesis. However, the role of regulate the process of angiogenesis and bone healing, the HIF pathway in regulating MSC function remains and targeting the HIF-1α pathway could be designed unclear. In this proposal, we will investigate the as a therapy for improving skeletal regeneration. In essential function of HIFα in regulating MSC aim 1, we will examine the role of Hif-1α in biological behavior and its mechanisms using chondrocytes on cartilaginous callus formation conditional knockout mouse models, bone defect during fracture healing using genetic mouse models. models, cellular and molecular biotechnology. We In the second aim, we intend to define the angiogenic expect that the proposed studies will lead to and osteogenic signals that derive from chondrocytes discovery of novel therapeutic agents or stem cell and visualize the angiogenic and osteogenic events based therapy for patients with difficulty bone during fracture healing. Finally, we will evaluate the diseases. effects of pharmacologic activation of the HIF-1α (MD10563) cells. Our previous study shows that pathway on skeletal regeneration using a large bone defect model. We expect that the proposed studies Targeting will further our understanding on the molecular and Angiogenesis cellular mechanisms of skeletal regeneration and lead Postmenopausal Osteoporosis the HIF for Pathway the to Promote Treatment of to novel interventions for patients with impaired bone healing. WAN Chao TSANG Wing Pui (CU10759) 30 June 2011 CUHK Research Committee Funding (Direct Grants) Faculty of Medicine School of Biomedical Sciences Postmenopausal osteoporosis is associated with blood cells will be collected and DNA will be decreased skeletal blood flow, reduced capillary extracted for genotyping analyses. Association of networks and impaired endothelial function of the genotypes and various disease suscepbility or vessels as personal traits will be studied. Thought the genotype preventing information often cannot fully explain a certain ovariectomy-induced bone loss, which supports the disease suscepbility or personal trait and other concept that vascular supply is linked with estrogen external factors may prevail, it is known that with the to regulate bone mass. Such observations suggest an provision of some genetic information to the important relationship between estrogen deficiency participants of the study, they often will take better and decreased blood supply to bone. Angiogenesis personal responsibility for their own health and during bone development and repair is controlled by well-being. the hypoxia inducible factor-1 (HIF-1) which (MD10362) in bone. nitroglycerin are transcriptionally Vasoactive agents efficacious activates in vascular such endothelial growth factor (VEGF) and other proangiogenic Functional Analysis of the Dyslexia Candidate proteins. Osteoblasts express the major components Protein of the HIF pathway and functions to couple Expression Vectors for Expression in Insect Cells (KIAA0319L) Using Baculovirus angiogenesis and osteogenesis. In this study, we propose to use genetic mouse models to investigate WAYE Mary Miu Yee VLAK Just M* VAN the possible interrelationship between the HIF pathway and estrogen deficiency induced bone loss, and to determine the role of HIF activators in the OERS Monique M* 1 July 2011 NWO/RGC Joint Research Grant treatment of ovariectomy-induced osteoporosis in mice. We expect that the proposed studies will Our further the understanding of the cellular and KIAA0319L can interact with the Nogo Receptor molecular mechanisms of bone loss during aging and (Poon et al, 2010). The biological significance of facilitate the development of novel therapeutics for such interaction is not clear, however since the Nogo osteoporosis. Receptor is an important axon guidance molecule (MD10620) involved in inhibition of axon regeneration in the laboratory has previously shown that central nervous system, we speculate that the binding of KIAA0319L might also affect the function of Genetic Study of Chinese Nogo Receptor. Further biological work on WAYE Mary Miu Yee SING Chor Wing* KIAA0319L requires the production of a functionally 1 August 2010 active molecular that is suitable for in vitro work. Since baculovirus vector has suitable glycosylation Genetic Centre (Hong Kong) Company Ltd pattern, we plan to make appropriate recombinant In order to study the genetic polymorphism of various construct for the expression of KIAA0319L using the traits of Chinese, we plan to study the genotype of baculovirus expression system. Chinese (MD11423) from South East Asia by genotype-phenotype analyses. Buccal salivary, or Faculty of Medicine School of Biomedical Sciences in proteins and extracellular matrix proteins which are Primary Sensory Neurons and Their Associated likely to be present after nerve damage. When Glial Cells stimulated with lipopolysaccharide, isolated DRG Characterization of Toll-like Receptor-4 neurons generate an opioid-like peptide called WISE Helen LEUNG Wai Keung* WONG nociceptin/orphanin-FQ, whose function may be to inhibit inflammatory cytokine production by DRG Yung Hou* glial cells. We propose therefore that activation of 1 November 2010 TLR4 on neuronal and glial cells within the DRG Research Grants Council - General Research could influence pain transmission in an autocrine Fund and/or paracrine fashion through nociceptin and Current treatments for chronic pain are far from ideal. cytokine production. When the underlying cause of pain is nerve damage disregulation of these systems in the DRG disrupts (e.g., spinal cord injury, diabetic neuropathy, or the acute phase of response to nerve damage and amputation), the main focus of attention has been allows progression to a chronic pain state. There are drugs designed to target neuronal systems with an tremendous advantages in designing drug treatments emphasis on blocking neurotransmission. However, to act in the early stages of nerve damage before potent analgesics such as morphine are surprisingly irreversible changes are established. Because DRG ineffective in treating neuropathic pain, and the are axotomized by dissociation, it has been suggested explanation may lie outside the classical idea that that cultures of dissociated DRG cells represent morphine regulates pain solely via neuronal opioid neuronal cells in a neuropathic pain state. Therefore, receptors. Pain sensations are normally transmitted we from the periphery via primary sensory neurons responses in DRG neurons and glial cells and whose cell bodies lie in the dorsal root ganglia (DRG) examine the crosstalk between these systems. This and are closely enveloped by satellite glial cells. study of TLR4-dependent neuron-glia responses Recent evidence suggests that glial cells contribute to should help to identify targets for future investigation neuroimmune activation in neuropathic pain models in the more complex animal models of neuropathic and in neurodegeneration due to expression of pain. Toll-like receptors (TLRs). Morphine can stimulate (CU10767) propose to Our hypothesis characterize is that TLR4-dependent TLR4 and directly activate microglial cells, thus enhancing inflammation and pain and this effect Do Glial Cells Influence the Response of Dorsal possibly accounts for its failure to treat neuropathic Root Ganglion Neurons to Analgesics such as pain syndromes. Until recently, TLRs were thought Morphine? to be confined to cells of the immune system as sensors of danger signals. Now there is accumulating WISE Helen evidence that TLRs are also expressed by DRG 1 June 2011 neurons and associated glial cells. TLR4 classically recognizes bacterial products such as CUHK Research Committee Funding (Direct Grants) lipopolysaccharide, but additionally responds to byproducts of tissue destruction such as heat shock Faculty of Medicine School of Biomedical Sciences In response to nerve injury, the satellite glial cells in Diabetic nephropathy is a major health burden, but the associated dorsal root ganglia (DRG) proliferate the pathogenesis is complex. Crucial mechanisms and enhance neuronal excitability. This is turn underlying chronic kidney disease in diabetes include facilitates pain signaling and may contribute towards epithelial-to-mesenchymal transition (EMT) and the generation of a chronic pain state. Data from fibrosis, mediated by transforming growth factor β whole animal studies and from our own work on (TGF-β) and opposed by bone morphogenetic isolated DRG cell cultures indicates that DRG proteins (BMPs). Dragon (also known as RGMb) is a neurons and glial cells communicate with each. In GPI-anchored protein. We recently identified Dragon particular, our own studies show that the expression as a BMP co-receptor that enhances BMP signaling. of prostaglandin E2 (EP4) and prostacyclin (IP) Dragon is highly expressed in rental tubular epithelial receptors on glial cells appears to be attenuated by cells of kidneys. We have now discovered that the presence of neurons. Activation of EP4 and IP Dragon expression is highly upregulated in the receptors leads to increases in cellular cAMP kidneys of a rodent model of diabetic nephropathy. production, which is well established to facilitate pain These data suggest a potential role of Dragon in transmission. But, why and how neurons keep diabetic nephropathy. A more general role in satellite glial cells under control in unknown. In the maintenance of normal renal tubular architecture is current study, we would like to examine the activity supported by our findings that Dragon and BMP4 of receptors which inhibit cAMP production, such as increase transepithelial resistance (TER), a measure the μ-receptor which is responsive to the important of tight junction complexity and function, in cultured analgesic morphine. We aim to examine the influence mIMCD3 cells. Taken together, these data provide of glial cells on the ability of μ-receptors to directly evidence that Dragon expressed in kidney tubular hyperpolarize DRG neurons, and to attenuate epithelial cells is important in normal renal function PGE2-induced depolarization. As with μ-receptors, and possibly during diabetic injury to the kidney. We many other analgesics also stimulate Gi/o-coupled hypothesize that Dragon mediates BMP signaling in receptors and a better understanding of cell-cell kidney tubule cells to counteract EMT that occurs interactions in vitro may help us to appreciate the during the pathogensis of diabetic nephropathy. possible cell-cell interactions which occur within Specifically, we will 1) examine the time course of intact DRG following nerve injury. the (MD10651) phosphor-Smad1/5/8 levels in the kidneys of changes in Dragon expression and STZ-induced diabetic mice; 2) study the effect of The Role of the BMP Co-receptor Dragon in decreased Dragon expression on the kidney function Diabetic Nephropathy in diabetic Dragon knockout mice; and 3) examine the mechanism by which Dragon and BMP4 increase XIA Yin LI Xiaoling transepithelial resistance in cultured mIMCD3 cells. 1 April 2011 (MD10898) CUHK Research Committee Funding (Direct Grants) Faculty of Medicine School of Biomedical Sciences TRP Channels in Cardiovascular System, Their In the preliminary studies, we found that TRPC5 Properties and Function forms hypotonicity- and membrane stretch-activated channels YAO Xiaoqiang MA Xin WONG Wei Yan in TRPC5-overexpressing human embryonic kidney 293 (HEK) cells and Chinese hamster ovary (CHO) cells. These data are consistent MA Yan DU Juan with the report from another group. We then explored 15 December 2010 the functional role of TRPC5-related channels in the Focused Investments Scheme - Scheme C mechanosensation of aortic arch baroreceptor. Aortic In this study, we will focus on TRP (Transient arch baroreceptor is one of key mechanosensors that Receptor Potential) cardiovascular serve to detect arterial blood pressure. The overall system. TRP channels are a superfamily of function of aortic arch baroreceptor is to maintain the Ca2+-permeable channels that function as cellular blood sensors many immunohistochemical studies, it was found that environmental stimuli including temperature, taste, TRPC5 is abundantly expressed in the soma of aortic mechanical pressure, osmolarity and pain. We are arch baroreceptor neurons, the axon of baroreceptor particularly interested in functional role of different nerve, and the sensory terminals of aortic arch TRP channels in the control of blood vessel tension baroreceptor. More importantly, we found that and blood pressure. 1) we will explore the potential hypotonicity-induced Ca2+ influx in the primary role in cultured aortic arch baroreceptor neurons was baroreceptors; 2) we will study the functional role of markedly reduced by a TRPC5-blocking antibody TRPV4-C1-BKca complex in vascular tome control; T5E3 and by a dominant-negative TRPC5 construct and 3) we will study the regulation of heteromeric TRPC5-DN. Single channel patch clamp also TRPV4-C1 channels in vascular tone control. recorded a stretch-activated cation channel in (MD10921) cultured baroreceptor neurons. The activity of the to of perceive TRP channels and channels as in respond to mechanosensor pressure relatively constant. In channels was also blocked by T5E3 and TRPC5-DN. Role of TRPC5-related Channels in Mechanosensing of Aortic Arch Baroreceptor These data suggest an important functional role of TRPC5-related channels in baroreceptor mechanosensing. In the present proposal, we plan to YAO Xiaoqiang FUNG Man Lung* further explore the mechanosensitive nature of 1 January 2011 TRPC5-related channels in aortic arch baroreceptor Research Grants Council - General Research Fund neurons, to characterize the electrophysiological and pharmacological properties of the channels. We also plan to explore the functional role of TRPC5 in blood TRP channels function as cellular sensors to perceive pressure sensing and in blood pressure control in and respond to many environmental stimuli including living animals. We expect this study to provide temperature, taste, mechanical pressure, osmolarity, crucial information on baroreceptor mechanosensing. pain and pheromones. Several TRP isoforms, The results from this study should fill a key including TRPC1, -C5, -C6, -V1, -V2, and -A1, have knowledge gap in the basic understanding of blood been suggested to be involved in mechanosensation. pressure control in mammals. Faculty of Medicine School of Biomedical Sciences 石藥集團思必普藥業有限公司 (CU10787) TRP Channels in Vascular System: Vascular Tone The effect of n Butylphthalide will be tested in ischemic models of WKY and SHR (hypertensive) Control and Atherosclerosis Development rats after complete occlusion of the middle cerebral YAO Xiaoqiang WAN Song (Surgery) JIANG Liwen (School of Life Sciences) artery. The above drug NBP will be used for treatment and compared with control and Sham control. fMRI as well as markers on cell injury, ZHANG Mingjie* inflammation, cell death and exitotoxicity will be 1 June 2011 monitored in both neurons and glial cells. NBP Research Committee Group Research Scheme effects will also be tested on cultures. Transient receptor potential (TRP) channels are a (MD10461) group of cation channels that play diverse functional roles in cardiovascular system. The present proposal focuses on the role of TRP channels in two major physiological/pathological processes in blood vessels: The Detrimental Effects of Long-term Ketamine with Alcohol Abuses in Mice and Its Use in an Educational Program 1) vascular tone and blood pressure control; and 2) vascular wall thickening and arteriosclerotic YEW Tai Wai David development. 1 November 2010 In the present proposal, we plan to explore whether Beat Drugs Fund TRPV4-C1-BKCa plays a key role in EET-induced vascular relaxation using human vessels, and to determine whether TRPV4-SK3 plays a key role in vascular tone control. We also plan to explore if we can inhibit vascular wall thickening and atherosclerotic progress by inhibiting TRM2 and The long-term effects of ketamine are much more worrying, as we have published damages by ketamine long-term abuse to the brain, fibroblasts and kidney (Yeung et al 2009, Yeung et al 2010, Mak et al 2010). Indeed, it has been showed that ketamine was toxic to hepatocytes at also low concentrations (LEE et al TRPC3 channels. The result from these studies should enrich the basic understanding of vascular tone and blood pressure control. The studies may also lead to the discovery of 2009). Furthermore, from a recent study in Hong Kong, ketamine abusers could have destruction of their lower urinary tract including syndrome of cystitis and contracted bladder, and secondary potential therapeutic tools against atherosclerosis. damage might be irreversible (Chu et al 2008). (MD10730) Therefore, long term ketamine treated animal models Study of the Therapeutic Effects DL-3-n-Butylphthalide in Ischemic Stroke of should be sought to study these multi-organ effects of ketamine. In addition, ethanol is also a noncompetitive NMDA YEW Tai Wai David WAI Sen Mun 15 July 2010 receptor antagonist that triggers similar dissociative and hallucinate effects as ketamine, as well as neurodegerenation and damage to liver (Ikonomidou Faculty of Medicine School of Biomedical Sciences et al 1999; Ikonomidou et al 2000). Alcohol drinking functions of TRAPP are lethal. Mild defects usually is certainly popular among club goers that might take cause a variety of diseases as exemplified by the ketamine at the same time (Gable 2004), the synergic mutations in TRAPP subunit, Trs20, in patients with or additive effects of simultaneous use of ketamine recessive Xlinked spondyloepiphyseal dysplasia tarda and alcohol would be much more severe than uses of (SEDT). SED related diseases are congenital diseases alone ketamine or alcohol. This combined effect of classified as the skeletal dysplasias, which are bone ketamine and ethanol has not been studied and the and results are definitely more important to those development, resulting in short statue and dwarfism. ketamine abusers than results of ketamine alone. The mechanism of how defects in vesicle trafficking Therefore, we aim to study the combined effect of translate into skeletal development in SEDT patients ketamine and ethanol as well as their separated is still unknown. effects in mice with long-term ketamine and ethanol Here we propose to study the vesicle tethering treatments on multiple internal organs in this present mechanism of TRAPP. Specifically, we have project. previously identified a cytoskeletal element that (MD10325) interacts with TRAPP, and this interaction has cartilages disorders that affect skeletal provided explanation to our previous results that Mechanism of Vesicle Tethering in Mammalian TRAPP is functionally linked to cytoskeleton Cells regulation. Our recent preliminary discovery on the functional link between TRAPP and the cytoskeletal YU Siu Bun Sidney TANNER Julian* element will changes the way cell biologists look at 1 January 2011 the process of vesicle tethering. In this proposal, we Research Grants Council - General Research Fund will conduct detailed analysis of how the cytoskeleton and motor molecules affect vesicle tethering by TRAPP. The aim of this project is to conduct biochemical and (CU10794) molecular biological research to study the mechanism of vesicle tethering by TRAPP. Molecular Mechanism of Est-1 on Neural Crest In eukaryotic cells, the secretion of most hormones Formation and growth factors to the outside of the cells is carried out by small transport vesicles. One important ZHAO Hui step in the process of vesicle transport is that the 25 June 2011 vesicles need to be tethered to the correct place. A protein complex called TRAPP (Transport protein CUHK Research Committee Funding (Direct Grants) particle) has been found to be important for the vesicle tethering between the Endoplasmic Reticulum Our goal is to investigate the role of ets-1 in neural and the Golgi complex. As TRAPP is one of the crest formation (NC) and study its regulation by FGF important cellular machineries that control the signaling during NC formation. The NC is a unique secretion of protein hormones and other important population of migratory cells that during the neurula proteins, genetic defects that severely hamper the stages, arises on the border of the neural plate and Faculty of Medicine School of Biomedical Sciences ectoderm. The NC differentiates into various cell 2006-07 Epithelial Cell Biology Research Center types that include most of the peripheral nervous (MD06743) system, melanocytes and the craniofacial skeleton. CHAN Hsiao Chang LI Ming The importance of studying NC formation is reflected (Epithelial Cell Biology Research in that almost one-half of all birth defects are caused Centre)# by abnormal development of the NC. Much progress (Physiology)# ZHOU Zhen has been made in understanding NC formation, the 2006-07 精 子 功 能 相 關 蛋 白 質 與 疾 病 Sperm regulatory network in NC formation is not well Function Related Protein and Diseases understood. We previously indicated that Lrig3 as an (MD06646) essential factor for NC formation. Following up, we 許陳小章 CHAN Hsiao Chang differentiation, and migration, however, identified est-1 was the downstream target of Lrig3 DUAN En Kui* during the developmental process. The molecular ZHANG Yong Lian* SHA Jia Hao* mechanism by which ets-1 regulates during NC formation, delamination and migration are, however, 2008-09 Investigation of Molecular Mechanisms unknown. We will study NC formation by delineating Underlying the Ets-1 function in NC formation. Our hypothesis is Respiratory Diseases that ets-1 regulated by FGF signaling participates (MD08384) as an essential factor in the determining NC fate. CHAN Hsiao Chang We will test our hypotheses by the following: 1) Shan* Investigate the functions of ets-1 NC formation in Siu Bun Sidney developing embryos by gain-of-function Pathogenesis and Injuries ZHONG Nan ZHOU Wen Liang* of YU and loss-of-function assay; 2) Examine the effects of 2007-08 A Functional Study of a Calcium ets-1 on NC formation in explants; and 3) Investigate Channel Protein TRPM8 in Prostate whether ets-1 expression in NC is regulated by Fgf Cancer (CU07610) signaling pathway. By pursuing these lines of study, CHAN we will clarify the role of ets-1 in NC formation, gain Leung Franky YAO Xiaoqiang more insight on regulatory networks in NC formation, and determine the molecular basis of ets-1 2009-10 Functional Role of Estrogen-related modulation of FGF signaling. Receptor Alpha in Prostate Cancer (MD10444) (CU09610) CHAN Leung Franky Please refer to previous issues of this publication Kwong for more details of the following ongoing research Gynaecology) at the department: (Surgery) Edition Title/Investigators Wai CHOY (Obstetrics NG Chi & Fai 2009-10 Expression and Functional Study of a Neural Development-regulatory Orphan Faculty of Medicine School of Biomedical Sciences Nuclear Receptor Tailless/TLX in 2008-09 Triple Combination Lentiviral Prostate Cancer Cells (MD09979) Vector-based Hematopoietic Stem Cell CHAN Leung Franky Gene Therapy for Inhibition of Drug-resistant HIV-1 (MD08332) 2009-10 The Role of Axon Growth Inhibitory CHEN Yangchao KUNG Hsiang Molecule Nogo in Patterning Early Axon Fu (Stanley Ho Centre for Emerging Pathways in Mouse Embryos (CU09617) Infectious Diseases) CHAN Sun On Shan (Stanley LEE Shui Ho Centre for Emerging Infectious Diseases) 2008-09 The Contribution and Role of Sacral Neural Crest Cells in Normal and Mutant Mice (CU08618) 2008-09 Generation Chicken CHAN Wood Yee Alan J. Lentiviral of by Influenza-resistant Triple Contribution Vector-mediated Genetic Modification (MD08532) BURNS* SHAM Mai Har* CHEN Yangchao 2009-10 Establishing the Embryonic Source(s) of Microglial Progenitors and Their Routes 2009-10 Regulation of S100P Expression by IL-6 of Entry into the Developing Central in Pancreatic Ductal Adenocarcinoma Nervous System in Live Mouse Embryos (CU09621) (CU09619) CHEN Yangchao CHAN Wood Yee REZAIE KUNG Hsiang Fu (Stanley Ho Centre for Emerging Infectious Diseases) Payam* 2009-10 A Study of Cell Therapy Using an 2009-10 Functional Study of Liver Specific Animal Model of Hirschsprung’s Disease microRNA-122a in (MD09361) Carcinoma (MD09633) CHAN Wood Yee CHEN Yangchao Hepatocellular KUNG Hsiang Fu (Stanley Ho Centre for Emerging 2008-09 Development of HPV Therapeutic Infectious Diseases) Vaccine and Related Immunotherapy for Treating Cervical Cancer (MD08728) CHEN Yangchao 1990-91 Comparative Endocrinology of Prolactin, KUNG Hsiang Growth Hormone, and Their Receptors Fu (Stanley Ho Centre for Emerging (BP88031) Infectious Diseases) CHENG Hon Ki Christopher Wai* LIAO Chao CHUNG Kwok Hung Tony (Obstetrics WONG Xiao-ai* & Gynaecology) Kenneth* NG Tzi Bun WONG Chun Cheung ZHANG 2008-09 Discovery of a Novel Prolactin in Teleost: Functional Studies and Evolutionary Perspective. (CU08624) Faculty of Medicine School of Biomedical Sciences CHENG Hon Ki Christopher 2008-09 Elucidation of the Role of Cathelicidin in Control of Helicobacter IGF-3 in Fish Sex Differentiation and Colonization in the Oocyte Development (BL08357) Protection Against H. Pylori-induced 2008-09 The Molecular Mechanism of the Novel CHENG Hon Ki Christopher the Stomach and Gastritis (MD08665) CHO Chi Hin WANG Deshou* Pylori YU Jun (Medicine & Therapeutics) 2008-09 The RFamide-related Peptide GnIH/GnIH Receptor System in Teleost: 2009-10 A Peptide Targeting the Vasculature of Comparative Genomics and Functional Gastrointestinal Cancer for Diagnosis and Characterization (MD08462) Drug Delivery (MD09964) CHENG Hon Ki Christopher CHO Chi Hin 2009-10 The Identification and Functional 2009-10 Studying the Protective Characterization of Novel Neuropeptides Cathelicidin in the Positive and Negative Control of (MD09853) LH Release in Teleost. (CU09624) CHO Chi Hin CHENG Hon Ki Christopher in Role Ulcerative of Colitis LIN 2009-10 Hepatocyte Growth Factor Promotes Haoran* Retinal Ganglion Cell Survival and 2009-10 Organic-Inorganic Hybrid Nanomaterials Regeneration after Optic Nerve Injury Towards Dual Diagnosis and Therapeutic (CU09633) Purposes (CU09017) CHO Yu Pang Eric CHENG Hon Ki Christopher LEUNG Cham Fai (Chemistry) WANG Yixiang (Imaging 2009-10 An International Associated Laboratory & (LIA) – Laboratory of Molecules from Traditional Medicine (LMTM) A Joint Interventional Radiol) Project between the Centre National de la 2009-10 Morpholino Knockdown of PRL2 in Recherche Scientifique (CNRS), Ecole Zebrafish Leads to Defects in Retina Nationale Suprieure de Chimie de Paris Development: Identification of Specific (ENSCP) and The Chinese University of Cell Hong Kong (CUHK) (MD09588) Types and Signaling Events Involved (MD09587) CHENG Hon Ki Christopher FUNG Kwok Pui Chung (Institute Medicine) 2007-08 Role of Sumoylation on Angiotensin AT2 LEUNG Ping of IP Chinese Margaret (Microbiology) Receptor Trafficking (MD07541) (Chemistry) LAU Bik San Clara CHEUNG Wing Tai (Institute of Chinese Medicine) LEUNG Cham Fai Faculty of Medicine School of Biomedical Sciences WONG Chun Pathology) Kwok (Chemical CHAN Chung Lap 2009-10 Periadventitial Adipose Tissue as a Novel Therapeutic Target for Curtailing Vascular Dysfunction in Diabetes and (Institute of Chinese Medicine) Obesity (MD09672) 2008-09 Pivotal Role of Bone Morphogenic HUANG Yu WONG Wing Tak Protein-4 in Endothelial Dysfunction in Jack# Diabetes (CU08653) Xiaoyu LAU Chi Wai HUANG Yu WONG Siu Ling TIAN VANHOUTTE Paul 2009-10 Lipocalin-2 and Endothelial Dysfunction Michel Georges* in Hypertension (MD09792) 2008-09 Impact of Chronic Tolerable Daily Intake HUANG Yu of Melamine and Related Compounds on Renal and Vascular Function in Pregnant 2009-10 Age-associated Regulation of and Neonatal Rats (MD08598) Self-renewal in Human Neural Stem Cell: HUANG Yu Role of HMGA2 (MD09706) CHEN Zhenyu (School of Life Sciences) WANG JIANG Xiaohua Yixiang (Imaging & Interventional TSANG Kam Sze Kent (Surgery) Radiol) 2008-09 Effects of Hypoxic Preconditioning on 2008-09 Renin Inhibition Prevents Vascular the Expression of Iron Transport Proteins Dysfunction in Hypertension and Clinical in the Brain (MD08477) Implications (MD08301) KE Ya FAN Ming* HUANG Yu WONG Christine* TIAN Xiaoyu (Physiology) LIU 2009-10 The Role of Iron in the Formation and Limei* DONG Deposition of Amyloid -peptide in LAU Chi Wai SHSY-5YCells (MD09794) Jinghui (Philosophy) KE Ya 2009-10 Interaction between Red Blood Cell-derived Fatty Acid Monoepoxides 2008-09 Role of P2Y Receptors in Asthmatic and Nitric Oxide in the Control of Airway Inflammation Arterial Tone in Mice (MD09740) Rhinovirus-induced Cellular Responses HUANG Yu GOLLASCH Maik* in Human Bronchial and Epithelium (CU08662) 2009-10 PPAR Activation Prevents Endothelial Dysfunction in Diabetes: Cellular KO Wing Hung LEUNG Pui Lam Bernard* TAM Michael S C Mechanisms and Clinical Implications (MD09330) HUANG Yu WANG Nanping* 2009-10 Effect of Ameliorating Cordyceps Rhinovirus Militaris – on Induced Cellular Responses in a Cell Model of Faculty of Medicine School of Biomedical Sciences Asthematic Human Bronchial Epithelium LAM Fu Yuen YEUNG Hok Keung John KWAN Yiu Wa (MD09519) KO Wing Hung 2009-10 Pre-clinical Evaluation of Miao Ling, a 2007-08 A Novel Regulation of Insulin Release by TCM Formulation of San Miao San and HMG CoA Reductase Inhibitors (Statins) Lingzhi, in Porcine Isolated Pancreatic Islets Comparative Beta-Cells (CU07678) (MD09824) KWAN Yiu Wa KONG Siu Kai (School of Life Sciences) in Joint Inflammation: Study with A Diclofenac LAM Fu Yuen LEUNG 2008-09 Development and Characterization of George PH* Human 2009-10 Screening Neuroprotective Substances from Chinese Herbal Medicine through Mast Cell Culture System (MD08710) LAU Hang Yung Alaster the Evaluation of Potassium Homeostasis in Apoptosis Using Patch-clamp 2009-10 Roles of Protein Kinase A and Exchange Protein Activated by cAMP in Adenosine (MD09416) KWAN Yiu Wa HUI P.M. Maggie* A2B Receptor Mediated Inhibition of Human Mast Cell Activation (MD09643) LAU Hang Yung Alaster 2009-10 Restoration of Insulin Secretion of Pancreatic Islets of Langerhans Obese/Diabetic (+db/+db) HMG Reductase CoA Mice CHEN Yangchao of by 2007-08 Investigation of Molecular Mechanism of Inhibitor BDNF-TrkB Pathway for Regeneration (MD09482) of Infarted Myocardium in Aged Heart KWAN Yiu Wa KONG Siu Kai (School of Life Sciences) HO Ho Pui (Electronic Engineering) (MD07321) 李嘉豪 LEE Ka Ho Kenneth Dong Qing* 李明 CAI LI Ming (Epithelial Cell Biology Research 2008-09 Role and Mechanisms of Actions of an Centre)# Endovanilloid in Joint Inflammation 2007-08 針對缺血心臟血管改變靶向子的鑒定 (MD08466) 及其效應的研究 Screening of Ischemic LAM Fu Yuen Heart 2009-10 To Investigate the Effects of the Individual and Combined Effects of Specific Peptides and Rheir Application (MD07972) 李嘉豪 LEE Ka Ho Kenneth 李明 CAI Danshen and Gegen in Rate Isolated Dong Qing* Basilar Arteries (BL09669) (Epithelial Cell Biology Research LI Ming Centre)# Faculty of Medicine School of Biomedical Sciences 2009-10 To Establish a Metabolic Study Center in 2009-10 Manipulating BRE, a TNF Modulator, Hong Kong: Focusing on the Expression to Improve the Function of Liver-derived Hormones (MD09975) Human Umbilical Cord Perivascular LEUNG Po Sing LAM SL Karen* (HUCPV) Mesenchymal Progenitor Cells (CU09698) 2008-09 Development of a Screening Platform for LEE Ka Ho Kenneth CHAN John* CHUI Yiu Loon (Chemical the Safe Use of Pyrrolizidine Alkaloid-containing Chinese Medicinal Herbs (MD08879) Pathology) GEUNA Stefano* LIN Ge JIANG Zheng* 2008-09 Pancreatic Research (MD08499) LEUNG Po Sing 2009-10 Pharmacokinetic Study of Alpha-aminoxy Derivatives (MD09511) 2008-09 Potential Synergism of LIN Ge YANG Dan* MA Bin Sitagliptin/Glucagon-Like Peptide-1 in Enhancing the Growth and 2009-10 Risk Assessment of Human Exposure to Differentiation of Human Pancreatic Mercury Stem Cells and Transplantable Islet Diphenyl Ethers (PBDEs) via indoor dust Function and in Regenerative Capacity in Hong Kong (BL09974) (MD08998) LIU Wing Keung Ken LEUNG Po Sing (Hg) and Kwai Chung* Polybrominated CHEUNG WONG Ming Hung* 2009-10 Synergistic Effects of BI 1356, a DDP-IV Inhibitor and Telmisartan, an AT1 2009-10 Steroidogenic Role a on Male Receptor Blocker and BI 38335 and Non-Gonadotropin SGLT-2 Inhibitors on Pancreatic Islet Reproduction (MD09564) Cell Function and Insulin Resistance LIU Wing Keung Ken NG Chi Fai (MD09928) Protein of (Surgery) NG Tzi Bun LEUNG Po Sing 2009-10 Effect 2009-10 A Novel Role for Vitamin D in Type 2 of Human Fragments on Diabetes: Modulatory Actions on the (MD09483) Pancreatic Renin-angiotensin System and NG Tzi Bun Cathelicidin HIV-1 and Enzymes WONG Ho AU Islet Cell Function (CU09707) Wing Ngor Shannon (School of Life LEUNG Po Sing Sciences) Christopher CHENG Hon Ki KWOK Chi Yui Timothy (Medicine & Therapeutics) 2009-10 Antimicrobial Activity of Cathelicidin Peptides and Defensin against Oral Yeast and Bacterial (MD09876) Faculty of Medicine School of Biomedical Sciences NG Tzi Bun WONG Ho HUI Mamie (Microbiology) RUDD John Anthony INGEBRANDT Sven* YEUNG Chi Kong 2009-10 Cloning, Expression and Mechanism of Antifungal Action of Purple Pole Bean Defensin on a Human Pathogen 2007-08 Too Much Causes Too Little: An Investigation of a New Hypothesis on the (MD09891) Teratogenic Mechanism of Retinoic Acid NG Tzi Bun Embryopathy (CU07738) SHUM Sau Wun Alisa 2008-09 To Study the Targeted Brain Areas and WANG Chi Chiu (Obstetrics & Gynaecology) Targeted Genes of Anti-depression Drugs Using Magnetic Resonance Imaging MCCAFFERY Peter* (MRI) and Microbiological Techniques Jamie* WOOLF Adrian S* Davies, (MD08486) RUDD John Anthony AO Lijuan* 2009-10 An Investigation on the Association between Maternal Retinoid Status and the LI Qi* Risk of Birth Defects in Diabetic 2009-10 Anti-Emetic Receptor Potential Antagonist of in a GLP-1 the Ferret (CU09739) Pregnancy (CU09741) SHUM Sau Wun Alisa Andrew J.* RUDD John Anthony Paul L.R.* LIN Ge ANDREWS YEW Tai LEUNG Yun Chung* MCCAFFERY Peter* Chi COPP Chiu WANG (Obstetrics & Gynaecology) Wai David 2009-10 Anti-Emetic Investigation of Compounds 2008-09 Establishment of the Centre for Microbial in a Cisplatin Model of Acute and Genomics and Proteomics (MD08703) Delayed Emesis in the Ferret (MD09462) TSUI Kwok Wing RUDD John Anthony Claudio Pietra* Pui NG Tzi Bun Cheong David Yee 2009-10 To Study the Relationship between Ischaemic Preconditioning Adenosine and Triphosphate-sensitive FUNG Kwok WAN Chi WAYE Mary Miu WONG Kam Bo (School of Life Sciences) SHAW Pang Chui (School of Life Sciences) Joseph Jao Yiu SUNG (Medicine Potassium (KATP) Channels on Cultured Therapeutics) Cardiac Henry (Medicine & Therapeutics) Myocytes Microelectrode (MD09818) Using Array the (MEA) & CHAN Lik Yuen KUNG Hsiang Fu (Stanley Ho Centre for Diseases) Emerging Infectious LEE Shui Shan (Stanley Ho Centre for Emerging Infectious Faculty of Medicine School of Biomedical Sciences Diseases) HE Mingliang (Stanley TSUI Kwok Wing CHAN Hon Fu Ho Centre for Emerging Infectious Raymond (Mathematics) Diseases) Kwok Pui CHAN Chiu Yeung Raphael (Microbiology) CHAN Kay Sheung Paul (Microbiology) HUI Mamie (Microbiology) Yuk Ming Pathology) Rossa Dennis LO (Chemical CHIU Wai Kwun (Chemical Pathology) FUNG WAYE Mary Miu Yee CHAN Ting Fung Philos (School of Life Sciences) WONG Kam Bo (School of Life Sciences) CHU Ka Hou (School of Life Sciences) GUO Dianjing (School of Life Sciences) KWAN Hoi Shan LEUNG Kwong Sak (Computer (School of Life Sciences) Science and Engineering) LEE Kin Sai Ming (School of Life Sciences) Hong TANG (Computer Science and Leung Sang Engineering) MOK Shu Kam Tony (Chemical (Clinical Oncology) Chuen Wai (Paediatrics) Chung Stephen Gynaecology) CHIM Siu (Obstetrics & KWAN Hoi Shan (School of Life Sciences) NGAI Sai Ming (School of Life Sciences) Pathology) Genome Analysis Drug-Susceptible of Multidrug-Resistant Mycobacterium Tuberculosis Family FUNG Kwok WAYE Mary Miu Yee CHAN Chiu Yeung (Microbiology) Sak CHAN Therapeutics) SO Wing Yee (Medicine & Therapeutics) MA CHING Shuk Chi Emily (Physics) NG Chok Ki (Information Technology Services Centre) 2009-10 Metagenomics of Tuberculosis Infection TSUI Kwok Wing POON Strains (MD08673) Pui Ching Wan Ronald (Medicine & and Beijing Nelson Chung Ngor Juliana (Medicine & Therapeutics) 2008-09 Complete NGAI (Computer Engineering) Raphael LEUNG Kwong Science and KWAN Hoi Shan (School of Life Sciences) LAW in Hong Kong (MD09321) TSUI Kwok Wing KAM Kai Man* KWAN Hoi Shan (School of Life Sciences) Wendy# FUNG Yin Wan CHAN Chiu Yeung Raphael (Microbiology) HWANG David Muren* Tik Wan Patrick (School of Life Sciences) LOU Shaoke (School of Life Sciences) LEUNG Ka Kit 2009-10 Elucidating Functional Significance of Hepatitis B Virus Subgenotype Genomic Markers (MD09522) KAM Kai Man* TSUI Kwok Wing 2008-09 Hong Kong (BL08991) Bioinformatics Cs Centre Yuen Henry CHAN Lik (Medicine & Therapeutics) Faculty of Medicine School of Biomedical Sciences 2009-10 IEEE International Conference on Bioinformatics and Biomedicine 2010 WAYE Mary Miu Yee HO Shuk Han Connie* BISHOP, Dorothy* (BL09401) TSUI Kwok Wing 2008-09 Association of Human Adenovirus-36 (Ad-36) with Diabetes, Adiposity and 2009-10 Role of Insulin Receptor Signaling and Dyslipidemia in Hong Kong Chinese Oxygen Sensing Pathway in Impaired (MD08468) Diabetic Fracture Healing (MD09738) WAYE Mary Miu Yee WAN Chao HUANG Yu CHAN Chung Ngor Juliana (Medicine & Therapeutics) TSANG Wing Pui TONG Peter Chun Yip (Medicine & Therapeutics) 2008-09 The Roles of Y37 and K79 in MA Ching Wan Ronald (Medicine & Chromophore Formation of the Orange Therapeutics) Fluorescent Paul (Microbiology) Protein Cloned from CHAN Kay Sheung Cerianthus sp. (CU08748) WAN Chi Cheong David WONG 2009-10 Do Dorsal Root Ganglion Neurons Regulate Kam Bo (School of Life Sciences) Associated 2008-09 Search for Natural and Synthetic Drugs That Block HIV-1 Integrase Functional Activity Satellite Glial of Cells (MD09521) WISE Helen Translocation into Nucleus: A New Strategy of Anti-AIDS Drug Discovery 2007-08 Interaction of TRPC Channels with Large Conductance Ca2+-Sensitive Potassium (MD08893) WAN Chi Cheong David TSIM Channels in Vascular Smooth Muscle Karl W K* CHEN Jijun* CHAN Cells (CU07773) Howing Joseph* YAO Xiaoqiang WAYE Mary Miu NG Tsz Bun (Electronic Engineering) Yee 2009-10 DHS 的 研 究 方 案 和 成 本 分 析 2008-09 Functional Role of ROS-sensitive TRP Optimization and Cost Analysis on the Channels in Vascular Cells (CU08774) Synthesis of DHS (MD09684) YAO Xiaoqiang 溫志昌 WAN Chi Cheong David CHAN Leung Franky 林煌權 LIN Huangquan (Institute of 2009-10 Functional Chinese Medicine) Role of Endothelial TRPV4-TRPC1 Complex in Vascular 2007-08 Genetic and Environmental Influences on Chinese Language and Literacy Tone Control (CU09791) YAO Xiaoqiang Development (BL07941) Faculty of Medicine School of Biomedical Sciences 2009-10 Novel Stimulation of TRPC6 Channels by Cyclic AMP-initiated Signaling 2008-09 Effect of Intermittent Hypoxia on Hippocampal Long-term Plasticity and Pathway (MD09987) Spatial Learning: YAO Xiaoqiang Brain-derived The Role Neurotrophic of Factor (CU08783) 2006-07 人鼠腦衰老同源靶點基因的確立及相 關基因藥物治療研究 Anti-aging Drug Screening, Using YUNG Wing Ho KE Ya LI Man Chim Albert Martin (Paediatrics) Aging-related Homologous Genes between Human and SAM Mice (BL05458) 2009-10 BDNF-induced Ionic Plasticity of GABA Signaling 姚 大 衛 YEW Tai Wai David FENG Zhong Tang* Mechanistic 路 鋼 LU (MD09803) in the and Cerebellum: Functional YUNG Wing Ho Gang (Surgery) A Study CHAN Ying Shing* KE Ya WANG Jian Jun* 2007-08 Study on the Preventive and ZHU Jing Ning* Neuroprotective Effect of Pien Tze Huang on Ischemic Stroke (MD07595) YEW Tai Wai David Kenneth 2009-10 Mechanisms LEE Ka Ho KWONG Wing Hang WAI Sen Mun MAK Ying Tat# of Ketamine Abuse and Function in Regulating Neural Crest Formation and in Modulating FGF Signal Transduction (CU09807) ZHAO Hui 2008-09 Long-term Lrig3 CHAN Wood Yee DAWID Igor* Apoptosis in Cynomologus Monkeys and Mice (MD08705) YEW Tai Wai David 2009-10 Functional Studies of Dhrs3 in Early Embryonic Development (BL09808) ZHAO Hui 2009-10 Mushroom X (MD09435) YEW Tai Wai David Faculty of Medicine Department of Chemical Pathology liver pathologies. In this project, we aim to apply our RESEARCH PROJECTS experience to develop lung-derived RNA transcripts in human plasma as indicators of lung damage for An Investigation into the Presence of baseline investigation of patients suspected of Lung-derived mRNA Transcripts in Human diseases of the lower respiratory track. Plasma Our proposed approach is different from the strategies currently taken by other researchers for CHIU Wai Kwun Rossa HUI Shu Cheong David (Medicine & Therapeutics) WONG Chi Fong* 1 November 2010 Research Grants Council - General Research Fund Respiratory diseases, particularly pneumonia, chronic developing blood biomarkers for the respiratory system. We have already generated preliminary data to show that a lung-expressed RNA transcript is detectable in human plasma. The research objectives include: 1. To confirm the lung origin of the identified plasma RNA transcript; 2. To assess if quantitative aberrations of the obstructive pulmonary disease, tuberculosis and lung lung-expressed plasma RNA transcript are cancer, are four of the top ten causes of death associated with pathologies of the lower worldwide. In Hong Kong, according to statistics in respiratory tract; and 2007, respiratory conditions accounted for 7% of all 3. To evaluate the utility of the detection and hospitalisations and were the third and fifth leading quantification of the lung-expressed plasma causes of death. The respiratory system is also the RNA transcript for the clinical assessment of major site whose function is compromised due to diseases of the lower respiratory tract. infections by the newly emerged pathogens such as The successful achievement of the research goals the severe acute respiratory syndrome coronavirus may result in the availability of blood tests that allow and H1N1 influenza which Hong Kong and many the generic assessment of lung function and communities in the world had or has been combating. pathologies Despite the clinical significance of respiratory prognostication of respiratory diseases. diseases, thus far, there has been a paucity of blood (CU10634) for the diagnosis, monitoring or biomarkers generic to the respiratory system that would allow an objective assessment of disease BRE Mediates Antiapoptosis by Sustaining XIAP burden. Level Our group has a long-standing track record in plasma nucleic acids research. We have successfully CHUI Yiu Loon developed organ or disease-specific plasma DNA and 30 June 2011 RNA markers that are derived from the placenta of a CUHK Research Committee Funding (Direct fetus, various tumours, transplanted organs and liver Grants) for the non-invasive assessment and management of pregnancy, malignancy, organ transplantation and BRE is a multi-functional protein involved in DNA repair, specific cleavage of Lys-63-linked ubiquitin, Faculty of Medicine Department of Chemical Pathology and antiapoptosis. This protein can associate with Non-invasive Prenatal Diagnostics death receptors, TNFR-1 and Fas, and attenuate extrinsic apoptosis, which is triggered by activation LO Yuk Ming Dennis CHIU Wai Kwun Rossa of these and other death receptors. Moreover, 3 May 2011 overexpression of BRE in cell lines can also confer Sequenom, Inc. resistance to intrinsic apoptosis triggered by internal stress signals, such as DNA damage, or inordinate Prenatal diagnosis is an important part of obstetrics oncogene the care. In the current prenatal programmes, definitive mitochondrial apoptotic pathway as target of diagnosis of fetal genetic or chromosomal conditions inhibition by BRE. Mitochondrial pathway mediates is conducted through fetal sampling by amniocentesis intrinsic apoptosis, but also serves an amplification or chorionic villus sampling. To obviate the risks of role in extrinsic apoptosis by promoting caspase fetal miscarriage that are associated with the invasive activation initiated by the death receptor pathway. sampling procedures, we shall be developing This explains the antiapoptotic activity of BRE in non-invasive prenatal diagnostic tests based on both types of apoptosis. In vivo antiapotiotic and cell-free fetal nucleic acid analysis from maternal pro-oncogenic plasma. activation. demonstrated We functions by have of attenuation identified BRE of have Fas been agonist (MD10768) antibody-induced acute fulminant hepatitis, and accelerated growth of diethylnitrosamine-induced Genetic Studies of Tuberculosis: Association hepatocarcinoma, in transgenic mice over-expressing Study of Shortlisted Candidate Genes human BRE in the liver. In human hepatocellular carcinoma, BRE is frequently up-regulated. To study TANG Leung Sang Nelson how BRE inhibits the mitochondrial apoptotic Yeung Raphael (Microbiology) pathway, we have recently generated shRNA-mediated BRE-knockdown stable cell lines, which show dramatic reduction of XIAP protein level. XIAP is the most potent antiapoptotic member of the CHAN Chiu 30 June 2011 CUHK Research Committee Funding (Direct Grants) inhibitor of apoptosis (IAP) family. Based on that Susceptibility to tuberculosis varies between different finding, we hypothesize that BRE exerts its people. Genetic predisposition plays an important antiapoptotic function by sustaining cellular XIAP role in the clinical course after exposure to the level. We propose to consolidate the hypothesis and pathogen, Mycobacterium tuberculosis. Our recent investigate the mechanistic link between BRE and study demonstrated the ability of genetic association XIAP. This study will lead to the clarification of the study in dissecting the genetic loci responsible for role of BRE in regulating cellular survival and disease susceptibility and identified CISH gene as tumorigenesis. susceptibility locus for infections including TB (Khor (MD10981) et al. 2010). Besides, the recently published Genome-wide association study (GWAS) of tuberculosis carried out in the African population represented a milestone in genetic study of Faculty of Medicine Department of Chemical Pathology predisposition to TB which identified a novel gene corresponding gene expression level in the placenta. desert locus in chromosome 18 (rs4331426) that were Hence, the detectability of fetal RNA in maternal associated with predisposition to TB in multiple plasma is largely dependent on the gene expression African samples. We propose to extend those level in the placenta. Biologically, this observation is findings into a study with a large cohort of local concordant with the widely accepted belief that the Chinese TB patients. In addition, other potential loci placenta would non-selectively shed its own mRNA reported by the African TB GWAS study will also be molecules into the maternal circulation, possibly examined. Our pilot study suggested that this SNP through apoptosis. However, we have recently was also associated with TB in Chinese. identified evidence suggesting that for certain (MD10511) transcripts, the plasma placental mRNA level might be governed by additional factors. Thus, in this An Investigation into Biological Factors that project, we aim to explore some of these factors. Influence the Detectability of Circulating Fetal We will first confirm the existence of the regulatory RNA in Maternal Plasma factors by performing a thorough quantitative comparison of the placental-derived mRNA between TSUI Bo Yin Nancy LEUNG Tak Yeung (Obstetrics & Gynaecology) WONG Sze the placenta and maternal plasma. A panel of transcripts with different placental expression levels will be studied. They will be measured by a digital Chuen Cesar (Clinical Oncology) molecular counting method to ensure a reliable 1 January 2011 comparison. We will next explore the biological Research Grants Council - General Research factors which may potentially influence the level of Fund circulating placental mRNA in maternal plasma. In Circulating fetal nucleic acids in the plasma of particular, we will study the cell-specific gene pregnant women have been intensively studied in expression of the selected mRNA species in different recent years. The maternal plasma fetal RNA placental cell types, and explore the data for evidence molecules are of special interest because they offer that may suggest the different mRNA releasing certain advantages over detection of circulating fetal mechanisms in these cells. In addition, we will DNA. For example, they could be utilised in all compare if the placental transcripts would show pregnant cases regardless of fetal gender and differential clearance kinetics from maternal plasma polymorphism. Currently, most of the research on after delivery. circulating fetal RNA has been focused on the This diagnostic applications. There are, however, limited understanding investigations on the biological and physiological clearance of circulating placental-derived mRNA in issues regarding circulating fetal RNA. maternal plasma. Apart from the intrinsic biological Previously, we have demonstrated that the placenta is value of this information, future workers can also use an important source of circulating fetal RNA in this information for the more efficient development maternal plasma. We have further shown that the of plasma mRNA markers for molecular diagnostics. level of the placental-derived fetal RNA in maternal (CU10757) plasma was positively correlated with project would of the potentially production, enhance our release and the Faculty of Medicine Department of Chemical Pathology NOD-like Receptor-mediated Basophils: A Novel Link of iE-DAP and MDP mediated activation of crucial Innate intracellular signaling molecules mitogen activated Activation Between Immunity and Allergic Inflammation protein kinases and transcription factor nuclear factor-B with the apoptosis, expression of cytokines, WONG Chun Kwok chemokines and adhesion molecules, and basophil 30 June 2011 adhesion and degranulation. This project can CUHK Research Committee Funding (Direct elucidate the immunopathological mechanisms by which bacterial infection-mediated innate immunity Grants) for allergic inflammation. Intracellular nucleotide binding oligomerization (MD10926) domain (NOD) like receptors (NLR) family including NOD1 and NOD2 are key mediators in inflammatory Capture the Transcriptome Dynamics from and innate immune responses by recognizing Epiblast Stem Cells to Primordial Germ Cells by intracellular microbes. NLR family member NOD1 RNA-seq sense the cytosolic peptidoglycan fragments in all Gram-negative and certain Gram-positive bacteria, YUAN Ping SUN Hao while NOD2 sense the muramyl dipeptide in almost 30 June 2011 all bacteria. Our previous studies demonstrate a putative role of toll-like receptors (TLR), a kind of CUHK Research Committee Funding (Direct Grants) pattern recognition receptors, in the activation of eosinophils, and the essential role of the interaction Because of environment pollution and population of basophils and bronchial epithelial cells in the ageing allergic inflammation. The primary objective of this nowadays. There are more than 90 million couples research proposal is to elucidate intracellular signal suffering from infertility globally. To help these transduction mechanisms mediating the activation of people to seek for solutions, we need to do thorough primary human peripheral blood basophils by ligands research on germ cell development. Formation of for NLR member NOD1 and NOD2, namely primordial germ cells (PGCs), the founder germ cells, -D-glutamyl-meso-diaminopimelic acid (iE-DAP) is the fundamental step of germ cell development. and N-acetylmuramyl-L-alanyl-D-isoglutamine Due to the limitation of the PGC numbers and the (muramyl dipeptide/MDP), respectively. The project difficulties to access PGCs, only small amount of will study the followings on basophils. (1) Effects of genes have been found to play roles during PGC iE-DAP and MDP on (i) the apoptosis; (ii) production specification. of inflammatory cytokines IL-1β and IL-6, and pluripotent epiblast stem cells (EpiSCs) derived from chemokines CXCL8, CCL2, CCL17 and CCL22 the E5.5 to 6.5 embryos can give rise to functional from basophils; (iii) cell surface expression of PGCs under proper induction medium. Thus it intercellular adhesion molecule-1 on basophils; (iv) provides a perfect system to study the PGC adhesion of basophils onto primary human bronichial specification in vitro. Thanks to the fast development epithelial cells; and (v) basophil degranulation for the of the next-generation sequencing technology, we are release of histamine; and (2) Relationship between able to do massively parallel sequencing on the problems, infertility Latest becomes research common revealed that Faculty of Medicine Department of Chemical Pathology global transcripts with lower cost but higher Analysis of Maternal Plasma DNA efficiency today. Thus, we propose to sequence the (CU09631) transcriptome of EpiSCs and EpiSc differentiated CHIU Wai Kwun Rossa LAU Tze PGCs with RNA-seq techinique to gain an insight Kin (Obstetrics & Gynaecology) into the overall transcript dynamic changes during LIAO Can* LO Yuk Ming Dennis EpiSC to PGC specification. This research will not only deepen our understanding on germ cell 2009-10 Plasma Circulating Albumin mRNA as development, It will also serve to identify novel Non-invasive Marker for Detecting the factors that involve in driving PGC differentiation in Early Development of Liver Diseases vitro, which may provide guidance to bring the idea (MD09498) of in-vitro human germ cell derivation closer to CHIU Wai Kwun Rossa reality. CHAN Wing Yan, Rebecca (BL10628) 2008-09 The Anti-apoptotic Protein BRE - Its Please refer to previous issues of this publication Functional and Molecular Roles in for more details of the following ongoing research Human at the department: (CU08637) Hepatocellular CHUI Yiu Loon Edition Kenneth Title/Investigators Sciences) 2008-09 Investigation on the Long- and Short-term Variations of Circulating (School Carcinoma LEE Ka Ho of Biomedical NGAI Sai Ming (School of Life Sciences) TO Ka Fai (Anatomical & Cellular Pathology) Epstein-Barr Virus (EBV) DNA in 2006-07 Centre for Research into Circulating Healthy Subjects (MD07539) CHAN Kwan Chee Wan, Emily# Dennis Cheung HUNG Chi LO Yuk Ming CHAN Anthony Tak (Clinical LEUNG Sing HASSELT Oncology) Fai* Charles Fetal Nucleic Acids (MD06771) LO Yuk Ming Dennis Kwun Rossa CHIU Wai LAU Tze Kin (Obstetrics & Gynaecology) VAN Andrew 2007-08 Centre for Research into Circulating (Otorhinolaryngology, Head & Neck Fetal Nucleic Acids (MD07758) Surgery) LO Yuk Ming Dennis WOO Kong Sang John* CHAN Kay Sheung Paul Kwun Rossa CHIU Wai LAU Tze Kin (Obstetrics & Gynaecology) CHIM (Microbiology) Siu Chung Stephen (Obstetrics & 2009-10 Non-invasive Prenatal Beta-thalassaemia by Diagnosis Digital of PCR Gynaecology) LEUNG Tse Ngong* Yin* POON Leo Lit Man* CHEUNG Annie Nga Faculty of Medicine Department of Chemical Pathology TANG Mary Hoi Yin* LAU Elizabeth Tak Kwong* Prenatal Diagnosis YU Wei Chuan* LAI Bo San Paul (Surgery) 2007-08 High Throughput Genomic Sequencing in and Cancer Detection (MD07458) 2008-09 Bioresource and Molecular Research of Common Disease – A Plan to Establish a Joint Laboratory between the Kunming LO Yuk Ming Dennis CHIU Wai Institute of Zoology, Chinese Academy of Sciences and Faculty of Medicine, Kwun Rossa CUHK (MD07743) 2009-10 Development of Non-Invasive Prenatal TANG Leung Sang Nelson TAM Diagnosis for Trisomy 18 and 13 Using Michael S C (School of Biomedical Massively Parallel Genomic Sequencing Sciences) (MD09460) (School of Biomedical Sciences) LO Yuk Ming Dennis Kwun Rossa CHIU Wai LAU Tze Kin (Obstetrics & Gynaecology) SUN Hao KO Wing YUNG Hung Wing (School Biomedical Sciences) YT* ZHANG Ya-Ping* Qing-peng* Ho XU Lin* of ZHENG KONG HUANG Jing-fei* 2008-09 Melamine’s Effect on Testosterone Synthesis in Leydig Cells (MLTC-1) and 2009-10 A Novel Approach for the Non-invasive Its Conversion to Cyanuric Acid in Colon Prenatal (T84) Disorders (MD09779) and Kidney (COS-7) Cells of Sex-linked TSUI Bo Yin Nancy LO Yuk Ming (MD08570) PANESAR Nirmal Singh CHAN Kam Wing HO Chung Shun* 2009-10 Systematic Mediated Diagnosis Identification Regulatory of Dennis CHIU Wai Kwun Rossa Rezon A KADIR* YY1 2009-10 Characterisation of Circulating Fetal by DNA in Maternal Urine by Massively Networks Chromatin Immunoprecipitation (ChIP) Parallel Sequencing (MD09351) Couple to Massively Parallel DNA TSUI Bo Yin Nancy LO Yuk Ming Sequencing (ChIP-seq) (MD09302) Dennis SUN LEUNG Tak Yeung (Obstetrics & Hao WANG Huating Identify Association Susceptibility Study Genes Leung Sang Douglas F Easton* Nelson to 2008-09 Interaction between Eosinophils and for Keratinocytes Upon IL-31 Activation: Its Immunopathological Roles in Atopic Hepatocellular Carcinoma (MD07607) TANG CHIU Wai Kwun Rossa Gynaecology) (Obstetrics & Gynaecology) 2007-08 Genome-wide Dermatitis (CU08757) TSAI S Peter* Faculty of Medicine Department of Chemical Pathology WONG Chun Kwok LAM Wai Kei Christopher Biomedical Sciences) Chau-ming* LAU FOK Tai Fai (Paediatrics) 2008-09 Development of Laboratory Diagnostic Tools for Supporting Clinical and Animal Researches on Melamine and Its Analogue Intoxication (MD08882) WONG Tai-lun* Chun Kwok Chung Shun (Paediatrics) (Obstetrics FUNG & Kwok Granulocyte Macrophage Colony-stimulating TING CHAN Ho Ming KWOK Sung Shing Jeffrey 2009-10 Regulatory Role of microRNA-21 for HO Survival in Eosinophils: Implication in Allergic Inflammation (MD09839) WONG Chun Kwok NG Pak Cheung Mang SUEN Sik Hung Pathology) Gynaecology) Pui (School Factor-mediated (Anatomical & LAU Kin Cellular of Faculty of Medicine Department of Clinical Oncology TIGAR dysregulation/overexpression via a yet-to-be RESEARCH PROJECTS defined mechanism, hijack/utilize this anti-apoptotic pathway for their survival and metabolic benefits. Oncogenic Regulation of TIGAR by STAT3: A Our most recent data demonstrated that STAT3, an Mechanistic Study important oncogene and transcription factor known to be involved in NPC carcinogenesis, is an upstream LUI Wai Yan regulator of TIGAR expression in NPC. We WONG Sze Chuen hypothesize that STAT3 activation drives TIGAR CHAN Anthony Tak Cheung Vivian TSAO Sai Wah* Cesar upregulation/overexpression in NPC cells, thus hijacking/utilizing TIGAR for their growth and 1 July 2010 Research Grants Council - General Research Fund survival benefits. Here, we propose a working model for TIGAR upregulation by STAT3 in NPC. We aim at elucidating the regulatory mechanism of TIGAR Tumor cells are known to exploit/alter cellular by STAT3. We will also examine the biological metabolism in favour of their survival. Emerging relevance and functional contribution of this novel evidences indicate that “altered cancer metabolism” STAT3-TIGAR signaling axis in NPC carcinogenesis. plays This a key role in oncogenesis, including is the first study demonstrating an anti-apoptosis (an important intrinsic characteristic of oncogene-mediated regulation of TIGAR expression cancer). Nasopharyngeal carcinoma (NPC) is a in cancer, which could be a crucial driving highly invasive head and neck cancer prevalent in mechanism for TIGAR overexpression/dysregulation Southeast Asia. Anti-apoptosis, which leads to in cancer (as STAT3 is frequently activated in uncontrolled tumor cell growth and survival, is a various human cancers). Our study will define new prominent characteristic of NPC; however the roles for TIGAR and STAT3 in oncogenesis. underlying molecular mechanism is not fully (CU10718) understood. TIGAR (TP53-induced glycolysis and apoptosis regulator) is a novel dual regulator of Phase 2 Study of Axitinib in Patients with apoptosis and cellular metabolism. Being first Recurrent identified to be inducible by the major tumor Carcinoma or Metastatic Nasopharyngeal suppressor, p53, TIGAR was suggested to be tumor suppressive. However, recent evidences indicate that CHAN Anthony Tak Cheung HUI Pun* MA TIGAR expression may be dysregulated in cancer Buig Yue Brigette (with Sing Fai* demonstrated overexpression in cancers, KAM Michael* CHAN Lam Stephen LEUNG LOONG including NPC), thus conferring anti-apoptotic Herbert* property to cancer cells via metabolic alteration to Interventional Radiol) satisfy the heightened metabolic demands of rapid (Imaging & Interventional Radiol) WONG Sze cancer proliferation, flipping the putative function of Chuen Cesar LUI Wai Yan Vivian TIGAR from tumor-suppressive to potentially oncogenic. It is believed that cancer cells, by causing KING Ann Dorothy (Imaging & AHUJA Anil Tejbhan 1 July 2010 Pfizer Corporation Hong Kong Limited Faculty of Medicine Department of Clinical Oncology This study is to evaluate the efficacy (clinical benefit Patients rate) of single-agent axitinib in patients with Following First-line Therapy with Sorafenib with Hepatocellular Carcinoma recurrent or metastatic nasopharyngeal carcinoma, CHAN Lam Stephen and its impact on disease progression. (MD10992) YEO Winnie HUI Edwin* CHAN Vicky* LEUNG Li* 3 January 2011 A Phase II Study Chemoembolization Treatment of of and Transarterial Axitinib Unresectable for Imclone Systems Corporation the Hepatocellular This is a phase III study to evaluate the effects fo Ramucirumab with best supportive case on HCC Carcinoma patients CHAN Lam Stephen Shu Kam Tony P* LI Leung* YEO Winnie CHAN Vicky* HUI Joyce* MOK HUI Edwin following disease progression after administering first line Sorafenib therapy. (MD10667) YU Chun Ho (Imaging & Interventional Radiol) WONG Sze A Chuen Cesar CHAU Double-blind, Placebo Controlled, Trial of AMG CHAN C S 479 or Placebo in Combination with Gemcitabine Tai Nin* Vincent K.S. Leung* LOKE K L Tony* James* LO Shing Shun* as Phase 3, First-line Multicenter, Therapy Randomized, for Metastatic Adenocarcinoma of the Pancreas 20 September 2010 Pfizer Corporation Hong Kong Limited CHAN Lam Stephen Patients undergoing transarterial chemoembolization Leung* (TACE) for unresectable hepatocellular carcinoma Park* (HCC) are prone to recurrence due to angiogenic process. Axitinib is an oral targeted therapy againt vascular endothelial growth factor LEE Kristy* LOONG Herbert* LIU Nick* LI WONG 1 April 2011 Amgen (Asia) Ltd receptors (VEGFR). In this phase II clinical trial, we aim to This Phase III Pancreatic cancer study is to determine evaluate the efficacy and toxicity of the combination the treatment of AMG at 12mg/kg and 20mg/kg in of axitinib and TACE in the treatment of unresectable combination with gemcitabine improves overall HCC. survival as compared with placebo in combination Patients will undergo the treatment combination till progressive disease or intolerable with toxicities. The primary endpoint is 2-year survival adenocarcinoma of the Pancreas. rate. (MD10935) gemcitabine in subjects with metastatic (MD10524) The Use of Circulating Methylated RASSF1A in A Multicenter, Randomized, Double-blind, Phase Prognostication and Monitoring of Treatment 3 Study of Ramucirumab (IMC-1121B) Drug Response Product and Best Supportive Care (BSC) versus Carcinoma for Inoperable Hepatocellular Placebo and BSC as Second-line Treatment in Faculty of Medicine Department of Clinical Oncology CHAN Lam Stephen CHAN Kwan Chee (Chemical Pathology) A Multicenter, Global, Randomized, Double-blind Study of Axitinib plus Best Supportive Care in Patients 1 June 2011 with Advanced Hepatocellular Carcinoma Following Failure of One Prior CUHK Research Committee Funding (Direct Antiangiogenic Therapy Grants) Background: Methylation of RASSF1A is a frequent CHAN Lam Stephen LI Leung* LOONG molecular event along hepatocarcinogenesis. Our Herbert* HUI Edwin P* YEO Winnie LEE group previously developed a sensitive and specific Kristy* assay in the quantitation of circulating methylated(m) 13 June 2011 RASSF1A in serum of patients with hepatocellular carcinoma (HCC). From out pilot data, Pfizer Corporation Hong Kong Limited we demonstrated that methylated RASSF1A is an This is a multicenter, double blind, randomized study independent prognostic factor, and a dropping trend in Hepatocellular Carcinoma with the aim to compare of >50% of the value after treatment is associated the overall survival of patients with advanced with tumor necrosis and better survival. Hepatocellular Carcinoma receiving axitinib + best Aim: In current study, we aim to evaluate the clinical supportive care (BSC) versus placebo – beast use of circulating mRASSF1A in prognostication and supportive care following failure of one prior monitoring of treatment response during trans-arterial antiangiogenic therapy to compare progression free therapy of HCC. survival and time progression in both arms. Methods: The serum samples archived during a phase (MD10368) III clinical trial on trans-arterial therapy was used. The mRASSF1A levels in serum at baseline, 8 weeks st A Phase 3, Randomized, Double-blind Trial of and 12 weeks post 1 treatment were measured. The Pegylated Liposomal Doxorubicin (PLD) plus assay makes use of methylation-sensitive restriction AMG 386 or Placebo in Women with Recurrent enzyme to specifically digest unmethylated DNA, Partially Platinum Sensitive followed by real-time PCR assay to quantitate the Epithelial Ovarian, Primary remaining mRASSF1A (Chan AK et al. Clin. Chem. Fallopian Tube Cancer or Resistant Peritoneal, or 08;54:1528-36). The prognostic significance of baseline level was evaluated by univariate and multivariate analyses. The clinical significance of the trend of circulating mRASSFIA level will also be determined. Impact: The results of study could develop and HO Wing Ming POON Annette* CHAN Tung Ching* YEO Winnie 1 April 2011 Amgen (Asia) Ltd validate a new market for monitoring of treatment This Phase 3 study is to determine if AMG 386 plus response in HCC. Pegylated (MD10821) measured by progression-free survival (PFS), defined Liposomal Doxorubicin (PLD) as as the time from randomization to the earliest of the dates of first radiologic disease progression per Faculty of Medicine Department of Clinical Oncology RECIST 1.1 with modifications of death from and (MD10642) cause in subjects with recurrent partially platinum sensitive or resistant epithelial ovarian, primary Prospective Evaluation of Plasma EBV DNA peritoneal or fallopian tube cancer. Half-life and PET-CT Scanning as a New Tool in (MD10705) Assessing Early Response to Chemotherapy in Patients Uncontrolled, Open-label, Non-randomized, Phase with Advanced Nasopharyngeal Carcinoma 1 Study to Investigate the Pharmacokinetics, Safety, Tolerability, and Efficacy of BAY 73-4506 MA Buig Yue Brigette CHAN Anthony Tak in Chinese Patients with Advanced, Refractory Cheung Solid Tumors (Imaging & Interventional Radiol) HUI Pun KING Ann Dorothy LEUNG Sing Fai WONG Sze Chuen Cesar MA Buig Yue Brigette LOONG Herbert* CHAN Lam Stephen CHAN Vicky* LAM Kwok Chi* 1 January 2011 Research Grants Council - General Research Fund 5 July 2010 Nasopharyngeal carcinoma (NPC) is the 7th most Bayer HealthCare Limited common cancer in Hong Kong where over 50% of This Phase 1 study is to define the pharmacokinetics patients present with advanced disease requiring and to evaluate the safety and tolerability of BAY cytotoxic chemotherapy. 73-4506 in Chinese patients with advanced solid Despite the fact that the high ‘response rate’ (tumor tumors. shrinkage) of NPC to chemotherapy, the overall (MD10910) survival of patients with advanced disease remains poor because the benefit of chemotherapy is not in durable for most patients. The current method of Cisplatin-resistant Cell Lines and Xenograft assessing the efficacy of new drugs for NPC is based Model of Nasopharyngeal Carcinoma mainly on the Response Evaluation Criteria in Solid Preclinical Activity of BEZ235 Tumors (‘RECIST’) criteria in measures tumor size MA Buig Yue Brigette LUI Wai Yan Vivian uni-dimensional 19 August 2010 radiological imaging, usually following over 3-4 Novartis Pharmaceuticals Corporation changes which via months of empirical therapy. This method is fraught with limitations in NPC because: (a) it is relatively This study is: time-consuming since several months of empirical 1. To investigate the effect of BEZ235 in therapy are often needed for detectable changes in cisplatin-resistant NPC cell lines; and tumor dimensions to develop; (b) it does not To investigate the effect of BEZ235 daily accurately reflect drug response in bony metastases versus weekly schedule on tumor growth and and some locally recurrent tumors; (c) it has not been activation level of MAPK, S6K and AKT in directly correlated with patient survival – the key NPC models in vivo. endpoint in cancer drug trials; and (d) it is inadequate 2. Faculty of Medicine Department of Clinical Oncology in assessing target-based drugs that slows/ stop tumor Currently the East Asian patients with advanced solid growth but do not shrink tumors. Thus, there is a tumors that have no established standard treatment. need to identify a more efficient and accurate way of This study is a Phase I dose finding study with the identifying new drugs that can improve survival in objective to determine the maximum tolerated dose clinical trials of NPC. Plasma levels of Epstein Barr of LDE225. virus DNA (pEBV DNA) reflects tumor burden in (MD10991) NPC, and a single measurement taken at either before or after radiotherapy (RT) is a powerful prognostic Phase 2, Multicenter, Randomized Study of Two marker. It has a half-life of around 4 days following Different Dose Regimens of Eribulin Mesylate in radiotherapy, but the utility of pEBV DNA half-life Combination in predicting drug response in NPC is unclear. Dual Patients with Previously Treated, Advanced 18-fluorodeoxyglucose Non-small Cell Lung Cancer positron emission with Intermittent Erlotinb in tomography and CT scan (PET-CT) measures both tumor size and metabolic activity. We therefore MOK Shu Kam Tony hypothesize that the combination of pEBV DNA (half-life) and PET-CT following 1 course of chemotherapy allow earlier and more detection of LAM Kwok Chi* LEUNG Linda* 1 September 2010 Eisai Limited drug response in advanced NPC than RECIST method, in patients with previously untreated This is a phase II lung cancer study with the primary advanced NPC who will receive platinum-based objective of determining objective response rate of chemotherapy. This study will also determine if this eribulin combined with intermittent erlotinib as new method can predict survival in these patients. second or later line therapy for advanced non small This study may have far-reaching impact on drug cell lung cancer using two different dose regimens. development in NPC as it may offer a more optimal (MD10356) way of evaluating drug efficacy in clinical trials and also in clinical management. A (CU10719) Combination with Gefitinib in Asian Subjects with Phase IB/2 Study of SCH 900105 in Non-small Cell Lung Cancer An East Asian Phase I, Multicenter, Open-label, Dose-escalation Study of Oral LDE225 in Patients with Advanced Solid Tumors MOK Shu Kam Tony LAM Kwok Chi* LEUNG Linda* 1 December 2010 MA Buig Yue Brigette CHAN Vicky* LOONG Herbert* CHAN Lam Stephen Annette* HUI Edwin* 1 February 2011 Novartis Pharmaceuticals (HK) Ltd Aveo Pharmaceuticals, Inc POON This study is a Phase 1B/II study which aims at comparing the objective response rate in Asian lung adenocarcinoma patients previously untreated administering a combination of Gefitinib and SCH900105 or Gefitinib alone. Faculty of Medicine Department of Clinical Oncology (MD10893) Clinical Scoring System to Predict Hepatocelular Carcinoma in Chronic Hepatitis B Carriers Randomized Controlled Trial of S-1 versus Docetaxel in Patients with Non-small Cell Lung MOK Shu Kam Tony Cancer Who Have Received a Platinum-based 30 June 2011 Treatment CUHK Research Committee Funding (Direct Grants) MOK Shu Kam Tony LEUNG Linda* LAM This project will continue using clinical scoring Kwok Chi* system 1 April 2011 to predict HCC development and a prospective validation is planned. Taiho Pharmaceutical Co Ltd (MD10459) This randomized controlled study is to evaluate the overall survival of S-1 in compared to standard Characterizing the NPC Epigenome and Further docetaxel treatment in non small cell lung cancer Analysis of a Novel Epigenetic Master Gene in patients who have previously received platinum Nuclear Signaling based treatment. (MD10555) TAO Qian GUAN Xin Yuan* 1 January 2011 An Open-label Multi-center Study of Erlotinib (Tarceva®) as First Line Therapy in NSCLC Research Grants Council - General Research Fund Patients Who Harbor EGFR Mutations Aberrant epigenetic silencing of various cancer genes MOK Shu Kam Tony LAM Kwok Chi* LEUNG Linda* 2 May 2011 Roche Hong Kong Limited including signaling tumor suppressor genes (TSG) by promoter CpG methylation disrupts normal cell signaling, playing a central and critical role in multiple carcinogenesis. Characterizing the epigenome of a tumor, such as the CpG methylation This is a single arm study with the aim to assess the profile of the whole cancer genome, is important for efficacy measured by progression free survival (PFS) the understanding of its molecular pathogenesis and by RECIST 1.1 of erlotinib monotherapy as first line also the development of biomarkers for cancer chemotherapy in stage IV or recurrent NSCLC molecular diagnosis. patients with EGFR mutation(s). Nasopharyngeal carcinoma (NPC) is one of the (MD10426) leading cancers in Hong Kong, and strongly associated with Epstein-Barr virus (EBV). As EBV induces cancer gene methylation in tumor cells, aberrant CpG methylation is assumed to contribute significantly to NPC pathogenesis. Previous work from our Lab and others also showed that NPC Faculty of Medicine Department of Clinical Oncology generally has more frequent TSG methylation than Tin Chuen International Limited other carcinomas. Thus, we intend to characterize the NPC methylation epigenome, and identify genome-wide aberrantly methylated cancer genes for this tumor. We will further characterize some identified genes for their epigenetic abnormalities and functions in NPC as well as their potential usage as Specifically, by selecting a novel epigenetic master gene CHD5 (chromodomain helicase DNA-binding 5) - an SNF2 protein containing PHD, chromodomains, ATPase/helicase and DNA binding domains critically involved in chromatin remodeling, we will study the functions of epigenetic modifiers in tumor suppression, nuclear/epigenetic signaling and gene regulation. Although frequent deletion/downregulation of CHD5 has been reported in multiple tumors and the mouse Chd5 was recently identified as a tumor suppressor modulating ARF-p53 signaling, its functions in tumorigenesis is not well studied as there is even no full-length human CHD5 cDNA cloned so far. To gain more insight into the molecular functions of CHD5 and related mechanisms, we will study its expression and promoter methylation, its transcriptional modulator function, its impact on NPC cell growth, apoptosis and cell cycle distribution. We will also identify CHD5 target genes through expression profiling, and finally its such as surgical resection, chemotherapy and radiotherapy. While such approaches have demonstrated proven efficacy in the treatment of various cancers, they are also commonly associated with drug resistance, organ toxicity and disease epigenetic biomarkers. SNF2-like Traditional anti-cancer therapy includes methods binding/regulatory complex through immuno-affinity purification and mass spectrometry. relapses. Therefore there is an urgent need to develop other forms of anti-cancer treatment to increase the efficacy of currently used methods. In recent years, immunomodulation has emerged as a promising modality for enhancing the effects of anti-cancer treatments. Extracts from natural herbs have been shown to be capable of stimulating various components of the human immune system. In this regard, YNG (天全養生素) is an herbal supplement containing a novel blend of purely natural herbal extract utilizing the “compound formulation” approach of traditional Chinese medicine. Its main ingredients include ginseng and astragali, both of which have been shown to possess immune system modulating activities. This project aims to determine whether YNG elicits immunomodulatory effects through stimulation of NK cell activity. Briefly, YNG-treated and non-treated NK cells will be incubated with a leukemia cell line. Whether such treatment alters the cytotoxicity of NK cells towards the leukemia cell line will then be assessed using commercially available cytotoxicity assays. Results obtained from (CU10747) this study will provide us with a solid understanding Pre-clinical Study on the Role of YNG (天全養生 CHAN Ming Lok the underlying basis for the potential immunomodulatory functions of YNG and support its 素) in Anti-cancer Growth and Metastasis WONG Sze Chuen Cesar of use as an anti-cancer agent in the future. (MD10443) AU Chi Chuen 1 January 2011 Faculty of Medicine Department of Clinical Oncology A Phase Ii Trial of BAY 86-9766 plus Sorafenib as Neck Cancer Refractory to Platinum a Based Chemotherapy (MD08382) First Line Systemic Treatment for CHAN Anthony Tak Cheung Hepatocellular Carcinoma (HCC) MA Buig Yue Brigette HUI Pun* YU YEO Winnie CHAN Lam Stephen LI Kwok Hung* KAM Michael* LOONG Herbert* Leung* CHAN Lam Stephen 2 January 2011 Bayer HealthCare Limited 2008-09 Efficacy of Recombinant Epstein-Barr This is a Phase II Hepatocellular Carcinoma study Virus (EBV) Vaccine in Patients with with the aim to evaluate the efficacy of BAY 86-9766 Nasopharyngeal plus sorafenib as a first line systemic treatment based Residual on the primary efficacy variable, disease control rate Conventional Therapy (CU08607) using RECIST version 1.1. CHAN Anthony Tak Cheung EBV Cancer Who Had DNA Load after CHAN Lam Stephen (MD10813) HUI Pun LO Yuk Ming Dennis (Chemical Please refer to previous issues of this publication Pathology) for more details of the following ongoing research MA Buig Yue Brigette RICKINSON Alan B.* at the department: 2009-10 Randomized Phase II Trial of Concurrent Edition Cisplatin-Radiotherapy with or without Title/Investigators Neoadjuvant Docetaxel and Cisplatin in 2004-05 MVA-EBNA1/LMP2 Vaccine: Phase I Advanced Nasopharyngeal Carcinoma Trial in Patients with EBV-Positive (MD09366) Nasopharyngeal CHAN Anthony Tak Cheung Carcinoma (MTA) (MD04307) HUI 2008-09 A Randomized Phase I/II, Multi-center, MA Buig Open-label Trial of PR104 and Sorafenib CHAN Anthony Tak Cheung Pun* CHAN Lam* in Patients with Advanced Hepatocellular Yue Brigette TAO Qian Carcinoma (MD08818) 2006-07 Asian Cancers (Drug Testing) (MD06604) CHAN Lam Stephen YEO Winnie HUI Pun* CHAN Anthony Tak Cheung LAU Pik Yuk Cecilia 2009-10 The Use of Serum Hepatitis B Viral DNA in Prognostication of Liver Cancers 2008-09 Phase II Study of TAS-106 in Patients Undergoing with Recurrent or Metastatic Head and (MD09737) Non-surgical Therapy Faculty of Medicine Department of Clinical Oncology CHAN Lam Stephen MO Kwok Fai YEO Winnie HO Wing Ming YEO Winnie POON Annette* CHAN Vicky* CHAN Kay Sheung Paul (Microbiology) 2008-09 Phase 3b, Randomized, Open-label Study 2009-10 A New Utility of an Old Marker: Serial Alpha-fetoprotein Predicting Measurement Radiologic of Bevacizumab (Avastin®) + in Temsirolimus (Torisel®) vs. Response and Bevacizumab (Avastin®) + Survival of Patients with Hepatocellular Interferon-alfa (Roferon®) as First-line Carcinomas Treatment in Subjects with Advanced Undergoing Systemic Chemotherapy (MD09479) CHAN Lam Stephen Chuen Cesar Renal Cell Carcinoma (MD08650) WONG Sze MO Kwok Fai HO Wing Ming CHAN Vicky* POON Annette* YEO Winnie 2009-10 A Randomized Phase III, Double-blind, 2007-08 A Randomized Phase 2 Trial of Placebo-controlled Multicenter Trial of Double-blind, Placebo Controlled AMG Everolimus 706 in combination with Paclitaxel, or Trastuzumab and Paclitaxel, as First Line Open-label Bevacizumab in combination Therapy in Women with HER2 Positive with Paclitaxel, as First Line Therapy in Locally Advanced or Metastatic Breast Women with HER2 Negative Locally Cancer (MD09791) Recurrent or Metastatic Breast Cancer HO Wing Ming (MD07451) in combination with CHAN Vicky* YEO Winnie HO Wing Ming YEO Winnie 2009-10 This is a Phase II Study to Treat Subjects CHAN V* CHAN L* with Renal Cell Carcinoma. The Study’s 2008-09 A Phase III Randomized, Double-blind Major Objective is to Assess the Study to Assess the Efficacy and Safety Progression Free Survival after First Line of 10mg ZD4054 versus Placebo in of Treatment in Patients Who Receive Patients with Hormone-resistant Prostate RAD001. (MD09729) Cancer and Bone Metastasis who are HO Wing Ming Pain Free or Mildly Symptomatic CHAN Vicky* POON Annette* (MD08374) HO Wing Ming POON Annette* LOONG Herbert* 2008-09 An International Multi-centre, Open-label 2007-08 A Double-blind, Multicenter, Phase Randomised, III Study of Bevacizumab in Combination Capecitabine and Cisplatin versus combination with in with 2-arm Phase III Trial of Adjuvant Placebo Bevacizumab in Triple Negative Breast Capecitabine and Cisplatin, as First-line Cancer (MD08696) Faculty of Medicine Department of Clinical Oncology Therapy in Patients with Advanced Refractory, Gastric Cancer (MD07478) B-Cell LAM Kwok Chi YEO Winnie (MD08939) CD22-positive Non-Hodgkin’s LEI Ieng Kit Kenny 2008-09 Multicenter, Randomized, Double-blind, Follicular Lymphoma CHAN Lam Stephen Phase III Trial to Investigate the Efficacy and Safety of Oral BIBF 1120 plus 2007-08 Intrinsic Mechanism of c-Met Induction Standard Pemetrexed Therapy Compared as a Point for Therapeutic Intervention to Placebo plus Standard Pemetrexed for Aggressive Nasopharyngeal Cancer Therapy in Patients with State IIIB/IV or (NPC) (CU07716) Recurrent Non Small Cell Lung Cancer LUI Wai Yan Vivian after Failure of First Line Chemotherapy Anthony Tak Cheung (MD08512) Chuen Cesar LAM Kwok Chi MOK Shu Kam Tony LEUNG Linda* CHAN WONG Sze TSUI Kwok Wing (School of Biomedical Sciences) TSAO Sai Wah* Multicenter 2008-09 A Novel Signaling Axis of STAT3/c-Met Comparatives Study of Peginterferon Regulation Non-small Cell Lung Cancer alpha2a vs. Roferon-A for the Treatment (NSCLC): A Direct Link between Two of Patients with Recently Diagnosed Important Chronic Phase Chronic Myelogenous (MD08521) Leukemia (CML) not Previously Treated LUI Wai Yan Vivian 2000-01 Phase III Randomized with Interferon (MD20042) LEI Ieng Kit Kenny Players Kam Tony LEUNG Wai of Metastasis MOK Shu WONG Sze Chuen Cesar HO Yeung# Tong Thomas# HUI Pun 2009-10 Study on the Involvement of TIGAR in 2007-08 Phase I Study of OPB-31121 in Patients with Relapsed or Refractory Non-Hodgkin’s Lymphoma or Multiple the Antitumor Activity of TAS-106 in NPC (MD09331) LUI Wai Yan Vivian Myeloma (MD07645) LEI Ieng Kit Kenny CHAN Lam 2009-10 A Novel Signaling Axis of TIGAR Induction by EGFR in Non-small Cell Stephen MA Buig Yue Brigette Lung Cancer (NSCLC) (MD09710) 2008-09 An Open-label, Randomized, Phase 3 Study of Inotuzumab (CMC-544) Ozogamicin Administered a Defined Investigator’s MOK Shu Kam Tony in Combination with Rituximab Compared to LUI Wai Yan Vivian 2006-07 A Randomized, Open-label Phase II Choice Study Evaluating the Efficacy and Safety Therapy in Subjects with Relapsed or of FOLFOX-4 plus Cetuximab versus Faculty of Medicine Department of Clinical Oncology UFOX plus Cetuximab as First-line 2009-10 A Phase 2, Randomized, Double-blind, Therapy in Subject with Metastatic Placebo-controlled Study Evaluating the Colorectal Cancer (MD06478) Safety and Efficacy of FOLFIRI in MA Buig Yue Brigette Ming* Lam* HO Wing combination with AMG479 or AMG655 HUI Edwin P* CHAN versus FOLFIRI for the Second-line LEUNG Linda* CHAN Treatment of KRAS-Mutant Metastatic Colorectal Carcinoma (MD09819) Anthony Tak Cheung MA Buig Yue Brigette 2007-08 A Randomized, Double-blind Phase 3 Ming* Study of Gemcitabine plus AG-013736 HO Wing CHAN Lam Stephen CHAN Vicky* versus Gemcitabine plus Placebo for the First-line Treatment of Patients with Locally Advanced, or Study to Assess the Safety & Tolerability, Metastatic Pancreatic Cancer (MD07837) and Pharmacokinetics of AZD8055 in MA Buig Yue Brigette HUI Asian Patients with Advanced Stage CHAN Lam Hepatocellular Carcinoma (HCC) and Edwin* Unresectable 2009-10 A Phase I/II, Open-label, Multicenter HO WM* with Stephen POON Annette* Mild or Moderate Hepatic Impairment (MD09556) 2008-09 Elucidating Predictive Biomarkers of Response to Cetuximab in MA Buig Yue Brigette Local Winnie HUI Edwin* Populations with Advanced Colorectal Herbert* Cancer (MD08814) CHAN Vicky* MA Buig Yue Brigette YEO LOONG CHAN Lam Stephen TO Ka Fai (Anatomical & Cellular Pathology) 2009-10 A Phase I, Randomized, Open-label Study to Determine the Pharmacokinetics WONG Sze Chuen Cesar and Tolerability of Cediranib Non-randomized, (RECENTIN AZD2171) Following a Open-label Phase II Study Evaluating the Single and Multiple Oral 20 mg or 30 mg Safety and Efficacy of FOLFIRI plus Doses in Chinese Patients with Advanced Cetuximab (Erbitux) or FOLFOX plus Solid Malignancies (MD09968) Cetuximab as First-line Therapy in MA Buig Yue Brigette 2008-09 An Asia Subjects Pacific with Metastatic KRAS Wild-type Colorectal Cancer (APEC-Study) (MD08932) MA Buig Yue Brigette Herbert* HUI Edwin* YEO LOONG CHAN Lam Stephen CHAN Vicky* HO Wing Ming* POON Annette* LOONG Herbert* Winnie 2009-10 Identifying an Early Indicator of Drug Efficacy in Patients with Advanced Colorectal Cancer - A Prospective Evaluation of Circulating Tumor Cells, Faculty of Medicine Department of Clinical Oncology FDG-PET Scan and RECIST Criteria after Failure of at least One Prior (CU09721) Cytotoxic Chemotherapy (MD06416) MA Buig Yue Brigette Anthony Tak Cheung CHAN MOK Shu Kam Tony LAM Kwok Chi LEUNG Kam Suet Linda KING Ann Dorothy (Imaging & Interventional Radiol) WONG Sze Chuen Cesar 2007-08 A Randomized, Double-blind Multicenter 2-stage Phase III Study of Bevacizumab 2009-10 Preclinical Evaluation of the MK2206 in MA Buig Yue Brigette combination LUI Wai CHAN Anthony Tak Cisplatin and and Gemcitabine in Patients with Advanced or Recurrent Non-squamous Non-small Cell Lung Cancer, Who Have Cheung Not 2009-10 A Randomized, Multicenter, Open-label, Phase 3 Study to Compare the Efficacy and with Gemcitabine versus Placebo, Cisplatin NPC Cell Lines (MD09719) Yan Vivian in Safety of Panitumumab Received Prior Chemotherapy (MD06432) MOK Shu Kam Tony and LAM Kwok Chi* CHAN Lam* Cetuximab in Subjects with Previously Treated, Wild-type KRAS, Metastatic Colorectal Cancer (MD09356) MA Buig Yue Brigette Ming* Herbert* Double-blind Placebo-controlled Study HO Wing LOONG HUI Pun* 2007-08 A Multi-center Phase III Randomized, LAU CP Patrick* of the Cancer (L-BLP25 Vaccine Liposome Vaccine) in Non-small Cell Lung Cancer (MD06723) MOK Shu Kam Tony CHAN Anthony Tak Cheung Stimuvax LAM Kwok Chi* CHAN Leung Cho* CHAN 2005-06 An Expanded TarcevaTM Access (ERlotinib) in Program Patients of with Advanced Stage IIIB/IV Non-small Cell 2007-08 A Phase 2, Multicenter, Open-label, Randomized Trial of AMG 706 or Lung Cancer (MD05993) MOK Shu Kam Tony Tung Ching* LIN Marie Bevacizumab in Combination with Paclitaxel and Carboplatin for Advanced MC* Non-squamous Non-small Cell Lung 2006-07 A Phase III, Randomised, Double-blind, Multi-centre Parallel-group Study to Assess the TM (ZACTIMA ) Efficacy versus of Cancer (MD07506) MOK Shu Kam Tony LAM KC* ZD6474 LOONG Herbert* Erlotinib ® (TARCEVA ) in Patients with Locally 2007-08 A Double-blind, Randomized, Advanced or Metastatic (Stage IIIB – IV) Placebo-controlled Phase III Study to Non-small Cell Lung Cancer (NSCLC) Assess the Efficacy of recMAGE-A3 + AS15 Antigen Specific Cancer Faculty of Medicine Department of Clinical Oncology Immunotherapeutic as Adjuvant Therapy Effusion) or Stage IV Non-small-cell in Lung Cancer (MD08990) Patients with Resectable MAGE-A3-positive Non-small Cell Lung MOK Shu Kam Tony Cancer (MD07395) LAM Kwok Chi* LEUNG Linda* MOK Shu Kam Tony LAM Kwok 2008-09 Randomized, Open Label, Phase III Trial Chi* LEUNG Linda* of CP-751,871 in Combination with 2007-08 A Multicenter, Double-blind, Randomized, Controlled Phase 3, Paclitaxel with (SU011248) Advanced/Metastatic Carboplatin versus Paclitaxel and Carboplatin in Patients Efficacy and Safety Study of Sunitinib in and Non-small Cell Lung Patients with (MD08834) Non-small Cell MOK Shu Kam Tony Lung Cancer Treated with Erlotinib Cancer LAM Kwok Chi* LEUNG Linda* (MD07390) MOK Shu Kam Tony LAM Kwok 2008-09 A Randomized Phase 2 Study Comparing Erlotinib-pemetrexed, Pemetrexed Alone, Chi* POON Annette* and Erlotinib Alone, as Second-line 2008-09 International, Randomized, Open-label, Treatment for Non-smoker Patients with Phase 3 Trial of Gemcitabine/Cisplatin Locally plus Non-small Cell Lung Cancer (MD08488) PF-3512676 versus Gemcitabine/Cisplatin Alone as First-line Advanced or MOK Shu Kam Tony Treatment of Patients with Advanced Metastatic LAM Kwok Chi* LEUNG Linda* Non-small Cell Lung Cancer (MD05784) MOK Shu Kam Tony LAM Kwok 2008-09 A Randomized, Multicenter Phase II Study to Explore Whether Biomarkers Chi* WONG Herman* Correlate with Treatment Outcome in 2008-09 Phase IIb/III Randomized, Double-blind Chemo-naïve Patients with Advanced or Trial of BIBW2992 plus Best Supportive Recurrent Non-squamous Non-small Cell Care (BSC) versus Placebo plus BXC in Lung Cancer, Who Receive Treatment Non-small Cell Lung Cancer Patients with Bevacizumab (at a Dose of Either Failing Erlotinib or Gefitinib (MD08607) 7.5mg/kg or 15mg/kg) in addition to MOK Shu Kam Tony Carboplatin-based LAM Kwok Chemotherapy (Gemcitabine or Paclitaxel) (MD08338) Chi* LEUNG Linda* MOK Shu Kam Tony 2008-09 Study Title: A Phase II/III Randomized, LAM Kwok Chi* LEUNG Linda* Double-blind Study of Paclitaxel plus Carboplatin in Combination with Vorinostat (MK-0683) or Placebo in 2008-09 A Phase 2, Open-label, Trial PF-00299804 in Untreated Advanced Patients with Stage IIIB (with Pleural Faculty of Medicine Department of Clinical Oncology Adenocarcinoma of the Lung in Never or Randomized, Phase III Clinical Trial of Former Light Smokers (MD08588) the MOK Shu Kam Tony (L-BLP25 or BLP25 Liposome Vaccine) LAM Kwok in Chi* LEUNG Linda* Cancer Asian Subjects Unresectable, 2008-09 A Randomized Phase 2 Trial of Vaccine Cancer Stimuvax® with Non-small (NSCLC) Stage Cell III, Lung Who Have PF-00299804 versus Erlotinib for the Demonstrated Either Stable Disease or Treatment of Advanced Non-small Cell Objective Response Following Primary Lung Cancer after Failure of at least One Chemo-radiotherapy” Prior Stimuvax® Chemotherapy Regimen MOK Shu Kam Tony LAM Kwok “Study Drug”) MOK Shu Kam Tony LAM KC* Chi* LEUNG Linda* Randomized, Double-blind “Study”) (MD09494) (MD08641) 2008-09 A (the (the LEUNG Linda* Placebo-controlled, Phase III Study of Sequential Administration of Tarceva 2009-10 Gefitinib or Carboplatin-paclitaxel in Pulmonary Adenocarcinoma (MD09869) MOK Shu Kam Tony (Erlotinib) Placebo in Combination with First-line 2009-10 Phase 2, Open-label Single Arm Study of Treatment in Patients with State IIIb/IV the Efficacy and Safety of PF-02341066 Non-small Cell Lung Cancer (NSCLC) in Patients with Advanced Non-small (MD08657) Cell Lung Cancer (NSCLC) Harboring a Gemcitabine/Platinum as MOK Shu Kam Tony LAM K C* Translocation or Inversion Involving the Anaplastic Lymphoma Kinase (ALK) LEUNG Linda* Gene Locus (MD09384) 2009-10 A Phase II, Multi-center, MOK Shu Kam Tony Placebo-controlled trail of Sorafenib LEUNG Linda* LAM Kwok Chi* (BAY43-9006) in Patients with Relapsed or Refractory Advanced Predominantly 2009-10 Phase 3, Randomized, Open-label Study Non Squamous Non-small Cell Lung of Cancer (NSCLC) after 2 or 3 Previous PF-02341066 versus Standard of Care Treatment Regimen (MD09995) Chemotherapy (Pemetrexed or Docetaxel) MOK Shu Kam Tony in Patients with Advanced Non-small LAM Kwok Chi* LEUNG Linda* the Efficacy Safety or Inversion Event Involving the Anaplastic Lymphoma NSCLC Patients: Stimulating Immune Kinase (ALK) Gene Locus (MD09442) REsponse MOK Shu Kam Tony Double-blind, “A Multinational, Placebo-controlled, of Cell Lung Cancer (NSCLC) Harboring a Translocation 2009-10 INSPIRE – Stimuvax Trial In Asian and LEUNG Linda* LAM Kwok Chi* Faculty of Medicine Department of Clinical Oncology TAO Qian QI Robert Z.* 2007-08 Epigenetic and Functional Characterization of a Novel Putative 2009-10 The Clinical Significance of Tumor Suppressor KS2 (KRAB-Zinc Mononuclear and Red Cells β3 Integrin Finger Suppressor Protein 2) which is mRNA in Colorectal Cancer Patients Frequently Silenced in Nasopharyngeal (MD09868) Carcinoma (CU07744) WONG TAO Qian CHAN Anthony Tak Cheung 2008-09 Cancer Sze Chuen Cesar CHEUNG Moon Tong* MA Buig Yue Brigette Epigenomics Identifies 2009-10 The Potential of Menstrual Blood Human Methylated Novel Tumor Suppressor Papillomavirus DNA as a Non-invasive Genes as Biomarkers for Common Hong Marker Kong Tumors (MD08651) Neoplasia and Condyloma Acuminatum TAO Qian LEUNG Sing Fai MA (MD09497) Buig Yue Brigette CHAN Anthony Tak Cheung for Cervical WONG Sze Chuen Cesar Sik Hung Sammy* (School Suppressor Primary Care) Pathogenesis 8) of Virus-associated in the SUEN & CHAN Chung Sum ZEE Chung Ying Benny Novel Tumor Suppressor TUSC8 (Tumor Candidate (Obstetrics Gynaecology) 2008-09 Regulatory and Functional Studies of a Intraepithelial of Public Health and Epstein-Barr Nasopharyngeal 1997-98 High Dose Adjuvant Chemotherapy and Carcinoma and Its Potential Diagnostic Peripheral Stem Cell Transplant for High Application (CU08739) Risk TAO Qian (MD95266) CHAN Anthony Tak Cheung MA Buig Yue Brigette YEO Winnie 2008-09 Development of Epigenetic Biomarkers Breast Cancer KWAN Wing Hong TEO Man Lung Peter# Wai Tong Thomas# for Nasopharyngeal Carcinoma (NPC) Ming (MD08416) Cellular Pathology) TAO Qian CHAN Anthony Tak Patients Michael LEUNG SUEN Wang (Anatomical & KING Wing Keung Walter (Surgery) Cheung 2007-08 A Randomized 2-Arm, Open Label, 2009-10 Study of the Epigenetic Mechanism of Phase II Study of BMS-582664, Activation Administered Orally at A Dose of 800 Using a Unique HCT116 Colorectal mg Daily or Doxorubicin Administered Cancer Model with Double Knock-out of Intravenously at A Dose of 60mg/m2 DNMT1 and DNMT3B (CU09750) Every Aberrant RhoA-signaling 3 Weeks in Patients with Faculty of Medicine Department of Clinical Oncology Unresectable, Metastatic Locally Advanced Hepatocellular or Carcinoma Trastuzumab plus (MD08779) YEO Winnie (MD06493) YEO Winnie HUI Pun* Bevacizumab HO Wing Ming* POON Annette* CHAN Lam Stephen 2008-09 mTOR Inhibition as Novel Therapeutic 2007-08 A Phase III, Randomized, Double-blind, Target in Human Hepatocellular Placebo-controlled Trial to Evaluate the Carcinoma – A Corrective Study with Efficacy and Safety of Pertuzumab + Tumour Trastuzumab + Docetaxel vs. Placebo + (MD08535) Trastuzumab + Docetaxel in Previously YEO Winnie Untreated Breast Her2-positive Cancer. Theme Stathmin Over-expression Metastatic No.: 7119 2009-10 A Phase I/II Study of PXD101 in Patients (MD07586) with Unresectable Hepatocellular YEO Winnie HO Wing Ming* Carcinoma with Pharmacokinetic and Pharmacodynamic Evaluation {PXD101; 2008-09 Phase I/II Study of Temsirolimus (Torisel) NSC726630 as Novel Therapeutic Drug for Patients Sponsored with (MD06950) Unresectable Hepatocellular Carcinoma (HCC) – A Correlative Study with Stathmin [CTEP by CTRG-HC06/21/05} YEO Winnie CHAN Lam Stephen 2009-10 Effect of Genetic Polymorphisms and YEO Winnie Gene Expression Chemotherapy-Related Multinational, Randomized, Chinese Breast Open-label, Phase 3 Study of Sunitinib (MD09632) Malate versus Sorafenib in Patients with YEO Winnie Advanced 7237]. Over-expression (MD08786) 2008-09 A LOI Hepatocellular Carcinoma Toxicities Cancer on in Patients TANG Leung Sang Nelson (Chemical Pathology) (MD08322) YEO Winnie CHAN Stephen* 2009-10 A Randomized Phase III Clinical Study of Bevacizumab plus Capecitabine vs. HUI Edwin* Bevacizumab Alone as Maintenance 2008-09 Multicenter Phase III Randomized Trial Therapy in Patients with HER-2 Negative of Adjuvant Therapy for Patients with Metastatic Breast Cancer that has not HER2-positive Node-positive or High Progressed During First-line Docetaxel Risk plus Bevacizumab Therapy (IMELDA Node-negative Comparing Breast Cancer Chemotherapy plus Trastuzumab with Chemotherapy plus Study) (MD09994) YEO Winnie HO Wing Ming* CHAN Tung Ching* Faculty of Medicine Department of Clinical Oncology 2009-10 A Phase III Randomized, Double-blind, Placebo-controlled, Double Blind Trial of Multi-center Phase III Study of Brivanib Sorafenib plus Erlotinib vs. Sorafenib plus Best Supportive Care (BSC) versus plus Placebo as First Line Systemic Placebo plus BSC in Subjects with Treatment for Hepatocellular Carcinoma Advanced (HCC) (MD09337) 2009-10 A Randomized, Hepatocellular Carcinoma (HCC) Who Have Failed or are Intolerant YEO Winnie HUI Edwin P* to Sorafenib: The BRISK PS Study CHAN Lam Stephen (MD09597) Vicky* YEO Winnie CHAN CHAN Lam Stephen 2009-10 The Role of mTOR Inhibition with HUI Pun* Nab-rapamycin 2009-10 A Randomized, Double-blind, Chemosensitivity in Enhancing of Multi-center Phase III Study of Brivanib Microtubule-stabilizing Agent Abraxane versus Sorafenib as First-line Treatment in HCC (MD09647) in Patients with Advanced Hepatocellular YEO Winnie LUI Wai Yan Vivian Carcinoma: THE BRISK FL STUDY (MD09883) YEO Winnie CHAN Lam Stephen HUI Pun* LI Leung* Faculty of Medicine Department of Imaging and Interventional Radiology genus-0 structures (cerebellar hemispheres) and RESEARCH PROJECTS structures with high-genus topology (semicircular canals). Computational Morphometry of Semicircular In this study, we would use adolescent idiopathic Canals and Cerebellum Derived from Magnetic scoliosis (AIS) as a clinical example. AIS is a 3-D Resonance Imaging spinal deformity occurring commonly in adolescent girls. Its prevalence in Hong Kong is relatively high CHU Chiu Wing Winnie CHENG Chun Yiu Jack (Orthopaedics & Traumatology) HENG Pheng Ann (Computer Science and Engineering) SHI Lin 1 January 2011 Research Grants Council - General Research Fund (4%). When untreated or improperly treated, the deformity may deteriorate progressively and cause significant cosmetic and functional problems. Impaired balance control is well known to be associated with this disease. It has been suggested that anatomical changes in the vestibular system and cerebellum might be related to poor balance control, which could be associated with the initiation and In humans, the part of the central nervous system subsequent progression of the spinal deformity. This, (CNS) responsible for balance control consists of the however, is still a poorly studied area due to the lack vestibular system (composed of three semicircular of technology and computational techniques to canals) and the cerebellum. However, due to the extract, visualize and analyze these structures. In this complexity in their shapes and the lack of specific project, we would like to investigate any statistical image computing techniques in the past, little morphometric differences in the vestibular system research has been carried out to objectively and cerebellum between AIS and controls. In AIS investigate the morphoanatomy of these complex patients, we would further study the correlation CNS structures and to correlate them with clinical between these anatomical variations with clinical functional assessments. postural balance functional tests. Our first objective is to develop a novel method to Findings from the current study could provide better automatically extract semicircular canals images understanding of the relevance of these anatomical from T2-weighted magnetic resonance imaging changes and its relationship to the etiopathogenesis of (MRI). This is technically challenging as the signal AIS and the progression of the spinal deformity. With intensity of the semicircular canals is usually further refinement, the technique could potentially inhomogeneous, and a portion of it can be provide objective guidelines for predicting the contaminated by imaging artifacts. Our second occurrence and progression of AIS – a matter of high objective is to automatically segment the cerebellum clinical significance that would affect the treatment from T1-weighted MRI images by exploiting its strategy of individual patients. texture features and using them to guide the (CU10119) segmenter propagation. The third objective is to develop innovative surface comparison schemes that enable angle-preserving surface mapping for both Faculty of Medicine Department of Imaging and Interventional Radiology MRI Perfusion and Bone Mineral Density width) obtained with a phantom (Image Analysis Examination on Lumbar Spines of Elderly Female Company, Columbia, KY, USA). Subjects Data analysis will be conducted after all raw data obtained. The relationship between bone marrow GRIFFITH James Francis perfusion measured by MRI and bone mineral density 1 January 2011 will be obtain. (MD10877) Harbin Institute of Technology Shenzhen Graduate School Computational NeuroImage Analysis for the Study on the relationship between bone marrow Objective Assessment of Alzheimer’s Disease – A perfusion and bone mineral density by MRI Pilot Study approaches. Clinical experiment will be carried out as WANG Defeng below: 1. 2. CHU Chiu Wing Winnie Recruiting 100 elderly female subjects within TAM Cindy* the age range 65-75 years. (Medicine & Therapeutics) Organize MRI perfusion experiment bone mineral density examination on lumbar spine for all recruited subjects following the MOK Chung Tong Vincent 30 June 2011 CUHK Research Committee Funding (Direct Grants) experiment protocol: 1) DCE-MRI Examination for Bone Marrow Perfusion. For neurodegenerative disease like Alzheimer’s disease (AD), proper early detection is crucial for Dynamic contrast-enhanced MR images will be subsequent treatment decision. Existing researches acquired in the axial plane through the mid-L3 region revealed that certain neuroanatomical signs can be for a total interrogation time of 8 mins. A bolus of detected in structural magnetic resonance images gadoteric acid (Dotarem; Guerbet, Aulnay, France) at (MRI) before observable symptoms occur. However, a concentration of 0.15 mmol per kilogram of body there is little study on detecting specific patterns of weight will be injected at a rate of 2.5 mL/sec brain morphoanatomical abnormality of AD in the (Spectris, Medrad, Inc., Indianola, PA, USA) through Chinese a 21-gauge intravenous catheter inserted in an quantitative approach. We propose to develop antecubital vein. The injection will be followed by a statistical 20-mL saline flush. Dynamic MR imaging will start multi-scale information in brain anatomy of AD at the same time the contrast medium injection is patients in comparison with normal controls. This started (time zero). research is likely to identify potential radiological 2) Densitometry Measurement. population using morphometric a systematic method to and analyze biomarkers of AD, which could guide future Quantitative CT Examination (QCT). QCT of the L3 longitudinal research. vertebral body will be performed using a 16 slice (MD10581) multidetector CT (Philips Gemini GSL 16, Philips Medical Systems, Einthoven, Netherlands) (helical mode, pitch 1.375:1, 120kV, 240mAs, 10mm beam Faculty of Medicine Department of Imaging and Interventional Radiology Experimental Studies into T1rho Based Magnetic histopathology. The results from this study will be Resonance Imaging as a Potentially Important crucial for identifying imaging biomarkers of liver Biomarker for Evaluation of Liver Fibrosis fibrosis and enabling non-invasive liver assessment, hence expected to have great impact on clinical WANG Yixiang YU Jun (Medicine & Therapeutics) YUAN Jing practice. (MD10616) 1 June 2011 CUHK Research Committee Funding (Direct Hyperthermia for Treatment of Malignancy Grants) YU Chun Ho CHAN Lam Stephen (Clinical Originally considered to be irreversible, hepatic Oncology) YEO Winnie (Clinical Oncology) fibrosis is now regarded as a dynamic process with YU Kwok Hung (Clinical Oncology) potential for regression. It is thus important to identify patients with liver fibrosis to control disease progression at a relative early stage. To date, liver 17 May 2011 Vascular and Interventional Radiology Foundation Limited biopsy is the standard of reference for diagnosis and staging of liver fibrosis. However, it is an invasive The project aims to study the role of hyperthermia in procedure, and is also an inherently subjective conjunction with chemotherapy or radiotherapy is process, subjects to sampling error. These limitations treatment of malignancy. make liver biopsy unsuitable for diagnosis and (MD10940) longitudinal monitoring in the general population. To better manage the individuals with progressive A Novel T1rho Imaging Method with Low Specific fibrosis, especially those who may benefit from early Absorption Rate for High Field MRI intervention, a noninvasive, reproducible and reliable method is needed to evaluate disease progression, to monitor responses to drug treatment, and to facilitate epidemiologic research. Recently, a mechanism for magnetic resonance (MR) tissue contrast, T1rho (T1ρ), has been investigated. In biological tissues, T1rho contrast is sensitive to macromolecular YUAN Jing WANG Yixiang GRIFFITH James Francis 1 April 2011 Innovation & Technology Commission-Innovation and Technology Support Programme composition. Our preliminary result has shown that T1rho MR imaging is sensitive for evaluation of liver T1rho relaxation is a novel contrast mechanism in fibrosis in a rat model of biliary-duct-ligation induced MRI to investigate low frequency motional processes liver fibrosis. In the current proposal, we aim to in tissues. It has been widely applied for various further evaluate T1rho MR imaging in two animal clinical applications as a sensitive biomarker for models including 1) carbon tetrachloride induced rat identification of early stage of many diseases. liver fibrosis model; and 2) thioacetamide induced rat However, liver fibrosis model. T1rho results will be correlated radiofrequency (RF) pulse cluster in the T1rho to the severity of liver fibrosis defined by imaging pulse sequence significantly increases the the introduction of a spin lock Faculty of Medicine Department of Imaging and Interventional Radiology RF energy deposit and hence causes the potential AHUJA Anil Tejbhan excessive temperature rise in the object, thereby James Francis hindering the application of T1rho imaging for clinical use, especially in high resolution imaging at Winnie high magnetic field strength. We propose to develop Suryaveer Singh YU Chun Ho GRIFFITH KING Ann Dorothy CHU Chiu Wing BHATIA Kunwar a novel T1rho imaging method with low specific absorption rate (SAR) to eliminate the safety concern 2009-10 Provision of Operating Cost Sharing in for high field T1rho imaging. This imaging method is Co-join Use of CUHK Owned Siemens implemented by the T1rho imaging pulse sequence 1.5T MRI System (MD09432) design with single-transmitted of parallel transmitted AHUJA Anil Tejbhan RF pulses at very low spin-lock frequency, and a novel post-processing algorithm based on a modified 2007-08 Is There a Relationship between Bone general theoretical model for T1rho mapping. Mineral Additional to the SAR reduction, the novel T1rho Composition imaging method will also enhance the imaging (CU07648) performances in terms of spatial resolution and scan GRIFFITH James Francis YEUNG Density and in Marrow Human Fat Subjects? time. This method will be verified and applied for Ka Wai David* identification (The Nethersole School of Nursing) of early disk degeneration and CHOI Kai Chow quantification of liver fibrosis. (MD10574) LEUNG Ping Chung (Institute of LAM Sik Lok (Chemistry) Chinese Medicine) Please refer to previous issues of this publication for more details of the following ongoing research 2008-09 Relationship between Bone Perfusion, Marrow Fat Content and Bone Mineral at the department: Density: An Experimental Study with Edition Ovariectomy-induced Osteoporosis in a Title/Investigators Rat Model (CU08645) 2008-09 Replacement of Research MRI Unit GRIFFITH James Francis AHUJA Anil Tejbhan Sciences) QIN Ling (Orthopaedics & Traumatology) Provision of HUANG Yu (School of Biomedical GRIFFITH James Francis for CHEN Zhenyu (School of Life Sciences) (MD08489) 2009-10 Tender Magnetic WANG Yixiang YEUNG Ka Wai Daivd Resonance Imaging (MRI), Computed Tomography (CT) and Ultrasound 2008-09 Squamous Cell Carcinoma of the Head Scanning Services to Civil Service and Eligible Persons (CSEP) (MD09349) Enhanced Magnetic Resonance Imaging at Neck: 3 Tesla Can Dynamic Predict and Contrast Monitor Therapeutic Response? (CU08660) Faculty of Medicine Department of Imaging and Interventional Radiology KING Ann Dorothy Tejbhan AHUJA Anil TSE Man Kit Gary* Yixiang Experimental Study into the Relationship between the Effect of WANG Nitrates in Preventing Osteoporosis and LEE Ka Ho Francis* 2009-10 An YEUNG Ka Wai Daivd the Nitrates Induced Vessel Function and Blood YU Kwok Hung* Perfusion Changes in Ovariectomized Female Rats (MD09825) 2009-10 Superparamagnetic Iron-Oxide Nanoshell WANG Yixiang GRIFFITH James and PVA Based Chemoembolisation Francis POON Wai Sang (Surgery) System: A Novel Approach for Targeted Delivery, Selective Retention, Magnetic Biomedical Sciences) YUAN Jing HUANG Yu (School of Targeting, and MRI (MD09960) WANG Yixiang Fai (Chemistry) LEUNG Cham CHENG Hon Ki Christopher (School of Biomedical Sciences) QIN Ling (Orthopaedics & Traumatology) Faculty of Medicine Department of Medicine and Therapeutics (MD09360) RESEARCH PROJECTS A Multicentre Study to Investigate the Prevalence Identifying Variants Causal for Type 2 Diabetes in and Factors Associate with Depression in Chinese Major Human Populations Patients with Type 2 Diabetes CHAN Chung Ngor Juliana MA Ching Wan CHAN Chung Ngor Juliana NAN Hairong# KO TC Gary* TING Rose* KONG Pik Shan Ronald SO Wing Yee 1 October 2009 WING Yun Kwok (Psychiatry) GUO Xiaohui* JI Linong* JIA Wei Ping* XING National Institutes of Health Xiaoping* LI Wenhui* WENG Jianping* In this U01 research project supported by US NIH YANG Wenying* (RFA-DK-09-004), the CUHK Diabetes Research 1 September 2010 Group has become part of a Global Diabetes European Foundation for Study of Diabetes Consortium (GDC) to contribute to the discovery and replication of causal genes for type 2 diabetes in a In China, 1 in 4 people has diabetes and 1 in 10 has multi-ethnic population. The 3 main objectives of the anxiety-depression. The coexistence of diabetes and project are: depression increases premature death by 2-3 folds. 1. to use whole exome resequencing to Despite these double burdens, many questions remain discover novel variants of type 2 diabetes to be answered: genes discovered in GWAS in a multiethnic 1. 2. population; depression in a wider population of patients to use whole genome sequencing in families with type 2 diabetes in China at different to discover novel loci and its inheritability stages of socio-economical development? 2. with diabetes and related traits; and 3. What is the rate of diagnosed and undiagnosed What are the interactive effects of host factors, to perform in silico fine mapping of external established common variant loci using development of depression, psychological different computational and statistical tools well-being, quality of life, health behaviors, to of risk factor control, clinical outcomes and use variants of major causal diabetes genes of health care resources in Chinese patients discovered in GWAS. with type 2 diabetes? compare transethnic differences Through this project, our group has also contributed 3. stressors, co-morbidities on Do Chinese diabetes patients use somatic to the discovery of novel signals for type 2 diabetes complaints as an alternative to express their genes in a metaanalysis of GWAS from Asian emotional and psychological concerns? population. These networks and collaborations will In this multicentre study involving 7 sites in China (1 strengthen our ongoing work in using genomics to in Hong Kong, 4 in Beijing, and 1 in Guangzhou), we discover causality of diabetes and related traits in shall document the predisposinjg, precipitating and Chinese populations. perpetuating factors pertaining to host, external stressors and clinical diseases and their interactive Faculty of Medicine Department of Medicine and Therapeutics effects on psychological well being, health-related Vanessa W S* behaviors, risk factor control and quality of life in Wan Ronald SO Wing Yee* 3500 type 2 diabetic patients. Apart from documenting the prevalence and risk factors and KONG Pik Shan MA Ching 31 October 2010 Oxford University providing a cohort for prospective evaluation, data from this survey shall provide the basis to generate ACE is a double-blind, randomized, multi-centre, further hypothesis regarding interventional strategies prospective, cardiovascular intervention trial aimed to to reduce disease burden. randomize 7,500 patients who have IGT and (MD10923) established coronary artery disease in around 150 Chinese cardiovascular centers. Recruitment is Provision of Diabetes Complication Screening expected to take 18 months with target of 50 Service for Internal Medicine of New Territories randomized patients per certre. Patients will be Cluster allocated randomly 1:1 to double-blinded therapy with Acarbose (50mg) or matching plavebo three CHAN Chung Ngor Juliana OZAKI Risa* times daily with meals. The trial will continue until at 4 October 2010 least 904 adjudicated primary endpoints have been accrued, or until the Data Safety Monitoring Board Hospital Authority (DSMB) advise otherwise. Minimum follow up for Yao Chung Kit DM Assessment Center has been the last patient to be randomized will be 4 years given the tender by Hospital Authority to provide unless the trial is terminated earlier. All patients who Diabetes Complication Screening Services to 1,680 cease study medication will be followed up, if at all diabetic patients in the Department of Internal possible, for the full study period. All patients who Medicine of New Territories Cluster. The service withdraw from the trial will have their vital status provision will commence from 4 October 2010 and ascertained, if at all possible, for the end of the trial. expire on 3 October 2011. Enrolled (MD10531) single-blind placebo run-in-period during which time patients will undergo a four-week their existing therapy for coronary heart disease The Acarbose Cardiovascular Evaluation (ACE) (CHD) will be optimized if it does not already Trial. Double-blind, conform to internationally accepted guidelines for the Randomised Parallel-group Trial to Determine treatment of patients with established CHD. ACE Whether Reducing Post-prandial Glycaemia can follow up visits will be performed at one month, at Reduce Cardiovascular-related Morbidity and two months, at four months post-randomization, and Mortality in Patients with Established Coronary then every four months. Heart Disease or Acute Coronary Syndrome Who (MD10421) A 4-year, Multicentre, Have Impaired Glucose Tolerance CHAN Chung Ngor Juliana LAU Wing Yan* LUK On Yan* TING Zhao Wei* NG Faculty of Medicine Department of Medicine and Therapeutics Comparison of Clinical Analysis Using Chinese techniques (data sensing, Medicine (CM) Techniques, Medical Biometrics classification (MB) Based on Pattern Recognition Structured automate Comprehensive Risk Assessment Using the JADE diagnosis. It can also provide objective evidence to Portal in Diabetes and Obesity corroborate and pattern medical feature recognition, diagnosis, clinical extraction, etc) particularly, diagnosis made by to CM CM practitioners with inherent intra and inter-individual CHAN Chung Ngor Juliana ZHANG David* SUI YI OZAKI Risa NG Wan Sze Vanessa prescribed for the right subject. The Joint Asia KO Diabetes Evaluation (JADE) Program is a web-based CHUNG Hau Yee NAN Jennifer* variations to ensure that the right remedy is Tin Choi YOU Jane* ZHANG Lei* CHEN disease Yinghui* templates to allow care professionals to collect data WANG Xinzheng* GUO management program which provides on risk factors, complications and clinical outcomes Dongming* WANG Dimin* using standard methods as part of a quality 1 March 2011 improvement program. The program also allows the Hospital Authority doctors to establish a registry, stratify risks and Diabetes is a disorder of energy metabolism due to individualize therapies. The aim of this study is to imbalance between insulin resistance and deficiency. confirm the correlations amongst the diagnosis of Hitherto, many therapeutic advances have been made metabolic syndrome in diabetic and non-diabetic in the field of diabetes. However, one of the major subjects made by CM, WM and MB. Using risk challenges relates to the management of obesity in factors, complications and JADE risk categories with type 2 diabetes. Many of the anti-diabetic drugs prognostic values as reference, we shall be able to including insulin cause weight gain which can lead to validate the diagnosis made by CM and MB. With the other risk factors. To date, most of the western validation of CM methods, we will be able to use the anti-obesity medications have been withdrawn from appropriate tools to identity obese individuals with or market due to adverse effects. In a HA commissioned without study in which our group performed a systematic anti-obesity claims. review of the efficacy of Traditional Chinese (MD10842) diabetes to benefit from CM with Medicine (TCM) and acupuncture on weight reduction, there are consistent data suggesting that An International, Multicenter, Randomized, these traditional therapeutic strategies were effective Double-blind, Placebo-controlled, Phase 3 Study in reducing body weight (2-5 kg) with few side to Determine the Efficacy and Safety of SYR-322 effects. However, our data analysis also suggested When Used in Subjects with Type 2 Diabetes that the tolerability and efficacy depend on the diagnosis of subphenotypes using traditional CHAN Chung Ngor Juliana OZAKI Risa* approach by practitioners of Chinese Medicine (CM). KONG Pik Shan Although TCM are widely used, they usually lack Wan Ronald objective evidence and quantification with marked Yan* NG Vanessa W S* TING Zhao Wei* practitioner variability in diagnosis and management. CHEUNG Kit Ting Kitty* WU Enoch* SO Wing Yee* LAU Wing Yan* MA Ching LUK On Medical Biometrics (MB) applies the biometric Faculty of Medicine Department of Medicine and Therapeutics 11 May 2011 Asian collaborators. In this project, we propose to Takeda Global Research and Development Asia resequence the exons and regulatory sequence of these 10 genes in 480 cases of young onset familial Ptd. Ltd. diabetes (age of onset <40 years with 2 affected first This study is a multi-center, randomized, degree relatives) and 480 controls arranged in 20 double-blind, placebo-controlled, 16-week study in DNA pools to discover causal variants followed by subjects with diagnosis of type II diabetes mellitus replication 1000 healthy subjects and 2000 young (T2DM). The study will compare alogliptin 25 mg diabetic patients with 6 year follow up and 1% annual once daily (QD) versus placebo when used alone incidence of cancer. We anticipate to discover a panel (monotherapy), as add-on to metformin, or as add-on of causal variants to explain the heritability and to pioglitazone with or without metformin. The study complexity of these chronic diseases. will be conducted in approximately 480 T2DM (MD11739) subjects who have glycoslated hemoglobin (HbAlc) between 7-10% and are between the ages of 18-75, A Study of the Gut Microbiota in the Healthy inclusive. Population, Patients with Inflammatory Bowel All subjects will enter into a screening period of up to Disease (IBD) and Their Relatives (IBD Microbe 2 weeks, followed by a 4 week placebo run-in period. Study) Following the 4 week placebo run-in period, subjects will be stratified into 1 of the 3 therapy groups based upon their background antidiabetic therapy before being randomized 1:1 to receive either alogliptin 25mg QD or matching placebo QD for 16 weeks and 2-week safety follow up thereafter. (MD10638) CHAN Ka Leung Francis NG Siew Chien 17 December 2010 Australasian Gastro Intestinal Research Foundation Ltd Crohn’s disease and ulcerative colitis are inflammatory disorders of the gut which cause major A Multipronged Approach to Discover Genomic life-long disability. They affect males and females, Variants to Explain the Missing Heritability and with the commonest age of onset in childhood, teens Multifaceted Nature of Diabetes, Cancer and and early adult life. Previously restricted almost Depression exclusively to the West, these conditions are becoming much more common in Asian countries, CHAN Chung Ngor Juliana MA Ching Wan Ronald SO Wing Yee* YANG Xilin including Hong Kong – the cause of this dramatic change is unknown. 1 July 2011 The cause of IBD is widely accepted as relating to the Research Committee Group Research Scheme mucosal immune response to stimulation from the gut bacteria, on a background of genetic susceptibility. Using GWAS or candidate gene approaches, we have The bacteria and other organisms in the gut play a discovered 10 novel loci associated with type 2 central role in the development of IBD in the West. diabetes in young Chinese patients with strong family However it is unknown if the gut bacteria differ history. These variants have been replicated by our between Chinese patients with IBD and non-IBD Faculty of Medicine Department of Medicine and Therapeutics (healthy subjects) in Hong Kong, and whether it is atherothrombotic diseases. However, ASA induces affected by diet or changes in diet. A family history is peptic ulcer bleeding that remains an important cause the largest risk factor for the disease. More than 50 of hospitalization and death worldwide. In Hong different genes associated with IBD have recently Kong, we found that ASA use accounts for about been identified in the West and preliminary data one-third of all cases of peptic ulcer bleeding. ASA showed that Chinese patients have a different genetic users with a history of ulcer bleeding are at the profile to Western populations. highest risk; up to 15% of these patients develop This project aims to explore the factors that may be recurrent ulcer bleeding in one year when exposed to contributing to, or causing, the increase of IBD in ASA again. Hong Kong. We aim to exploit the huge recent Current guidelines recommend co-therapy with a increases in knowledge of the genetic factors and gut proton-pump inhibitor (PPI) in ASA users with high bacteria that contribute to these disorders in the West, ulcer risk. Among ASA users with prior ulcer and explore difference in diet and gut flora in bleeding who receive prophylactic PPI, we have Chinese populations. Characterising the gut bacteria shown in a double-blind randomized trial that the in low but increasing incidence countries and ethnic one-year incidence of recurrent ulcer bleeding was populations may allow the identification of specific 0.7% only. However, there have been concerns about casual factors. The identification of casual bacteria PPIs because of their costs, safety, and potentially agents would have great relevance to all patients with serious drug interactions in patients with coronary IBD. artery disease (see Background). (MD10401) Recently, H2-receptor antagonists (H2RAs) have been advocated as alternative to PPIs for the A Double-blind, Randomized Histamine-2-receptor of prevention of peptic ulcers in ASA users. Comparing Versus to PPIs, H2RAs are much cheaper and have minimal Trial Antagonist of drug interactions in cardiac patients. Results of a Recurrent Ulcer Bleeding in Users of Low-dose recent endoscopic trial indicate that famotidine, a Aspirin H2RA, reduces gastric injury associated with ASA. Proton-pump Inhibitor for Prevention However, the efficacy of H2RAs is uncertain at least CHAN Ka Leung Francis in the Chinese population. Limited local data suggest 1 January 2011 that H2RAs are inferior to PPIs in preventing ulcer bleeding associated with ASA. To date, there is no Research Grants Council - General Research large-scale, clinical outcome trial comparing H2RAs Fund with PPIs for the prevention of ulcer bleeding in This double-blind randomized trial aims to compare high-risk ASA users. an alternative treatment (H2-receptor antagonist) with Despite the uncertain efficacy of H2RAs, our local a standard strategy (proton pump inhibitor) for the health authority has already endorsed this class of prevention of ulcer bleeding associated with low-dose drugs as an alternative to PPIs for ASA users with aspirin in patients with very high ulcer risk. high ulcer risk. In this proposal, we hypothesize that Low-dose aspirin (ASA) is one of the most widely PPIs are superior to H2RAs for the prevention of used peptic ulcer bleeding in ASA users with prior ulcer drugs for secondary prevention of Faculty of Medicine Department of Medicine and Therapeutics bleeding. Unfortunately, this important clinical (MD10321) question is not a priority of pharmaceutical companies because the results may not favor their Investigating the Epidemiology of Inflammatory products. The outcome of this industry-independent Bowel Disease in Hong Kong: An Inception clinical trial will encourage health authorities and Cohort Study international guideline committees to review their recommendations for ASA users with high risk of CHAN Ka Leung Francis NG Siew Chien ulcer bleeding. 30 June 2011 (CU10609) CUHK Research Committee Funding (Direct Grants) Gastrointestinal Oncology Summit: Translational Crohn’s disease and ulcerative colitis are chronic Medicine and Future Perspectives inflammatory disorders of the gut that cause major CHAN Ka Leung Francis life-long disability. Afflicting mostly young people at 1 June 2011 an age when they are most active both in their private and professional life, inflammatory bowel disease Croucher Conference (IBD) represents an important public health problem Digestive cancers of the stomach, colon, and liver affecting both the patients education, working account for over 60% of all cancers in Hong Kong abilities, social life and quality of life. The chronic and China. With the advancement of molecular nature of IBD requires frequent contacts between diagnosis of early cancers, new endoscopic therapy, patients and the Health Care system regarding and gastrointestinal lifelong medication, social and psychological support oncology is a rapidly developing field. However, and follow-up in clinics. Previously a disease research in this important field lacks synergism predominantly of the West, there is now a marked because increase in the incidence of IBD in Hong Kong. molecular there target is therapy, little collaboration between and However the true incidence of IBD in Hong Kong oncologists. Similarly, management of digestive remains unclear, and the cause of this dramatic cancers is fragmented since a comprehensive training increase over the last decade is unknown. Genetic program for early cancer detection to targeted therapy factors, environmental factors and the gut bacteria or palliative care is lacking in Asia. In this conference, may play a role in disease development. Via a we in web-based data base, we intend to create a translational and clinical research in gastrointestinal prospective population-based inception cohort study oncology. Internationally renowned experts will share in Hong Kong. The primary aim is to explore the true with participants their experience of amalgamating incidence of IBD in Hong Kong, and factors that may gastroenterology and oncology practice into a be contributing to, or causing, the rise of IBD in seamless delivery of holistic patient care. A special Hong Kong. We will also assess disease course, forum will be dedicated to the development of medical therapy, surgery, quality of life, mortality, gastrointestinal oncology as a fledgling subspecialty work productivity and health care cost. Incident cases in Hong Kong. will be prospectively recruited from North Territory gastroenterologists, endeavor to surgeons, capture pathologists recent advances Faculty of Medicine Department of Medicine and Therapeutics East and Kowloon East Cluster with a background at This Phase 2 randomized, double-blind, risk population of 3 million inhabitants. This will be placebe-controlled study will evaluate 15mg/kg the first IBD epidemiological study in Hong Kong to FG-3019 in combination with entecavir, compared examine all the above factors in a comprehensive with placebo plus entecavir. Antiviral therapy naïve way. subjects with hepatitis B who are eligible for (MD10621) initiation of antiviral therapy for hepatitis B will undergo initial eligibility testing including serum Week 24 Response and Long-term Outcomes of markers of disease activity, assessment of liver, Lamivudine (Zeffix®) Therapy in Patients with kidney and hematologic function. Subjects who Chronic Hepatitis B – A Propective Cohort Study appear eligible after initial eligibility screening will undergo a liver biopsy to establish the level of liver CHAN Lik Yuen Henry WONG Wai Sun fibrosis. An Ishak fibrosis score of ≥2 inclusive is required for protocol eligibility. Eligible subjects will Vincent WONG Lai Hung Grace* be stratified by the presence or absence of HBe 1 August 2010 antigen and randomized (2:1) to one of two treatment GlaxoSmithKline Limited arms: Arm A: FG-3019 plus entecavir; Arm B: This is a 5-year prospective study of lamivudine Placebo plus entecavir. FG-3019 (15 mg/kg) or therapy among chronic hepatitis B patients on placebo is administered as an intravenous infusion lamivudine in a few hospitals in Hong Kong. All every 3 weeks for a total of 16 infusions. Entecavir patients will have HBV DNA monitored every 6 (0.5 mg) is taken orally once daily throughout the monthly. Adefovir will be added if patients have study. At Week 48 subjects undergo a second liver suboptimal HBV DNA suppression at month 6 or at biopsy to assess the level of liver fibrosis compared the time of drug resistance. The primary outcome to baseline. Subjects who received placebo will be measure with offered crossover treatment with FG-3019 and undetectable HBV DNA at the end of 5 years. Two entecavir. Crossover subjects will receive 16 hundred patients will be recruited. infusions of FG-3019 and will be asked to undergo (MD10858) another liver biopsy after completion of treatment. is the proportion of patients (MD10727) A Phase 2, Double-blind, Randomized, Placebo-controlled Study of FG-3019 in Subjects A Randomized, Double-blind, Placebo-controlled with Liver Fibrosis due to Chronic Hepatitis B Phase 2 Study to Evaluate The Efficacy and Safety Infection of Oral PF-04136309 500mg Bid in Subjects with Chronic CHAN Lik Yuen Henry Vincent WONG Wai Sun WONG Lai Hung Grace* Shan Angeline* 15 October 2010 FibroGen, Inc. HCV Infection and Raised Aminotransferases LO Oi CHAN Lik Yuen Henry WONG Wai Sun Vincent WONG Lai Hung 1 March 2011 Faculty of Medicine Department of Medicine and Therapeutics As HBsAg reduction can reflect the immune control, Pfizer Corporation Hong Kong Limited the best combination regime will be evaluated based The purpose of this study is to evaluate the safety and efficacy of PF-04136309 in patients with chronic hepatitic C virus infection and abnormal liver enzymes. This is a double-blinded study, patients will be randomized to receive either PF-04136309 or placebo. Patients who fulfill eligibility criteria will be on the on-treatment HBsAg level. The reduction in HBsAg will be correlated to the sustained virological response at 12 months after cessation of therapy. Impact: The results of our study will guide the future combination therapy in chronic hepatitis B. (MD10989) randomized and undergo a 28-day trial period consisting of a baseline (Day 1) visit followed by study visits the first 4 at weekly intervals and a follow up visit 4-weeks after the last treatment. Dose-ranging Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Pegylated Interferon Lambda (BMS-914143) Monotherapy (MD10600) in Interferon-naïve Hepatitis Role of On-treatment HBsAg Quantification to Predict Response to Lamivudine B Virus Patients with Infection Chronic Who Are HBeAg-positive and Peginterferon Combination Treatment CHAN Lik Yuen Henry WONG Wai Sun Vincent WONG Lai Hung Grace* CHAN Lik Yuen Henry 20 June 2011 1 March 2011 Bristol-Myers Squibb Company CUHK Research Committee Funding (Direct Grants) This is a multi-centre, phase II study on the use of peginterferon lamda to treat HBeAg-positive chronic Aim: To evaluate best regime of lamivudine and peginterferon combination in terms of HBsAg reduction. manner to receive peginterferon lamda 180ug/week, peginterferon lamda 240ug/week or the standard Patients: Residual serum samples of 30 patients in a previously conducted clinical trial will be studied [Chan HL, et al., Antiviral Therapy 12:815-23]. These patients were randomized to receive 32-week peginterferon 8-week before, simultaneously and 8-week hepatitis B. Eligible patients are randomized in 1:1:1 after the commencement of 2-year lamivudine therapy in 1:1:1 manner. Serial serum treatment of peginterferon alfa-2a 180ug/week for 48 weeks. It is a non-inferiority study for peginterferon lamda vs the peginterferon alfa-2a. 60 patients will be recruited in each arm. The primary outcome measure is HBeAg seroconversion at week 24 after stopping treatment. (MD10636) samples are available during follow-up and all patients have signed informed consent for the use of serum samples for future viral hepatitis studies. Study Design: Quantitative HBsAg will be measured at 4 week interval to determine the reduction of HBsAg in relation to timing of combination therapy. BEGINTM BB An Extension Trial to NN1250-3582 Comparing Safety and Efficacy of NN1250 and Insulin Glargine, Both with Insulin Aspart as Meal-time Insulinc OADs in Type 2 Diabetes. A 26 Week Controlled, Open Label, Multicentre, Faculty of Medicine Department of Medicine and Therapeutics Multinational, Treat-to-target Extension Trial Obese Subjects or Overweight Subjects with Comparing Safety and Efficacy of SIBA and Comorbidities Insulin Glargine Both Administered Once Daily in Placebo Controlled, Parallel Group, Multi-cntre a Basal-bolus Regimen with Insulin Aspart as Multinational Trial with Stratification Subject to Mealtime Insulin Treatment with Metformin, Either 56 or 160 Weeks of Treatment Based on Pioglitazone in Subjects with Type 2 Diabetes Pre-diabetes Status at Randomisation A Randomised, Double-blind, after a Preceding 52 Week Treatment Period with SIBA or Insulin Glargine Both with Mealtime CHOW Chun Chung Francis Insulin Aspart Treatment with Metformin, CHEUNG Kit Ting Kitty* Pioglitazone NG Vanessa W S* in Trial NN1250-3582 (Trial OZAKI Risa* LAU Wing Yan* TING Zhao Wei* WU Enoch* Phase:3a) 1 June 2011 CHOW Chun Chung Francis LAU Winnie WY* Vanessa W S* OZAKI Risa* LUK Andrea O Y* TING Zhao Wei* Novo Nordisk Hong Kong Ltd NG MA Ching The trial has been designed to further investigate the Wan Ronald potential of liraglutide to safety induce long term 1 September 2010 weight loss in non diabetic obese subjects, as well as Novo Nordisk Hong Kong Ltd in overweight subjects with comorbidities (treated or untreated hypertension or dyslipidaemia according to Former trials have shown that once daily or three ATP-III). A treatment duration of one year is weekly treatments with SIBA results in a low and considered to be sufficient to demonstrate weight loss stable amount of insulin in the body with a longer and subsequent weight maintenance. In order to duration of action than other long acting (basal) assess the effects of drug cessation on appetite and insulin products. It is therefore expected that weight control, possible with drawl effects and treatment with this new insulin will result in a better rebound will be ascertained in the 3-month follow overall control of the blood sugar level and fewer up/observational period. episodes of low blood sugar levels. This trial will 3-month follow-up period: To allow for a blinded provide information on efficacy and safety of long assessment of the withdrawal effects, a fraction of term exposure of SIBA in combination with insulin subjects (of the subgroup without pre-diabetes) will aspart as mealtime insulin and metformin and maintain dietary measures and physical activity while pioglitazone (if these oral antidiabetic drugs (OADs) keeping the blind. The subjects selected for were part of the subjects’ former diabetes treatment) participation in the 3-month follow-up period are the in relevant ethnic populations in adult age groups. subjects first (approximately 900 subjects) to (MD10943) complete the one year main trial (52 weeks). Subjects receiving placebo throughout the main part of the ACALETM – Obesity and Pre-diabetes Satiety and trial will continue on liraglutide placebo treatment for Clinical Adiposity – Liraglutide Evidence in the follow-up period (approximately 300 subjects), Nondiabetic and Diabetic Subjects Effect of whereas Liraglutide on Body Weight in Non-diabetic treatment (approximately 600 subjects) will be subjects receiving active liraglutide Faculty of Medicine Department of Medicine and Therapeutics randomized 1:1 to either continue active liraglutide Cost of Diabetes in Europe – Type 2 study where treatment (approximate 300 subjects) or switch from only 31% achieved the < 6.5% HbA1c goal for active liraglutide treatment to placebo (approximately HbA1c. The purpose of this trial is to find answer for: 300 subjects). 3-month observational period: The (1) The non-inferiority of treatment of linagliptin remaining non-diabetic subjects who complete the in comparison to glimepiride with respect to one year main trial will continue in a 3-month time to first occurrence of any of the off-drug observational period and will contribute with adjudicated additional information on the effects of drug composite endpoint; cessation on weight control and potential weight (2) components of the primary Secondly the primary composite endpoint will rebound. be tested with a superiority hypothesis if the (MD10590) non-inferiority hypothesis with margin 1.3 has revealed a significant result; A Multicentre, International, Randomised, (3) Thirdly the first key secondary endpoint will Parallel Group, Double Blind Study to Evaluate be tested hierarchically if the superiority test Cardiovascular has revealed a significant result; Safety of Linagliptin versus Glimepiride in Patients with Type 2 Diabetes (4) Fourthly the secondary key secondary Mellitus at High Cardiovascular Risk. The endpoint will be tested hierarchically if the test CAROLINA Trial of the first key secondary hypothesis has revealed a significant result; CHOW Chun Chung Francis CHEUNG Kit Ting Kitty* NG Vanessa W S* Ching Wan Ronald OZAKI Risa* (5) hypoglycaemia; and LAU Wing Yan* TING Zhao Wei* MA LUK Andrea O Y* WU HbA1c change from baseline, (6) Incidence of (6) Weight change and treatment stability defined as need for additional medication to control blood glucose to obtain HbA1c ≤7.0% and Enoch* patients 1 June 2011 without any moderate/ severe hypoglycaemic episodes. Boehringer Ingelheim Singapore Pte Ltd (MD10713) Patients with combinations T2DM of are lifestyle usually and treated by pharmacological Attain Success Trial interventions and several international guidelines for the treatment of T2DM have been issued. Most guidelines suggest that the therapeutic goal for HgA1c should be 6.5-7.0%, which by the use of available tools seem hard to obtain after more than FUNG Wing Hong YU Cheuk Man CHAN Yat Sun Joseph* CHAN Chin Pang Gary* 19 July 2010 Medtronic International Limited 5-10 years of diabetes duration. A survey in the US (National Health and Nutrition Examination Survey The purpose of this trial is to assess left-heart lead [NHANES] 2003-2004) found that only 57% of implant success and complication rate using the participants had HbA1c <7.0%. Poor control was also Medtronic Attain Family of left-heart leads and noted among the 7000 individuals with T2DM in the delivery catheters. Faculty of Medicine Department of Medicine and Therapeutics implanting that cause a hiccup reflex) and high energy output physicians’ satisfaction with ICD leads during (sometimes necessary to stimulate the heart, but this implant, data related to the right ventricular (RV) could lead to a shortened lifecycle of the device). lead handling experience will be gathered in this To try to overcome these challenges, pacing leads study. The results will be used to evaluate physician with multiple electrodes have been developed. These satisfaction level of different ICD lead models leads have multiple electrodes that allow stimulation implanted in study subjects. It may also be used as of the heart in a number of different locations. input to design future clinical studies or implant The aim of the LILAC study is to evaluate the products. electrical performance of three prototypes of a The Attain Success sub-study will collect coronary multiple electrodes left ventricular pacing lead. These sinus venograms and cine images both pre-implant three lead prototypes differ in the electrodes and post-implant placement on the lead body and lead tip length. The (pre-discharge) chest X-rays. In addition, the results from this study will be used to make implanting physician’s own assessment of the recommendations to further the development of these left-heart lead positioning will be collected and leads. documented. Left-heart lead position venograms, cine This study is an acute, non-randomized, multicenter images, and chest X-rays will be verified by the study data collection clinical investigation. All patients who Core Lab. The data the are enrolled in the study undergo the same study development of left-heart implant training programs testing. A minimum of 30 to a maximum of 60 and implant tools. patients will be enrolled in a maximum of 15 centers (MD10814) outside of the United States. To enhance the understanding post-implant along of with collected will aid The study will enroll patients during approximately Left Ventricular Lead Acute Clinical Study 12 months. Patients who qualify for the study will (LILAC Study) only be involved for the clinically indicated procedure that they will undergo for implanting a FUNG Wing Hong Yat Sun Joseph* YU Cheuk Man CHAN CHAN Chi Kin Hamish* CHAN Chin Pang Gary* 17 August 2010 Guidant Europe / Boston Scientific heart failure device (or upgrading their currently implanted system). The individual testing is expected to add 30 minutes to the clinical procedure. There will be no additional follow-up visits as part of this study. The test protocol starts during the implantation of the Within the last few years, pacing therapies have been heart failure device once the venogram (picture of the developed to treat heart failure patients. This left ventricular venous system) has been performed. treatment require placement of pacing leads (wires) Based on the venogram, the physician will select two on the left lower chamber of the heart (left ventricle). lead prototypes to be tested on the patient. The first This lead is then connected to a heart failure device. lead prototype will be advanced to the selected vein Current challenges with this treatment are stimulation and positioned at the bottom of this vein. The of a nerve called the phrenic nerve (stimulation of physician will make electrical measurements (pacing this nerve can lead to contractions of the diaphragm thresholds, sensing, impedance) while briefly Faculty of Medicine Department of Medicine and Therapeutics stimulating the heart using an external pacemaker. Validation of the New COPD Assessment Test The lead prototype will then be positioned in the (CAT) Translated into Chinese in Patients with same vein in a middle position. The same Chronic Obstructive Pulmonary Disease (COPD) measurements will be repeated. After testing the first lead prototype, the physician HUI Shu Cheong David KO Wai San Fanny* will remove it and introduce a second one. He will position it into the same coronary vein as the previous prototype. The same electrical NG Susanna* NGAI Jenny* TO Kin Wang* 1 December 2010 GlaxoSmithKline Limited measurements will be made at the bottom and in the middle of the vein. Once the test protocol is complete, The COPD Assessment Test (CAT), which has been the physician will remove the second lead prototype. developed After all the measurements have been completed, the self-administrated investigational paving leads will be removed. No condition of patients and overall impact of COPD, investigational will remain in the patient’s body. All and to improve patient-physician communication. It investigational devices will be completely removed. has been developed with significant patient input, After that, the physician will implant a commercially producing a questionnaire containing core items available left ventricular lead. which are considered to be reliable, applicable to (MD10372) every patient in every setting, and have good recently, is a short questionnaire to and simple, assess the measurement properties. This is a cross-sectional Shockless Implant Evaluation (SIMPLE) A validation study with a single visit. All subjects will be outpatients. Males and females 40 years of age or Prospective Randomized Clinical Study older with a diagnosis of COPD are eligible. Subjects FUNG Wing Hong YU Cheuk Man CHAN Yat Sun Joseph* CHAN Chin Pang Gary* 1 September 2010 Guidant Europe / Boston Scientific will complete questionnaires and perform spirometry at a single visit. For the primary objective of this study (Correlation of the CAT with SGRQ), investigators have to ensure subjects complete all questionnaires required. Secondary endpoints include The trial will test the hypothesis that ICD correlations of CAT with the FEV1 values and with implantation without defibrillation testing (DT) is the MRC dysnoea scale. non-inferior to implantation with testing against the (MD10577) composite endpoint of ineffective first appropriate clinical shock or arrhythmic death. A It will also test the hypothesis, that defibrillation Double-blind, Double-dummy Study to Evaluate testing increases the peri-operative (30 days) the Efficacy and Safety of 300 mg or 600 mg of complication rate of ICD implantation. Intravenous Zanamivir Twice Daily Compared to (MD10542) 75 mg of Oral Oseltamivir Twice Daily in the Phase III International, Randomized, Treatment of Hospitalized Adults and Adolescents with Influenza Faculty of Medicine Department of Medicine and Therapeutics HUI Shu Cheong David LEE Lai Shun Nelson LUI Grace* KO Wai San Fanny* NG versus Placebo on Pulmonary Function in Patients with COPD Susanna* TO Kin Wang* NGAI Jenny* HUI Shu Cheong David KO Wai San Fanny* 12 April 2011 NG Susanna* TO Kin Wang* NGAI Jenny* GlaxoSmithKline Limited 1 June 2011 Influenza infection remains an important public Nycomed health issue, with seasonal outbreaks and pandemics causing significant morbidity and mortality. The This is multicenter phase III trial with a 24-week complications predominantly randomized, double-blind treatment, preceded by a respiratory in nature, such as acute bronchitis, 4-week single-blind placebo baseline period. It is pneumonia, and acute respiratory distress syndrome. performed in COPD patients and includes 2 parallel The severity of influenza outbreaks is determined by treatment arms (placebo and roflumilast 500g once the antigenic composition of the virus and the extent a day. A 1:1 randomisation scheme will be used, i.e., of pre-existing immunity in the population. Inhaled patients will be equally allocated to roflumilast zanamivir has been approved for use in over 120 500g or placebo. Patients with COPD who are countries worldwide for the treatment of influenza in eligible for participation will enter the patient adults and adolescents. In over 50 of these countries, single-blind baseline period. Rescue medication inhaled zanamivir is also approved for the treatment (salbutamol) will be used throughout the entire trial of pediatric patients. Inhaled zanamivir is approved in on an “as-needed” basis. over 60 countries for prophylaxis of influenza. The During the baseline period, patients will receive one purpose of this Phase III study is to obtain placebo tablet (once daily in the morning). The comprehensive data on the clinical efficacy, antiviral patients will record the use of rescue medication as activity, and safety of IV zanamivir relative to oral well as symptoms in their paper diary. On completion oseltamivir in adults and adolescents hospitalized of the baseline period, patients will be re-evaluated with influenza infection. This study will compare and those who meet all randomization criteria will be zanamivir at two different doses and oseltamivir. randomized in a 1:1 ratio to receive one tablet once There will be three patient groups in this study. One daily either roflumilast 500g, or placebo. During the group of people will take one dose of zanamivir plus treatment period patients will record their symptoms a placebo, or ‘sugar’ pill, one group will take another and use of rescue medication in a diary. At visits V0, dose of zanamivir plus a placebo, of ‘sugar’ pill and V2, V3, V4, V5, V6 and Vend, pulmonary function another group will take oseltamivir plus a placebo, tests will be performed. Visits are to be scheduled in ‘saline drip’. The effects of the drugs, both good or the morning (between 8 am and 12 pm) such that bad, will be compared. pulmonary function tests will be performed within ± (MD10619) 2 hours of the time done at visit V2. On clinic visit of influenza are days, patients will be instructed to withhold their Randomised, rescue medication for at least 4 hours and to withhold Multicenter, Multinational Trial to Investigate the trial medication until after pulmonary function Effect of 500 g Roflumilast Tablets Once Daily measurements are performed. The primary endpoint A 6-month, Double-blind, Faculty of Medicine Department of Medicine and Therapeutics will be the change from randomization (V2) over smokers and hence early detection of COPD and 24weeks of treatment in pre-bronchodilator FEV1. early smoking cessation if possible. All other data will be evaluated as secondary The hypothesis of this study is that serum parameters. Safety status will be assessed by clinical inflammatory and remodeling biomarkers (IL-6, IL-8, laboratory tests, vital signs, physical examination TGF-β, MMP9/TIMP-1, hsCRP) correlate with (including electrocardiogram [ECG], and monitoring respiratory symptoms and spirometric parameters in of adverse events. smokers when compared with non-smokers; and the (MD10385) pattern of these serum biomarkers can be useful in early detection of airflow limitation and COPD. The with aims of this study are (1) to compare serum Smoking-related Lung Function Abnormalities in inflammatory and remodeling biomarker levels Chinese Subjects between smokers and non-smokers; (2) to correlate Correlation of Serum Biomarkers serum biomarker levels with respiratory symptoms KO Wai San Fanny IP Sau Man Mary* LAM and spirometric parameters in smokers and non-smokers; and (3) to explore the association Chi Leung David* YU Wai Cho* between 1 November 2010 these serum biomarkers and with progressive lung function decline. Serum biomarkers Hong Kong Lung Foundation represent simple and reproducible means of Chronic obstructive pulmonary disease (COPD) assessment of airway and systemic inflammation in causes a significant burden to the health care system smokers and non-smoker subjects. The demonstration in Hong Kong. Tobacco-smoking is known to cause of differences in biomarker levels in relation to airway and systemic inflammation and to accelerate abnormal lung function in smokers could allow for lung function decline in smokers. This could further early lead to the development of airflow limitation and inflammation and tissue destruction in the context of eventually clinical manifestation as airflow limitation or early COPD. Lung function parameters, detection however, have been found to be poorly correlated COPD. with severity and symptoms in COPD. There is (MD10692) of smoking-related airway cumulative evidence that the clinical syndrome of COPD reflects underlying airway inflammation and A Randomized Controlled Trial to Investigate the lung tissue destruction with persistent exposure to Impact of a Low Glycemic Index (GI) Diet on noxious substance such as tobacco smoke and such Body airway and systemic inflammation are reflected by Cardiovascular and Hormonal Factors in Chinese various Adolescents potential biomarkers detectable from Mass Index and Obesity Related different body sites. Inflammatory mediator and airway remodeling biomarkers can be detected in KONG Pik Shan CHAN Chung Ngor Juliana peripheral blood in patients with COPD. The CHAN Suk Mei identification of biomarkers that correlates with lung Nethersole School of Nursing) function abnormalities or symptom development may CHOI Kai Chow (The HENRY Jeya* LI Man Chim Albert Martin (Paediatrics) allow for early diagnosis of airflow limitations in Faculty of Medicine Department of Medicine and Therapeutics NELSON Edmund Anthony Severn (Paediatrics) we propose to conduct a randomized controlled trial of a low GI (<55) versus conventional Chinese diet WOO Jean LOK YW Kris (GI≥70) in adolescents (12-month intervention 1 January 2011 followed by a 6-month observational period) to study; Research Grants Council - General Research 1) the changes in body mass index and obesity Fund associated changes in cardiometabolic profile; 2) the A healthy diet is key to preventing obesity and underlying hormonal factors associated with these diabetes. Conventional therapy for obesity is a changes. The challenge of suboptimal compliance low-fat energy-restricted diet but it has consistently and high attrition rate reported by other dietary been shown to have modest and non-sustained interventions will be combated by this experienced impacts on weight reduction. Hence, alternative team with good track record of maintaining high dietary interventions, including low GI diet, have retention rates of study subjects using reasonably been proposed. Glycemic index (GI) is a measure of frequent the rise in blood glucose after eating a set amount of counseling. Apart from its implications for public carbohydrate. It has been proposed that foods that are health, our study will provide new insights into the rapidly digested, absorbed and transformed into mechanisms of how low GI diets facilitate prevention glucose have a high GI which causes accelerated and of obesity and diabetes. It will also provide an transient surges in blood glucose and insulin, quick invaluable prospective cohort for data acquisition return of hunger sensations and may contribute to regarding excessive caloric intake. Conversely, a low GI diet metabolism and long-term health outcomes. produces lower blood glucose and insulin excursions, (CU10674) individual the legacy meetings effect and between telephone glucose promotes greater fat oxidation, decreases lipolysis and increases satiety. An Open-label Multicenter Extension Study to Epidemiological studies suggest a role for a low GI Determine Long Term Safety and Efficacy of diet in the management of obesity and associated Pregabalin (Lyrica) as Monotherapy in Patients metabolic with Partial Seizures risks including diabetes. However, evidence from long-term, randomized controlled trials exploring the relationship between low GI diet, KWAN Kwok Leung Patrick weight reduction and glycemia, particularly in 23 July 2010 children and adolescents, is lacking. Modern Pfizer Corporation Hong Kong Limited food-processing technology has produced many food products with high GI which may contribute to the This is a clinical trial assessing the long term safety burgeoning epidemic of obesity worldwide. Since of Pregabalin for monotherapy in partial seizure. dietary habits are shaped in early life, adolescence is (MD10764) a critical period to educate our young people to acquire a healthy eating habit to prevent obesity. Using a multidisciplinary endocrinologists, team pediatricians, consisting statistician A Randomized Placebo Controlled Trial of of Vitamin B12 Supplementation to Prevent and Cognitive Decline in Cognitively Normal Older nutritionists experienced in conducting clinical trials, Diabetic People with Mild Vitamin B12 Deficiency Faculty of Medicine Department of Medicine and Therapeutics Data analysis: Generalized estimating equations CHOI Kai Chow (GEE) model will be used to compare the trial groups (The Nethersole School of Nursing) LAM Chiu in the proportions of subjects reaching the primary Wa (Psychiatry) outcome. Subgroup analysis on subjects with better KWOK Chi Yui Timothy MA Ching Wan Ronald WONG Yeung Shan Samuel (School of Public cognitive function (MMSE >25) will be performed. Health and Primary Care) (CU10681) 1 January 2011 Research Grants Council - General Research Vertebral Factures in Older Chinese Men and Women: Mr OS (Hong Kong) and Ms OS (Hong Fund Kong) Studies Background: Older diabetic people are at greater risk of cognitive decline than nondiabetic people. Vitamin KWOK Chi Yui Timothy WANG Yixiang B12 deficiency in older people is associated with (Imaging & Interventional Radiol) cognitive impairment and Alzheimer’s disease. Wai JCC Vitamin B12 deficiency may therefore contribute to Osteoporosis Care & Control) cognitive decline in older diabetic people. Chung (Institute of Chinese Medicine) Objective: To determine whether the correction of mild vitamin B12 deficiency in cognitively normal older diabetic people reduces the incidence of Leung Anthony (CUHK KWOK for LEUNG Ping 30 June 2011 CUHK Research Committee Funding (Direct Grants) cognitive decline. Design: randomized, double blind, placebo controlled Clinical decision for anti-osteopotosis drug therapy trial. should be based on fracture risk factor profile, rather Subject: 536 cognitively normal diabetic outpatients than being based on BMD alone. Vertebral fractures aged 75 years or older with mild vitamin B12 are a serious and irreversible outcome of osteoporosis. deficiency (plasma vitamin B12 150-250 pmol/L and It is estimated that less than one third of all vertebral serum methylmalonic acid ≥ 0.4 μmol/L), recruited fractures are clinically diagnosed. Mr. Os (Hong from medical and family medicine/ general outpatient Kong) is the first large scale cohort study conducted clinics in one health region of Hong Kong. on bone health in Asian men. This cohort will be Method: Subjects will be randomly assigned to take followed up to study the determinants of osteoporotic either one capsule of vitamin B12 1 mg or one fractures. Ms OS (Hong Kong) is a study carried out placebo capsule daily for 27 months. Randomization with similar structure to Ms. Os (Hong Kong). Four will be stratified by mini mental state examination thousand community-dwelling men (n=2000) and score (MMSE) of 25. Follow-up will be performed at women (n=2000) aged 65 or over were invited to 9, 18, 27 month. The primary endpoint is the attend a health check between August 2001 and incidence of cognitive impairment or dementia, as December 2003. This project was designed primarily indicated scale. to examine the BMD of older Chinese adults Secondary outcomes include Alzheimer disease prospectively for 4 years. The subjects were recruited assessment scale (cognitive subscale) and Chinese in three age strata so that approximately 33% were in executive interview. each of the stratum: 65-69 years, 70-74 years and 75 by Clinical dementia rating Faculty of Medicine Department of Medicine and Therapeutics years and over. For the study subjects, lateral thoracic ERN/LRPT/SIM combination treatment. There will and lumbar spine radiographs have been obtained at be 8 scheduled clinic visits at Weeks –10 or –8 or –4, baseline and the fifth year. Using a structured spine -2, 0 (Day 1), 4, 8, 12, 16, and 20. The final visit will radiograph analysis, we intend to investigate: 1) The be conducted at Week 20 (Visit 8), followed by a prevalence, and incidence of radiographic vertebral post-study telephone contact 14 days after the last factures in Hong Kong males and females, in normal visit or last blinded treatment dose. Patients who BMD subjects, osteopenia subjects, and osteoporosis discontinue from the study prior to completion will subjects, respectively; 2) These subjects’ incidence of also be contacted by telephone at their intended final clinical vertebral factures; and 3) Risk factors of visit study date (20 weeks from randomization) for vertebral fractures. The results will provide a serious cardiovascular adverse events or death. foundation from which the health impact of vertebral Approximately fracture can be estimated. hypercholesterolemia or mixed dyslipidemia will be (MD10633) randomized at sites worldwide. 1268 patients with primary (MD10596) A Phase III Multicenter, Double-blind, Crossover Design Study to Evaluate Lipid-altering Efficacy Enteric Involvement of Seasonal Influenza A and Virus Infection and Its Pathogenesis (Sub-project Safety of Extended-release Niacin/Laropiprant/Simvastatin Tablet in Patients Combination with of MD09881) Primary Hypercholesterolemia or Mixed Dyslipidemia – LEE Lai Shun Nelson (Microbiology) MK-0524B-118 CHAN Chi Wai CHAN Kay Sheung Paul (Microbiology) LAM Yat Yin YU Cheuk Man YAN Ping Yen Bryan 1 January 2010 Research Fund for the Control of Infectious 1 April 2011 Diseases Merck Sharp & Dohme Background: In humans seasonal influenza A viruses This is a multicenter, double-blind, randomized, (H1N1 and H3N2) infections usually present with crossover respiratory and, to a lesser extent, gastrointestinal study. Following the pre-screening/wash-out period and 2-week placebo symptoms. run-in, eligible patients will be randomized in a 1:1 influenza A viruses from stool has been infrequently ratio at Visit 3 to one of the two treatment groups. documented. After 4 weeks of treatment at Visit 4 (Week 4), influenza A viruses infection and pathogenesis treatment doses of ERN/LRPT will be increased in remains largely unexplored. both treatment groups for an additional 8 weeks. At Study Design: Stool specimens from adult patients Visit 6 (Week 12), patients on ERN/LRPT/SIM (age ≥ 18) with confirmed influenza A infection will combination will crossover to the ERN/LRPT + SIM be collected. Influenza A viruses in stool will be coadministration treatment and patients in the detected and quantified by TaqMan probe-based coadministration reverse transcription-quantitative polymerase chain group will crossover to the However, isolation of seasonal Enteric involvement of seasonal Faculty of Medicine Department of Medicine and Therapeutics reaction (RT-qPCR). Virus subtyping will be performed using H1- and H3-specific PCR targeting the hemagglutinin gene. 1 January 2011 Research Fund for the Control of Infectious Isolation of infectious Diseases influenza A virus from stool will be performed by Presence and distribution of human Background: C difficile diarrhea (CDI) is the most influenza A virus receptor, sialic acid alpha-2, 6-Gal, common cause of hospital-acquired diarrhea. It is along estimated that 15-20% of patients experience MDCK culture. human gastrointestinal tract (stomach, duodenum, jejunum, and colon) will be evaluated by recurrence of CDI after treatment. lectin histochemistry on archival tissues. Research Plan: On the basis of lectin histochemistry results, ex vivo culture 1. This is a prospective case-control study of influenza A viruses of the corresponding tissue identifying all the cases of C. difficile will be performed. Immunofluorescence of viral infection in four hospitals in NTEC (PWH, hemagglutinin and neuraminidase proteins and Shatin Hospital, AHNH and Tai Po Hospital) TCID50 determination will be used to access during the study period of three years. successful viral infection and replication. are hospital acquired CDI, and control are Preliminary Findings: From February 2006 through age-sex matched individuals admitted for February 2008, a total of 75 stool specimens were non-diarrheal collected from 71 adult patients with nasopharangeal information about host factors was abstracted aspirate-confirmed influenza A infection in a local from the medical records. hospital (Prince of Wales Hospital). Influenza A (age, gender, source of patient e.g., elderly viruses were detected in 30 (40%) of our stool home for A&E), clinical (medical condition, specimens by RT-qPCR. previous treatment (including exposure to The median viral RNA conditions. Relevant Demographic level is 39,650 PCR copies per gram of stool (range antimicrobials), 4,870-4,560,000). Virus subtyping by H1- and antacid medication etc) and environmental H3-specific PCR revealed that our influenza A factors (acute vs rehabilitation hospital, viruses match to either the predominant H1 or H3 hospital isolation facilities, hand hygiene etc) sublineage that was circulating locally at the time of will be included in the survey. Information specimens collection. Our preliminary findings on environmental and administrative factors show that seasonal influenza A viruses may shed was obtained through visits to the wards and through gastrointestinal tract. interview with ward managers or nursing In-depth follow-up concomitant Cases receipt of investigations are highly warranted. officers. Logistic regression analyses were (MD09942) used to identify the major risk factors for CDI. Clostridium Difficile Diarrhea: Risk Factors for 2. All patients with DCI will be treated with oral Development and Recurrence (Sub-project of metronidazole for 12 days. In the second MD09881) part of the study, patients who has relapse of diarrhea within one month after the treatment LEE Lai Shun Nelson SUNG Joseph Jao Yiu will be required for studying the risks factors associated with recurrent CDI. Again, Faculty of Medicine Department of Medicine and Therapeutics demographic, clinical, and environmental A Randomized, Double-blind, Parallel Group factors will be included in the survey and Study of the Safety and Effect on Clinical analysis will be conducted to identify risk Outcome of Tocilizumab SC versus Tocilizumab factors. IV, in combination with Traditional Disease (MD10875) Modifying Anti-rheumatoid Arthritis Drugs (DMARDs), in Patients with Moderate to Severe Functional Outcome and Recovery after STROKE: Active Rheumatoid Arthritis The First Trial LI Kwok Ming Edmund LEUNG Wai Hong Thomas Edward* LEUNG Howan* LAU YL Alexander* IP HL Vincent* AU WC Lisa* TAM Lai Shan KWOK Lai Wa* WONG Ching Han* WONG H C 30 September 2010 Roche Hong Kong Limited SOO OY Yannie* SIU YW Deyond* 1 July 2010 Penumbra Inc. This is a Phase III, 2-arm, 2-year, randomized, double-blind, double-dummy, active controlled, parallel group multicenter trial in patients with Current literature has only limited information on the moderate to severe, active RA who currently have an natural history of acute ischemic stroke from large inadequate response to a stable dose of DMARDs vessel occlusion in a stroke cohort who presents that may include one or more anti-TNF biological within 8 hours from symptom onset, particularly on agent. The primary endpoint will be evaluated at 24 90 day functional outcome as defined by the mRS. weeks. Data from this trial will advance our knowledge on The screening visit can occur up to 21 days prior to this important topic and may serve as a bench mark the baseline randomization visit. Patient eligibility for future trials. will be determined at the screening and baseline visits, The objective of this study is to determine the natural at which time the patient will be randomized. The history of acute ischemic stroke from large vessel number of patients that have failed previous anti-TNF thromboembolism in the brain. The target population treatment will be limited to approximately 20% of the is a stroke cohort with a known infarct volume who total study population. presents within 8 hours from symptom onset with a In the double-blind period, at baseline visit, patients NIH Stroke Scale (NIHSS) score > 10. Functional will be randomized in a 1:1 ratio to receive either outcome as defined by the modified Rankin Scale TCZ 162 mg SC weekly and placebo IV q4w (group (mRS) of all enrolled patients will be followed for 90 A), or TCZ 8mg/kg IV q4w with placebo SC qw days after the index event. (group B) for 24 weeks. The primary analysis will A prospective, single arm, multi-center trial. Up to occur when all patients reach Week 24. 200 patients at up to 45 centers will be enrolled in the At Week 24, all patients will be re-randomized for study. It is anticipated that up to 150 evaluable the open-label period as follows: patients will be needed for analysis. • (MD10588) Group A: patients will be re-randomized in an 11:1 ratio to receive TCZ 162 mg SC weekly (group A1), or 8 mg/kg IV every four weeks Faculty of Medicine Department of Medicine and Therapeutics Research Grants Council - General Research (group A2); and • Group B: patients will be re-randomized in a Fund 2:1 ratio to receive 8 mg/kg IV every four weeks (group B1), or TCZ 162 mg SC weekly develop osteoporosis and they are at a high risk for (group B2). Prior to the first dose of double-blind study medication (baseline visit), patient-reported outcomes and efficacy assessments should be performed within 24 hours (up to 72 hours will be allowed when necessary). All laboratory assessments should be performed as per the Schedule of Assessments for the double-blind period and the open-label period. There will be a one-week dose interruption period between Week 24 and 25 before the first treatment for the The efficacy parameters will be assessed at baseline, Week 2, Week 4 and then every 4 weeks up to Week 24 and then Week 37, 49, 73 and 97 or early All patients will have two follow-up “telephone” visits at Weeks 4 and 8 after the end of treatment study visit (Week 97) or early WD visit from the no Patients with systemic lupus erythematosus (SLE) is an example of a condition that require prolonged corticosteroid therapy. Measurement of areal bone mineral density (BMD) by dual-energy x-ray absorptiometry (DXA) is presently the accepted method for the diagnosis of osteoporosis and prediction of fracture risk. However, this technique has limitations that include the 2-dimensional nature that does not allow assessment assessment. BMD measures with DXA do not always accurately predict those who are at risk for fractures as some with normal BMD will develop fractures. replacement of density, such as the microstructure and mechanical strength are important. A new system, a high-resolution quantitative peripheral tomography (HR-pQCT), a 3-dimensional imaging technique of study to assess AEs and conomitant medications. be fractures. This suggests other determinants, apart from bone withdraw (WD) visit. will bone of the bony microarchitecture, a 3-dimension open-label period at Week 25. There Patients with on long-term steroid are prone to patients discontinuing treatment for any reason during the sufficiently high resolution is currently available to study bone microarchitecture in vivo. Similar to quantitative histomorphometry of transiliac bone study. biopsy (MD10942) samples, HR-pQCT can be used non-invasively to assess trabecular and cortical bone In Vivo Assessment of Bone Microarchitecture in Patients on Chronic Steroid Therapy by High-resolution Peripheral Quantative Computed at the distal radius and tibia, thus providing additional, independent information and may help to better predict fracture risk and assess response to drug therapy. Tomography and the Finite Method Most studies to date using HR-pQCT reported that LI Kwok Ming Edmund GRIFFITH James Francis (Imaging & Interventional Radiol) QIN Ling (Orthopaedics & Traumatology) Lai Shan ZHANG Ming* 6 October 2010 TAM microarchitecture measurements at the distal radius discriminate postmenopausal women with a history of fragility fracture from those without, partly independent of BMD assessed with DXA. With the addition of finite element analysis, μFE (a mathematical modeling technique to calculate bone Faculty of Medicine Department of Medicine and Therapeutics strength and stiffness), bone mechanical properties Bone mineral density (BMD) does not entirely can be assessed, in addition to microstructure, and are determine fracture risk. Studies using high resolution likely to enhance prediction of wrist fracture risk, not peripheral assessed by BMD or architecture measurements alone (HR-pQCT) have demonstrated that alterations of in postmenopausal women. cortical and trabecular architecture is associated with There is as yet no HR-pQCT data in patients with fragility fractures. With technical advances in steroid - induced osteoporosis or comparative data on magnetic resonance imaging (MRI), studies have normal healthy subjects. The aim of our study is to shown a correlation between low vertebral bone assess bone mineral density, microarchitecture and perfusion, increased fat content and decreased BMD mechanical properties in 180 patients on long-term in post-menopausal women using dynamic-contrast steroid lupus enhanced MRI. Currently, there is a new MRI erythematosus (SLE) and 180 healthy controls. Using technique, namely blood oxygen level-dependent HR-pQCT with finite element anaylsis (μFE) to (BOLD) MRI, which measures tissue oxygen. This estimate mechanical properties, we can indentify non-invasive technique may provide valuable insight possible into bone perfusion, which has been shown using risk patients factors with for systemic bone fractures. By quantitative computed tomography prospectively following both groups for 2 years, we significantly associated with osteoporosis. can In this study, we will use the new technique to determine the serial bone density, microarchitecture and mechanical progression in each measure bone perfusion in systemic lupus group and to assess development of new fractures, erythematosus (SLE) patients. In SLE, bone loss is further enhancing possible early detection those are at largely due to glucocorticoids, although inflammation, risk of the development of fractures in long-term disease activity and co-morbidities may also play a steroid users. critical role. Considering the role of inflammation in (CU10710) the development of osteoporosis in SLE, we propose a case-control pilot study, the objectives of which In vivo Assessment of Bone Microarchitecture and include: 1) to assess volumetric bone density Bone Perfusion in Osteoporotic Patients with (vBMD), mircoarchitecture and bone perfusion of Systemic Lupus Erythematosus SLE patients; 2) to compare vBMD, microarchitecture and bone perfusion between active LI Kwok Ming Edmund GRIFFITH James Francis (Imaging & Interventional Radiol) TAM Lai Shan QIN Ling (Orthopaedics & Traumatology) 1 March 2011 CUHK Research Committee Funding (Direct Grants) and inactive patients; and 3) to determine the correlation between vBMD, microarchitecture and bone perfusion. 10 disease active SLE patients (subjects) and 10 inactive SLE patients (controls), both on long-term glucocorticoids and with osteoporosis will be recruited. Demographic and clinical measures will be collected. We use HR-pQCT to assess vBMD, Osteoporosis is the most common metabolic bone microarchitecture, and BOLD MR1 to assess bone disorder. There are many factors contributing to it. perfusion. However, the actual pathophysiology remains unclear. (MD10966) Faculty of Medicine Department of Medicine and Therapeutics AstraZeneca Hong Kong Limited The Observational Registry Collecting Data on Gastroenteropancreatic Neuroendocrine Tumor Saxagliptin (BMS-477118) is a highly potent, selective, reversible, and competitive DPP4 inhibitor. Patients (GEP-NET) DPP4 is the enzyme responsible for the inactivation MA Ching Wan Ronald CHOW Chun Chung saxagliptin potentiates active endogenous GLP-1 Francis* NG Enders Kwok-wai (Surgery) concentrations, 6 July 2010 regarding the clinical presentation, epidemiology, disease progression and treatment is relatively scarce, particularly in relation o patients in Asia. This projects aims to establish a registry of Asian patients with neuroendocrine tumours in order to advance understanding about the diagnosis and treatment of patients with this disorder. Information regarding clinical background and status of patients with confirmed diagnosis of neuroendocrine tumours will be otained and entered into a registry. No study-related intervention will be administered during physiological fasting glucose levels in patients with T2DM. The results from the 8 clinical studies in the saxagliptin Phase IIb and III programmmes in over 4600 patients combined with the results from clinical pharmacology studies support the oral dose of saxagliptin 5mg once daily in a wide range of patients with T2DM, as either monotherapy, add-on combination therapy with metformin, a TZD, or a SU, or initial combination therapy with metformin. The objective of this study is to evaluate the effect of Saxagliptin on the incidence of cardiovascular death, myocardial infarction or ischaemic stroke in patients with type 2 diabetes. the study. (MD10688) (MD10447) Multicentre, Randomized, Double-blind, Placebo-controlled Phase IV Trial to Evaluate the of the glucagons release, thereby reducing postprandial and Neuroendocrine tumours are rare and information Effect augmenting mechanism of insulin secretion and decreasing Novartis Pharmaceuticals (HK) Ltd A of GLP-1 and GIP. By inhibiting the enzyme DPP4, Saxagliptin on the Incidence of Cardiovascular Death, Myocardial Infarction or Developing a Platform to Deliver Personalized Healthcare Using Genotype-based Risk Algorithms to Predict Diabetes and Diabetic Complications Ischaemic Stroke in Patients with Type 2 Diabetes MA Ching Wan Ronald MA Ching Wan Ronald Juliana KONG Pik Shan CHAN Chung Ngor SO Wing Yee* OZAKI Risa* Andrea O Y* NG Vanessa W S* Kit Ting Kitty* LAU Wing Yan* Enoch* 15 December 2010 LUK CHEUNG TING Zhao Wei* WU Juliana SO Wing Yee Heung Man (Statistics) Biomedical CHAN Chung Ngor YANG Xilin WANG Ying LEE FAN Xiaodan TSUI Kwok Wing (School of Sciences) CHAN Hon Fu Raymond (Mathematics) 1 February 2011 Daiichi Sankyo Company Limited Innovation & Technology Commission-Innovation and Faculty of Medicine Department of Medicine and Therapeutics Technology Support Programme End stage renal disease (ESRD) is a common Sanofi-Aventis Hong Kong Ltd complication among patients with diabetes. Protein Kinase There is an estimated 100 million individuals with diabetes in China at present. Cardiovascular and kidney complications are the main causes of death in patients with diabetes, which together account for a large proportion of the healthcare burden associated with diabetes. Accurate tools which can help identify patients at high risk of developing complications would be most valuable, as they can aid the selection of patients for intensified treatment, which can significantly reduce the risk of complications, and the associated healthcare costs. Our group has identified a large number of genetic markers which are associated with diabetes and diabetic complications in Chinese, and have received patents to utilize these markers for disease prediction. In this project, we aim to use a large biobank consisting of 6000 patients, with detailed clinical information and follow-up data, to consolidate a core set of genetic variants which will be incorporated into a validated assay to predict diabetic complications in Chinese. We will also develop a set of risk prediction algorithms based on genetic information obtained from the assay, which will be included in an electronic portal which can be used to deliver innovative treatment and upgrade the competitiveness of healthcare services in Hong Kong. (MD10592) C-β intermediate is in an the important cell-signaling pathogenesis of diabetic nephropathy. The aim of our study was to examine the contribution of PKC-β gene (PRKCB1) polymorphisms to diabetic kidney disease in a 8-year prospective Chinese cohort of patients with type 2 diabetes. We genotyped eighteen tag SNPs (single nucleotide polymorphism) in the promoter region and spanning PRKCB1 gene at r2=0.8 based on HapMap CHB data in 1172 Chinese patients without past history of chronic kidney disease at baseline. Associations of PRKCB1 polymorphisms under additive, dominant and recessive genetic models with outcome of end stage renal disease were assessed by Cox proportional hazard regression, adjusted for the conventional risk factors including sex, age, duration of T2D and drug treatments. During mean follow-up period of 7.9 ± 1.9 years, 90 of 1172 subjects (7.7%) progressed to end polymorphisms, stage which are renal in failure. high Two linkage 2 disequilibrium (r =0.98 in the present study), showed the strongest association with the transition to end stage renal disease (HR (95% C.I.) = 2.25 (1.31 – 3.87), P=0.003; HR (95% C.I.) = 2.26 (1.31 – 3.88), P = 0.003). There were also significantly increased risk for ESRD with increasing numbers of risk alleles (P<0.001 for ESRD) in the joint effect analysis. The adjusted risk for ESRD was 6.04 (95% C.I. Genetic Variants of the Protein Kinase C-β 1 Gene and Development of End Stage Renal Disease in Patients with Type 2 Diabetes 2.00-18.31) for patients with four or more alleles compared to patients without risk alleles. Our study suggested that genetic variants in the PRKCB1 gene are MA Ching Wan Ronald SO Wing Yee CHAN Chung Ngor Juliana 3 March 2011 important independent predictors for the development of diabetic nephropathy in Chinese subjects. (MD10681) CUHK Research Committee Funding (Direct Grants) Faculty of Medicine Department of Medicine and Therapeutics A 78-week Noninterventional Longitudinal Study increasing in Asia in the past two decades. Incidence to Validate the Alzheimer’s Disease Assessment of Crohn’s disease and ulcerative colitis has risen by Scale – Cognitive Subscale (ADAS-Cog), Disability two-fold in Hong Kong. The pathophysiology of IBD Assessment and relates to the mucosal immune response to antigenic Neuropsychological Test Battery (NTB) in Asian stimulation from the gut microbiota, on a background Subjects with Mild to Moderate Alzheimer’s of genetic susceptibility. The children of immigrants Disease from low to high incidence areas, but not the for Dementia (DAD), immigrants themselves, have a high incidence of IBD, MOK Chung Tong Vincent CHAN Anne* KWAN Wing Lam WONG Adrian 8 September 2010 Wyeth Pharmaceuticals, Inc. suggesting that exposure to new environmental factors during childhood is a key factor in the development of IBD. “Westernization” of lifestyle and industrialization in Asia may also play a role. Patients with IBD have altered gut microbiota; these This is a phase 2, multicenter, longitudinal, changes are likely to reflect the evolution of lifestyle noninterventional study in subjects with mild to factors. Little is known about the gut microbiota of moderate AD or in normal cognition subjects. IBD patients in the Asia. We aim to assess and Subjects from China, Taiwan, Singapore, Hong Kong, compare the diversity of the microbiota within and and Korea will be enrolled in the trial. All subjects between Hong Kong and Australia (countries with will enter a screening period up to 31 days. If different IBD incidence) both in the healthy, and IBD subjects are found to be eligible, they will be entered populations in subjects of Caucasian and Chinese into the study and will be evaluated over the next 78 ethnicity. We will also compare the gut microbiota in weeks. Subjects will be treated as outpatients for the IBD patients with the micobiota of their non-IBD duration of the study. No investigational product will affected siblings. Twenty IBD patients and twenty be introduced. A caregiver/study partner needs to controls will be recruited from each country. present for each visit to provide adequate information Microbiological about the subject. colonoscopically-obtained mucosal biopsies will be (MD10468) conducted using analysis State-of-the-art of metagenomic techniques. Mucosal adherent microbiota will be Gut Microbiota in the Healthy Population, assessed using microarray analysis of gut microbial Inflammatory Bowel Disease Patients, and Their community; initial assessment involves using a Relatives phylogenetic custom microarray to assess gut microbial diversity; a more detailed investigation is NG Siew Chien then undertaken using pyrosequencing, which detects 20 June 2011 known and novel phyla within the microbiome, and CUHK Research Committee Funding (Direct Grants) allows monitoring of microbiota population dynamics using 16S fingerprinting. Targeted PCR will then be used in order to possibly identify a candidate Previously a disease of the west, the incidence of microorganism that may be implicated in IBD in this inflammatory bowel disease (IBD) is rapidly cohort. Characterising the microbiota in low but Faculty of Medicine Department of Medicine and Therapeutics increasing, and high, incidence countries and ethnic insulin with or without concomitant metformin populations, and the effect of migration of ethnic treatment. groups on the development of disease, may allow the (MD10430) identification of specific causal factors in the microbiota. Blood will also be taken for assessment A of serum markers of inflammation, and a panel of Placebo-controlled, Parallel Group, Efficacy and antibodies against bacterial peptides and glycans, and Safety Study of BI 10773 (10 mg and 25 mg for genetic studies. This research aims to delineate Administered the contribution of microbiota in a population of Pre-existing Antidiabetic Therapy over 52 Weeks increasing risk. To our knowledge, this will be the in Patients with Type 2 Diabetes Mellitus and first trans-national and trans-cultural study to Renal Impairment and Insufficient Glycaemic examine the microbiota in this comparative way. Control Phase III, Randomized, Once Daily) as Double-blind, Add on to Studying gut microbiota, genetics and environmental factors in populations with changing incidence offers OZAKI Risa CHEUNG Kit Ting Kitty* the greatest hope of identifying potentially important LUK On Yan* MA Ching Wan Ronald aetiological factors in IBD. Vanessa W S* TING Zhao Wei* (MD10559) Yee* LAU Wing Yan* NG SO Wing 1 October 2010 A 24-week, Multi-center, Double-blind, Boehringer Ingelheim Taiwan Ltd Randomized, Placebo-controlled, Parallel-group Study to Assess the Efficacy and Safety of This randomized, double-blind, multi-national, and Vildagliptin 50mg Bid as an Add-on Therapy to placebo controlled, parallel group study compares Insulin, with or without Metformin, in Patients two doses of BI 10773 (10 mg and 25 mg) to placebo with Type 2 Diabetes Mellitus as add-on therapy to preexisting antidiabetic therapy, excluding only SGLT-2 inhibitors. OZAKI Risa CHAN Chung Ngor Juliana In total, 682 patients with type 2 diabetes who meet MA Ching Wan Ronald SO Wing Yee* LUK the entry criteria are planned for inclusion in this trial. Andrea O Y* LAU Wing Yan* NG Vanessa The randomized treatment will be double-blind CHEUNG Kit Ting within the dose groups of BR 10773 and plavebo (i.e., W S* TING Zhao Wei* Kitty* 1 October 2010 Novartis Pharmaceuticals (HK) Ltd each patient will receive one active treatment and one placebo matching the alternative active treatment or two placebos matching both active ingredients). Patients are included in the study once they have Type 2 diabetes mellitus (T2DM) is a chronic signed the informed consent. All patients suitable progressive disease which is associated with long after screening will undergo a two week open-label term complication that increases morbidity, mortality placebo run-in period before randomization. Patients and healthcare costs as a global public health concern. who successfully complete this period and who still The purpose of this study is to evaluate the safety and meet effect of vildagliptin 50mg as an add-on therapy to randomized to the 52 week randomized period of the the inclusion/exclusion criteria will be Faculty of Medicine Department of Medicine and Therapeutics study in which patients with mild renal repairment study compares one dose of BI 10773 (25mg) to (an estimated Glomerular Filtration Rate (eGFR) ≥60 glimepiride (1-4 mg). and <90 ml/min) will receive either 10 mg BI 10773, In total, 1400 patients with type 2 diabetes who meet 25 mg BI 10773 or placebo, in addition to their the pre-existing antidiabetic therapy and patients with randomization/inclusion in this trial. The randomised moderate or severe renal impairment (an eGFR ≥30 treatment will be double-blind within the dose groups and <60 ml/min and ≥15 and <30 ml/min of BI 10773 and glimepiride (i.e., each patient will respectively) will receive either 25 mg BI 10773 or receive one active treatment and one placebo placebo in addition to their pre-existing antidiabetic matching the alternative active treatment, i.e., a therapy. double dummy design. Once the patient is randomized, background therapy Patients are included in the study once they have should remain unchanged until Visit 7. During this signed the informed consent. All patients suitable period, rescue medication can be added if needed after screening undergo a 2 week open-label placebo (according to Section 4.2.1). After Visit 7 (24 weeks run-in period before randomization. Patients who after randomization) adjustments in antidiabetic successfully complete this period and who still meet therapy will be allowed at the Investigators’ disection the inclusion/exclusion criteria will be randomized to to control glucose values and HbA1c according to the 104 week randomised period of the study in clinical judgment. which they will receive either BI 10773 25mg or (MD10777) glimepiride 1-4 mg in addition to metformin. The entry criteria are planned for patient participation is concluded when they have A Phase III Randomized, Double-blind, Active-controlled Parallel Group Efficacy and undergone (v 15) i.e., the last planned visit. (MD10554) Safety Study of BI 10773 compared to Glimepiride Administered Orally during 104 Weeks in Patients A Randomized, Double-blind, Placebo-controlled, with Type 2 Diabetes Orally during 104 Weeks in 3-arm, Patients with Type 2 Diabetes Mellitus and Study with a 26-week Extension, to Evaluate the Insufficient Efficacy, Safety and Tolerability of Canagliflozin Glycaemic Control Despite Metformini Treatment Parallel-group, 26-week, Multicenter in the Treatment of Subjects with Type 2 Diabetes Mellitus Who Have Moderate Renal Impairment OZAKI Risa CHEUNG Kit Ting Kitty* LUK On Yan* MA Ching Wan Ronald Vanessa W S* TING Zhao Wei* NG SO Wing Yee* LAU Wing Yan* OZAKI Risa CHAN Chung Ngor Juliana KONG Pik Shan MA Ching Wan Ronald SO Wing Yee* LAU Winnie WY* LUK On Yan* NG Vanessa W S* TING Zhao Wei* 15 November 2010 CHEUNG Kit Ting Kitty* WU Enoch* Boehringer Ingelheim Taiwan Ltd 6 April 2011 This randomised, double-blind, multi-national, Johnson & Johnson (Hong Kong) Limited non-inferiority, actively controlled, parallel group Faculty of Medicine Department of Medicine and Therapeutics This is a randomized, double-blind, placebo-controlled, parallel-group, 3-arm, multicenter OZAKI Risa CHAN Chung Ngor Juliana study in subjects with T2DM 25 years of age with KONG Pik Shan MA Ching Wan Ronald SO inadequate glycemic control (i.e., HbA1c of 7.0% Wing Yee* LAU Wing Yan* LUK Andrea O and 10.5%) who have moderate renal impairment Y* (eGFR 30and <50 mL/min/1.73m2), and are either CHEUNG Kit Ting Kitty* WU Enoch* not on an antihyperglycemia agent (AHA) or on a stable AHA regimen (for at least 8 weeks prior to NG Vanessa W S* TING Zhao Wei* 1 June 2011 Merck Sharp & Dohme (Asia) Ltd Week-2). To be eligible for the randomization, the subject must be on AHA(s) used in accordance with The purpose of this study is to examine the efficacy local prescribing information (i.e., the local label) for and safety of a sitagliptin-based treatment paradigm patients with T2DM and moderate renal impairment. compared Subjects not meeting this criterion at screening may paradigm over a 26-week treatment period in patients have their AHA regimen appropriately adjusted with T2DM with inadequate glycemic control on during and AHA adjustment period. Subjects must metformin monotherapy. also have generally stable renal function, based on Approximately 600 patients who are 18 and 79 eGFR values at Week-2 (start of the 2-week years of age with T2DM and inadequate glycemic single-blind placebo run-in period) relative to the control (A1C 7.0% and 11.0%) on metformin (pre)screening visit value (i.e., 25% eGFR). After monotherapy will be eligible for randomization into completing the 2-week single-blind placebo run-in the study if they meet all other enrollment criteria. period, approximately 240 subjects meeting all The duration of the study will be up to 27 weeks eligibility criteria will be randomly assigned in a (with 5 clinic visits). This will include a 1-week 1:1:1 screening period (Visit 1 to Visit 2) and a 26-week ratio to once daily administration of with a liraglutide-based treatment canaglifloxin 100mg, canagliflozin 300 mg, or open-label treatment period (Visits 2 to Visits 5). matching placebo added to the subject’s current At Visit 1/Screening Visit, patients on a stable dose stable diabetes regimen (e.g., diet, exercise, and of metformin monotherapy ( 1500 mg per day for at medication therapy ) for 52 weeks of double-blind least 12 weeks), who have a hemoglobin A1C (A1C) treatment: a 26-week core double-blind treatment 7.0% and 11.0% and who meet all study period followed by a 26-week double-blind extension enrollment criteria will be eligible to enter into the period. 26-week open-label treatment period at Visit 2/Day1. (MD10458) Patients will be randomized to either sitagliptin or liraglutide in a 1:1 ratio. Sitagliptin will be A Phase III, Multicenter, Randomized, Open-label administered as a 100 mg tablet once-daily (q.d.) Clinical Trial comparing the Efficacy and Safety orally throughout the study. The starting dose of of a Sitagliptin-based Treatment Paradigm to a liraglutide will be 0.6 mg by subcutaneous injection Liraglutide-based in q.d. until Day 7. The dose of liraglutide will then be Patients with Type 2 Diabetes Mellitus Who Have up-titrated to 1.2 mg q.d. on Day 8 (this up-titration Inadequate Glycemic Control on Metformin step is not associated with a study visit). All patients Monotherapy will continue their stable dose of metformin 1500 Treatment Paradigm Faculty of Medicine Department of Medicine and Therapeutics mg per day and diet/exercise therapy throughout the 110mg/dL(6.1 mmo1/L) at Visit3/Week 12. study. Glimepiride will be administered as oral tablets At Visit 3/Week 12, patients’ glycemic status will be (either 1 or 2 mg q.d.). Refer to Section 2.4.2.7 for assessed by a mandatory sitefingerstick A1C and detailed information regarding the initiation and site-fasting fingerstick glucose (FFSG) measurements up-titration of glimepipride. to determine if additional oral antihyperglycemic A poststudy telephone contact will be performed 14 agent for days after the last dose of study medication (either sitagliptinbased treatment paradigm patients), or after completion of the 26-week open-label treatment up-titration from 1.2 to 1.8 per day of liraglutide (fro period or after early discontinuation from the study) liraglutide-based treatment paradigm patients) will be to query for serious adverse events (SAEs). administered. (MD10605) (AHA) therapy (glimepiride Patients who have a site-fingerstick A1C <7.0% at Visit 3/Week 12 will continue their current regimen A Phase IIb/III Clinical Study Protocol – Chronic of study medication of their respective open-label Renal therapy for the remainder of the study. Disease/Nephrosclerosis) Failure (Primary Glomerular Patients assigned to the sitagliptin-based treatment paradigm who have a site-fingerstick A1C 7.0% and SZETO Cheuk Chun FFSG <110mg/dL (<6.1 mmo1/L) at Visit 3/Week 12 1 December 2010 will also continue with their current regimen of study Astellas Pharma Inc. medication for the remainder of the study. However, patients who have a site-fingerstaick A1C 7.0% and Chronic renal failure (CRF) is a condition in which FFSG 110 mg/dL (6.1 mmo1/L) at Visit 3/Week the kidneys gradually lose their functions. Patients 12 will initiate glimepiride (either 1 mg or 2 mg q.d.) eventually requires dialysis or kidney transplant. in addition to their ongoing therapy with sitagliptin TRK-200STP is expected to slow the progression of 100mg q.d and metformin 1500 mg per day. chronic renal failure by making blood harder to clot, Patients assigned to the liraglutide-based treatment improving blood flow by widening the blood vessels, paradigm who have a site-fingerstick A1C 7.0% at and suppressing the production of inflammation Visit 3/Week 12 will up-titrate their dose from 1.2 to mediators. TRK-100STP used in this study is a 1.8 mg at Visit 3/Week 12. longer acting version, which requires less frequent Sitagliptin 100 mg q.d. will be administered as oral dosing, than the marketed product sold under the tablets during the entire 26-week study treatment name of Dorner or Procylin for the treatment of period. Liraglutide will be injected subcutaneously “ulcers, pain, and coldness related to chronic arterial once daily using a pre-filled pen device. Metformin obstruction” or “primary pulmonary hypertension”. will be administered as oral tablets at a daily dose of TRK-100STP, the longer acting version also has been 1500 mg; all patients will continue on their stable commercially available in Japan by the product dose of metformin throughout the course of the study. names “Careload LA” and “Berasus LA” has already Patients assigned to the sitagliptin-based treatment been used by a large number of Japanese patients paradigm will initiate glimepiride at Visit 3/Week 12 with pulmonary arterial hypertension. Based on the if their site-fingerstick A1C is 7.0% and FFSG is past non-clinical data, a multicenter, randomized, Faculty of Medicine Department of Medicine and Therapeutics double-blind, and parallel-group comparative study management of PD peritonitis. Recent studies (phase IIb/III clinical study) was planned to showed that bacterial-derived DNA fragments are investigate the superiority of TRK-100STP over the present in clinically used fluids such as dialysis fluid. placebo for the CRF patients with glomerular disease DNA fragments are thought to be derived from or nephrosclerosis as primary diseases. Using the microorganisms renal composite endpoints, this study will evaluate hypothesize that the presence of bacteria-derived “extension of the period up to introduction of DNA fragment in PD effluent is a predictor of dialysis” as a true endpoint and will investigate a relapsing peritonitis in PD patients. We plan to study recommended therapeutic dose using the three groups 120 patients with PD peritonitis. After inform consent, of 120 μg/day, 240 μg/day and the placebo. two specimens of PD effluent will be collected, on 0 Based on the past non-clinical and clinical data, a day and 28 days after the antibiotic treatment has multicenter, and completed, for the test of bacterial-derived DNA parallel-group comparative study (phase IIb/III fragments. All patients will be followed for one year clinical study) was planned to investigate the after completion of antibiotic therapy for the superiority of TRK-100STP over the placebo for the development of relapsing, recurrent, or repeat CRF or peritonitis episodes. Our study would explore the use nephrosclerosis as primary diseases. Using the renal of detecting bacterial-derived DNA fragment in PD composite endpoints, this study will evaluate effluent as an non-invasive tests for the prediction of “extension of the period up to introduction of relapsing peritonitis. dialysis” as a true endpoint and will investigate a (MD10766) patients randomized, with double-blind, glomerular disease inhabiting body fluid. We recommended therapeutic dose using the three groups of 120 μg/day, 240 μg/day and the placebo. Circulating Bacterial-derived DNA Fragments in (MD10483) Peritoneal Dialysis Bacterial-derived DNA Fragment in Peritoneal SZETO Cheuk Chun Dialysis Effluent as a Predictor of Relapsing 1 January 2011 Peritonitis Baxter Healthcare - Renal Discoveries Extramural Grant Program SZETO Cheuk Chun KWAN Ching Ha Bonnie Background: Cardiovascular disease (CVD) is the 1 December 2010 major cause of mortality and morbidity in peritoneal Research Fund for the Control of Infectious dialysis (PD) patients. In addition to the traditional Diseases risk factors of CVD, it is now recognized that Peritoneal dialysis (PD) is the first-line treatment of systemic inflammation plays a key role in the end stage renal disease (ESRD) in Hong Kong. pathogenesis of atherosclerosis and CVD. The Despite the advance in antibiotic therapy and underlying causes of immune activation in renal connecting system, recurrent peritonitis remains the failure, major cause of peritoneal failure. A reliable predictor endotoxin derived from intestinal bacteria has been of proposed to adversely affect cardiovascular structure relapsing peritonitis is invaluable in the however, remain elusive. Translocated Faculty of Medicine Department of Medicine and Therapeutics and function by driving systemic inflammation, Expected outcome: This project will establish the atherosclerosis, and oxidative stress, but results of pathogenic role of circulating bacterial DNA prospective trials remain conflicting. Recently, fragment in the development of malnutrition, circulating bacterial DNA fragments, presumably systemic inflammation, and CVD in PD patients. It coming from the dialysate during hemodialysis (HD), would shed light to the further development of are found to associate with higher levels of C-reactive intervention for the prevention of CVD in PD protein and IL-6 in HD patients. However, even in patients. the setting of peritoneal dialysis, circulating bacterial (MD10501) DNA fragments is a microbial component from intestinal bacteria that could be released to the A Randomized, Double-blind Phase 2b Study to systemic circulation and triggers inflammation and Evaluate the Efficacy, Safety, and Tolerability of CVD. A-623 Administration in Subjects with Systemic Hypothesis: Circulating bacterial DNA fragment Lupus Erythematosus contributes to the pathogenesis of malnutrition, systemic inflammation, and cardiovascular disease in TAM Lai Shan LI Kwok Ming Edmund PD patients. 18 March 2011 Specific aim: 1. 2. Anthera Pharmaceuticals, Inc. To determine the relation between circulating bacterial DNA fragment, nutritional status, This is a medical research study. The purpose of this systemic inflammatory markers, and arterial study is to evaluate the clinical efficacy and safety of pulse wave velocity in a cohort of new PD a new drug called A-623 when administrated at 3 patients; and different To explore whether the circulating load of serologically active systemic lupus erythematosus bacterial (SLE) compared with placebo. DNA fragment predicts the dosage regimens to patients with development of CVD and all-cause mortality The number of B Cells (specialized white blood cells in a cohort of new PD patients. in our blood) can increase in patients with SLE. Method: The proposed project is a prospective A-623 has been developed as a treatment for SLE observational study. We plan to enroll 200 new PD based on its ability to bind to and antagonize the patients. We will quantify the circulating bacterial action of human B cell activating factor (BAFF). DNA fragment at the beginning and 6 month after PD. BAFF is a protein that is a critical survival factor for The result would be correlated to the nutritional B cells and is required for B cell development and status (as represented by subjective scoring systems maintenance. and a panel of serum markers), degree of systemic Therefore, A-623 is a potential therapeutic agent for inflammation B cell-mediated autoimmune and inflammatory (as represented by a panel of inflammatory markers) and vascular dysfunction (as diseases. represented by serum markers and arterial pulse wave The treatment period in this study is 52 weeks. If the velocity). All patients will then be followed for at subjects are eligible to enter the study, he/she will be least one year. The development of CVD, peritonitis, randomized (chosen by chance, like flipping a coin) and all-cause mortality, will be analyzed. to receive 200 mg or placebo subcutaneously (SC) Faculty of Medicine Department of Medicine and Therapeutics weekly; 100 mg or placebo SC weekly; 200 mg or binding of HMGB1. In our pilot study, increased placebo SC every 4 weeks. Each subject has an equal expression of RAGE on macrophages and the chance of being put into any of the groups. Neither concentration of HMGB1 were observed in SLE the subject nor the doctor will choose the group. Up patients. Moreover, recombinant HMGB1 and toll to 600 subjects will be randomized in this study: 100 like receptor (TLR)-9 alone could induce the in each of the study group: (1a) A- 623 200 mg phosphorylation of p38 MAPK in the macrophages of weekly, (1b) placebo weekly matching 1a; (2a) SLE patients. Whether aberrant expression and A-623 100 mg weekly, (2b) placebo weekly matching function of RAGE in SLE patients may lead to 2a; (3a) A-623 200 mg every 4 weeks, (3b) placebo increased inflammatory response upon binding by every 4 weeks matching 3a. HMGB1-DNA complex compared to healthy control Upon completion of this study, the subject will be remained uncertain. The balance between the levels given the option to continue to receive A-623 under of HMGB1, RAGE and soluble RAGE (sRAGE) may the open-label extension study, AN-SLE3322. represent a dynamic system. The relationship (MD10684) between the up-regulation of RAGE/HMGB1 and the level of ‘protective’ sRAGE levels in SLE is of HMGB1: A Danger Signal Molecule of the Innate obvious clinical interest. Immune Response for the Immunopathogenesis of Hypothesis: HMGB1 binds to molecules release from Systemic Lupus Erythematosus apoptotic cells such as nucleosomes and DNA thereby increasing the immunogenicity of these TAM Lai Shan LI Kwok Ming Edmund molecules and facilitating their interaction and uptake by macrophages through RAGE and TLR. WONG Chun Kwok (Chemical Pathology) Objective: We will measure the function of HMGB1 15 June 2011 in purified macrophages of 20 consecutive SLE CUHK Research Committee Funding (Direct patients with active inflammation (flare) compare Grants) with 20 healthy controls. Introduction: The autoantibodies that form against Significance: The investigation of function of double-stranded DNA (dsDNA) and nucleosomes are HMGB1 in SLE patients may provide a useful characteristic of systemic lupus erythematosus (SLE). platform for studying the role of innate immunity in Understanding of the mechanisms leading to the pathogenesis of autoimmune diseases, and the induction of inflammatory responses by uptake of targeting HMGB1 might be a promising tool to mammalian nucleic acids is of great importance since control the inflammation in lupus. aberrant immunologic responses against self antigens (MD10396) in predisposed individuals would lead to auto-immunity including SLE. A Single-dose, Open-label, Phase 1 Study to High mobility group box 1 protein (HMGB1) is a Evaluate non-histone nuclear protein that binds DNA and act Tolerability of Oral Fampridine-PR 10 mg in as a proinflammatory cytokine when released outside Chinese, Japanese, and Caucasian Adult Healthy the cell. Receptor for advanced glycation end Volunteers the Pharmacokinetics, Safety, and products (RAGE) is the most important receptor for Faculty of Medicine Department of Medicine and Therapeutics TOMLINSON Brian WONG Raymond SM* receive TMC 435 as a single dose of 100 or 200 mg on Day 1. Full pharmacokinwric profiles of TMC435 CHAN CM Jones* will be determined up to 72 hours after dosing. Safety 1 September 2010 and tolerability will be evaluated continuously. A Biogen Idec Hong Kong Ltd washout period of at least 72 hours should be This is a single-dose, open-label study to evaluate the respected between dosing in the single dose period PK, safety, and tolerability of 10 mg fampridine-PR and first dosing in the multiple dose period. administered orally under fasted conditions to adult In the multiple dose period subjects will receive 100 Chinese, Japanese, and Caucasian healthy volunteers. or 200 mg TMC435 q.d. for 5 days (Days 4 to 8). The Caucasian group is included to allow comparison Subjects will receive the same TMC435 dose as they of PK data from different race groups to be received performed with data obtained from the same study pharmacokinetic profiles of TMC435 will be under the same controlled conditions. determined up to 72 hours after dosing. Safety and Frequent blood and urine samples for assay of 4-AP tolerability will be evaluated continuously. A concentrations will be collected within 24 hours after pharmacogenomic blood sample will be collected dosing. PK parameters will be estimated from the from subjects who consent separately to the concentration data. Only Chinese subjects will be pharmacogenomic studies in Hong Kong. Participation (MD10691) optional. in the in single dose component of pharmacogenomic period. the Full study. research is (MD10670) Phase I, Open Label, Randomized Study to and SAVOR Saxagliptin Assessment of Vascular Tolerability of Different Oral Doses of TCM435 Outcomes Recorded in Patients with Diabetes after Single and Repeated Dosing in Healthy Mellitus. Chinese Subjects Double-blind, Placebo-controlled Phase IV Trial Examine the Pharmacokinetics, Safety A Multicentre, Randomised, to Evaluate the Effect of Saxagliptin on the TOMLINSON Brian WONG Raymond SM* CHAN CM Jones* CHAN Michael* Incidence of Cardiovascular Death, Myocardial Infarction or Ischaemic Stroke in Patients with Type 2 Diabetes 1 October 2010 Johnson & Johnson (Hong Kong) Limited TOMLINSON Brian WONG Raymond SM* This is an open label, randomized, Phase I study to determine the pharmacokinetics, safety and tolerability of TMC435 after single and multiple oral CHAN CM Jones* CHAN Michael* 1 December 2010 AstraZeneca Hong Kong Limited intakes. The study population will consist of 32 healthy Chinese subjects. Each subject will Saxagliptin lowers the blood glucose sugar levels by participate in 2 treatment periods, i.e., single dose stopping the breakdown of a hormone in the body period and multiple dose period. First, subjects will called Glucagon-like peptide-1 (GLP-1). GLP-1 is enter the single dose period in which they will normally made in the gut and works to help the body Faculty of Medicine Department of Medicine and Therapeutics to release insulin when the blood glucose is high. In dipivoxil) when administered separately. In this study, this study, subjects with type 2 diabetes (T2DM) will the be assigned, by chance (1 in 2, or 50%), to receive lamivudine/10mg adefovir dipivoxil. In total 40 either saxagliptin or placebo (an inactive pill with no healthy adult subjects will be enrolled. The study will effect). The study drug is an oral tablet that is taken include a screening visit and two treatment sessions. once each day and is provided to subjects at no cost. The screening visit will be conducted up to 3 weeks On average, subjects will take part in this study for prior to the first dose of Sessions 1. Pharmacokinetic approximately 5 years. During this time subjects will sampling for measurement of plasma lamivudine and be asked to return for follow up visits every 6 months, adefovir dipivoxil concentrations will be conducted and site staff will call the subjects every 3 months. over a 48-hour period following the morning Subjects will make between 6 and 10 visits administration of study medication in each study depending on how long subjects take part in the study. session. The total duration (from screening to the end Each follow-up visit will take about an hour to of the study) of each subject’s participation will be complete. Examples of what will be completed at approximately four weeks. each study visit include: electrocardiogram (EKG), (MD10615) FDC product will contain 100mg blood samples, urine samples, medical history, and physical examination. An Open Label, Randomized, Cross-over Study to (MD10416) Investigate the Single Dose Bioequivalence of Lamotrigine Dispersible/Chewable Tablets (5mg) Study LAF114957, A Randomized, Open-label, compared to Lamotrigine Compressed/Standard Single-dose, Two-period, Crossover Study to Tablets (25mg) in Chinese Healthy Male Subjects Demonstrate the Bioequivalence of the Fixed Dose Combination (FDC) of Lamivudine and Adefovir TOMLINSON Brian WONG Raymond* CHAN CM Jones* CHAN Michael* Dipivoxil (100mg/10mg) to Heptodin® (100mg) and Hepsera® (10mg) 15 February 2011 GlaxoSmithKline Limited TOMLINSON Brian WONG Raymond* CHAN CM Jones* CHAN Michael* Lamotrigine (LAMICTAL), a selective inhibitor of the 18 January 2011 voltage-sensitive sodium channel, is an antiepileptic drug of the phenyltriazine class that is GlaxoSmithKline Limited structurally distinct from other available antiepileptic This is a phase I study being conducted to support the drugs. Lamotrigine chewable/ dispersible (CD) clinical development program of a fixed dose tablets can be taken without water. Bioequivalence combination (FDC) product of the nucleoside studies analogue lamivudine and the nucleotide analogue lamotrigine CD and standard tablets are bioequivalent adefovir dipivoxil. To establish bioequivalence, the and food-intake had no influence on lamotrigine’s exposure of lamivudine and adefovir dipivoxil when absorption from CD tablets. The present study will administered as the FDC will be compared to that of evaluate the bioequivalence of the lamotrigine CD Heptodin tablets and lamotrigine standard tablets when (lamivudine) and Hepsera (adefovir from other populations showed that Faculty of Medicine Department of Medicine and Therapeutics administered in equal doses under fasted status in placebo run-in, eligible patients will be randomized healthy Chinese male adult volunteers. The safety, in a 1:1 ratio at Visit 3 to one of the two treatment tolerability groups. After 4 weeks of treatment, treatment doses and pharmacokinetic profile of lamotrigine CD tablets will also be assessed. of ERN/LRPT will be increased in both treatment This is an open-label, randomized, single dose, groups for an additional 8 weeks. At Visit 6, patients two-sequence cross-over study. Twenty-four eligible, will crossover to the other treatment. There will be 8 healthy, Chinese male subjects will be enrolled after scheduled clinic visits at Weeks –10 or –8 or –4, -2, 0 providing written informed consent. Subjects will be (Day 1), 4, 8, 12, 16, and 20. The final visit will be randomized into two treatment groups 1 day prior to conducted at Week 20 (Visit 8), followed by a the first dosing day and will be assigned to regimen post-study telephone contact 14 days after the last sequences (AB or BA). Subjects will receive their visit or last blinded treatment dose. Patients who allocated regimen on the morning of Day 1 and will discontinue from the study prior to completion will undergo study assessments for 7 days (until Day 8). also be contacted by telephone at their intended final Subjects will receive their alternate randomized visit study date (20 weeks from randomization) for treatment after a washout period of 14-21 days from serious cardiovascular adverse events or death. Day 1. Subjects will undergo a further assessment Approximately period of 7 days and will attend a follow-up visit hypercholesterolemia or mixed dyslipidemia will be during 8-12 days after the second treatment. The total randomized worldwide. observation period in this study will be 23~24 days. (MD10650) 1268 patients with primary (MD10774) Efficacy and Safety of Lixisenatide in Patients A Phase III Multicenter, Double-blind, Crossover with Type 2 Diabetes Mellitus Insufficiently Design Study to Evaluate Lipid-altering Efficacy Controlled by Metformin (with or without and Sulfonylurea): Safety of Extended-release Niacin/Laropiprant/Simvastatin Tablet in Patients Combination with Primary A Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Study with 24-week Treatment Period Hypercholesterolemia or Mixed Dyslipidemia TSANG Chiu Chi OZAKI Risa* TOMLINSON Brian WONG Raymond* CHAN CM Jones* CHAN Michael* 1 October 2010 Sanofi-Aventis Hong Kong Ltd 1 May 2011 The purpose of EFC11321 study is to evaluate the Merck Sharp & Dohme benefits and risks of adding lixisenatide (AVE0010) The primary objective of this study is to evaluate the to a stable dose of metformin alone or metformin lipid lowering effects of ERN/LRPT/SIM 2g/40mg with sulfonylurea in comparison to placebo for compared to EPN/LRPT 2g co-administered with control of diabetes in patients with type 2 diabetes simvastatin mellitus (T2DM) 40 mg. This is a multicenter, study. Lixisenatide/AVE0010, a peptide of 44 amino acids Following the pre-screening/wash-out period and from the exendin family, is a novel selective GLP-1 double-blind, randomized, crossover Faculty of Medicine Department of Medicine and Therapeutics receptor agonist with a receptor binding affinity to This is a multicentre, randomized, double-blind, the GLP-1 receptor approximately 4-times higher placebo-controlled Phase IV study to evaluate than human GLP-1. It is being developed for the whether treatment with saxagliptin can reduce the treatment of T2DM by daily subcutaneous injection. composite Lixisenatide/AVE0010 trends towards preservation myocardial infarction or non-fatal stroke in patients of pancreatic insulin content and β-cell function with T2DM and to definitively exclude unacceptable beyond treatment duration in preclinical trials. CV toxicity. The anticipated duration of the study is The primary efficacy endpoint of EFC11321 study is approximately 5 years, including an anticipated HbA1c reduction at week 24. Other secondary enrolment period of 2 years and follow up period of 3 efficacy parameters of interest in type 2 diabetes are years. However, the duration of the trial will be based also assessed, such as percentage of patients reaching on accrual of the pre-determined number of events, HbA1c < 7% or HbA1c ≤ 6.5%, changes in fasting and therefore the study may be shorter or longer. plasma glucose (FPG), postprandial plasma glucose Patients with documented T2DM and with either a (PPG) levels and weight changes. history of CV events or multiple risk factors for The treatment duration in study EFC11321 will be 24 vascular disease will be enrolled from sites weeks of throughout the world. All patients will be treated to lixisenatide/AVE0010 on HbA1c is expected to be regional standards of care for cardiovascular risk reached between 12 and 24 weeks and 24 weeks of factors (e.g., blood pressure, lipids) and HbA1c. treatment should also allow a significant evaluation Approximately 12000 patients meeting all eligibility of effect on body weight. There will be a safety criteria at approximately 700 study sites will be follow-up randomized (1:1) to receive either saxagliptin or since an period almost of 3 maximal days after effect treatment endpoint of CV death, non-fatal discontinuation, which is based on the terminal placebo. half-life lixisenatide/AVE0010. In the study, subjects will be assigned, by chance, to (MD10885) receive either saxagliptin or placebo (an inactive pill with no effect). Subjects will have an equal chance (1 Saxagliptin Assessment of Vascular Outcomes in 2, or 50%) of receiving either saxagliptin or Recorded in Patients with Diabetes Mellitus A placebo. The study drug is an oral tablet that is taken Multicentre, once each day and is provided to subjects at no cost. Randomised, Double-blind, Placebo-controlled Phase IV Trial to Evaluate the On average, subjects will take part in this study for Effect of about 3-4 years. During this time subjects will be Cardiovascular Death, Myocardial Infarction or asked to return for follow up visits every 6 months, Ischaemic Stroke in Patients with Type 2 Diabetes and site staff will call the subjects every 3 months. of Saxagliptin on the Incidence Subjects will make between 6 and 10 visits TSANG Chiu Chi OZAKI Risa Kin Hamish* NG Vanessa W S* 1 December 2010 AstraZeneca Hong Kong Limited CHAN Chi depending on how long subjects take part in the study. Each follow-up visit will take about an hour to complete. Examples of what will be completed at each study visit include: electrocardiogram (EKG), blood samples, urine samples, medical history, and physical examination. Faculty of Medicine Department of Medicine and Therapeutics each study visit include: electrocardiogram, blood (MD10496) samples, urine samples, medical history & physical A Multicentre, International, Randomised, Parallel Group, Double Blind Study to Evaluate Cardiovascular Safety of examination. (MD10834) Linagliptin versus Glimepiride in Patients with Type 2 Diabetes A Randomized, Double Blind, Placebo Controlled, Mellitus at High Cardiovascular Risk. The Parallel Group Trial for Assessing the Clinical CAROLINA Trial Benefit of Dronedarone 400mg BID on Top of Standard Therapy in Patients with Permanent TSANG Chiu Chi OZAKI Risa CHAN Chi Atrial Fibrillation and Additional Risk Factors Kin Hamish* NG Vanessa W S* WONG Ka Sing Lawrence 1 June 2011 Boehringer Ingelheim Singapore Pte Ltd This is a multicentre, international, randomized, parallel group, double blind, comparator-controlled safety study of linagliptin versus glimerpiride as montherapy or as add-on therapy. The aim of the WONG H C Edward* CHAN Yin Yan Anne* SOO OY Yannie* LAU YL Alexander* IP HL Vincent* AU WC Lisa* 15 March 2011 Hamilton Health Sciences Corporation Sanofi-Aventis Hong Kong Ltd study is to investigate the long-term impact on CV morbidity and mortality and relevant efficacy The study is being conducted worldwide in about 43 parameters of treatment with linagliptin in a relevant countries, 700 hospitals and physician offices, and population of patients with T2DM and compare will involve approximately 10800 patients. outcome The primary goal of the study is to demonstrate that against glimepiride. The anticipated duration of the study is approximately 7.7 years. dronedarone 400 mg twice a day can reduce Patients with documented T2DM and concurrently cardiovascular insufficient glycaemic control and with either a infarction, a clotting of arteries called “systemic history of CV events or multiple risk factors for arterial vascular disease will be enrolled from sites cardiovascular reason, or death from cardiovascular throughout the world. Approximately 6000 patients or other cause in patients 65 years of age or older meeting all eligibility criteria at all study sites will be with permanent atrial fibrillation and additional randomized (1:1) to receive either Linagliptin 5 mg cardiovascular diseases of risk factors. The secondary or Glimepirde 1-4 mg. The study drug and objective is to assess if dronedarone is safe in these comparator drug is an oral tablet that is taken once patients with permanent atrial fibrillation and each day and is provided to subjects at no cost. additional cardiovascular diseases or risk factors. On average, subjects will take part in this study for As a participant to this study, subject will be assigned 7-8 years. Subject will return to the clinic for by chance to dronedarone or placebo. The chance to regularly scheduled follow-up visits up to 400weeks. receive the one or the other treatment is 50%. Neither Each follow up visit will take about an hour to subjects nor investigator(s) will be aware of the events, embolism”, i.e., stroke, hospitalization myocardial for a complete. Examples of what will be completed at Faculty of Medicine Department of Medicine and Therapeutics treatment to which subjects have been allocated detected by transcranial Doppler (TCD), are a (double blind randomized trial). surrogate marker of future stroke risk and have been All subjects are required to take 1 tablet (dronedarone used to demonstrate treatment efficacy in extracranial 400mg or placebo) twice a day with food for the carotid stenosis. We aimed to test the hypothesis that study period. Up to 14 study visits are planned, which dual antiplatelet therapy with clopidogrel plus aspirin include baseline visit, Day 7, Month 1, Month 4, was superior to aspirin alone in reducing the presence Month 8, Month 12, Month 16, and every 6 months of MES in patients with recent stroke. visits thereafter with phone calls between two visits. Methods: CLAIR was prospective, randomized, Assessment to be performed may include: physical open-label, blinded end point evaluation (PROBE) examination, ECG trial. 100 patients with acute ischemic stroke or TIA (electrocardiogram), echocardiography, chest x-ray, within 7 days of symptom onset, who had laboratory tests and questionnaires. Blood samples symptomatic large artery stenosis in the cerebral or will be taken for laboratory tests up to visit at month carotid arteries and in whom TCD monitoring 12 (not more than 30ml of blood will be taken at each revealed the presence of MES, were recruited. visit). Patients The study will last for approximately 3 years. The clopidogrel plus aspirin (47 patients) or aspirin alone duration of each subject participation depends on the (53 patients) for 7 days. MES monitoring were time that subject enter the study. It can vary from repeated on Day 2 and Day 7. The primary endpoint about 3 months up to approximately 36 months. The was the proportion who were MES positive on day 2. treatment and follow up will be completed for all Diffusion weighted MRI (DWI) was also performed patients at the same time (common study end date). at baseline and on day 7 and new infarcts recorded. (MD10471) Findings: The majority of subjects had symptomatic medical history, were randomized to receive either intracranial stenosis in either the intracranial internal Clopidogrel plus Aspirin versus Aspirin Alone for carotid artery or the middle cerebral artery. (97.8% in Reducing Embolisation in Patients with Acute the Symptomatic Cerebral or Carotid Artery Stenosis monotherapy group). On intention-to-treat analysis, (CLAIR Study): A Randomised, Open-label, there was a reduction in the proportion of patients Blinded-endpoint Trial with MES on day 2: 14 (31%) in the dual therapy dual therapy group, and 92.3% in the group versus 27 (54.0%) in the monotherapy group WONG Ka Sing Lawrence (P= 0.025); relative risk reduction (RRR) 42%, 1 April 2011 95%CI 4.6-65.2). On Day 7, MES were detected in CUHK Research Committee Funding (Direct Grants) 10 (23.3%) of the dual therapy group versus 26 (51.0%) in the monotherapy group (P=0.006); RRR 54.4%; 95%CI 16.4-75.1. Per protocol analysis Background: There have been few randomized showed similar results. In contrast there was no clinical trials on the use of antithrombotic agents in difference between the two treatment groups in new the early secondary prevention of stroke and transient infarcts detected by DWI. Two ischaemic strokes ischaemic attack (TIA) in patients with intracranial (both in the monotherapy group) and no major atherosclerotic stenosis. Microembolic signals (MES), bleeding was found during the study period. Faculty of Medicine Department of Medicine and Therapeutics with megakaryocytes from bone marrow progenitor cells. clopidogrel and aspirin is more effective than aspirin In 2008, eltrombopag was granted marketing alone in reducing microembolic signals in patients approval in the US for the treatment of patients with with predominantly intracranial symptomatic stenosis. chronic ITP who have had an insufficient response to Clinical trials are now warranted in this group to corticosteroids, immunoglobulins or splenectomy. determine whether this approach also results in a This is a phase IV, open-label safety study, designed reduction in stroke. to determine baseline levels of bone marrow fibers in (MD10712) previously treated adults with chronic ITP and to Interpretations: Combination therapy evaluate the long-term effect of eltrombopag on bone Study TRA112940, A Longitudinal 2-year Bone marrow reticulin and/or collagen fibers. Subjects Marrow Olamine previously treated with eltrombopag or romiplostim (SB-497115-GR) in Previously Treated Adults, must have completed treatment with eltrombopag or with romiplostim at least 6 months prior to screening bone Study of Chronic Eltrombopag Immune (Idiopathic) marrow biopsy. Subjects treated with any other Thrombocytopenic Purpura (ITP) TPO-R agonist are not eligible. The enrollment of WONG Siu Ming Raymond subjects previously exposed to a TPO-R agonist will 1 July 2010 be limited to no more than 20%. Approximately 150 subjects are expected to be enrolled in this study. GlaxoSmithKline Limited Eltrombopag will be administered for at least 2-years Chronic immune purpura (ITP) characterized by (idiopathic) is an thrombocytopenic autoimmune autoantibody-included (104 weeks) followed by a 4-week follow-up period. disorder The total study duration is up to 116 weeks. Subjects platelet will initiate treatment with eltrombopag 25mg once destruction and reduced platelet production, leading daily. to a low platelet count (<150 Gi/L) eltrombopag dosing modifications will be based upon Reticulin fibers can be increased in the bone marrow each subject’s individual platelet count response. of subjects with several conditions such as cancers, or Bone marrow biopsies will be performed at screening, autoimmune diseases including ITP. There is a after 1-year (52 weeks) and 2-years (104 weeks) of potential of eltrombopag treatment, and at early withdrawal of receptor treatment if the subject withdraws > 3 months after risk megakaryocytes that with chronic stimulation thrombopoietin Specific instructions (TPO-R) agonists might contribute to a further the last bone marrow biopsy. increase of reticulin or collagen fibers in the bone (MD10643) for subsequent marrow. Eltrombopag olamine (SB-497115-GR, referred to as A Randomized, Double Blind, Placebo Controlled eltrombopag) is an orally bioavailable, small Study to Assess the Efficacy and Safety of CNTO molecule, TPO-R agonist. Eltrombopag interacts with 328 (Anti IL 6 Monoclonal Antibody) plus Best the transmembrane domain of the human TPO-R and Supportive Care Compared with Best Supportive initiates a signaling cascade similar but not identical Care in Subjects with Multicentric Castleman’s to that of endogenous thrombopoietin (TPO), Disease inducing proliferation and differentiation of Faculty of Medicine Department of Medicine and Therapeutics WONG Siu Ming Raymond CHENG Gregory subjects with multicentric Castleman’s disease 15 July 2010 (MCD). The secondary objectives of this study are: Johnson & Johnson (Hong Kong) Limited • To demonstrate additional measures of double-blind, efficacy (duration of tumor response; time to placebo-controlled, multicenter Phase 2 study to treatment failure; change in hemoglobin levels; determine the safety and efficacy of CNTO 328 + ability to discontinue corticosteroids; and Best Supportive Care (BSC) compared with BSC, in improvement in fatigue, physical function, and subjects with symptomatic MCD. Approximately 75 other disease-related symptoms); This is a randomized, subjects will be randomly assigned in a 1:2 ratio to • To study the safety of prolonged dosing; placebo + BSC or to CNTO 328 + BSC. The study • To determine the pharmacokinetics of CNTO 328 among subjects with MCD; and will be conducted in a blinded manner with independent, centrally confirmed assessment of the • To determine a baseline hepcidin value primary endpoint. predictive of a ≥ 2 g/dL increase in All subjects will receive the assigned, blinded, study hemoglobin. treatment for 18 weeks in the absence of treatment (MD10960) failure, to allow for assessment of the primary endpoint of radiologic response. Subjects who attain A response (Complete response [CR] or Partial Placebo response [PR]) and subejcts with stable disease (SD) Panobinostat in Combination weith Bortezomib who are experiencing symptom improvement should and Dexamethasone in Patients with Relapsed continue to receive the assigned study treatment until Multiple Myeloma Multicenter, Randomized, Controlled Phase Double-blind, III Study of treatment failure or until the study is unclinded (i.e., approximately 27 weeks after the last subject starts WONG Siu Ming Raymond CHENG Gregory study treatment), whichever occurs earlier. All 9 August 2010 decisions to unblind for reasons other than Novartis Pharmaceuticals (HK) Ltd documented radiologic progression must be discussed with the Medical Monitor and documented at the time The purpose of this study is to find out whether the the decision is made, or unblinded treatment with combination CNTO 328 will not be allowed. Study treatment may dexamethasone is safe and results in a better continue up to 1 year after the last subject starts study anti-myeloma treatment. dexamethasone alone. Subjects who are benefiting from of panobinostat, activity than bortezomib bortezomib and and treatment (defined by CR, PR, or SD with symptom The participants have 50% chance of being treated improvement) at the end of study may continue to with bortezomib and dexamethasone and oral receive CNTO 328 in an extension protocol. panobinostat, or bortezomib and dexamethasone and The primary objective of this study is to demonstrate a placebo pill also taken by mouth. that CNTO 328 in combination with BSC is superior Patients will be randomized within 3 weeks of to BSC in terms of objective response (complete screening procedures and treatment with PAN or response [CR] + partial response [PR] among placebo and BTZ/Dex will start within 7 days after Faculty of Medicine Department of Medicine and Therapeutics randomization. Starting Cycle 1/Day 1, all patients 12 years of age or older. Subjects who sign informed will receive study drug (Panobinostat 20mg or consent will undergo a screening evaluation up to 8 placebo 3 times per week, 2 weeks on/ 1 week off). weeks prior to the first dose of the study treatment. Total duration of treatment will be 48 weeks, divided All eligible subjects will undergo a wash-out period into two phases: of 96 houts (4 days) with no FIX treatment. After Treatment phase 1: 24 weeks of combined treatment which they will be enrolled and have an initial with PAN or placebo + BTZ/Dex (8 cycles of 21 days pharmacokinetics (PK) assessment that will range duration each) from 10 to 14 days in length. Treatment phase 2: 24 weeks of combined treatment A Data Safety Monitoring Committee (DSMC) will with PAN or placebo + BTZ/Dex (4 cycles of 42 days evaluate and monitor the safety and tolerability of duration each) FIXFx on an ongoing basis. For more information on All patients will receive study treatment until the DSMC, see section 19.2.1. of the study protocol. completion of week 24. Patients with clinical benefit The first dose of rFIXFc will be administered under in phase 1 will continue study treatment up to week medical supervision. Thereafter, study treatment may 48. be self administered or given at the clinic. All All patients enrolled to the study will be followed laboratory data will be based on laboratory analyses through the treatment period or until disease performed by central laboratories. progression and thereafter for survival, except those All subjects, except new subjects) not participating in who are lost to follow up. Arm 1, 2, or 3) from the Arm 4, who complete the (MD10820) study have an option to continue the treatment with rFIXFc in an extension study. For any subject not B-LONG: An Open-label, Multicenter Evaluation continuing in an extension study, a final visit will be of the Safety, Pharmacokinetics, and Efficacy of made by telephone 7 days after his last dose of Recombinant, Long-acting Coagulation Factor IX rFIXFc to assess his well-being. Fc Fusion (rFIXFc) in the Prevention and (MD10759) Treatment of Bleeding in Previously Treated with Severe Hemophilia B A Phase 3 Randomised, Open-label Study of Bosutinib versus Imatinib in Subjects with Newly WONG Siu Ming Raymond Diagnosed 16 August 2010 Chromosome Biogen Idec Hong Kong Ltd Chronic Positive Phase Philadelphia Chronic Myelogenous Leukemia This is an open-label multicenter study with 4 WONG Siu Ming Raymond treatment arms to evaluate the safety, tolerability, 13 January 2011 pharmacokinetics, and efficacy of rFIXFc in subjects Pfizer Corporation Hong Kong Limited with severe (defined as ≤2 IU/dL [≤2%] endogenous FIX) hemophilia B. Approximately 75 subjects Imatinib (Gleevec) was granted accelerated approval across 40 sites globally will be enrolled to achieve a for treatment of all phases of newly-diagnosed CML minimum of 61 evaluable, previously treated subjects, by the United States Food and Drug Administration Faculty of Medicine Department of Medicine and Therapeutics (FDA) in 2003. Bosutinib has also been shown to be CD22-positive NHL as measured by overall response effective in achieving cytogenetic and hematologic rate (ORR), progression-free survival (PFS), and responses in subjects with CML. overall survival (OS) data. The primary objective is to compare the rate of (MD10735) complete cytogenetic response (CCyR) at one year in chronic phase subjects receiving bosutinib alone Non-invasive versus chronic phase subjects receiving imatinib Steatohepatitis alone. Resonance Spectroscopy and Serum Biomarkers Diagnosis with of Nonalcoholic Phosphorus-magnetic The secondary objective is to estimate the major molecular response (MMR) rate at one year and the duration of complete cytogenetic response (CCyR) and complete hematological response (CHR). WONG Wai Sun Vincent CHU Chiu Wing Winnie (Imaging & Interventional Radiol) 1 January 2011 (MD10389) Research Grants Council - General Research Fund An Poen-label, Phase 1 Study of R-CVP or R-GDP in Combination with Inotuzumab Ozogamicin in Nonalcoholic fatty liver disease (NAFLD) is one of subjects the most common chronic liver diseases worldwide. with CD22-positive Non-Hodgkin’s In Asia, NAFLD affects 15% to 40% of the general Lymphoma population. Among NAFLD patients, those with WONG Siu Ming Raymond simple steatosis have benign clinical course while 14 March 2011 those with nonalcoholic steatohepatitis (NASH) have progressive disease and increased mortality. NASH Pfizer Corporation Hong Kong Limited may progress to liver cirrhosis, liver failure and liver Inotuzumab ozogamicin (CMC-544) is an antibody cancer. Therefore, distinguishing between simple targeting steatosis and NASH has important prognostic and CD22, conjugated with a cytotoxic antitumor antibiotic (calicheamicin) in development therapeutic implications. for the treatment of non-Hodgkin’s Lymphoma At present, the gold standard to diagnose NASH is (NHL), the tenth most commonly diagnosed cancer liver histology. However, this is an invasive worldwide. represents procedure and is not acceptable to all patients. malignancies of B-lymphocyte lineage, the majority Moreover, it is not practical to perform liver biopsy of which also expresses CD22. to evaluate a disease that affects one-third of the The primary objective is to determine the tolerability, population. Routine imaging tests such as ultrasound the initial safety profile, and the maximum tolerated scan may detect fatty liver, but cannot reveal the dose disease activity or the degree of liver injury. The (MTD) of majority the of NHL immunochemotherapeutic regimen R-CVP given in combination with CMC-544 Non-invasive diagnosis of NASH is welcomed. in subjects with CD22-positive NHL. The secondary Phosphorus objective is to obtain preliminary information on the (31P-MRS) is a non-invasive technique that provides antitumor activity of R-CVP in combination with information about the functional status of the liver. CMC-544 During liver regeneration after injury, there is an administered to subjects with magnetic resonance spectroscopy Faculty of Medicine Department of Medicine and Therapeutics increase in the turnover of cell membrane synthesis 1 January 2011 and degradation products. In our pilot study of 24 France/Hong Kong Joint Research Scheme subjects with biopsy-confirmed NAFLD, NASH patients had distinct spectral features compared to Nonalcoholic fatty liver disease (NAFLD) is one of those with simple steatosis. NASH patients had the most common chronic liver diseases worldwide. significantly higher phosphomonoester-to-inorganic A minority of NAFLD patients will develop cirrhosis phosphate ratio, indicating increased liver injury. and liver cancer. It is important to detect liver fibrosis Besides, the livers of NASH patients also had altered and cirrhosis early, and to provide management energy status as reflected by decreased γ-ATP level. accordingly. The data suggest the potential to develop 31P-MRS Traditionally, liver biopsy is the test for liver fibrosis as a non-invasive test for NASH. and cirrhosis. It is however invasive and not In this project, we plan to validate the performance of acceptable by many patients. Recently, our group 31P-MRS in detecting NASH in patients with validated the accuracy of transient elastography biopsy-proven NAFLD and control subjects without (Fibroscan) in the assessment of liver fibrosis in fatty liver. We will also compare the performance of NAFLD patients. However, a group of patients 31P-MRS to that of two serum biomarkers, remained misclassified. cytokeratin-18 fatty In this study, we aim to combine transient acid-binding protein (AFABP), in detecting NASH. elastography and serum biomarkers to improve the Cytokeratin-18 fragment is a marker of apoptosis and overall accuracy in the assessment of liver fibrosis in AFABP is involved in fatty acid metabolism and NAFLD patients. insulin resistance. Both markers are increased in (MD10604) fragments and adipocyte NASH subjects in Caucasian series, but this has not been validated in Asian subjects. The potential to Treatment of Nonalcoholic Fatty Liver Disease combine 31P-MRS and serum biomarkers to enhance with diagnostic accuracy will also be explored. Proof-of-concept Study Probiotics and Prebiotics – A The results of this study may provide clinicians with non-invasive tests to stratify the risk of NAFLD WONG Wai Sun Vincent patients. This will change clinical practice and reduce 1 April 2011 the need for invasive liver biopsies in the future. CUHK Research Committee Funding (Direct (CU10777) Grants) Non-invasive Diagnosis of Liver Fibrosis and Nonalcoholic fatty liver disease (NAFLD) is the most Cirrhosis in Patients with Nonalcoholic Fatty common chronic liver disease worldwide. It affects Liver 20% to 40% of the general adult population, and may Disease with Transient Elastography progress to cirrhosis and liver cancer. At present, (Fibroscan) and Serum Biomarkers there is no registered drug treatment for NAFLD. WONG Wai Sun Vincent Victor* DE LEDINGHEN CHAN Lik Yuen Henry Ling Angel VERGNIOL Julien* CHIM Mei A number of studies have shown that the composition of bacterial flora in the gut is closely associated with metabolic syndrome and obesity. Preliminary data Faculty of Medicine Department of Medicine and Therapeutics from our group also showed that NAFLD patients Colorectal adenomas are precursors of CRC, and have Bacteroides, first-degree relatives of individuals with colorectal Firmicutes and Fusobacteria in the gut as compared adenomas also have an increased risk of CRC. to age-, gender- and body mass index-matched Current knowledge on the prevalence of CRC among controls. The altered gut flora increases energy siblings of individuals with colorectal adenomas or extraction from food. The production of bacterial advance colonic lesions in Hong Kong is limited. We endotoxin also increases liver fat and inflammation. aimed (1) to quantify the risk of both CRC and Moreover, probiotics treatment effectively reduces adenomas among the siblings of patients with liver fat and inflammation in animal models of advanced colonic neoplasms in a prospective cohort NAFLD. With this background, treatment targeting study with case-control analysis; and (2) to determine the gut flora may become effective treatment for molecular alteration profiles of colorectal adenoma in NAFLD. siblings of patients with advanced colonic neoplasms. In this study, patients with liver biopsy-proven Cases will include siblings of screening subjects with NAFLD will be randomized to receive probiotics advanced colonic findings, and controls will include treatment or usual care for 6 months. Metabolic siblings of the screening subjects with normal profile and liver fat will be measured serially. In colonoscopy findings. Two control subjects will be addition, the gut flora composition will be assessed matched for each case subject according to age, sex, serially by pyrosequencing using the Genome and gastrointestinal symptoms. The primary outcome Sequencer FLX System (454 Life Sciences, Branford, of this study is the prevalence of advanced colonic CT). findings (i.e. adenoma and advanced neoplasms) in The results of this study will clearly define the cases compared with controls. Secondary outcomes efficacy of probiotics in NAFLD. It will improve include predictive factors associated with increased clinical care and provide patients and clinicians with risk of advanced colonic findings in cases. Stool a new treatment. sample, blood sample, and tissue biopsies of polyp (MD10798) will be collected from 40 cases and 80 control abnormal concentration of subjects for molecular investigation. Information Colonoscopy Screening in Siblings of Patients with obtained from the study will help establish the risk of Advanced Neoplasm: A Concurrent Case-control both CRC and adenomas among the siblings of Study patients with advanced colonic findings, provide a background against which screening strategies can be WU Che Yuen Justin NG Siew Chien formulated, and assist in targeting screening in high 1 April 2011 risk individuals. Moreover, determination of the CUHK Research Committee Funding (Direct Grants) molecular alteration profiles of adenomas in at risk siblings will help to elucidate molecular pathways of adenoma-carcinoma sequence. Colorectal cancer (CRC) is currently the second (MD10855) commonest cancer in Hong Kong. Individuals with a family history of CRC have an approximately two to three-fold increased risk of developing CRC. Faculty of Medicine Department of Medicine and Therapeutics The Role of Free Fatty Acid on GLP-1 and GIP of the incretin effect may occur at the receptor level Receptor Expression: Possible Contribution to in pancreatic - cells. Apart from sequence variants in Impaired Incretin Effects in Diabetes the coding region which may alter the structure or expression of these receptors, downregulation by XU Gang CHAN Chung Ngor Juliana LEE acquired conditions such as gluco- and lipotoxicity Heung Man are possible explanations for incretin resistance in 1 October 2010 type 2 diabetes. To date, no genetic variations have been reported for the GLP-1 and GIP receptors, thus Research Grants Council - General Research it remains plausible that expression of these receptors Fund may be dysregulated especially in the presence of There is now a global epidemic of diabetes. These gluco- and lipotoxicity. We recently reported reduced silent conditions independently and collectively expression of GLP-1 and GIP receptors in -cells in contribute to 50% of all causes of death mainly due to diabetic hyperglycemic rats with impaired insulin cardiovascular and renal complications. Fundamental secretion capacity. However, it remains uncertain to the development of diabetes is pancreatic cell whether secretory failure. Understanding the mechanisms by hyperlipidemia conditions. In this proposal, we aim which cell function decline within the setting of lipid to explore the role of free fatty acid on the expression over-supply, the of GLP-1 and GIP receptors and functional pathogenesis of diabetes. The incretin effect is consequences in terms of insulin secretion using both defined as enhanced insulin secretion after oral in vivo and in vitro experiments. Unraveling these versus intravenous glucose administration due to the mechanisms insulinotropic effect of the gastrointestinal hormones understanding of the effects of metabolic control on Glucagon-like incretin-islet pathways in the development of diabetes is pivotal peptide to 1 understanding (GLP-1) and similar will changes may significantly occur under improve glucose-dependent insulinotropic polypeptide (GIP), for optimization of treatment protocols. which has been extensively studied in type 2 diabetes. (CU10781) our In most studies, plasma GIP levels after meals have been found to be normal in type 2 diabetes while Therapeutic Effects of GRP78 in Human Islet GLP-1 levels were modestly reduced. In addition, Amyloid Polypeptide Induced Beta Cell Damage patients with type 2 diabetes have abnormal responses to action of incretin hormones, particularly XU Gang GIP, which when infused has almost no effect upon Weili insulin secretion. Although the effects of GLP-1 are partially preserved in type 2 diabetes, which is important for its therapeutic potential, insulin CHAN Chung Ngor Juliana SHI 15 June 2011 CUHK Research Committee Funding (Direct Grants) responses are substantially reduced in these subjects compared to normal controls, at comparable plasma The islet in type 2 diabetes is characterized by a glucose levels. ~60% β-cell deficit, increased β-cell apoptosis, and Both GLP-1 and GIP receptors are expressed in islet amyloid derived from islet amyloid polypeptide pancreatic -cells. Thus, it is plausible that impairment (IAPP). It has been suggested that formation of Faculty of Medicine Department of Medicine and Therapeutics intracellular IAPP oligomers may contribute toβ-cell association of antidiabetic agents and CV risk, which loss in T2DM. We and others previously reported led to the issuance of new Food and Drug that treatment with human IAPP in INS-1E Administration (FDA) guidance in December of 2008 pancreatic beta cells triggered apoptosis through entitled, MAPK, AKT, mitochondria, and ER stress pathways. Cardiovascular Risk in New Antidiabetic Therapies Also, ER chaperone gene GRP78/BIP prevented free to Treat Type 2 Diabetes.” fatty acid-induced cell apoptosis in liver and beta Alogliptin is a selective and potent dipeptidyl cells through attenuation of ER stress. In the present peptidase-4 study, we sought examine whether GRP78/BIP could developed by Takeda for use in patients with T2DM. attenuate the cytotoxicity effects of hIAPP in beta Dpp-4 cell in vitro and in vivo with islet transplantation (glucagons-like mice models. These findings will provide novel glucose-dependent insulinotropic peptide [GIP]). approach for the treatment of type 2 diabetes with the Incretin hormones are part of an endogenous system risk of developing amyloidogenesis. involved in the physiologic regulation of glucose and (MD10587) insulin homeostasis. By preventing the reapid “Diabetes (DPP_4) rapidly Mellitus inhibitor degrades – currently incretin peptide-1 Evaluating being hormones [GLP-1] and degradation of GLP-1, alogliptin enhances the body’s A Multicenter, Randomized, Placebo-controlled Study Double-blind, to Evaluate ability to control elevated blood glucose by triggering pancreatic insulin secretion and suppressing Cardiovascular Outcomes Following Treatment pancreatic glucagons secretion. with Alogliptin in Addition to Standard of Care in There were no nonclinical signals of a potential CV Subjects with Type 2 Diabetes and Acute toxicity, no clinical signals with respect to cardiac Coronary Syndrome biomarkers, including heart rate, blood pressure and lipid parameters, and results of the thorough QTc YAN Ping Yen Bryan LAM Yat Yin YU evaluation were negative. CV Safety is of special Chan interest in the T2DM population, particularly in Cheuk Man Kin Yin* CHAN Chi Yuen* CHAN Chin T2DM subjects who have CV disease and are a t high LEE Pui Wai* WU Eugene risk for MACE events, such as those patients who KAM Ka Ho Kevin* WONG Bun have had recent acute coronary syndrome (ACS). Pang Gary* Brian* CHAN Yat Sun Joseph* This study has been designed to evaluate the CV Hung Christopher* safety of alogliptin versus placebo in addition to 1 December 2010 Standard of Care in subjects with T2DM and ACS. Takeda Global Research and Development (MD10304) Centre (Europe) Ltd Diabetes is a chronic illness associated with both Assessment of Circulating microRNAs in Patients microvascular complications, such as nephropathy, with retinopathy, and neuropathy, and macrovascular Biomarkers complications, including cardiovascular (CV) disease, Necrosis stroke, and peripheral vascular disease. Recently, Percutaneous Coronary Intervention there has been some concern regarding Coronary for and Artery Disease Peri-procedural In-stent as Novel Myocardial Restenosis after the Faculty of Medicine Department of Medicine and Therapeutics YAN Ping Yen Bryan LAM Yat Yin Mechanistic Studies of the Effects of AVE3085 on 30 June 2011 Homocysteine-induced CUHK Research Committee Funding (Direct Coronary Endothelial Dysfunction Grants) YANG Qin Coronary artery disease is the leading cause of death worldwide. Coronary angioplasty with stent implantation is widely used to treat coronary artery disease. Limitations of percutaneous 30 June 2011 CUHK Research Committee Funding (Direct Grants) coronary intervention include (i) peri-procedural myocardial Hyperhomocysteinemia (HHcy) is an independent necrosis due to trauma during the procedure and (ii) risk factor for various cardiovascular diseases. HHcy in-stent restenosis from excessive proliferation of may cause vascular lesion formation and endothelial smooth muscle cells in response to injury after stent dysfunction that is associated with nitric oxide (NO) implantation. MicroRNAs have been shown to deficiency. AVE series are new pharmacological perform various important cellular functions via their compounds recently developed to increase NO negative gene bioavailability through enhancing the transcription of expression. Recent studies have demonstrated that endothelial nitric oxide synthase (eNOS). In this microRNAs can be detected in circulating blood and study, we will investigate the efficacy of AVE3085, a may be useful as biomarkers for many diseases, new generation of AVE compounds, in inhibiting including diseases. homocysteine (Hcy)-induced endothelial dysfunction Previously, we have identified microRNAs that in porcine coronary arteries and we will further increased on the plasma of patients with myocardial explore the mechanisms underlying the protective infarction. We have also identified distinct expression effect patterns of microRNAs that regulate smooth muscle relaxation to bradykinin (-10 ~ -6.5 Log M) and cell functions exhibit in the plasma of patients who endothelium-independent developed in-stent restenosis compared to patients nitroprusside (SNP, -11 ~ -4.5 Log M) will be studied who stent in a myograph with endothelial NO release directly implantation. Based on our preliminary results, we measured electrochemically by a specific NO hypothesize that circulating microRNAs could be microsensor. Protein expression of eNOS and the useful as novel biomarkers for peri-procedural phosphorylation post-transcriptional did cancer not and develop control of cardiovascular restenosis after of Ser1177 AVE3085. of Endothelium-dependent relaxation eNOS at to serine sodium 1177 myocardial necrosis and restenosis after percutaneous (p-eNOS coronary intervention. The main goals of this be determined by Western blot. eNOS mRNA proposal are to determine the association of expression will be detected by RT-PCR and circulating microRNAs levels with peri-procedural lucigenin-enhanced chemiluminenscence will be used myocardial necrosis and in-stent restenosis; and to measure superoxide anion (O2.-) production. The evaluate potential of microRNAs as diagnostic present investigation will provide information and lay biomarkers for these conditions. basis for the development of novel strategies with (MD10710) directly targeting endogenous eNOS for prevention or ) as well as Akt phosphorylation will Faculty of Medicine Department of Medicine and Therapeutics treatment of endothelial dysfunction in include baseline visit, Day7, Month 1, Month 4, cardiovascular disorders. Month 8, Month 12, Month 16, and every 6 month (MD10398) visits thereafter with phone calls between two visits. Assessments to be performed may include: physical A Randomized, Double Blind, Placebo Controlled, examination, medical history, ECG Parallel Group Trial for Assessing the Clinical (electrocardiogram), echocardiography, chest x-ray, Benefit of Dronedarone 400mg BID on Top of laboratory tests and questionnaires. Blood samples Standard Therapy in Patients with Permanent will be taken for laboratory tests up to visit at month Atrial Fibrillation and Additional Risk Factors 12 (not more than 30ml of blood will be taken at each visit). YU Cheuk Man YIP Wai Kwok Gabriel# The study will last for approximately 3 years. The duration of each subject participation depends on the YAN Ping Yen Bryan LAM Yat Yin time that subject enter the study. It can vary from 15 March 2011 about 3 months up to approximately 36 months. The Sanofi-Aventis Hong Kong Ltd treatment and follow up will be competed for all The study is being conducted worldwide in about 43 patients at the same time (common study end date). countries, 700 hospitals and physician offices, and (MD10630) will involve approximately 10800 patients. The primary goal of the study is to demonstrate that Schematic dronedarone 400 mg twice a day can reduce Treatment Non-Responders in Patients with cardiovascular Systolic Heart Failure events, i.e., stroke, myocardial Identification of Predictors of infarction, a clotting of arteries called “systemic arterial embolism”, hospitalization for a YU Cheuk Man LAN Hui Yao (Li Ka Shing cardiovascular reason, or death from cardiovascular Institute of Health Sciences) or other cause in patients 65 years of age or older John Elsby with permanent atrial fibrillation and additional Renneberg, Reinhard* cardiovascular disease or risk factors. The secondary Richards Mark* objective is to assess if dronedarone is safe in these Yen Bryan patients with permanent atrial fibrillation and additional cardiovascular diseases or risk factors. As a participant to this study, subject will be assigned SANDERSON COATS Andrew Justin Stewart Krum Henry* LAM Yat Yin YAN Ping 1 June 2011 RGC - Collaborative Research Fund (CRF) Research Committee Group Research Scheme by chance to dronedarone or placebo. The chance to receive the one or the other treatment is 50%. Neither Chronic heart failure (CHF) is a major public health subjects nor investigator(s) will be aware of the problem in Hong Kong. Data from our heart failure treatment to which subjects have been allocated registry shows that 1-year mortality and readmission (double blind randomized trial). for heart failure (HF) is about 50%. Over the past All subjects are required to take 1 tablet (dronedarone two decades there have been significant advances in 400mg or placebo) twice a day with food for the the treatment of systolic heart failure with the use of study period. Up to 14 study visits are planned, which drugs that block the major neurohormonal responses Faculty of Medicine Department of Medicine and Therapeutics to the initial injury. Recently cardiac devices such underlying gastric cancer development remains as biventricular pacing (or CRT) which rectify the elusive. The transcription factor STAT3 is overactive abnormal conduction and contraction in CHF have in many cancers including gastric cancer. STAT3 also been used for CHF treatment. Although large becomes activated by phosphorylation on a single scale clinical trials have demonstrated the efficacy tyrosine residue and accumulates in the nucleus and safety of the commonly used drugs for CHF, it is where it binds DNA and directs transcription of a a common clinical observation that not all patients wide array of genes in the host cells. Our preliminary respond as well as others and some not at all. Our findings show that STAT3 is activated in gastric hypothesis is in that myocardial fibrosis and mucosa of patients with H. pylori infection. However inflammation are key mediators of non-response to the molecular mechanisms of H. pylori-induced CHF treatment. We wish to undertake a large scale STAT3 activation that leads to gastric carcinogenesis project to attempt to estimate the prevalence of and the effect of H. pylori eradication on STAT3 and non-response and how can we identify these patients. its downstream moleculars are still largely unknown. We Here, we propose to utilize a novel integrated will combine the use of advanced echocardiographic imaging techniques and novel approach that biochemical and molecular (microRNAs) biomarkers immunoprecipitation microarray and computational to establish and validate an Assessment Model which modeling to dissect H. pylori induced STAT3 identify treatment non-responders. Cardiac MRI will signaling network. The key inflammatory and also be performed in a subgroup to determine the tumorigenic-regulators in this network will be relationship between cardiac scar burden and identified and their functional significance will be echocardiographic function. The project also has characterized in vitro and in vivo. We will further the potential of identifying new diagnostic and determine if these key regulators are deregulated in H. prognostic markers for CHF (biomarkers and pylori related precancerous lesions and gastric cancer. microRNA), pioneer new approaches to manage CHF, In addition, the effect of H. pylori eradication on as well as geared towards the development of new expression treatment targets. downstream targets in human stomach will be (MD10450) determined. The results of this series of experiments of involves phosphor-STAT3 chromatin and its key will help to elucidate the role of STAT3 activation on Clarification of the Role of H. Pylori Infection on H. pylori associated gastric carcinogenesis. Activation of STAT3 through Dissecting STAT3 (MD10990) Signaling Network in Gastric Cancer Functional Significance of Paired box Gene 5 in YU Jun SUNG Joseph Jao Yiu Hepatocellular carcinoma 1 January 2011 Research Fund for the Control of Infectious YU Jun 1 June 2011 Diseases CUHK Research Committee Funding (Direct Helicobacter pylori (H. pylori) is a type I carcinogen for gastric cancer. However, the Grants) mechanism Faculty of Medicine Department of Medicine and Therapeutics Although the molecular mechanisms of the pathogenesis of HCC remain unclear, inactivation of tumor-related genes through Edition Title/Investigators promoter hypermethylation has been demonstrated to play an 2005-06 International Diabetes Management important role in the development of this disease. Practices Study, The "IDMPS" HOE Considerable efforts have now focused on identifying 901/9010 (MD05511) novel gene targeted by promoter methylation so as to CHAN Chung Ngor Juliana unravel the molecular mechanisms for the inactivation of tumor suppressive pathways that 2005-06 The International 1q Type 2 Diabetes contribute to the hepatocarcinogenesis and to design Consortium (MD05654) better treatments to reduce its mortality. Through CHAN Chung Ngor Juliana promoter methylation array, we have recently NG Chor Yin# identified a candidate tumor suppressor gene, paired box gene 5 (PAX5), to be hypermethylated at its 2009-10 Discovery of Diabetes Gene Using promoter. It is interesting that PAX5 is highly Whole Genome Sequencing and Its expressed in normal tissues, but frequently silenced Regulation and Expression (MD09578) in HCC cell lines and in primary HCC tissues. CHAN Chung Ngor Juliana MA Moreover, PAX5 expression could be reactivated Ching Wan Ronald SO Wing Yee* through pharmacologic demethylation, suggesting LEE Heung Man WANG Jian* that expression of PAX5 in HCC cells may be regulated by promoter methylation. We also revealed 2009-10 Chinese Medicine Systematic Review on that forced expression of PAX5 in silenced HCC cell the Prevention and Treatment Obesity line resulted in substantial inhibition of cell growth. (MD09314) Based on these findings, we hypothesized that PAX5 CHAN Chung Ngor Juliana ZHAO is a putative tumor suppressor gene implicated in the Hailu# SUI Yi# hepatocarcinogenesis. To test this hypothesis, we aim to 1) characterize the epigenetic alterations and 2009-10 A Randomized, Double-blind, Placebo- molecular functions of this novel gene in HCC by in and vitro and in vivo PAX5 gene transfection studies; 2) Response Study of CS-1036 in Patients identify the novel genomic targets of PAX5 in HCC with Type 2 Diabetes (MD09558) cells CHAN using an immunoprecipitation integrated microarray (or chromatin ChIP-chip) Comparator-controlled, Chung OZAKI Risa* assay. SO Wing Yee* (MD10451) Ronald On Yan* Please refer to previous issues of this publication Ngor Juliana KONG Pik Shan MA Ching Wan LAU Wing Yan* Dose TING Zhao Wei* LUK NG Vanessa W S* for more details of the following ongoing research at the department: Faculty of Medicine Department of Medicine and Therapeutics 2009-10 Functional Characterization of Proximal 2007-08 A Multi-center, Randomized, Promoter SNP in Carboxypeptidase E Double-blind, Active-control, 96 Week, (CPE) in Type 2 Diabetes (BL09958) Phase III Trial of the Efficacy and Safety CHAN Chung Ngor Juliana Ching Wan Ronald XU Gang MA SO Wing Yee LEE Heung Man of Clevudine Compared with Adefovir at Weeks 48 and 96 in Nucleoside Treatment-naive Patients (MD07459) CHAN Lik Yuen Henry LAM Kwok Lim Wai Sun Vincent 2009-10 Impacts of Hyperglycemia and Insulin WONG WONG Lai Hung Grace* Treatment on the Insulin-like Growth Factor Pathway for Cancer in Type 2 Diabetes (MD09664) Multi-center, Randomized, Double-blind, Active-control, 96 Week, CHAN Chung Ngor Juliana Heung Man 2007-08 A LEE Phase III Trial of the Efficacy and Safety MA Ching Wan of Clevudine Compared with Adefovir at Ronald XU Gang ZHAO Hailu# Weeks 48 and 96 in Nucleoside Treatment-naïve Patients with HBeAg 2008-09 The First Asia-Pacific Collaboration for the Study of NSAID-related Negative Chronic Hepatitis to Hepatitis B Virus (MD07581) CHAN Lik Yuen Henry Gastrointestinal Diseases (MD08555) due CHAN Ka Leung Francis Wai Sun Vincent WONG WONG Lai Hung Grace* 2009-10 Combination of a Cyclo-oxygenase-2 Inhibitor and a Proton-pump Inhibitor for 2007-08 A Randomized, Double-blind Study Prevention of Recurrent Ulcer Bleeding Evaluating in Patients at Very High Risk: A Fumarate (DF) Monotherapy versus the Double-blind, Combination Randomized trial. Tenofovir of Disoproxil Emtricitabine and (CU09609) Tenofovir DF for the Treatment of CHAN Ka Leung Francis Chronic (MD07740) CHAN Lik Yuen Henry 2007-08 A Comparative Study fo Entecavir vs. Adefovir vs. the Combination Subjects: The DEFINE Study (MD07300) Wai Sun Vincent 2008-09 Use of Serum Hepatitis B Surface Antigen Quantitation to Monitor Treatment Response in Chronic Hepatitis CHAN Lik Yuen Henry Wai Sun Vincent Hung Grace* WONG in Lamivudine-refractory Chronic Hepatitis B WONG WONG Lai SUNG Joseph Jao B (MD08781) CHAN Lik Yuen Henry WONG Wai Sun Vincent* Yiu Faculty of Medicine Department of Medicine and Therapeutics Telbivudine 600mg of HBX Isolated from Novel HBV Disoproxil Fumarate Subgenotype/Mutants Associated with combination or Telbivudine 600mg or Increased Tenofovir Disoproxil Fumarate 300mg 2008-09 Elucidating Gene Regulatory Networks Risk of Hepatocellular and Tenofovir 300mg in Monotherapy Given over 12 Weeks on Carcinoma (MD08874) CHAN Lik Yuen Henry CHENG Alfred Sze Lok (Biology) SUNG the Kinetics of Hepatitis B Virus DNA in Adults with HBeAg Positive Compensated CHB (MD09591) Joseph Jao Yiu CHAN Lik Yuen Henry 2009-10 A Single-Arm, Multinational, Two Year Wai Sun Vincent Study Evaluating the Efficacy and Safety WONG WONG Lai Hung Grace* of Lead-in Telbivudine for 24 Weeks with or without Tenofovir Treatment 2007-08 A Clinical Evaluation of the XIENCETM Intensification in Adult Patients with V Everolimus Eluting Coronary Stent HBeAg-Positive Chronic Hepatitis B System in the Treatment of Patients with (MD09757) de CHAN Lik Yuen Henry Wai Sun Vincent WONG WONG Lai Coronary Artery Lesions (MD07332) CHAN Wai Man Wilson Hung Grace* 2009-10 Development novo WU Eugene Brian* KUM Chi Chiu* of a Non-invasive 2009-10 Registry on Cardiac Rhythm DisORDers: Algorithm for Advanced Liver Fibrosis An in Chronic Hepatitis B (MD09548) Prospective Survey Assessing the Control CHAN Lik Yuen Henry of Atrial Fibrillation in Asia Pacific Wai Sun Vincent Hung WONG WONG Lai CHOI Cheung Lung Paul (Anatomical & Cellular Pathology) International, Observational, (MD08717) CHAN Yat Sun Joseph Kwok Gabriel# YIP Wai YAN Ping Yen Bryan LAM Yat Yin 2009-10 A PHarmacokinetic / Pharmacodynamic Evaluation of ABF656 in Subjects with 2006-07 LENS – Long-term Eltrombopag Chronic Hepatitis B, eAg+, Infection ObservatioNal Study – A Long Term (MD09846) Observational Ocular Safety Follow-up CHAN Lik Yuen Henry Joseph Jao Yiu SUNG WONG Wai Sun Vincent WONG Lai Hung Grace* Study in Adults Who Have Received Study Medication (SB-49711-GR / Eltrombopag Olamine or Placebe) in a Phase II or III Clinical Study Evaluating 2009-10 A Randomized, Open-label, Controlled, Exploratory Trial to Characterize the Results of Daily Oral Administration of Eltrombopag (MD06429) CHENG Gregory Ming Raymond WONG Siu CHENG Chak Faculty of Medicine Department of Medicine and Therapeutics Kwan Arthur (Ophthalmology and 2009-10 A Phase I/IIa Safety and Pharmacokinetic Visual Sciences) Study 2009-10 Study PMA112509, a Phase I/II Study of Eltrombopag in Thrombocytopenic Subjects with Advanced Myelodysplastic Previously Leukemia after Treated FIXFc in Hemophilia B CHENG Gregory Gregory Raymond* WONG or R-GDP in Combination with Inotuzumab Ozogamicin in Subjects with CD22-Positive International, Randomized, WONG 2009-10 An Open-label, Phase 1 Study of R-CVP Raymond* 2009-10 An MDS (sAML/MDS) (MD09484) CHENG Intravenous Patients (MD09639) Syndrome (MDS) or Secondary Acute Myeloid of Multicenter, Double-blind Study of Non-Hodgkin’s Lymphoma (MD09417) CHENG Vorinostat (MK-0683) or Placebo in Gregory WONG Raymond* combination with Bortezomib in Patients with Multiple Myeloma (MD09770) CHENG Gregory 2009-10 A Phase I/IIa, Open-label, Crossover, WONG Dose-escalation, and Multi-center Study to Determine the Safety, Tolerability, and Raymond* Pharmacokinetics of a Single Intravenous Inotuzumab Injection of rFVIIIFc in Previously Ozogamicin (CMC-544) in Subjects with Treated Patients with Severe Hemophilia Indolent A (MD09937) 2009-10 A Phase 2 Study of Non-hodgkin’s Lymphoma (NHL) That is Refractory to or has Relapsed after Rituximab CHENG and Gregory WONG Raymond SM* Chemotherapy or Radioimmunotherapy (MD09635) 2004-05 A CHENG Gregory WONG Multicenter, Randomized, Double-blind, Active Controlled Study to Compare the Long-term Effect (up to 5 Raymond SM* Years) of Treatment with LAF237 50 mg 2009-10 An Open-label, Single-arm, Phase 2 bid to Glimepiride up to 6 mg Daily as Study of Inotuzumab Ozogamicin plus Add-on Therapy in Patients with Type 2 Rituximab Diabetes Inadequately Controlled with in Subjects Relapsed/Refractory Diffuse Large Eligible for with CD22-positive B-cell Autologous Lymphoma, Stem Cell Transplantation (MD09816) CHENG Gregory Metformin Monotherapy (MD04418) CHOW Chun Chung Francis Wing Yee WONG SO KONG Pik Shan OZAKI Risa CHAN Wing Bun LAU Wing Yan LUK On Yan Raymond* Faculty of Medicine Department of Medicine and Therapeutics Andrea YU Wai Ling Linda CHOW Chun Chung Francis CHENG Yuen Shan Angela# OZAKI Risa* 2006-07 Randomized, Multinational, Multicenter, Double-blind, Placebo-controlled, Two-arm Group Parallel LUK Andrea O Y* LAU Winnie WY* NG Vanessa W S* YU Linda W L* of 2009-10 A 52 Week Randomized, Controlled, Rimonabant 20 mg OD for Reducing the Open Label, Multicentre, Multinational Risk of Major Cardiovascular Events in Treat-to-target Trial comparing Efficacy Abdominally and Safety of SIBA and Insulin Glargine Obese Trial Patients with Clustering Risk Factors (MD06778) CHOW Chun Chung Francis KONG Pik Shan YEUNG CY* both Administered Once Daily in a Basal-bolus Regimen with Insulin Aspart as Mealtime Insulin ± Treatment with CHENG Y S Metformin, ± Pioglitazone in Subjects OZAKI R* with Type 2 Diabetes Currently Treated Angela* with Insulin Qualifying for Intensified 2007-08 A Randomised, Active-controlled Double-blind, Parallel Group Treatment (MD09429) CHOW Chun Chung Francis Efficacy and Safety Study of BI 1356 OZAKI Risa* (5.0mg, Administered Orally Once Daily) Compared to Glimepiride (1 to 4mg Once W S* TING Zhao Wei LAU Winnie WY* LUK Andrea O Y* NG Vanessa Daily) over Two Years, in Type 2 Diabetic Patients with Insufficient 2009-10 A Randomized, Double-blind, Placebo- Glycaemic Control Despite Metformin and Therapy (MD07312) Multicenter Study to Determine the CHOW Chun Chung Francis OZAKI Risa* LUK Andrea O Y* LAU Winnie WY* NG Vanessa Active-controlled, Efficacy and Administered Parallel-group, Safety of in Albiglutide combination with Metformin and Glimepiride compared with Metformin plus Glimepiride and W S* YU Linda W L* Placebo 2008-09 A Worldwide, Multicenter, Double-blind, and with Metformin plus Glimepiride and Pioglitazone in Subjects Randomized, Placebo-controlled, Dose with Type 2 Diabetes Mellitus Ranging Study to Evaluate the Efficacy, (MD09407) Safety, and Tolerablity of MK-0736 CHOW Chun Chung Francis When Added to Ongoing Therapy with OZAKI Risa Angiotensin-converting Enzyme (ACE) LUK Andrea O Y* NG Vanessa W Inhibitor S* TING Zhao Wei or Angiotensin Receptor LAU Winnie WY* Blocker (ARB) in Patients with Diabetes and Hypertension (MD08335) 2009-10 Protocol Open-label, Title: A Randomized, Active-controlled, Faculty of Medicine Department of Medicine and Therapeutics to 2 Diabetes. A 26-week Randomised, Determine the Safety and Efficacy of Confirmatory, Controlled, Open Label, Albiglutide Administered in Combination Multicentre, Multinational Treat-to-target with Insulin Glargine as compared with Trial Comparing the Efficacy and Safety the Combination of Insulin Glargine and of SIBA and Insulin Glargine, Both Preprandial Lispro Insulin in subjects Injected Once Daily as Add on to Current with OAD Treatment in Insulin Naïve subjects Parallel-group, Type Multicenter 2 Study Diabetes Mellitus with Type 2 Diabetes Mellitus Qualifying (MD09364) CHOW Chun Chung Francis OZAKI Risa* LAU Winnie WY* LUK Andrea O Y* W S* NG Vanessa TING Zhao Wei* for More Intensified Treatment (MD09877) CHOW Chun Chung Francis OZAKI Risa* MA Ching Wan Ronald 2009-10 BOOST : INTENSIFY ALL A Pan LAU Winnie WY* LUK Andrea O Y* W S* TM NG Vanessa TING Zhao Wei* MA Ching Wan Ronald Asian Trial Comparing Efficacy and Safety of NN5401 and Biphasic Insulin 2008-09 Feature Assessment Study for Indications Aspart 30 in Type 2 Diabetes A 26-week Based Trial, Randomised, Open-label, Two-arm, (MD08981) Parallel-group, FUNG Wing Hong Treat-to-target Study Programming (FASt-IBP) YU Cheuk Comparing Efficacy and Safety of the Man Soluble Insulin Analogue Combination CHAN Yat Sun Joseph* (SIAC) Twice Daily with Biphasic Anna* WU Eugene Brian* LAM Insulin Aspart 30 Twice Daily, with or Yat Yin without Metformin in subjects with Type CY Karl* YIP Wai Kwok Gabriel# LEE PW Alex* CHAN CHAN 2 Diabetes in Inadequate Glycaemic Control on Once or Twice Daily Insulin 2009-10 Continuous ST Segment Monitoring and Regimen with or without Metformin Incidence of Clinical Events in ICD (MD09804) Patients-AnalyST Registry (MD09624) CHOW Chun Chung Francis OZAKI Risa* FUNG Wing Hong CHAN Yat Sun Joseph* LAU Winnie WY* LUK Andrea O Y* W S* NG Vanessa TING Zhao Wei* MA Ching Wan Ronald 2008-09 A Randomized, Double-dummy, Double-blind, Placebo-controlled, Parallel Group Study to Assess the 2009-10 BEGINTM: ONCE ASIA A Pan Asian Efficacy and Safety of 48 Weeks of Once Trial Comparing Efficacy and Safety of Daily Treatment of Orally Inhaled BI Insulin NN1250 and Insulin Glargine as 1744 CL (5µg [2 Actuations of 2.5g] and Add on to OAD(s) in subjects with Type 10 µg [ 2 Actuations of 5µ]) Delivered by Faculty of Medicine Department of Medicine and Therapeutics the Respimat® Inhaler, and 48 Weeks of Margaret Hospital Infectious Diseases Twice Daily Foradil® (12µg) Delivered Block by the Aerolizer® Inhaler, in Patients (MD09456) with HUI Shu Cheong David Cronic Obstructive Pulmonary Disease (COPD) (MD08925) HUI Shu Cheong David San Fanny* TUNG Alvin* of MD09881) CHAN Matthew Tak Vai (Anaesthesia & KO Wai TO Kin Wang* NG Susanna* (Sub-project Intensive Care) Chow Ka Ming Benny* 2009-10 Clinical Bioequivalence Study on Two NGAI Jenny* Salbutamol Formulations (MD09338) 2008-09 A Randomized, Parallel, Controlled Study to Evaluate the Role of Directly HUI Shu Cheong David KO Wai San Fanny* TOMLINSON Brian Observed Therapy Short Course-plus (DOTS-plus) versus DOTS for 2009-10 A Pilot Phase 2, Open-label, Randomized Retreatment of Repapsed Pulmonary TB Study of the Antiviral Activity, Safety, in Guangzhou (MD08463) and Tolerability of Intravenous Peramivir HUI Shu Cheong David CHAN in Adult Hospitalized Subjects with Chiu Yeung Raphael (Microbiology) Confirmed Pandemic H1N1 Influenza LEUNG Chi Chiu* Ming* TAN TAM Cheuk Shou-yong* ZHONG Nan-shan* Infection (MD09515) HUI Shu Cheong David Shun Nelson LEE Lai WONG Bonnie* WONG Yee Kwan Rity CHOI Kin 2008-09 A 12-week Treatment, Randomized, Multi-center, Double-blind, Wing* TAI Kian Bun* Ming Chi* LUK WONG Kwan Keung* Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety and Kay Sheung Paul (Microbiology) Tolerability of Indacaterol (150 and ZEE Chung Ying Benny (School of 300ug o.d.) in Patients with Chronic Public Health and Primary Care) Obstructive Pulmonary Disease (COPD) JOYNT (MD08600) (Anaesthesia & Intensive Care) HUI Shu Cheong David San Fanny* Kin Wang* KO Wai NG Susanna* NGAI Jenny* Air Dispersion Gavin Matthew LUI Grace* TO 2009-10 A Phase III, Randomized, Observer-blind, Placebo-controlled, Multicentre, Clinical TUNG Alvin* CHU JoJo* 2009-10 Exhaled LAM Kwun Ngai Philip* CHAN During Vaccination Trial to Assess the Prophylactic Efficacy, Safety and Application of Common Respiratory Immunogenicity of GSK Biologicals’ Therapies at Prince of Wales Hospital gE/AS01B Vaccine When Administered Clinical Service Block versus Princess Intramuscularly on a 0, 2-month Faculty of Medicine Department of Medicine and Therapeutics Schedule in Adults Aged 70 Years and Follow-up Studies in Hong Kong School Older (MD09533) HUI Shu Cheong David San Fanny* 2008-09 Prevalence of Melamine Incident and NGAI Jenny* TUNG Alvin* KO Wai Children (MD08668) TO Kin Wang* KONG Pik Shan NG Susanna* Ngor Juliana Anthony Severn (Paediatrics) CHAN Kay Sheung CHAN Chung YANG Xilin CHU Chiu Wing Winnie (Imaging & NELSON Edmund Interventional Radiol) Paul Kei (Microbiology) Christopher LAM Wai (Chemical Pathology) 2009-10 A Phase III, Randomized, Observer-blind, 2009-10 A Randomized, Placebo Controlled Placebo-controlled, Multicentre, Clinical Clinical Trial to Evaluate Cardiovascular Vaccination Trial to Assess the Outcomes Prophylactic Efficacy, Safety and Sitagliptin in Patient with Type 2 after Treatment Immunogenicity of GSK Biologicals’ Diabetes gE/AS01B Vaccine When Administered Glycemic Control on Mono- or Dual Intramuscularly on a 0, 2 month Schedule Combination Oral Anthihyperglycemic in Adults Aged 50 Years or Older Therapy (MD09884) (MD09841) KONG Pik Shan HUI Shu Cheong David San Fanny* NGAI Jenny* TUNG Alvin* KO Wai TO Kin Wang* NG Susanna* NELSON Edmund Anthony Severn (Paediatrics) CHAN Kay Sheung Paul Mellitus Ngor Juliana and with 2008-09 Project Management and Consultancy 1) MA Ching Wan Ronald 2009-10 Effects of 150 µg Aleglitazar on Renal Function in Patients with Type 2 Diabetes and Moderate Renal Impairment, KONG Pik Shan for CHAN Chung as Compared to Actos® (MD09586) (Microbiology) Services Inadequate Development and Ngor Juliana CHAN Chung MA Ching Wan Ronald Maintenance of the Joint Asia Diabetes Evaluation (JADE) Program and 2) Peer 2009-10 Anti-inflammatory Effects of Support, Empowerment Communication Erythropoietin in Peritoneal Dialysis Linked Patients (MD09540) by Information Technology (PEARL) Program (MD08883) KONG Pik Shan CHAN Chung Ngor Juliana SO Wing Yee* KO T C Gary* KWAN Ching Ha Bonnie 2008-09 An Open-label, Multi-center, Follow-up Trial to Evaluate Long-term Safety and Efficacy of Brivracetam (ucb 34714) Used as Adjunctive Treatment at a Faculty of Medicine Department of Medicine and Therapeutics Flexible Dose up to a Maximum of 2009-10 A Double-blind, Randomized, 150mg/day in Subjects Aged 16 Years or Multicenter Efficacy and Safety Study of Older Epilepsy Pregabalin (Lyrica) as Monotherapy in (HK$36,951 per patient for the first 21 Patients with Partial Seizures (MD09573) months x 6) (MD08538) KWAN Kwok Leung Patrick Suffering from KWAN Kwok Leung Patrick 2009-10 Validation of Clinical Assessment Tools LEUNG Howan* FOK Joshua* for 2008-09 A Randomized, Double-blind, Placebo-controlled, Multicenter Study to Population Genetic Studies of Epilepsy in Rural China (co-funded by Parallel-group, National Evaluate Disorder And Stroke (NINDS) and the Institute of International Neurological Efficacy, Safety, and Tolerability of Fogarty Center (FIC)) Carisbamate as Adjunctive Therapy in (MD10369) Subjects with Partial Onset Seizures, KWAN Kwok Leung Patrick Followed by Open-label Extension Study BAUM Lawrence William (School (MD08441) of Pharmacy) KWAN Kwok Leung Patrick Cherny Stacey* SHAM Pak Chung* LEUNG Howan* WANG Josemir* 2009-10 An Open-label Extension Phase of the Double-blind, Wiliard* Placebo-controlled, DING Ding* Wenzhi* Sander Duncan John* Hauser WU Jiangzhong* HONG Zhen* LI Schichuo* Dose-escalation, Parallel-group Studies to Evaluate the Efficacy and Safety of 2009-10 A 52-week, 2-period, Multicentre, E2007 (Perampanel) Given as Adjunctive Randomized, Therapy in Subjects with Refractory Donepezil-reference, Placebo-controlled, Partial Seizures (MD09957) Efficacy, and Safety Study of 3 Dosage KWAN Kwok Leung Patrick Double-blind, Levels of SAM-531 in Outpatients with Mild to Moderate Alzheimer Disease LEUNG Howan* FUNG Eva* (MD09745) 2009-10 Association between HLA-B*1502 KWOK Chi Yui Timothy Allele and Antipileptic Drugs-induced LEE Shun Wah Jenny* Severe Cutaneous Reactions in Han Chinese: A Hong Kong-wide Population Based Study (MD09805) KWAN Kwok Leung Patrick 2009-10 A Randomized Placebo Controlled Trial of Low Dose Angiotensin Converting NG Enzyme Inhibitor to Prevent Pneumonia Heung Ling Margaret (Anatomical & in Older People Who Require Cellular Pathology) LO Su Vui* Nasogastric Tube Feeding because of Neurological Dysphagia (MD09880) Faculty of Medicine Department of Medicine and Therapeutics KWOK Chi Yui Timothy LEE and a Normal Ejection Fraction CHAN Becky* (CU09795) Fai Michael LAM Yat Yin SANDERSON John (Otorhinolaryngology, Head & Neck Elsby* YU Cheuk Man YIP Wai Surgery) Kwok Gabriel# Shun Wah Jenny* TONG 2009-10 A Chi 78-week Noninterventional 2009-10 Detection of Patent Foramen Ovale in Longitudinal Study to Validate the Young Alzheimer’s Transthoracic Disease Assessment Patients Echocardiography Disability (MD09687) for Dementia (DAD), and Neuropsychological Test Stroke Saline Scale-Cognitive Subscale (ADAS-Cog), Assessment with in by Contrast Hong Kong LAM Yat Yin YU Cheuk Man Battery (NTB) in Asian Subjects with Mild to Moderate Alzheimer’s Disease (MD09651) 2008-09 A Phase IIa, Multicenter, Randomized, Placebo- KWOK Chi Yui Timothy LEE and Active-comparator Controlled, Cross-over Clinical Trial to Study the Safety Shun Wah Jenny* and Efficacy of MK-3577 in Patients with Type 2 2009-10 TECOS: A Randomized, Placebo Diabetes Mellitus Who Have Inadeqate Controlled Clinical Trial to Evaluate Glycaemic Control (MD08837) Cardiovascular LAU Wing Yan Outcomes after Treatment with Sitagliptin in Patients LUK On Yan* with Type 2 Diabetes Mellitus and Inadequate Glycemic Control on Mono- L* or KONG Pik Shan Dual Combination Oral Antihyperglycemic Therapy (MD09900) LAM Yat Yin WU Eugene Brian* YU Cheuk Man Bryan YAN Ping Yen NG Vanessa W S* LEE Oi Yan Janet# YU Linda W MA Ching Wan Ronald SO Wing Yee* CHAN Chung Ngor Juliana 2009-10 A Phase III Randomized, Placebo-controlled Clinical Trial to Study the Safety and Efficacy of the Addition LEE of Sitagliptin (MK-0431) in Patients with CHAN YEUNG Yuk Type 2 Diabetes Mellitus Who Have CHAN Chi Yuen* Pui Wai* CHAN Yat Sun Joseph* YIP Wai Kwok Gabriel# CHAN Anna* OZAKI Risa* Inadequate Ching ZHANG Mang Glycemic Control on Combination Therapy with Metformin 2009-10 Interaction between Peripheral Non-diastolic Factors and Ventricular and Pioglitazone (MD09843) LAU Wing Yan Mechanics as a Cause of Exercise LUK On Yan* Intolerance in Patients with Heart Failure OZAKI Risa* NG Vanessa W S* LEE Oi Yan Janet# YU Linda W L* MA Ching Wan Ronald Faculty of Medicine Department of Medicine and Therapeutics KONG Pik Shan SO Wing Yee* Leung Patrick CHAN Chung Ngor Juliana 2009-10 Initiating Oseltamivir WONG Ka Sing Lawrence in Adults 2008-09 Study Name: THE IMPACT-24 TRIAL Hospitalized with Influenza – A Study on (IMPlant Augmenting Cerebral Blood Virological and Clinical Outcomes for Flow Trial 24 Hours from Stroke Onset) Higher-dose Treatment Started within 96 Study Title: A Multicenter, Randomized, Hours (MD09697) Double Blind, Sham Control, Parallel LEE Lai Shun Nelson CHAN Kay Arm Trial to Assess Effectiveness and Sheung Paul (Microbiology) CHOI Safety of the Ischemic Stroke System Kin Wing HUI Shu Cheong David ISS, as an Adjunct to Standard of Care in Subjects with Acute Ischemic Stroke 2009-10 Role of Toll-1ike Receptors in Naturally LEUNG Wai Hong Thomas Occurring Influenza (MD09822) LEE Lai Shun Nelson Kay (Microbiology) Sheung WONG Ka Sing Lawrence WONG Chun Kwok (Chemical Pathology) CHAN (MD08508) OY Yannie* Paul David Chu SOO LAU YL Alexander* CHAN Yin Yan Anne* Kwok HUI Shu Cheong (Surgery) WONG ZHU Xian-lun 2009-10 Identifying Predictors for Progression of 2008-09 A Randomised, Double-blind, Atherosclerosis in HIV-infected Patients Parallel-group Placebo-controlled Phase in Hong Kong (MD09596) III Study to Evaluate the Efficacy and LEE Lai Shun Nelson LUI Grace* MA Ching Wan Ronald WONG Chun Kwok (Chemical Pathology) Safety of Desmoteplase in Subjects with Acute Ischemic Stroke (MD08892) LEUNG Wai Hong Thomas Ka CHOOK Ping (Institute of Chinese WONG Medicine) LEE Shui Shan (Stanley GRAHAM C A (Accident and Ho Centre for Emerging Infectious Emergency Medicine Academic Unit) Diseases) LEUNG Ho Wan Chung Edward 2008-09 The Neuroeconomics of Health Care Financing Options: A Study of Sing Lawrence WONG Ho SOO Oi Yan LAU Yuk Lun Alexander Yin Yan Anne CHAN SIU Yung Woon Willingness to Pay and Save (MD08643) Deyond (Imaging & Interventional LEUNG Ho Wan Radiol) LEUNG Chi Ming Michael (School of Public MAK 2007-08 Multi-center, Prospective, Randomized KWAN Kwok Trial to Demonstrate Improved Metabolic Health and Primary Care)# Ka Fung Henry* Control of PPEN vs. DDDD in Diabetic Faculty of Medicine Department of Medicine and Therapeutics CAPD Patients – the IMPENDIA Trial 2008-09 A Randomised, Double-blind, Placebo Controlled, Parallel-group, Multicenter (MD07452) LI Kam Tao Philip CHOW Kai Study to Evaluate the Efficacy and Safety of Two Doses of Ocrelizumab in Patients Ming# LAW Man Ching* with Who or ISN Class III or IV 2005-06 Long-term Extension Study of Safety during Treatment with Tocilizumab (MRA) in Patients Completing Treatment in WA 17822 (MD05442) Nephritis due to Systemic Lupus Erythematosus (MD08911) LI Kwok Ming Edmund TAM Lai Shan LI Kwok Ming Edmund TAM LS* 2008-09 A Multi-center, Continuation Trial of 2006-07 A Randomized, Double-blind, Belimumab (HGS1006, LymphoStat-Bä), Four-arm, a Fully Human Monoclonal Anti-BLyS Multicenter, Antibody, in Subjects with Systemic Placebo-controlled, Parallel-group, Multinational Safety and Efficacy Trial Lupus of Completed 100mg, 300mg and 900mg of Erythematosus the (SLE) Phase 3 Who Protocol Abetimus Sodium in Systemic Lupus HGS1006-C1056 or HGS1006-C1057 Erthematosus (SLE) Patients with a (MD08615) History of Renal Disease (MD06750) LI Kwok Ming Edmund LI Kwok Ming Edmund TAM Lai Shan KWOK Lai Wa 2007-08 WA20494/ACT3985g: A Randomized, Double-blind, Parallel Group, 2009-10 Human Papillomavirus Patients with Infection Systemic in Lupus International Study to Evaluate the Safety Erythematosus-predictors for Cervical and Efficacy of Ocrelizumab Compared Intraepithelial Neoplasia (MD09860) to Placebo in Patients with Active LI Kwok Ming Edmund Rheumatoid Arthritis Continuing Shan WONG LI Kwok Ming Edmund Pathology) KWOK Lai Wah* TAM Lai Shan TAM Lai SZETO Cheuk Chun Methotrexate Treatment (MD07819) Chun Kwok (Chemical CHAN Kay Sheung Paul (Microbiology) HO CHAN Suzanne (School of Public Health 2008-09 A Randomized, Open-label Study in the Asia-Pacific Region Comparing the and Primary Care) May* Tak Hong* Usual Dmard Therapy in Subjects with (School Rheumatoid Arthritis (MD08648) Primary Health) Shan YU Mei Yung YIM So Fan* Safety and Efficacy of Etanercept with LI Kwok Ming Edmund of CHEUNG WONG Chi Sang Public Health and TAM Lai 2008-09 The Effect of Uninephrectomy and Inhibition of the Renin Angiotensin Faculty of Medicine Department of Medicine and Therapeutics System on Myocardial Gene Expression 2008-09 Validation (MD08649) MA Ching Wan Ronald LEE of Neuropsychology Protocols in Chinese MOK Effects of Genetic NINDS-VCI Stroke Patients (MD08667) Heung Man ZHAO Hailu# 2009-10 The the Variants Chung Tong Vincent WONG Ka Sing Lawrence LAM Implicated in Fasting Glucose and Their Wai Man Wynnie (Imaging & Impact on Type 2 Diabetes Risk in Interventional Radiol)# Chinese (MD09878) Nyenhuis* MA Ching Wan Ronald David L. SO Wing 2009-10 Amyloid Burden in Poststroke Dementia Yee CHAN Chung Ngor Juliana (MD09400) 2006-07 A 24-weeks Prospective, Multicentre, Randomised, Double-blind, Placebo-controlled Study of Dysport MOK Chung Tong Vincent LEUNG Yim Lung Eric* WONG Adrian WONG Ka Sing Lawrence Injection for the Treatment of Upper Limb Spasticity in Early Stroke (MD06955) MOK 2008-09 Superiority Study of Insulin Glargine over Sitagliptin in Insulin-naive Patients Chung Tong Vincent with Type 2 Diabetes Treated with Metformin WONG Ka Sing Lawrence and not Adequately Controlled (EASIE Trial – Evaluation of 2007-08 AVA102675-A 52-week Open-label insulin glArgine versus Sitagliptin in Extension Study of the Long-term Safety Insulin-naïvE patients) and its Extension and Study Combination Therapy of Insulin Efficacy of Rosiglitazone Extended-release (RSG XR) Adjunctive Therapy as Glargine and Sitagliptin in Patients with to Type 2 Diabetes not Adequately Acetylcholinesterase Inhibitor in Subjects Controlled by a Previous Treatment with with Metformin and Either Insulin Glargine or Mild-to-moderate Alzheimer’s Sitagliptin Disease (REFLECT-4) (MD07315) MOK Chung Tong Vincent Wan Sze Wency (EASIE Evaluation of insulin glArgine versus CHAN Yin Yan Sitagliptin in Insulin-naïvE patients) (MD08399) OZAKI Risa Phase – HO Anne* 2008-09 A extension 2, 36-Week, Open-label, YEUNG Chun Yip* TSANG Chiu Chi* LAU Wing Uncontrolled Safety Follow-up Study Yan* Assessing Yan Janet# KO Tin Choi* SCH 420814 5mg BID LUK On Yan* LEE Oi (MD08671) MOK Chung Tong Vincent CHAN Yin Yan Anne* 2008-09 A Phase III, Randomised, Double-blind, Placebo-controlled, Parallel Group, Faculty of Medicine Department of Medicine and Therapeutics NG Vanessa W S* KONG Safety and Efficacy Study of BI 1356 Wei* (5mg), Compared to Placebo as Add on Pik Shan MA Ching Wan Ronald to Insulin and /or Sulphonylurea over 52 SO Wing Yee* Weeks in Type 2 Diabetic Patients with Ngor Juliana Severe Chronic Renal CHAN Chung 2009-10 A Phase III, Randomized, Clinical Trial OZAKI Risa CHAN Chung Ngor LAU Wing Yan to Evaluate the Safety and Efficacy of the MA Addition of Sitagliptin in Patients with Ching Wan Ronald SO Wing Yee Type 2 Diabetes Mellitus Who Have KONG Pik Shan LUK On Yan Inadequate Glycemic Andrea YU Wai Ling Linda Wan Sze Vanessa NG LEE Oi Yan Sulfonylurea in Control on combination Active-controlled, Parallel-group, with LUK On Yan* LAU Wing Yan* 2009-10 A Randomized, Double-blind, Placebo- a Metformin (MD09626) OZAKI Risa Janet# and Impairment (MD08926) Juliana Wei* TING Zhao NG Vanessa W S* KONG Pik Shan MA Ching Wan Ronald Multicenter Study to Determine the SO Wing Yee* Efficacy and Safety of Albiglutide when Ngor Juliana CHAN Chung Used in combination with Metformin compared with plus 2003-04 Treatment of Early Immunoglobulin a Sitagliptin, Metformin plus Glimepiride, Nephropathy by Angiotensin Converting and Metformin plus Placebo in Subjects Enzyme Inhibitor - A Randomized with Controlled Trial (MD04749) Type Metformin 2 Diabetes Mellitus SZETO Cheuk Chun (MD09336) OZAKI Risa LAU Wing Yan* LEE Oi Yan Janet# L* LI Kam Tao Philip* YU Wai Yin Alex* YU Linda W NG Vanessa W S* LUK 2008-09 A Phase IIb Randomized, Double-blind, Placebo-controlled, Andrea O Y* Dose and Dose Regimen-ranging Study of the Safety and 2009-10 Dose Finding, Safety and Efficacy of Monthly Subcutaneous Canakinumab Efficacy of Epratuzumab Serologically-positive Systemic Lupus Administration for the Treatment of Erythematosis Hyperglycemia Disease (MD08525) in Metformin Monotherapy Treated Type 2 Diabetic Patients: A Randomized, Double-blind, in Patient TAM Lai Shan with Active LI Kwok Ming Edmund KWOK Lai Wah* Placebo-controlled, Multi-center Study (MD09786) OZAKI Risa 2009-10 SERAPHIN-OL: Study with an ERA in LUK On Yan* LAU Wing Yan* TING Zhao Pulmonary Improve Arterial cliNical Hypertension Outcome to (Open Faculty of Medicine Department of Medicine and Therapeutics Label) – Long-Term Single-arm Abdominally Obese Patients with Open-label Extension Study of the Clustering Risk Factors (MD06682) SERAPHIN Study, to Assess the Safety TOMLINSON Brian and Tolerability of ACT-064922 in Patients with Symptomatic Pulmonary 2007-08 A 76-week, Worldwide, Multicenter, Arterial Hypertension (MD09579) Double-blind, TAM Lai Shan Placebo-controlled Study to Assess the LI Kwok Ming Randomized, Tolerability and Efficacy of Anacetrapib Edmund YIP Wai Kwok Gabriel# When Added to Ongoing Therapy with a 2009-10 A Phase 2A, Randomized, Double-blind, Statin in Patients with or Mixed Active and Placebo-controlled Study of Hypercholesterolemia PF-04171327 in the Treatment of the Hyperlipidemia (MD07789) Signs and Symptoms of Rheumatoid TOMLINSON Arthritis (MD09631) TOMLINSON LI Kwok Ming Edmund KWOK Lai Wah* KUAN Woon 2008-09 A Multi-center, Randomized, Double-blind, Parallel Group, Placebo-controlled 12-week Study to Pang* Investigate 2009-10 Arthritis TSUI Teresa* TAM Lai Shan Brian Brian and Traditional Chinese Safety / Parameters Tolerability of and Pharmacokinetics of Five Dose Levels of Medicine (MD09763) TAM Lai Shan Efficacy, Glycemic LI Kwok Ming RO4998452 in Patients with Type 2 Diabetes Mellitus (MD08924) Edmund Brian Berman* TOMLINSON 2009-10 Function and Expression Profile of the Raymond Nucleotide-binding and Oligomerization Michael* Brian SM* WONG CHAN CC Domain (NOD)-2 Receptors in Systemic Lupus Erythematosus (MD09782) TAM Lai Shan Edmund WONG LI Kwok Ming Kwok Phase III Randomized, Placebo-controlled Clinical Trial to Study the Safety and Efficacy of the Addition (Chemical of Sitagliptin (MK-0431) in Patients with SZETO Cheuk Chun Chun 2008-09 A Type 2 Diabetes Mellitus Who Have Pathology) Inadequate 2006-07 Randomized, Multinational, Multicenter, Glycemic Control combination Therapy with Metformin Double-blind, Placebo-controlled, and Pioglitazone (MD08947) Two-arm Group of TOMLINSON Rimonabant 20 mg OD for Reducing the Raymond SM* Risk of Major Cardiovascular Events in CHAN CM Jones* Parallel Trial on Brian WONG CHAN Michael* Faculty of Medicine Department of Medicine and Therapeutics Placebo 2009-10 Pharmacogenomics of Nicotinic Acid Controlled Clinical Trial to Evaluate with Laropiprant in Hong Kong Chinese Cardiovascular Patients with Dyslipidemia (MD09703) 2009-10 TECOS: A Randomized, Outcomes after Treatment with Sitagliptin in Patient with TOMLINSON Brian Type 2 Diabetes Mellitus and Inadequate Glycemic Control on Mon- or Dual 2009-10 A Randomized, Combination Oral Anthihyperglycemic Placebo-controlled, Therapy (MD09319) Multicenter TOMLINSON Raymond Brian SM* WONG CHAN CC Study Double-blind, Parallel-group, to Evaluate the Efficacy, Safety, and Tolerability of Canagliflozin Compared with Placebo in the Treatment of Older Subjects with Michael* CHAN CM Jones* Type 2 Diabetes Mellitus Inadequately 2009-10 A Multi-center, Randomized, Open-label, Controlled on Glucose Lowering Therapy Active-controlled Study to compare the (MD09861) Efficacy, Safety and Tolerability of TOMLINSON Taspoglutide (RO5073031) versus Brian WONG Raymond SM* CHAN Michael* Insulin Glargine in Insulin-naïve Type 2 Diabetic Patients Inadequately Controlled with Metformin and Sulfonylurea 2007-08 A 16 Week Open-label Outpatient, Randomized, Parallel Study Assessing Combination Therapy (MD09449) the Impact of Two Different Initial Dose TOMLINSON Prescriptions for Dry Powder Inhaled Raymond SM* Brian WONG CHAN Michael* CHAN CM Jones* Insulin (Exubera®) on Glycemic Control in Patients with Type 2 Diabetes Mellitus Who 2009-10 A Randomized, Double-blind, Placeboand Comparator-controlled, Dose Response Study of CS-1036 in Patients with Type 2 Diabetes (MD09355) TOMLINSON Brian are Poorly Controlled a Combination of Two or More Oral Agents (MD07523) TONG Peter Chun Yip Chung Ngor Juliana WONG on CHAN KONG Pik Shan OZAKI Risa Raymond SM* CHAN Michael* 2008-09 Superiority Study of Insulin Glargine 2009-10 Effects of 150µg Aleglitazar on Renal over Sitagliptin in Insulin-Naïve Patients Function in Patients with Type 2 with Type 2 Diabetes Treated with Diabetes and Moderate Renal Impairment, Metformin as Compared to Actos (MD09509) Controlled (EASIE Trial – Evaluation of TOMLINSON insulin glArgine versus Sitagliptin in Brian WONG Raymond* CHAN CC Michael* Insulin-naïvE and not patients)” Adequately and its Extension Study “Combination Therapy of Insulin Glargine and Sitagliptin in Faculty of Medicine Department of Medicine and Therapeutics Patients with Type 2 Diabetes not Glimepiride and Pioglitazone in Subjects Adequately Controlled by a Previous with Treatment with Metformin and Either (MD09535) Insulin Glargine or Sitagliptin (EASIE TSANG Chiu Chi OZAKI Risa Type 2 Diabetes Mellitus Extension Trial – Evaluation of insulin glArgine versus Sitagliptin in 2009-10 A Randomized, Double-blind, Placebo- Insulin-naïvE patients) (MD08844) and Comparator-controlled, Dose TSANG Chiu Chi OZAKI Risa* Response Study of CS-1036 in Patients with Type 2 Diabetes (MD09629) 2009-10 A Randomized, Placebo Controlled TSANG Chiu Chi OZAKI Risa* Clinical Trial to Evaluate Cardiovascular Outcomes after Treatment with 2004-05 PRoFESS - COG Sub-study Effects of Sitagliptin in Patients with Type 2 BP Lowering with Micardis®, and Diabetes Anti-patelet Mellitus and Inadequate Therapy with either Glycemic Control on Mono- or Dual Aggenox® or Clopidogrel, on Cognitive Combination Function and Dementia Following Acute Oral Antihyperglycemic Therapy (MD09850) Ischaemic Stroke (MD04379) TSANG Chiu Chi OZAKI Risa WONG Ka Sing Lawrence Chung Tong Vincent 2009-10 A Randomized, Double-blind, Placeboand Active-controlled, Parallel-group, Che Fai MOK HUI Andrew KWAN Kwok Leung Patrick LEUNG Wai Hong Multicenter Study to Determine the Thomas Efficacy and Safety of Albiglutide When Ho Chung Edward Used in combination with Metformin Shing Eric# LEUNG Howan* compared with Metformin SOO Oi Yan WONG LIANG Ka plus Sitagliptin, Metformin plus Glimepiride, 2006-07 Randomized, Multinational, Multicenter, and Metformin plus Placebo in Subjects Double-blind, Placebo-controlled, with Two-arm Group Type 2 Diabetes Mellitus Parallel Trial of (MD09529) Rimonabant 20 mg OD for Reducing the TSANG Chiu Chi OZAKI Risa Risk of Major Cardiovascular Events in Abdominally 2009-10 A Randomized, Double-blind, Placeboand Active-controlled, Parallel-group, Obese Patients Clustering Risk Factors (MD06315) WONG Ka Sing Lawrence Multicenter Study to Determine the LEUNG Wai Hong Thomas Efficacy Chung Tong Vincent and Administered Safety of in Albiglutide combination with Metformin and Glimepiride compared with Wan MOK LEUNG Ho WONG Ho Chung Edward SOO Oi Yan MAN Bik Ling with Metformin plus Glimepiride and Placebo and with Metformin plus Faculty of Medicine Department of Medicine and Therapeutics 2007-08 A Prospective, Randomized, Double-blind, LEUNG Ho Wan SOO Oi Yan LAU YL Alexander* Double-dummy, Parallel-group, Multicenter, Event-driven, CHAN Yin Yan Anne* Non-interiority Study Comparing the Efficacy and Safety of Once-daily Oral Rivaroxaban (BAY 59-7939) with 2009-10 A Double-blind, Placebo Controlled, Randomized, Multicenter Study to Adjusted-dose Oral Warfarin for the Investigate Chinese Medicine Neuroaid Prevention of Stroke and Non-central Efficacy on Stroke Recovery (CHIMES (MD07700) Study) (MD09815) WONG Ka Sing Lawrence LEUNG Thomas WH* Howan* Vincent WONG Ka Sing Lawrence OY Yannie* LEUNG LAU YL Alexander* CHAN Yin Yan Anne* SOO CHAN Yin Yan Anne* LAU YL Alexander* IP HL Vincent* AU WC Lisa* SOO OY LEUNG Howan* WONG H C Edward* MOK Chung Tong Yannie* 2007-08 A Worldwide, Observational Registry 2008-09 Apixaban versus Acetylsalicylic Acid Collecting Longitudinal Data on the (ASA) to Prevent Stroke in Atrial Management of Chronic Myelogenous Fibrillation Patients Who Have Failed or Leukemia are Unsuitable for Vitamin K Antagonist WORLD CML Registry) in Routine Treatment: A Randomized Double Blind Practice (MD07429) Trial (MD08830) WONG Siu Ming Raymond WONG Ka Sing Lawrence Yin Yan Anne* YL Alexander* LEUNG Thomas WH* LEUNG Howan* SOO OY (The 2008-09 A Prospective, Non-interventional Multicenter Multinational Registry of Anemia Patients with Requiring Chronic Transfusional Therapy Who are at Risk Yannie* for 2008-09 A Patientw CHAN LAU (CML) Multicenter, Randomized, Double-blind, Placebo-controlled Study Transfusional Hemosiderosis (MD08483) WONG Siu Ming Raymond to Evaluate the Safety and Efficacy of CHENG Gregory SCH 530348 in Addition to Standard of Care in Subjects with a History of Atherosclerotic Receptor Disease: Antagonist in 2009-10 A Multi-center, Randomized, Thrombin Double-blind, Secondary Clinical Trial of Deferasirox in Patients Placebo-controlled, Prevention of Atherothrombotic Ischemic with Events (TRA 2P – TIMI 50) (MD08666) (low/int-1 risk) and Transfusional Iron WONG Overload (TELESTO) (MD09705) Ka Sing Lawrence LEUNG Wai Hong Thomas Myelodysplastic Syndromes Faculty of Medicine Department of Medicine and Therapeutics WONG Siu Ming Raymond 2008-09 Healthy Ageing Through Empowerment (MD08945) CHENG Gregory WOO Jean CHAN Suk Mei SEA 2009-10 An Open-label, Multi-center, Three Arm Man Mei (School of Public Health Randomized, Phase III Study to Compare and Primary Care) the Efficacy and Safety of RO5072759 + Dominic Chlorambucil Osteoporosis Care & Control) (GC1b), Rituximab + LO Hip Shing (CUHK JCC for Chlorambucil (RC1b) or Chlorambucil LEUNG Ping Chung (Institute of (C1b) Alone in Previously Untreated Chinese Medicine) CLL Leung Anthony (CUHK JCC for Patients with Comorbidities (MD09345) KWOK Wai Osteoporosis Care & Control) WONG Siu Ming Raymond 2009-10 Study on Parental Knowledge, Attitude CHENG Gregory and Practice (KAP) in child Feeding, and 2009-10 A Study of the Pharmacokinetics of Nilotinib (Tasigna) in Chinese Patientw a Dietary Survey of Children (MD09838) WOO Jean CHAN Suk Mei sith Imatinib-resistant and/or –intolerant CML at Chronic or Accelerated Phase (MD09365) 2009-10 Study on Parental Knowledge, Attitude and Practice (KAP) in Child Feeding, and WONG Siu Ming Raymond a Dietary Survey of Children (MD09784) WOO Jean CHAN Suk Mei CHENG Gregory 2009-10 Prevalence of Nanolcoholic Fatty Liver 2009-10 Manipulation of Visceral Disease and Advanced Liver Fibrosis in Hypersensitivity with Probiotic Bacteria Hong in Irritable Bowel Syndrome (MD09637) Kong Population – A Study Cross-Sectional Using Magnetic WU Che Yuen Justin NG Siew Resonance Spectroscopy and Transient Chien LAM Fung Chun TSE Chi Elastography (MD09972) Hang WONG Wai Sun Vincent CHU Chiu Wing Winnie (Imaging & Interventional Radiol) CHAN Suk Mei WOO Jean WONG Lai 2008-09 Role of Free Fatty Acid on GLP-1 and GIP Receptor Contribution to Impaired Incretin Effects XU Gang 2006-07 CADENZA (MD06911) WOO Jean Ada* Possible in Type 2 Diabetes (MD08784) Hung Timothy Expression: Juliana KWOK Chi Yui LUM Terry* CHAN Chung Ngor GU Xuemei# FAN Rongrong* MUI 2008-09 Factors Controlling B-cell Differentiation from Embryonic Stem Cells (CU08770) Faculty of Medicine Department of Medicine and Therapeutics XU Gang Juliana CHAN Chung Ngor MA Ching Wan Ronald TONG Peter Chun Yip ZHAO 2007-08 Studies on the Function and mRNA and Protein Expression of Ion Channels in the Coronary Endothelium Related to Ischemia (CU07651) Hailu# YANG 2009-10 Mechanisms for Attenuated Glucose Qin (Surgery)# HE YAO Guo Wei Xiaoqiang Lowering Effects of Glucagon Like (School of Biomedical Sciences) Peptide-1 HUANG Yu (School of Biomedical / Exendin-4 in Aging (MD09397) Sciences) XU Gang CHAN Chung Ngor 2009-10 Modulation Juliana YANG Xilin of Intermediate- Small-conductance 2008-09 Chinese Translation and Validation of the Potassium and Calcium-activated Channels in Coronary Walking Impairment Questionnaire in Endothelium in Response to Hypoxia Patients with Peripheral Arterial Disease (CU09789) (MD08357) YANG Qin ADELMAN John P* YAN Ping Yen Bryan YU Cheuk HE Guo Wei (Surgery)# YAO Man Lau JY (Surgery) LAM Yat Xiaoqiang (School of Biomedical Yin Sciences) YU Sau Fung Doris (The Nethersole School of Nursing) MA 2009-10 Modulation Ching Wan Ronald Receptor 2009-10 Efficacy, Safety and Cost-effectiveness of Drug-eluting World " Hong Stents in Kong “ Real Cardiology of Canonical Potential Transient Channel Hypoxia-Reoxygenation in 3 by Coronary Endothelium (MD09716) YANG Qin Practice (CU09787) YAN Ping Yen Bryan LEE Wing Yan Vivian (School of Pharmacy) REID Christopher Michael* YU 2008-09 Use of Oral Anti-diabetic Drugs and Risks of Cancer in Type 2 Diabetes Mellitus (MD08684) YANG Xilin Cheuk Man Juliana 2009-10 Cardiovascular Risk Profile & Long-term CHAN Chung Ngor SO Wing Yee KO Tin Choi Clinical Outcomes of Patients with Peripheral Arterial Disease in Hong Kong (MD09890) YAN Ping Yen Bryan (Surgery) 2009-10 A Randomized Translational Study to Examine the Effects of Shared Care Lau JY versus Usual Care in Management of Gestational Diabetes in a Three-tier Prenatal Care Network in Tianjin, China (MD10623) Faculty of Medicine Department of Medicine and Therapeutics YANG Xilin CHAN TIAN Huiguang* Chung Ngor ZHANG Fuxia* Zhijie* 2004-05 Cardiac Contractility Modulation for the YU Treatment of Heart Failure - Impact of ZHANG Haemodynamic Optimization of Lead Juliana HU Gang* DONG Ling* Position (MD04842) Hong* YU Cheuk Man 2002-03 A Multicentre, Multinational, Long-term, of Subject FUNG W. H.* CHAN Yat Sun Joseph CHAN Chi Extension Study to Assess the Safety and Toleration Kin Hamish Optimised Treatment Regimens of Oral Sildenafil 2006-07 A Multicenter, Double-blind, for Pulmonary Arterial Hypertension in Randomized Study to Establish the Subjects Who Have Completed Study Clinical Benefit and Safety of Vytorin A1481140 (MD02489) (Ezetimibe/Simvastatin YU Cheuk Man Ling# KONG Shun MA Wing Yan# Kwok Gabriel# (Ophthalmology Sciences)# YIP Wai Simvastatin Monotherapy in High-risk Subjects Presenting with Acute Coronary Syndrome and Outcomes: Vytorin Efficacy International Visual WONG Wing Cheong WONG vs. WANG Zheng (Ophthalmology and Visual Sciences) Tablet) Tai Hung John (Orthopaedics & Traumatology)# KUM Chi Chiu Leo (Improved Reduction of Trial – IMPROVE IT) (MD06410) YU Cheuk Man Leo KUM Chi Chiu WONG Man Lok Edmond# CHAN Wai Man Wilson LAI Hong 2006-07 Randomized, Multinational, Multicenter, Yee Connie* 2004-05 A Multicentre, Multinational, Long-term Double-blind, Placebo-controlled, Two-arm Group Parallel Trial of Extension Study to Assess the Safety and Rimonabant 20 mg OD for Reducing the Toleration Risk of Major Cardiovascular Events in of Subject Optimised Treatment Regimens of Oral Sildenafil Abdominally for Pulmonary Arterial Hypertension in Clustering Risk Factors (MD06532) Subjects Who Have Completed Study YU Cheuk Man A1481140 (MD02736) YU Cheuk Man Gabriel# Patients YIP Wai Kwok with LAM Yat Yin YIP Wai Kwok Gabriel# TAM Lai Shan Chi Chiu Leo Obese CHAN Chin Pang CHAN Kin Yin KUM LEE Pui Wai LAM Yat Yin 2006-07 The Effect of Eplerenone versus Placebo on Cardiovascular Mortality and Heart Failure Hospitalisation in Subjects with 2004-05 Consultant Agree with Guidant Inc. (MD04303) HYHA Class II Chronic Systolic Heart Failure (EMPHASIS-HF) (MD06705) YU Cheuk Man Faculty of Medicine Department of Medicine and Therapeutics YU Cheuk Man Gabriel# YIP Wai Kwok CHAN Anna* Chi Chiu* LEE Pui Wai* Eugene Brian* KUM WU LAM Yat Yin* CHAN CP Gary* CHAN Chi Yuen* YEUNG Yuk Ching CHAN AU YEUNG Sau Yee CHAN YEUNG 2007-08 FREEDOM – A Frequent Optimization Study Using the QuickOptTM Method Yuk Ching DONG Ming# (MD07704) 2007-08 A Prospective, Randomized, Double-blind, Double-dummy, Parallel-group, Multicenter, Event-driven, YU Cheuk Man Hong* FUNG Wing CHAN Yau Sung Joseph* CHAN Hamish C.K.* Non-interiority Study Comparing the Efficacy and Safety of Once-daily Oral Rivaroxaban (BAY 59-7939) with Adjusted-dose Oral Warfarin for the 2007-08 DOT-HF Trial (Diagnostic Outcome Trial in Heart Failure) (MD07793) YU Cheuk Man YIP Wai Kwok Prevention of Stroke and Non-central Gabriel# Nervous System Systemic Embolism in CHAN Yat Sun Joseph Subjects Anna* with Non-valvular Atrial Fibrillation (MD07683) YU Cheuk Man Joseph CHAN Yat Sun KUM Chi Chiu* WU Eugene Brian* Yin* CHAN Chi Yuen* YEUNG Yuk Ching KUM Chi Chiu* CHAN WU LAM Yat Yin* CHAN Chin Pang Gary* LAM Yat CHAN Chin Pang Gary* Eugene Brian* YIP Wai Kwok Gabriel# CHAN Anna* FUNG Wing Hong CHAN AU YEUNG Sau Yee 2007-08 CRT-D Based Impedance Monitoring Feasibility IDE Study (MD07993) YU Cheuk Man Gabriel# YIP Wai Kwok FUNG Wing Hong* CHAN Yat Sun Joseph* Chi Kin Hamish* CHAN CHAN Kin Yan Anna* WU Eugene Brian* LAM 2007-08 A Phase 3, Active (Warfarin) Controlled, Yat Yin* LEE Pui Wai* Randomized, Double-blind, Parallel Arm Chin Pang Gary* Study to Evaluate Efficacy and Safety of Yuen* CHAN CHAN Chi Apixaban in Preventing Stroke and Systemic Embolism in Subjects with Nonvalvular Atrial Fibrillation (MD07694) KUM Chi Chiu* WU Eugene Brian* Heart Systolic Three-year Randomised Placebo-controlled LAM Yat CHAN Chin Pang Gary* Chronic Ventricular CHAN Yat Sun YIP Wai Kwok Gabriel# CHAN Anna* Yin* Events in Patients with Moderate to Severe YU Cheuk Man Joseph 2007-08 Effects of Ivabradine on Cardiovascular Failure Dysfunction. Left A Double-blind International Multicentre Study (MD07907) Faculty of Medicine Department of Medicine and Therapeutics YU Cheuk Man Gabriel# YIP Wai Kwok CHAN Anna* WU Eugene Brian* CHAN CP Gary* LAM YY Homer* LEE PW Alex* CHAN YY Joseph* Karl* CHAN CY LAM Hoi Yan (TRA·CER)(Protocol (MD09383) YU Cheuk Man Gabriel# YIP Wai Kwok YAN Ping Yen Bryan LAM Yat Yin 2009-10 Mechanistic Assessment of Changes in Cardiac Multicenter, Randomized, Function Contractility by Multi-modality to Evaluate the Safety and Efficacy of Imaging (CU09797) SCH 530348 in Addition to Standard of YU Cheuk Man Hong Atherosclerotic ZHANG Qing Antagonist Thrombin in by Echocardiographic Care in Subjects with a History of Disease: Cardiac Modulation Double-blind, Placebo-controlled Study Receptor P04736) POON Sheung Por 2008-09 A No. FUNG Wing YIP Wai Kwok Gabriel# Secondary Prevention of Atherothrombotic Ischemic 2009-10 OPTIMISE CRT – Optimal Events (TRA 2P – TIMI 50) (MD08616) Programming to Improve Mechanical YU Cheuk Man Indices, Symptoms and Exercise in Gabriel# YIP Wai Kwok YAN Ping Yen Bryan Cardiac Resynchronization Therapeutics (MD09493) LAM Yat Yin YU Cheuk Man 2009-10 Cardiac Contractility Modulation for the Treatment of Heart Non-responders of Failure in Cardiac Resynchronization Therapy (MD09514) YU Cheuk Man CHAN Anna* CHAN Yat Sun Joseph* CP Gary* CHAN Hamish C.K.* 2009-10 A Multicenter, Ping Yen Bryan Joseph* Brian* YAN CHAN Yat Sun WU Eugene LEE Pui Wai* FUNG Wing Hong* Chin Pang Gary* Yuen* YIP Wai Kwok LAM Yat Yin Chan Kin Yin* CHAN FUNG Jeffrey WH* Gabriel# CHAN CHAN Chi WONG Tommy* KAM Ka Ho Kevin* Randomized, 2008-09 Latent-Lytic Switch of Epstein-Barr Double-blind, Placebo-controlled Study Virus Infection in EBV Associated to Evaluate the Safety and Efficacy of Gastric Carcinoma (MD08552) SCH 530348 in Addition to Standard of YU Jun Care in Subjects with Acute Coronary Syndrome: Thrombin Acute Coronary JIN Hongchuan (Institute of Digestive Disease)# Receptor Antagonist for Clinical Event Reduction in Syndrome 2008-09 Up-regulation of the Novel Oncogene PHI-1 Represents a New Mechanism of Faculty of Medicine Department of Medicine and Therapeutics Aberrant Ras Activation in Gastric Cancer (CU08658) YU Jun LEUNG Wai Keung SUNG Joseph Jao Yiu 2008-09 Targeting Heme Modulation to Oxygenase-1 Control Gene Murine Nonalcoholic Steatohepatitis (CU08781) YU Jun CHAN Lik Yuen Henry WONG Wai Sun Vincent 2008-09 Research Centre for Gastric Cancer: Molecular Basis and Clinical Applications (MD08325) YU Jun TO Ka Fai (Anatomical & Cellular Pathology) Jao Yiu (Surgery) SUNG Joseph NG Enders Kwok-wai JIN Hongchuan (Institute of Digestive Disease)# CHENG Sze Lok (Institute of Digestive Disease) CHIU Wai Yan Philip (Surgery) 2009-10 Targeting the TGF-beta/Smad Signaling Pathway by Overexpressing Smad7 to Control Non-alcoholic Steatohepatitis with Fibrosis in Mice (MD09823) YU Jun CHU Siu Hong 2009-10 Integrative Research on Molecular Basis and Potential Targets for Gastric Cancer (MD10453) YU Jun JIN Hongchuan (Institute of Digestive Disease)# CHENG Sze Lok (Institute of Digestive Disease) SUNG Joseph Jao Yiu Faculty of Medicine Department of Microbiology enrich MTB cells in both spiked artificial sputum and RESEARCH PROJECTS clinical sputum samples. These experiments shall lead to development of a specific and rapid Development Technology of for a Peptide Selective Ligand-based Enrichment of peptide-mediated separation method for MTB, which shall provide a valuable tool to enhance the sensitivity of sputum smear microscopy and facilitate Mycobacterium Tuberculosis in Sputum more accurate diagnosis and better control of MTB CHAN Chiu Yeung Raphael CHAN Wai Chi KAM Kai Man* YIP Chi Wai AU Tai Kong infection. (MD10635) HUI Mamie The Effect of Treatment with Anti-interleukin 1 November 2010 Research Fund for the Control of Infectious Diseases (IL)-6 Receptor Antibody on the Cytokine / Chemokine Profile Induced by Influenza Infection in Lung Cells In-vitro Pulmonary tuberculosis (TB) is the most common clinical manifestation of MTB infection. Microscopic CHAN Kay Sheung Paul examination of sputum smears for acid-fast bacilli 1 September 2010 remains a critical step in the initial diagnosis of F Hoffmann-La Roche Ltd pulmonary TB, monitoring of treatment effectiveness, and determination of eligibility for release from Interleukine-6 (IL-6) is one of the cytokines produced quarantine. However, the current sputum smear during infection with influenza viruses. Cytokine microscopy suffers from low and variable detection storm has been shown to be a mediator of adverse sensitivity (20%-60%). In recent years, efforts to clinical outcome of highly pathogenic avian influenza enhance the sensitivity of microscopy detection by infection in humans. This study will examine whether enriching MTB in sputum have not been successful, treatment with IL-6 antibody will have an effect on presumably due to a lack of specificity in the physical cytokine production in lung cells infected with and chemical methods used. In this study, we propose influenza viruses in vitro. to use peptide ligands to enrich MTB cells specificity (MD10828) in sputum samples. Firstly, peptide sequences that bind preferentially to MTB will be identified by Characterization of Sequence Variation of Human means of the phage display technology. Secondly, Papillomavirus 52 Circulating in Hong Kong and MTB-binding peptides will be further characterized Worldwide, with respect to binding specificity to different MTB System and Identification of High-risk Mutations strains and mycobacteria species. Establishment of Classification Eventually, peptides with high binding affinity and specificity to CHAN Kay Sheung Paul LAM Wai Yip MTB will be synthesized and used to coat (School of Biomedical Sciences) paramagnetic beads, followed by evaluation of the Tak Hong* YU Mei Yung May* ability of such peptide-coated paramagnetic beads to CHEUNG 1 December 2010 Faculty of Medicine Department of Microbiology Research Fund for the Control of Infectious Functional Profiling and Strategic Antimcirobial Diseases Manipulation of a Universal Nutrition-sensing Network that Regulates Microbial Virulence, Human papillomavirus (HPV) is a necessary cause Antibiotic Tolerence and Stress Protection for cervical cancer, which ranks second among female cancers globally. Current vaccines cover two types (HPV16/18) accounting for 70% of cervical cancers worldwide. To achieve a better control, it is necessary to advance our knowledge on non-vaccine-covered HPV types. The importance of individual non-vaccine-covered HPV types varies geographically. For instance, HPV52 has been found in 7-31% of cancers from Chinese women residing in different areas. This project focuses on HPV52 to address the concern of our region. of 250 HPV52 samples from 5 regions of the world, and 250 local isolates will be examined. The sequence data and the collection of isolates will be used to: primers; (2) develop new consensus primers to catch all variants; (3) construct phylogenetic analysis to establish a classification system; (4) identify genetic signatures for each clade / lineage, and develop for identifying these genetic signatures to facilitate further epidemiological and risk association studies; and (5) identify mutations conferring an increased risk for cervical cancer to assist the development of variant-specific assays to improve the clinical value of HPV testing. Furthermore, this project will generate data that are instrumental for future studies, particularly on diagnostic assays and vaccine development. (MD10844) CHAN Chiu Yeung Raphael 1 January 2011 Research Fund for the Control of Infectious Diseases Microorganisms are known to posses protection mechanisms that enhance cellular survival against environmental stress. Characterized by elevated activation of such mechanisms predispose development of latent, recurrent and biofilm-related infections, as well as mutational and physiological changes pertaining resistance. (1) evaluate existing commonly used consensus methods AU Tai Kong tolerance to antibiotics and other adverse conditions, Four key viral genome regions (L1, LCR, E6 and E7) simple CHAN Wai Chi The to ability formation to of antibiotic oscillate between stress-tolerant and susceptible models is observable among diverse genetic entities, suggesting that identification of universal tolerance determinants may provide novel clues for developing effective control of virulence and dissemination potential of a wide range of infectious agents. In a recent study to delineate the molecular basis of antibiotic tolerance, we showed that bacteria possessed a redundant network of nutrient sensing and phenotypic switching functions, which mediated active stress defence according to exogenous nutrient compositions. In the proposed work, we extend the current findings to include a series of cross-species phenotypic and molecular assays in the hope of identifying common regulators of bacterial nutrient-sensitive stress responses. The induction and functional profiles of such determinants will be established to elucidate their relative roles in the transition between physiological dormancy and active synthesis of Faculty of Medicine Department of Microbiology macromolecules, which may be used to predict based strategy (i.e., if they present with risk factors at antibiotic tolerance and infectivity respectively. the time of delivery). Furthermore, the defence status in drug sensitive and Epidemiological data regarding rates of neonatal resistant strains will be compared to depict their GBS disease are limited in certain geographical physiological role in resistance formation and regions including eastern Europe, Latin America and maintenance. Finally, these data will be utilized to Asia. The potential impact and cost-effectiveness in generate a new set of diagnostic markers for the control of GBS invasive disease in this age group evaluation of treatment efficacy, and development of requires obtaining local data demonstrating the novel burden of neonatal GBS disease in terms of incidence antimicrobial approaches through stress response suppression. and serotype distribution. This study will ascertain (MD09946) the incidence (per1,000 live births); serotype distribution, and the case fatality ratio (CFR, %) of Multi-center Evaluation of the Burden of Invasive invasive GBS disease in neonates and young infants. Neonatal (MD10494) Group B Streptococcal Diseases: Incidence and Serotype Distribution Characterizing Prevalent Clones of Multi-drug IP Margaret NELSON Edmund Anthony Severn (Paediatrics) TAM Wing Hung (Obstetrics & Gynaecology) LAM Hugh Simon Hung San (Paediatrics) 1 October 2010 Resistant, Community-associated Methicillin-resistant Staphylococcus Aureus (CA-MRSA) in Mainland China and Hong Kong: Resistance Mechanisms and Virulence Factors Distribution Novartis Asia Pacific Pharmaceuticals Pte Ltd IP Margaret SHEN Xuzhuang* Group B Streptococcus (GBS) or Streptococcal agalactiae is a significant cause of serious infections 1 January 2011 NSFC/RGC Joint Research Scheme in neonates such as bacteremia, pneumonia and meningitis. GBS infection occurring between birth Community-associated MRSA (CA-MRSA) is a and 6 days of age is defined as early onset disease major cause of bacterial infections and has emerged (EOD) while infection occurring between 7 and 89 in the community in recent years and become days of age represents late onset disease (LOD). It is epidemic in some countries. MRSA is now a leading generally accepted that the major route of acquiring cause of death by any single infectious agent in the GBS disease in newborns is vertical transmission of United States. Initiatives have been introduced to GBS from mothers to their newborns. No vaccine is control MRSA globally but the disease burden with currently available for the prevention of GBS disease. MRSA remains significant, and it is a major concern Prevention has depended on the administration of that CA-MRSA becomes pandemic worldwide. intrapartum antibiotic prophylaxis (IAP) to women The major MRSA types in Hong Kong and mainland according to either a culture based strategy (i.e., if China belong to a few clonal types that are distinct they are colonized with GBS prenatally) or a risk from USA clones, in that they are often multidrug-resistant, thus limiting the choice for Faculty of Medicine Department of Microbiology treatment and increases clinical failure rates and reactive oxygen species (ROS) that causes oxidative mortality. This study aims to (1) characterize the stress in host cell leads to hypermethylation; and molecular types of prevalent multidrug-resistant upredulation of the cytokine IL-1β also triggers CA-MRSA clones in mainland China and Hong hypermethylation. Kong; (2) define the resistance mechanisms, the (MTB) is a well-known intracellular pathogen that relationships of multiple resistance determinants can evade host immunity and survive within human within common mobile genetic elements and their macrophages. Recent reports suggest that upon MTB potential to spread; and (3) the presence of major infection, various specific mycobacterial lipopeptides virulence factors, including arginine catabolic mobile can induce ROS and IL-1β production. This study element, Mycobacterium tuberculosis phenol-soluble modulins, investigates whether MTB infection would eventually panton-valentine leukocidin lead to hypermethylation in human macrophages; and toxins, and the pathogenic potential of CA-MRSA to whether such epigenetic changes could facilitates cause severe disease in an animal infection model. intracellular survival and/or pathogenesis of this The study will contribute to the basis of future highly successful organism. potential targets for treatment of staphylococcal (MD10580) alpha-type α-haemolysins and disease and to public health importance in the formulation of programmes in the control of MRSA. Please refer to previous issues of this publication An important endeavour will be to establish a for more details of the following ongoing research platform to compare CA-MRSA strains locally, at the department: within mainland China and Hong Kong, in order to reveal major insights into transmission and Edition Title/Investigators micro-evolution of predominant clones. (MD10974) 2009-10 Expression Analysis of Putative Small Regulatory RNAs in Mycobacterium Human Epigenetic Alterations in Mycobacterium Tuberculosis: Effects of Growth Phase Tuberculosis Infection – A Novel Platform to and Oxidative Stress (MD09563) Eavesdrop Interactions between MTB and Host AU Tai Kong Immunity LEUNG Tung Yiu CHAN Wai Chi CHAN Chiu Yeung Raphael IP Margaret CHAN Wai Chi CHAN Chiu Yeung Raphael 2008-09 Evaluation of the Prevalence of Efflux-mediated Resistance Mechanisms 28 February 2011 in Research Fund for the Control of Infectious Tuberculosis Clinical Isolates in Hong Diseases Drug Resistant Mycobacterium Kong (MD08946) CHAN Chiu Yeung Raphael Growing scientific attention has been given to CHAN Wai Chi AU Tai Kong promoter hypermethylations in host cells as a result of bacterial invasion. Scientific evidence supports the notions that the infection-induced generation of Faculty of Medicine Department of Microbiology 2008-09 Effect of Avian Influenza A H5N1 2009-10 Modulatory Effects of Antimicrobials on Infection on Human Cellular MicroRNA the Profile Community-Acquired – Identification of Gene Pathogenicity of Regulatory Pathway Leading to Adverse Methicillin-Resistant Clinical Outcome (MD08768) Aureus (CA-MRSA) in Hong Kong CHAN Kay Sheung Paul LAM Wai Yip (School of Biomedical Sciences) TO Ka Fai (Anatomical Sequence Oncogenic IP Margaret LEUNG Tung Yiu TO Ka Fai (Anatomical & Cellular 2008-09 Development and Application of a of Human Real-time PCR Protocol for Rapid and Papillomavirus Type 58 Variants Across Simultaneous the World (MD08306) Mycobacterium CHAN Kay Sheung Paul DAVID Detection Tuberculosis, Drug Resistance and Beijing Genotype in a LEUNG Tung Yiu 2008-09 Influenza Resistance Information Study (IRIS) (MD08776) CHAN Wai Chi IP Margaret CHAN Chiu Yeung Raphael CHAN Kay Sheung Paul Nelson Therapeutics) of Diagnostic Laboratory Set (MD08316) Pim* Lawrence Banks* Shun and Diversity Potential (MD09752) Pathology) & Cellular Pathology) 2008-09 Genomic Staphylococcus LEE Lai (Medicine & LEUNG Ting Fan (Paediatrics) 2009-10 Cellular Pathogenesis of Human Swine Influenza (Sub-project of MD09881) (MD09534) CHAN Kay Sheung Paul 2009-10 Human MicroRNA Profiling in Mycobacterium Tuberculosis Infectious: Potential Association with Virulence and Predisposition Host Strain (MD09395) LEUNG Tung Yiu IP Margaret TO Ka Fai (Anatomical & Cellular LAM Wai Yip (School of Biomedical Pathology) CHAN Wai Chi CHAN Chiu Yeung Raphael Sciences) 2009-10 Virus RNA Replication and Transcription as a Restriction to Host Adaptation of Influenza Viruses (MD09828) CHAN Kay Sheung Paul Faculty of Medicine The Nethersole School of Nursing (EE10547) RESEARCH PROJECTS Home Care Service Needs for Chronically Ill Design Innovation and Customisation of the Patients and Their Families in Hong Kong Mastectomy Bra and Prosthesis for Hong Kong HO Sin Man Simone Mastectomy Patients Helen YL CHAN CHAN YIP Carmen Wing Han HO Sin Man Simone DOWNING Kevin* SHIN Woo Kyung* YEO Winnie (Clinical Oncology) SEUN Joyce* LEE Kun Min* LEE Tze Fan Diana CHOI Kai Chow 30 November 2010 CUHK Departmental Funding 1 September 2010 Research Grants Council - General Research Fund With an aging population, patients who require complex care for chronic conditions keep increasing. However, people in Hong Kong tend to go to the This study proposes to design and produce custom public healthcare external breast prostheses and bras for Hong Kong management, which results in a heavy burden on the breast cancer survivors who have had one or both public healthcare system. Providing long-term care in breasts surgically removed. The challenge of patients’ homes, thus, has been suggested as an designing a well-fitting, yet affordable, custom option as home care (HC) is more cost-effective than prostheses and bra, requires understanding of a traditional hospital treatment. number of different disciplinary areas. For example, Aims: The study aims to identify the service needs consideration must be given to the breast cancer and service content of HC required by chronically ill patients’ psychological needs, the support provided patients and their families in Hong Kong, and to by attending healthcare providers and professionals examine the gap of the existing HC service. including nurses, doctors, the training available for Method: Focus group interviews will be conducted these healthcare professionals, the nature of the with 3 different categories of stakeholders (1) prosthesis and bras currently available, and the patients; (2) patients families; and (3) healthcare technology which will allow the customization of professionals to explore their views, concerns, prostheses and bras at an affordable price. Therefore, expectations and suggestions towards HC. Each this research will involve a multidisciplinary team of focus seven researchers whose expertise ranges from bra individuals. Patients, who are diagnosed with design and pattern making to psychology and cancer either one of the following health problems, care. This combination will assist in achieving a including stroke, cancer, continuous ambulatory holistic and multiple perspective approach to this peritoneal dialysis, Diabetes Mellitus, or dementia, important but often neglected area. Consequently, not and their family members will be recruited to only is the focus of this study unique, but the interview. The health professionals, including multidisciplinary will significantly benefit breast doctors, cancer survivors and their families. professionals of various specialties who are group system interview nurses and for will other chronic consist allied illness of 4-6 health actively practicing patient management in the past Faculty of Medicine The Nethersole School of Nursing six months will be interviewed. Socio-demographic Data Collection Procedure: Upon the approval of the data of the participants will be collected. An Survey and Behavioral Research Ethics committee of interview guide is developed for data collection. the University to conduct the study, data collection The length of each interview will be about an hour. will be carried: Students will be asked to fill in a Data collection will be completed upon data questionnaire in class. Based on the scores of the saturation. be questionnaire, research assistant will purposively transcribed verbatim and undergone the process select ten students (five each from the higher and the of qualitative content analysis. lower band of scores) from each of year 1 and year 4 (MD10919) study for a 30-45minutes individual interview. Audiotaped interviews will Data Analysis: SPSS version 17 will be employed to The Investigation of Metacognitive Awareness analyze the quantitative data and thematic content Among Undergraduate Nursing Students analysis will be adapted to facilitate qualitative analysis. IP Wan Yim Lai KO Suk Fun# KWONG Nga CHAN YIP Carmen Wing Han (ED10417) Helen YL CHAN 1 January 2011 Provide Nursing Service to Patients in ASTRI Telecare System Pilot Run (Ref. no. ARD081) CUHK Departmental Funding LEE Tze Fan Diana Background: Nurse educators (Kupier, 2002; Hsu, 2010) advocate the need to explore the role of metacognitive awareness in the development of learning strategies to improve students thinking and CHAIR Sek Ying CHAU Pak Chun Janita YU Sau Fung Doris 15 September 2010 Hong Kong Applied Science and Technology Research Institute (ASTRI) Company Limited learning processes. The aims of this study are to investigate the metacognitive awareness among Objectives of the Project: The Hong Kong population undergraduate nursing students. It is envisaged that is aging rapidly. At mid 2008, the number of citizens findings from this study will address the development above 65 is 12% of the total population (0.88M) and of effective teaching interventions to improve the estimate for 2033 is 27% (HK Council of Social students’ learning strategies. Service). As people are growing older, more care is Design: An exploratory descriptive design including needed. Typically, they move from private homes to both survey and qualitative interview will be adopted nursing homes and then to hospitals. While the for this study. elderly represent only 12% of the population Sample: All students studying the 4-year full-time currently, they account for close to 50% of the bachelor of nursing programme in the School will be inpatients in our hospitals. If we can let them stay in invited to participate voluntarily in the survey on their homes or in nursing homes for a longer period metacognitive awareness. Upon the completion of the through “telecare”, it will provide tremendous survey, 20 consenting students (10 from each of yr 1 benefits. It will reduce medical errors by enabling & 4 years) will then be invited to participate direct contacts between patients and healthcare respectively in an in-depth personal interview. professionals at all times. It will avoid unnecessary Faculty of Medicine The Nethersole School of Nursing hospitalizations and ensure that those who need Results: The results of CVI of the Chinese version of urgent care will receive it sooner. Overall, it should SCNS-SF34 and the supplementary module were contribute to a significant reduction of the total 0.84 and 0.87 respectively. Cognitive debriefing was healthcare expenditure. carried out with 20 cancer patients. Modifications of Aim of the Project: To examine the effects of a the instruments were made based on the suggestions tele-care service on the respiratory status, medication of the expert panel and patients to ensure the clarity compliance, health-related quality of life, level of and semantic equivalence of the Chinese versions. satisfaction, acceptability of the tele-care system, and The internal consistency of each subscale of the health service utilization among older people with Chinese COPD. (Cronbach’s alpha ranged from 0.78 to 0.92), and the (MD10584) alpha for the entire scale of the supplementary version of module was 0.8. SCNS-SF34 were good Confirmatory factor analysis A Psychometric Evaluation of a Chinese Version indicated an adequate fit to the five-domain factor of the 34-item Supportive Care Needs Survey structure (C-SCNS-SF34) and the 16-item Supplementary SRMR=0.080). Module of Access to Health Services Conclusions: The findings of the study showed that (RMSEA=0.074, NNFI=0.96 and the Chinese version of SCNS-SF34 and the SO Kwok Wei CHAN YIP Carmen Wing Han supplementary module is a reliable and valid MAK So Shan* WAN Wai Man Rayman* instrument which is suggested to be used in future to CHOI Kai Chow CHAIR Sek Ying MA Wai examine the supportive care needs of Chinese cancer Ling Karen* patients. 1 June 2010 (MD09821) The Nethersole School of Nursing, CUHK Please refer to previous issues of this publication Objectives: To translate the 34-item Supportive Care for more details of the following ongoing research Needs Survey (SCNS-SF34) and the supplementary at the department: module of access to health care and ancillary support services into Chinese and evaluate their psychometric Edition Title/Investigators properties in Chinese cancer patients. Methods: The study consisted of three phases. In 2009-10 The Psychometric Evaluation of the phase I, the forward and backward translation Chinese procedure was used to develop the Chinese version of Inventory Heart Failure (MDASIHF) the SCNS-SF34 and the supplementary module. In (MD08678) phase II, the cultural equivalence of translation of the CHAIR Sek Ying M.D. Anderson Symptom Anecita Fadol* two instruments were evaluated through content YU Ming Ming WANG Wenru# validity and cognitive debriefing. In phase III, the TIAN Sylinna* SO Kwok Wei construct validity of the two instruments were CHAN YIP Carmen Wing Han examined with internal consistency and confirmatoty Wan Yim IP HUNG Shuk Yu factor analysis. Faculty of Medicine The Nethersole School of Nursing CHAN Dominic Shung Kit# CHAN Wai Yee CHAN Po Tai# 2009-10 A Telephone Survey on the Attitude and Knowledge of the Hong Kong Public 2009-10 Fight against Cardiovascular Disease - towards Cardiopulmonary Resuscitation An Online Knowledge Transfer Project (MD09574) (ED09965) HUNG Shuk Yu CHAIR Sek Ying WONG Kit Yee Irene# LEE Tze Fan Diana Diana LEE Tze Fan CHAIR Sek Ying Cho Ze Joseph* LUI SHIU Yuk Chun Irene* 2008-09 A Survey on Health Status of Childhood Cancer Surviors (MD08833) 2008-09 ‘Growing in Happiness’, Mental Health CHAN YIP Carmen Wing Han GOGGINS (School III William Bernard of Public Primary Care) Karis# Health CHENG Kin Fong CHIEN Wai Tong# Chi Kong* and LI YUEN Hui Leung* Promotion Programme for Children with Mentally Ill Parents (MD08770) IP Wan Yim CHIEN Wai Tong# MUI Hang Chun Jolene* Chung Shing* KAN YAU Mei Siu Teresa (Social Work)# LI Chi Keung* 2008-09 A Benefit-finding Intervention for Family 2008-09 Health Promotion Package for People Caregivers of Persons with Alzheimer Suffering from Life-limiting Disease Disease (MD08363) (SS08389) LEE Tze Fan Diana CHAN YIP Carmen Wing Han CHAIR Sek Ying Mau-kwong Michael* SHAM LO See Kit Raymond* Sheung Tak* 2009-10 Achieving an Outcomes-based Approach: Timothy FUNG Hoi Lam Helene (Psychology) Therapeutics) CHENG CHAN Alfred* CHOU Kee Lee* Yui KWOK Chi (Medicine & LAI C.L. Julian* LAM Chiu Wa (Psychiatry) Evaluation of Web-enriched Resources in Enhancing Baccalaureatenursing 2009-10 Effects of an Interactive eLearning Students' Learning of Clinical Nursing Information Skills (MD09601) Hospitalized Older People and Families CHAU Pak Chun Janita Package Locations (ED09940) for LOW Lisa Pau Le Enhancement and Research) CHAN YIP Carmen Wing Han CHAN Dominic Shung Kit# IP Wan Yim SHIU Tak Ying Ann# LEE Fung Kam Iris for to Make Decisions about Discharge MCNAUGHT Carmel Marie (Centre Learning (eLIP) 2009-10 Effects of an Interactive eLearning Information Package (eLIP) for Hospitalized Older People and Families Faculty of Medicine The Nethersole School of Nursing to Make Decisions about Discharge Effects of Cognitive-behavioral Therapy Location (SS09863) (MD08517) LOW Lisa Pau Le YU Sau Fung Doris 2008-09 Relieving Insomnia in Chinese Community-dwelling Older People: The Faculty of Medicine Department of Obstetrics and Gynaecology in RESEARCH PROJECTS the out-patient clinic. Gynaecologist and psychiatrist will have professional clinical assessment for them with medical investigations and treatments Prospective Observational Study of Urinary provided. Subsequent follow-up will be arranged for Symptoms, Sexual Behaviors and Psychiatric them accordingly. The participants will be invited to Symptoms in Ketamine Misuers complete some medical health questionnaires. The clinical information obtained will be analyzed under CHEUNG Yau Kar Rachel CHAN Shing Chee Symphorosa Wai Lam CHOY Kwong Wai LEE Ho Sze Jacqueline PANG strict confidentiality. (MD10835) TANG Ka Lam Alan (Psychiatry) 1 November 2010 Beat Drugs Fund Investigation into the Epigenetic Regulation of Angiogenic Factor Genes in the Preeclamptic Placenta Ketamine has well documented safety in medical and CHIM Siu Chung Stephen LEUNG Tak Yeung veterinary settings. The recreational use of ketamine 30 June 2011 gained the popularity in Hong Kong (HK) since CUHK Research Committee Funding (Direct 1980s as it is easy to consume and with clear dose Grants) response effect. The rising trend of the recreational use of ketamine, especially in the adolescent group, Preeclampsia is a major cause of maternal and fetal has recently created a large social arousal. Much mortality concern has been put in the acute effect after obstetrics care. This important condition may ketamine intake, while the long term effect is not well complicate 3-8% of all pregnancies after the 20th known. week of gestation. The origin of preeclampsia has not Urinary symptoms and renal failure has been reported been in previous medical case reports. However, the evidences suggest that the aberrant concentrations of symptom in the people who quitted ketamine is not angiogenic factors in the maternal circulation, and the known. Whether the remaining symptom is related to induced endothelial dysfunction, are involved in the their previous duration and dosage used or whether pathogenesis of preeclampsia. Specifically, the these symptoms are reversible or how long they will anti-angiogenic soluble fms-like tyrosine kinase persist is not clear. This study aims to evaluate the (sFLTI) urinary, psychiatric symptoms and sexual attitude in preeclamptic placenta and maternal serum. Moreover, the ex-ketamine user and the relationship of the decreased concentrations of free placental growth pattern of previous ketamine use. Also inflammatory factor (PGF) and free vascular endothelial growth markers, cytokines and chemokins, will be test in the factor (VEGF), both of which are angiogenic, in urine sample, which can be a potential new marker to maternal ex-ketamine users referred to our department for preeclampsia, and even before its onset. However, the urinary or gynaecological symptoms will be assessed cause and fully morbidity, elucidated. was found circulation leading to to despite Nevertheless, be were the the modern mounting increased also in noted dysregulation of the during these angiogenic factor genes in preeclampsia remains Faculty of Medicine Department of Obstetrics and Gynaecology elusive. Here, we hypothesize that the dysregulation distribution and frequency of CNVs amongst our in preeclampsia involves aberrant DNA methylation, Chinese population compared to what is reported in which is a well-studied aspect of epigenetics. To test the Database of Genomic Variants. Our genome wide this hypothesis, we propose to generate the pilot study data strongly argues that the spectrum of quantitative profiles of the DNA methylation of these CNVs in our local Chinese populations is different angiogenic factor genes in the preeclamptic placentas, compared to European populations. The absence of and compare them with those in the non-preeclamptic knowledge about these genetic variants (CNVs) in placentas. This will be the first report investigating the Chinese population (including their alleles, the role, if any, of DNA methylation of the frequencies and precise locations), provides limited angiogenic factor genes in preeclampsia. This study clinical meaning to the physicians and patients. will also form the groundwork for the clinical Consequently, many CNVs are currently classified as application of the aberrantly methylated DNA, if any, genomic imbalances of unknown clinical significance for the assessment or prediction of preeclampsia. and limits the ability to distinguish pathogenic CNVs (MD10664) from polymorphic CNVs. We therefore propose to identify and characterize germline CNVs in our Detection and Validation of Chromosome Copy Chinese populations and compare these to a cohort of Number Variants in Fetuses with Multiple Chinese fetuses with multiple malformations. We Malformations but Normal Karyotype shall used the Agilent array CGH platform to study comprehensively the spectrum of CNVs in our CHOY Kwong Wai LAU Tze Kin LEE locality, followed by real-time quantitative-PCR and sequencing to fine map and estimate the frequency Charles* WANG Chi Chiu and precise location of CNVs identified. The 1 November 2010 identified CNVs will be correlated with disease status Research Grants Council - General Research and clinical findings. We believe that our CNV study Fund in Chinese population is as essential as data generated Chromosome copy number variants (CNVs; gains from other populations to understand fully the and losses of DNA sequences >1 kb) are widely biological significance of a CNV. Hence we have spread throughout the genome of healthy individuals. developed a proposal to identify pathogenic CNVs Pathogenic CNVs are associated not only with birth associated defects information generated form this cohort will be and cancers, neurodevelopmental disorders neurodegenerative diseases Unfortunately, limited the but also at in with birth or adulthood. knowledge of the phenotypic effects of most CNVs has led to the useful in with terms fetal of malformations. counselling of The parents recurrence in future pregnancies and offering for prenatal diagnosis if appropriate. (CU10637) classification of many CNVs as genomic imbalances of unknown clinical significance. Using Agilent Diagnosis of Chromosomal Abnormalities: The microarray-based comparative genomic hybridization Application and Use of Microarray Technology in (array CGH) technology in our laboratory, we noticed the Hong Kong Health Service a substantial difference in the spectrum, Faculty of Medicine Department of Obstetrics and Gynaecology CHOY Kwong Wai Tak Yeung LEUNG database will be constructed to allow data sharing and LO Fai Man* stored of clinical and laboratory information, which LAU Tze Kin LAM Tak Sum* will broaden our understanding of genetic-based WANG Chi Chiu clinical syndromes. 1 November 2010 (MD10754) Health and Health Services Research Fund Background: With advances in molecular-based Research and Development Related to Diagnosis techniques, several genome-wide screening platforms of based Disorders Using Molecular Techniques on DNA on microarray technologies have been developed, enabling the detection of submicroscopic Prenatal and Postnatal Constitutional Samples deletions or duplications in segments as small as tens to hundreds of kilobases (kb) in size, which is well below the level of discrimination by conventional G-banded karyotype analysis. Purpose/Objective: To assess the feasibility of replacing the labor and CHOY Kwong Wai LEUNG Tak Yeung LAU Tze Kin WANG Chi Chiu 1 December 2010 Wallac Oy time-consuming karyotyping with microarray based comparative genomic hybridization (array CGH) for The overall area of interest is research and diagnosis of chromosomal abnormalitlies and to development related to diagnosis of prenatal and define a specific cause of undiagnosed postnatal or postnatal constitutional disorder using molecular prenatal neurological or developmental disorders. techniques on DNA samples. Design/Subjects: Initial Project Goals: This is a prospective, blind comparison to gold standard (karyotyping) cohort Study 1: To demonstrate the performance of BoBs study. We aim at investigating the cost-effectiveness assay for clinical cytogenetic diagnostics of a CGH versus standard cytogenetic analysis on in a prenatal setting: Accuracy in the postnatal cases (N=100) referring to the Clinical detection of common autosomal and sex Genetic Service at the Department of Health and chromosomal aneuploidies as well as prenatal of ability to diagnosis less common, but Obstetrics and Gynaecology, Prince of Wales clinically significant, microdeletions or Hospital. Exclusion criteria included: The non microduplications (4p16.3, 5p15.3-p15.2, availability of biologic parents to provide blood 7q11.2, 8q23-q24, 10p14, 15q11-q12, samples. Demographic and clinical data will be 17p13.3, 17p11.2 and 22q11.1) currently collected. Analysis: The costs and effects (number of not readily detectable by the conventional additional diagnoses) of an aCGH versus standard cytogenetic GTG-banded analyses. cases (N=100) from Department cytogenetic analysis using karyotyping will be Study 2: Efficiency of BoBs assay for compared. Sensitivity analysis, correlations, range of identification of targeted microdeletion or agreement between the two methods will be microduplication syndromes in prenatal compared with FISH analysis. A cost per diagnosis samples. will be created based on the 200 prenatal and (MD10839) postnatal cases referred. In addition, an aCGH Faculty of Medicine Department of Obstetrics and Gynaecology Application of Microarray-based Technology in CUHK Research Committee Funding (Direct Grants) Preimplantation Genetic Screening CHOY Kwong Wai HAINES Christopher John YEUNG Sum Yee Queenie KWOK Ka Yin* CHEUNG Lai Ping* Microarray based comparative genomic hybridization (molecular karyotyping/aCGH) is a powerful technique for detecting clinically relevant genome imbalance and can offer up to 100 times the 1 March 2011 resolution of FISH and karyotyping. We have Hong Kong Obstetrical and Gynaecological Trust Fund demonstrated that genome microarray analysis has improved diagnostic success in patients referred for Microarray-based technology has been applied to single cells and embryos and expanding the scope of PGS. Johnson et al. performed a preclinical validation of microarray method for PGS and found that the accuracies of microarray method and metaphase karyotyping are roughly in line. Emerging data showed successful pregnancies after PGS using the aCGH technology. This encouraging result has renewed hope that array techniques may show the usefulness of aneuploidy screening. However, there is major question that need to be addressed before the routine use of aCGH in reproductive medicine. First, its accuracy and reliability in PGS has not yet been established. This proposal outlines a pilot study to demonstrate the accuracy, efficacy, and clinical advantages of PGS using aCGH compared to standard conventional chromosome analysis using cytogenetic analysis in postnatal as well as in prenatal case. However, use of microarray in pre-implantation screening (PGS) is a comparatively new concept. To assess the feasibility and establish application guidelines of microarray analysis for diagnosis of chromosomal abnormalities among developmentally abnormal oocytes and embryos, we propose this pilot study aim at investigating the cost-effectiveness of molecular karyotyping versus standard FISH analysis among PGS cases. Sensitivity analysis, correlations, range of agreement between microarray result and conventional FISH results will be compared. The clinical indications and pathogenic chromosome copy number changes identified will be correlated with clinical findings. Results of this study will contribute to the understanding of the role of microarray analysis in the diagnosis of chromosomal abnormalities in Assisted Reproductive Medicine. FISH. Objective: The specific aim is to establish the (MD10487) feasibility of microarray among developmentally Identification Chromosomal of Structural and Abnormalities Numerical among Developmentally Abnormal Oocytes and Embryos by Microarray CHOY Kwong Wai HAINES Christopher John KONG Wing Shan abnormal oocytes and embryos conceived by in vitro fertilization (IVF). Possible outcome: Evaluate the feasibility of microarray in assisted reproductive medicine and the possibility of obtaining additional genomic information using microarray. (MD10360) 1 June 2011 Faculty of Medicine Department of Obstetrics and Gynaecology Effect of Chorioamnionitis on Placental Gene (MD10556) Expression Tumor-derived Lymphotoxin is Induced by the CHUNG Man Kin LAO Tzu Hsi Terence CHIM Siu Chung Stephen LEUNG Kit Tong Extrinsic and Intrinsic Pathways that Connect Inflammation and Cancer in Ovarian Tumor 1 April 2011 KWONG Joseph Hong Kong Obstetrical and Gynaecological 1 April 2011 Trust Fund CUHK Research Committee Funding (Direct Histological chorioamnionitis has been shown to be Grants) present in as much as 70% and 20% of term and preterm births respectively. While the majority of the Inflammation and cancer are connected by two cases, especially those developing chorioamnionitis pathways: the extrinsic pathway which induced by at term, remain largely subclinical, was associated inflammation and infection; and the intrinsic pathway with adverse infant outcome. It remains uncertain, at which initiated by genetic events that cause neoplasia. chorioamnionits, what has actually happened at the Cancer-related inflammation has been known to placenta immediate promote tumor progression and is thus a target for adverse infant outcome such as sepsis and respiratory therapeutic intervention. We have been studied distress occur after birth. over-expression of a cytokine, lymphotoxin, in We hypothesize that in response to chorioamnionitis, ovarian cancer, and known that the tumor-derived there is up- and down regulation of different placental lymphotoxin genes which, when identified, will provide some progression by creating bidirectional tumor-host clues as to what placental products can be assayed in interactions the maternal circulation so as to allow a diagnosis of chemokines in stromal fibroblasts. However, the chorioamnionitis to be made. This study is going to mechanism determine the placental gene expression in relation to over-expression in ovarian cancer is still unknown. the The aim of this proposed project is to determine the interface, presence chorioamnionitis and especially when absence confirmed of after histological delivery in could via promote its paracrine which ovarian tumor regulation causes of lymphotoxin molecular mechanism(s) that induce lymphotoxin pregnancies ending up in preterm delivery. expression in ovarian tumor cells. We discovered that The identification of differences in placental gene certain pro-inflammatory cytokines, including TNF-α, expression in relation to histological chorioamnionitis up-regulate lymphotoxin expression in non-malignant would provide information on the molecular changes ovarian in better between the expression of lymphotoxin and TNF-α understanding of the mechanisms of fetal injury in was also found in non-malignant ovarian epithelial chorioamnionitis, as well as to explore the utilization and ovarian tumor cell lines. These preliminary of changing levels of placental products in the results suggest that pro-inflammatory cytokine maternal of TNF-α stimulate the expression of lymphotoxin in rationalized ovarian tumor cells probably through NF-κB the underlying placental circulation cellular in level the chorioamnionitis and identification for management of individual patients. a signaling epithelial cells. pathway. Significant Besides, correlation we found Faculty of Medicine Department of Obstetrics and Gynaecology over-expression of c-Myc oncogene in 40% of as ovarian tumor cell lines, and two c-Myc DNA inflammasome is responsible for the activation of binding of caspace-1, leading to the processing and secretion of lymphotoxin. These preliminary data suggest that proinflammatory cytokine interleukin 1β (IL-1β) and lymphotoxin is a c-Myc target gene and up-regulated IL-18. The secretion of these active cytokines elicits in some portion of ovarian tumors with c-Myc a potent inflammatory response. We recently amplification. Based on these observations, we discovered a novelty that most of the components of hypothesize that tumor-derived lymphotoxin is NLRP3 inflammasome were severely down-regulated induced by the extrinsic and intrinsic pathways that in a majority of human ovarian cancer cell lines, and connect inflammation and cancer in ovarian tumor. In their down-regulation was governed by epigenetic this proposal project, we will investigate the gene silencing. Based on these preliminary results, transcription by we hypothesize that the NLRP3 inflammasome may c-Myc play an important role as a “tumor suppressor” in oncogene in ovarian tumor cells. Our results will ovarian tumorigenesis. We speculate that the loss of define the molecular mechanisms which cause NLRP3 inflammasome could promote tumorigenesis lymphotoxin over-expression in ovarian tumors. Most of ovarian tumor by allowing the tumor cells escape importantly, these findings will offer important from IL-1β induced potent inflammatory responses insights into the cancer-related inflammation in and caspase-1 dependent cell death. In this proposed ovarian cancer and allow exploitation of is effects project, we will first confirm the down-regulation of during cancer therapy. the components of NLRP3 inflammasome in primary (MD10350) ovarian tumors by immunohistochemistyr, and sites (E-boxes) regulation pro-inflammatory cytokine in of the promoter lymphotoxin TNF-α and NLRP3 determine inflammasome. the clinical of NLRP3 The NLRP3 significance of inflammasome in Exploring the Role of NLRP3 Inflammasome in down-regulation Ovarian Cancer primary ovarian tumors. In order to determine the mechanism that confers down-regulation of NLRP3 KWONG Joseph CHEUNG Tak Hong* inflammasome in ovarian cancer, we will investigate 1 June 2011 the epigenetic regulation of each component of Hong Kong Obstetrical and Gynaecological Trust Fund NLRP3 inflammasome in human ovarian cancer cells. Finally, we will use ectopic expression and gene knockdown to manipulate the expression of each Cancer-related inflammation has been known to component of NLRP3 inflammasome in human promote tumor progression and is thus a target for ovarian cancer cells in order to determine the therapeutic intervention. The aim of this proposed function of NLRP3 inflammasome in the ovarian project to determine the role of a component of the cancer cells. Our results will define a unique feature immune immunity system, NLRP3 inflammasome, in of NLRP3 inflammasome in cancer on how the loss ovarian cancer. NLRP3 is an intracellular immune of NLRP3 inflammasome promoter tumorigenesis. sensor for various danger signals. This protein forms Most importantly, these findings will offer important a cytoplasmic complex with the adaptor protein insights into the cancer-related inflammation in PYCARD and the effector caspase-1, which known Faculty of Medicine Department of Obstetrics and Gynaecology ovarian cancer and aloow exploitation of its effects during cancer therapy. Evaluations of In Vitro Embryotoxicity Tests for (BL10482) Chinese Herbal Medicines Effect of Hepatitis B Viral Infection on Placental WANG Chi Chiu Gene Expression LEUNG Tak Yeung LAO Tzu Hsi Terence CHUNG Man Kin LAU Tze Kin LEUNG Ping Chung (Institute of Chinese Medicine) LIEBSCH Manfred* SEILER Andrea* SPIELMANN Horst* 1 January 2011 1 April 2011 Research Grants Council - General Research CUHK Research Committee Funding (Direct Fund Grants) Chinese herbal medicines have been widely used to There are more than 400 millions of individuals relieve many symptoms and to treat complications infected with hepatitis B virus (HBV) world-widely, during pregnancy. Systematic evaluation is still for which Hong Kong is one of the endemic areas. lacking. Until now, there is no information on how About 10% of the Hong Kong population is infected. safe the herbal medicines are being used during HBV was reported to interact with the host immune pregnancy and if there is any beneficial and adverse system leading to the impairment of the immune effects response. Moreover, maternal HBV infection was development. reported obstetrics There are more than 300 herbal medicines currently complications. Higher incidence of low birth-weight, used for pregnancy in clinical practice. Our pre-maturity, mellitus, embryotoxicity laboratory is currently screening the antepartum haemorrhage and preterm delivery was embryotoxic potentials of the most frequently used associated with the acute and chronic maternal HBV herbal medicines in pregnant mice. However, to infection. Currently there was no report on the effect determine the safety of all herbal medicines by the in of HBV infection on the placenta during pregnancy. vivo test methods can be very expensive, laborious The current proposed study aims to investigate the and time consuming. In vitro embryotoxicity test effects of chronic maternal HBV infection on the methods (embryonic stem cell test, micromass test placental gene expression and to provide groundwork and whole embryo culture test) have been well for the delineation of the molecular mechanism of the established and widely validated for chemicals, HBV-associated obstetrics complications. We will natural assess the placental gene expression profile of the alternative methods, but not yet for Chinese herbal HBV-infected pregnancies by microarray technology; medicines. In order to test the usefulness of the in identify and validate the differentially expressed vitro test methods in assessing the safety of Chinese genes related to the HBV infections by quantitative herbal medicines for developmental toxicity, the aim reverse transcription and polymerase-chain reaction of the study is to evaluate the in vitro embryotoxicity (qRT-PCR) assays. tests for Chinese herbal medicines. to associate with gestational several diabetes of the medicines supplements and to embryo-fetal pharmaceuticals as (MD10470) Faculty of Medicine Department of Obstetrics and Gynaecology In this study, well characterized herbal medicines Health and Health Services Research Fund with in vivo developmental toxicity data in human and/or animals will be selected for the evaluations. In collaboration with Institute of Chinese Medicine in Hong Kong and Federal Institute for Risk Assessment in Germany, firstly we will determine the embryotoxic potentials of selected herbal medicines by the established in vitro tests. The embryotoxic potentials of the test medicines will be determined by comparing the biological and molecular endpoint measures obtained from the concentration response curves in cytotoxicity, differentiation, embryonic development and malformation. Secondly we will compare the performance of the in vitro tests in predicting the precise classification of embryotoxic potentials of the test medicines. Prediction models will be developed by linear analysis of discriminance and sensitivity, specificity, predictivity and accuracy Purpose: To characterize the development toxicity of Rhizoma Atractylodis Macrocephalae. Objective: To identify the extract and sub-fraction/compound(s) of Rhizoma Atractylodis Macrocephalae and to evaluate its pharmacotoxicity profiles for skeletal malformation. Design: In vitro and in vivo embryotoxicity tests. Subject: Mouse embryos and pregnant mice. Investigations: Following tradition custom, water crude extract of Rhizoma Atractylodis Macrocephalae will be prepared for bioassay-guided fractionation, including solvent partition to isolate the extracts and column chromatography to isolate the sub-fraction/compound(s). Bioassay tests will include in vitro micromass (MM) and whole embryo culture (WEC) as screening tests to identify the active extract and sub-fraction/compound(s) affecting chondrocyte of the in vitro tests. There is an urgent need in testing the safety of Chinese herbal medicines for local and international health care service and also commercial marketing. This initial evaluation can identify the suitable in vitro embryotoxicity tests for Chinese herbal medicines and provide rapid and reproducible alternative approach for large-scale validating and differentiation and limb development; and in vivo pregnant mouse model as validation test to confirm the embryotoxicity pharmacological profiles to of evaluate the active sub- the fraction/compound(s) in mother and fetsus. Main outcome measure: Dose response curves of the medicine extract and compounds/constituents to determine screening programme in future. and embryotoxicity potential in vitro. Biological endpoints include cytotoxicity (IC) and (CU10762) differentiation (ID) for MM test; total morphological Embryotoxicity Studies of Rhizoma Atractylodis Macrocephalae Extracts for Skeletal score (TMS) and developmental malformation (Mal) for WEC test. Molecular endpoints include expression of genes for pluripotency, chondrocyte Malformation in Mice differentiation and limb development for both MM WANG Chi Chiu LAU Bik San Clara (Institute of Chinese Medicine) Pharmacy) ZUO Zhong (School of LEUNG Ping Chung (Institute of Chinese Medicine) 1 January 2011 and WEC tests. Incidence and severity of skeletal malformation to confirm the specific embryotoxicity potential in vivo. Concentrations of the extract and sub-fraction/compound(s) in maternal and placental samples and its transfer rate from mother to fetus. Faculty of Medicine Department of Obstetrics and Gynaecology Analysis: Biological and molecular parameter of MM experimental endometriosis in SCID mice in vivo and & WEC cytotoxicity IC50, MM chondrocyte the specific anti-angiogenic effects of EGCG are differentiation developmental through VEGFC pathway on endometriosis in vivo. morphology and malformation ICNOEC, IC50, We hypothesize that EGCG inhibits endothelial cell ICNOEC, TMS, ICMAX, IC50TMS and IC75TMS functions through VEGFC signaling pathway during for in vitro tests. Pharmacokinetic parameters include angigenesis. The specific objective of current Cmax, Tmax, T1/2, AUC, MRT, C1/F and V/F in proposal is to study the anti-angiogenic effects of mother and fetuses and placental transfer/clearance EGCG on VEGFC signaling pathway in endothelial rates for in vivo test. cell proliferation, migration, invasion and tube (MD10804) formation. ID50, WEC (MD10787) Anti-angiogenic Effects Green Tea (EGCG) on Transcriptome Sequencing to Detect Gene Dosage Endometriosis: Vascular Endothelial Growth Imbalance in Fetal Brains of Down’s Syndrome: A Factor Pilot Study Epigallocatechin C of Gallate (VEGFC) Signaling Pathway in Endothelial Cells WANG Chi Chiu WANG Huating SUN Hao WANG Chi Chiu MAN Cw Gene (Faculty Office of Medicine) (Chemical Pathology) CHOY Kwong Wai 1 April 2011 1 March 2011 CUHK Research Committee Funding (Direct Hong Kong Obstetrical and Gynaecological Grants) Trust Fund Down syndrome (DS) is the most common autosomal Endometriosis is a chronic disorder characterized by abnormality at birth. Individuals with DS present the implantation of endometrial glands and stroma variable severity of cognitive impairment and outside the uterine cavity. Angiogensis, the formation behavioural and sprouting of new blood vessels, plays a key role neurological disabilities and autosomal trisomy in DS in the growth and survival of endometiotic lesions. is not clear. Central working hypothesis in DS Anti-angiogenic therapy has been demonstrated to be research is primary and secondary gene dosage efficient of effects result from increased gene expression of the The extra copy of the human chromosome 21. We water-extractable fraction of green tea catechins, hypothesize that gene dosage imbalance can be especially epigallocatechin gallate (EGCG), exhibits detected by RNA-Seq in the fetal brain of Down’s potent antioxidant capacity and also suppressive syndrome. In this study we aim to quantify effects on microvascular endothelium for tumor transcriptome contents and characterize the gene inhibition. Our previous study demonstrated that dosage imbalance in the fetal brain of Down’s EGCG has significant anti-angiogentic effect to syndrome by RNA-Seq; and to determine the prevent the growth and survival of engrafted sensitivity and accuracy of RNA-Seq in detecting the in endometriotic suppressing the lesions rodent in development models. phenotypes. Relationship between endometrium from endometriosis patients in an Faculty of Medicine Department of Obstetrics and Gynaecology gene dosage imbalance in the fetal brain of Down’s regulate the splicing of GRIA3 as an antisense syndrome. transcript. To test above hypothesis, four objectives (MD10448) are proposed which aim to discover a novel mechanism underlying T-UCR’s role in myogenesis. The Role of Transcripts of Ultra-conserved The resultant findings from this study will shed a Regions (T-UCRs) in Skeletal Myogenesis light on the involvement of T-UCRs in skeletal muscle differentiation and identify a completely WANG Huating CHANDLER Dawn* SUN novel mechanism of gene regulation by ncRNAs. (CU10763) Hao (Chemical Pathology) 1 January 2011 TGFbeta-Smad-miR29 Research Grants Council - General Research Over the past several years, large-scale analyses of WANG the mouse and human genomes have revealed that a portion in Muscle SUN Hao (Chemical Fibrogenesis Fund large Axis of the mammalian genome is transcribed. However, most transcripts do not seem to Huating Pathology) 30 June 2011 CUHK Research Committee Funding (Direct encode proteins; rather, they constitute a diverse Grants) repertoire of non-coding RNAs (ncRNAs) emerging as potent regulators of gene expression. Duchenne muscular dystrophy (DMD) is an X-linked Transcripts from Ultra-conserved Regions (T-UCRs) lethal genetic muscle disease affecting 1 in 3,500 live represent a novel class of ncRNAs whose functions in male births. It is caused by the deficiency of biological processes remain largely unknown. The dystrophin, a protein that is essential for the integrity tissue-specific expression of T-UCRs in skeletal of muscle suggests that it may play a role in skeletal characterized muscle development. To explore this possibility, we respiratory and cardiac failure, and premature death. performed an expression profiling by microarray Fibrosis is a prominent pathological feature of muscle analysis using RNAs from undifferentiated myoblasts biopsies from patients with DMD. It directly leads to and results muscle dysfunction and contributes to the lethal differentially DMD phenotype. Understanding the cellular and differentiated demonstrated that myotubes. T-UCRs are Our muscle fiber membranes. The by progressive limb disease is weakness, expressed in myoblasts and myotubes. A subset of molecular T-UCRs is up-regulated during myoblast fusion into fibrogenesis associated with DMD is the key to the terminally differentiated myotubes. One particular development of effective anti-fibrotic therapies for T-UCR, tuc.478+A is among the most significantly DMD. microRNAs (miRNAs), a novel family of up-regulated T-UCRs, leading us to hypothesize that gene regulators, are emerging as potent regulators of it plays a positive role in skeletal muscle cell fibrogenesis in multiple tissues. Our preliminary differentiation or myogenesis. Further sequence studies revealed that miR-29 expression levels were analysis revealed that a possible mechanism through down-regulated in dystrophic muscles; moreover, the which tuc.478+A stimulates myogenesis is to restoration of miR-29 levels by intramuscular mechanisms underlying muscle Faculty of Medicine Department of Obstetrics and Gynaecology injection of miR-29 mimics oligos could inhibit the Evaluating the Efficacy and Safety of expression of fibrotic markers, suggesting a potential Tanezumab anti-fibrotic role for miR-29 in DMD. We thus Moderate to Severe Pain Associated with propose to investigate the underlying cellular Interstitial mechanism of miR-29’s anti-fibrotic action using a Syndrome (IC/PBS) (MD09955) C2C12 cell culture system. We hypothesize that the CHAN Shing Chee Symphorosa for the Cystitis/ Treatment Painful of Bladder down-regulation of miR-29 in myoblasts cells promotes the transdifferentiation of myoblasts into 2007-08 A Randomized, International, fibrogenic cells, thus contributing to the muscle Double-blinded (With In-house Blinding), fibrogenesis in dystrophic muscles. Furthermore, we Controlled hypothesize that the down-regulation of miR-29 is a Dose-ranging, result of activated TGFβ-Smad3 signaling pathway. Immunogenicity, and Efficacy Study of a Three objectives were designed to test above Multivalent Human Papillomavirs (HPV) hypotheses. Findings from this study will reveal a L1 Virus-like Particle (VLP) Vaccine novel mechanism of muscle fibrogenesis and Administered to 16- to 26-year-old eventually benefit the therapeutic intervention of Women (MD07364) DMD. CHEUNG Tak Hong (MD10379) GARDASILTM, with Tolerability, YIM So Fan SIU Shing Shun Nelson Shing Chee Symphorosa CHAN LO Wing Kit Please refer to previous issues of this publication for more details of the following ongoing research 2009-10 A Phase III Randomized, International, at the department: Placebo-controlled, Edition Clinical Trial to Study the Tolerability Title/Investigators and 2009-10 Quality of Double-blind Life and Symptom Immunogenicity of V503, a Multivalent Human Papillomavirus (HPV) Measurements in Chinese Women with L1 Virus-like Particle (VLP) Vaccine, Pelvic Floor Disorders – Validation Given to Females 12-26 Years of Age Study of Plevic Floor Distress Inventory Who and Pelvic Floor Impact Questionnaire GARDASILTM (MD09386) (MD09974) CHEUNG Tak Hong CHAN Shing Chee Symphorosa PANG Man Wah Selina Kwong Wai Have Previously Received YIM So Fan SIU Shing Shun Nelson CHOY LAI Pui Yee (School of Public Health and Primary Care) 2009-10 Systematic Development of DNA Methylation Markers for the Noninvasive Prenatal Detection of Fetal Trisomy 13 2009-10 A Phase 2B, Randomized, Double-blind, Placebo-controlled, Dose Ranging Study and Trisomy 18 (CU09629) CHIM Siu Chung Stephen LEUNG Tak Yeung Faculty of Medicine Department of Obstetrics and Gynaecology 2009-10 Differentially Expressed Genes in 2009-10 A Multiple Dose, Randomized, Maternal Blood Cells Collected from Double-blind Multicenter Study of the Preterm Efficacy Spontaneous Delivery and Safety of Pregabalin (MD09592) compared to Placebo in the Treatment of CHIM Siu Chung Stephen LEUNG Patients with Post-surgical Pain from HYSTERECTOMY (MD09430) Tak Yeung CHUNG 2008-09 胎兒先天性心臟畸形的遺傳學病因研 Kwok Hung CHEUNG Chun Wai Eva* Tony CHAN 究 Investigation of the Genetic Basis of Matthew Tak Vai (Anaesthesia & Fetus with Congenital Heart Disease Intensive (MD08311) (Anaesthesia & Intensive Care) 蔡光偉 CHOY Kwong Wai CHEN Ying* WANG W* LI H* DING J* DUAN CY* Care) GIN Tony LEUNG Pui Ling* Doris* WAN Alex* YU Andrea* XU NG Pui Shan YUEN Pong Mo* YL* 2009-10 Characterization of a 1q43 Copy Number 2008-09 Quantitative Analysis of Copy Number Variants Associated with Ovarian Cancer (MD08529) Loss in Ovarian Cancer (MD09327) CHUNG Kwok Hung Tony CHOY Kwong Wai LEE Charles* CHOY Kwong Wai Kwok Hung Tony CHUNG KWONG 2008-09 Prevention of Osteoporosis Normogonadotropic Joseph LEE Charles* in Anovulatory Women (MD08580) 2009-10 Studying the Efficacy of Molecular HAINES Christopher John Karyotyping in High Risk Pregnancy Hung Ingrid (MD09387) CHOY Kwong Wai LAU Tze Kin Shan Grace* LOK CHEUNG Lai Ping* LAM Po Mui* KONG Wing CHOY Tak Kee Dicky (CUHK JCC for Osteoporosis 2007-08 Expression Profiling and Functional Care & Control) Analysis of MicroRNAs in Endometrial Chung Cancer Medicine) in Identification Hong of Kong Novel Women: (Institute LEUNG Ping of Chinese Molecular Markers and Therapeutic Targets in 2008-09 Studies on Kit Signaling Pathway and Endometrial Malignancy (CU07638) Spermatogonial Stem Cell Differentiation CHUNG Kwok Hung Tony (MD08546) Kee Voon* CHIN YU Mei Yun* CHEUNG Tak Hong* WONG HAN Yibing WANG Chi Chiu HAINES Christopher John Yick Fu Faculty of Medicine Department of Obstetrics and Gynaecology 2009-10 Development of Spermatocyte-specific in vivo RNA Interference for the Study of 2009-10 Abberant Expression of microRNAs and Gene Function during Spermatogenesis Their Predicted Target Genes in Cervical (CU09648) Intraepithelial Neoplasm (BL09558) HAN Yibing HAINES Christopher LAU Pui Kei Amy John PILDER Stephen Howard* CHEUNG Tak Hong WANG Chi Chiu 2007-08 Application 2009-10 Exploring Lymphotoxin and LIGHT of Microarray-based Comparative Genomic Hybridization in Signaling Pathways in Ovarian Cancer Prenatal Cytogenetic (MD09547) (CU07693) KWONG Joseph LAU Tze Kin LEE Charles* WANG Chi Chiu 2008-09 Interactions between Glycodelin and First Diagnosis CHOY Kwong Wai Trimester Trophoblast: Implications for Early Pregnancy Loss in Diabetes Mellitus (MD08326) Biu of Submicroscopic-chromosomal LAO Tzu Hsi Terence Shu 2009-10 Detection William* Chi-ngong Philip* YEUNG CHIU CHOY Mei Abnormalities in Fetuses with Increased Nuchal Translucency but Normal Karyotyping Using Array Comparative Genomic Hybridization (MD09951) Yee* LEUNG Tak Yeung 2009-10 Study on the Effect of Pregnancy on the LAU Tze Kin CHOY Kwong Wai Activity and Infectivity of Hepatitis B Virus in Women with Chronic Hepatitis B Infection (MD09767) SUEN Sik LEUNG Tak Yeung CHAN Lik Yuen Henry (Medicine & Therapeutics) Hyperglycaemia Cardio-metabolic LAO Tzu Hsi Terence Hung 2008-09 Maternal WONG Wai Sun of Children Offspring - A Follow up on HAPO Study (CU08734) TAM Wing Hung Ngor Juliana Therapeutics) Vincent (Medicine & Therapeutics) Risk and CHAN Chung (Medicine MA Ching Wan Ronald (Medicine & Therapeutics) 2009-10 A Randomised Control Trial on the Use of Acupuncture in the Relief of Labour & ROGERS Michael Scott# YANG Xilin (Medicine & Therapeutics) Pain (MD09854) LAO Tzu Hsi Terence Waizhu (School Medicine) of SUN Chinese LAM Siu Keung* 2008-09 Safety Studies on Commonly Used Chinese Herbal Medicines During Pregnancy (MD08334) LEUNG Kwok Yin* Faculty of Medicine Department of Obstetrics and Gynaecology WANG Chi Chiu Chung LEUNG Ping Pathology) of (Chemical Pathology) (Institute Chinese Medicine) LAU Tze Kin Chau-ming* MAK 2008-09 Molecular Regulations Interference in of RNA Embryonic Brain Development (MD08367) HO Chung Shun LAU TING Tai-lun* Thomas Chung Wai (Chemistry) 2009-10 The Role of miR-29 in Duchenne WANG Chi Chiu Muscular Dystrophy (CU09763) WANG Huating 2008-09 Melamine Toxicity in Fetus and Infant (MD08755) Denis* Pathology) WANG Chi Chiu FUNG Kwok GUTTRIDGE SUN Hao (Chemical WONG Nathalie (Anatomical & Cellular Pathology) Pui (School of Biomedical Sciences) FOK Tai Fai (Paediatrics) Tze Kin LAU PANG Chi Pui Calvin (Ophthalmology and Visual Sciences) CHU Kai On (Ophthalmology and Visual Sciences) Alisa (School Sciences) Ho Skeletal Myogenesis (BL09982) WANG Huating SUN Hao (Chemical Pathology) SHUM Sau Wun of LAM Biomedical Wai Kei Christopher (Chemical Pathology) CHAN 2009-10 The Regulation of miR-1/133 by YY1 in Ming (Chemical Faculty of Medicine Department of Ophthalmology and Visual Sciences phototherapeutic keratectomy (PTK), and superficial RESEARCH PROJECTS keratectomy with diamond burr polishing. Excimer laser ablation in the form of PTK has been shown to Randomized Controlled Pilot Study to Compare be a safe and effective treatment for recurrent erosion the Efficacy of Epithelial Debridement with syndrome. The reported rate of success, regarding Alcohol alleviation of symptoms and prevention of recurrence Delmaination for Corneal Erosion of epithelial erosion, ranges between 74% and 100%. syndrome Alcohol delamination of the corneal epithelium JHANJI Vishal LAM Shun Chiu Dennis (ALDCE) is a relatively new treatment described for the management of RCES. Alcohol delamination of FAN Hoi Alex* the corneal epithelium involves the application of a 30 June 2011 solution of 18-20% alcohol over the affected area and CUHK Research Committee Funding (Direct surroundings and delamination of the thus-loosened Grants) epithelium. This technique, on the basis of two Recurrent corneal erosion syndrome (RCES) is a reports with a follow-up of 2 years each, has been relatively common condition for any practicing found to be equally effective as PTK. In addition, it ophthalmologist. It is a chronic relapsing disease of offers advantages of simplicity and cost. the corneal epithelium characterized by repeated In a previous study from our centre, we have shown episodes of sudden onset of pain usually at night or that diamond burr polishing is a safe, convenient, and upon first awakening, accompanied by redness, inexpensive treatment option for the management of photophobia, and watering of the eyes. Despite a RCES and resulted in better outcomes compared to familiar presentation and history, the management of simple epithelial debridement. We designed this this condition can be exasperating for both patient prospective pilot study in order to investigate the and ophthalmologist. In spite the plethora of clinical efficacy of alcohol delmaination versus treatments is epithelial debridement for the treatment of RCES. To challenging. Both medical and surgical treatments date there are no comparative randomized follow up have been used for the management of RCES. The studies in evaluating ALDCE’s true efficacy in these use of lubricants, patching, topical hypertonic saline, cases. and bandage contact lens to promote epithelial (MD10953) being used, the management healing may provide acute symptomatic relief. However, patients often experience recurrence of A 12 Month, Phase symptoms that may affect their activities of daily Double-masked, living, and surgical intervention may be required in Study to Evaluate the Efficacy and Safety of Two these circumstances. The goal of surgical treatment is Different to remove the loosened epithelium to allow new Ranibizumab vs. Verteporfin PDT in Patients epithelial cells with stronger adhesion complexes to with grow. Surgical options include epithelial debridement Neovascularization (ED), another stromal puncture, excimer laser Myopia Multicenter, Dosing Visual III, Active-controlled Regimens Impairment due Secondary Randomized, of to to 0.5 mg Choroidal Pathologic Faculty of Medicine Department of Ophthalmology and Visual Sciences LAI Yuk Yau Timothy immunosuppressive drug has to be added. A LUK Oi Jing Fiona* FOK Chung Tin Andrew* prospective controlled study to evaluate the efficacy, LEE Ka Yau Gary* safety YIP Pui Pui* MOHAMED Shaheeda* and tolerability of enteric coated-mycophenolate sodium (EC-MPS) in patients 1 September 2010 with chronic intraocular inflammation is not available. Novartis Pharmaceuticals (HK) Ltd This study aims to assess the efficacy, safety and This is a phase III, 12 months, multi-center, tolerability of mycophenolate sodium in subjects with randomized, double-masked, active controlled study noninfectious intermediate uveitis in Hong Kong comparing two different dosing regimens of 0.5 mg subjects. ranibizumab versus verteporfin photodynamic (vRDT) (MD10806) therapy for the treatment of choroidal neovasvcularization secondary to pathologic myopia. A Pilot Randomized Study of Valproic Acid (MD10601) versus Omega-3 Fish Oil for Prevention of Visual Functional Myfortic (Enteric-coated Mycophenolate-sodium) Losses in Degenerative Retinal Diseases for the Treatment of Non-infectious Uveitis (Anterior, Intermediate and Posteriour Uveitis). A LAI Yuk Yau Timothy Prospective Controlled Randomized Single Center Andrew* Trial Yau FOK Chung Tin LAM Shun Chiu Dennis Gary* LUK Oi Jing LEE Ka Fiona* MOHAMED Shaheeda* YIP Pui Pui* LIU Ta Li CHAN Kar Mun Carmen* LUK Oi Jing Fiona* YIP Pui Pui* FOK Chung Tin Andrew* 1 April 2011 CUHK Research Committee Funding (Direct Grants) 28 December 2010 Novartis Pharmaceuticals (HK) Ltd This study aims to assess the efficacy and safety of valproic acid (VPA) versus omega-3 fatty acid in fish The term “uveitis” summarizes a group of intraocular oil for preventing visual functional losses in patients inflammatory diseases with their origin in uveal with retinal degenerative diseases. The study will tissues comprising the iris, the ciliary body, and the evaluation the visual outcomes and side effect choroids. Systemic corticosteroids represent the profiles at 12 months in the two treatment groups. first-line therapy in non-infectious cases of severe (MD10607) uveitis such as intermediate uveitis, posterior and panuveitis. Usually they will be started at an initial Characterization of the Glaucoma Gene at the daily dose of 1 mg/kg bodyweight and subsequently GLC1M Locus for Juvenile Onset Primary Open tapered during several weeks to a maintenance daily Angle Glaucoma dose of 5 to 7.5 mg (depending on the bodyweight). If it is not able to keep the disease in remission with this maintenance dose or relapses occur already LAM Shun Chiu Dennis PANG Chi Pui Calvin LEUNG Kai Shun RHEE Douglas J* during tapering the corticosteroids, a steroid sparing Faculty of Medicine Department of Ophthalmology and Visual Sciences THAM Chee Yung Clement YAM Hin Fai the prioritized candidate genes for mutations, we will also analyze the copy numbers of these genes to ZHANG Mingzhi* detect a possibly existing gene dosage effect related 1 November 2010 to glaucoma. Specific disease-causing mutations in Research Grants Council - General Research target genes will be explored in POAG families and Fund unrelated POAG patients, all of whom would have This study is aimed to identify and characterize the been excluded for MYOC, OPTN, and WDR36 gene novel glaucoma-associated gene in the GLC1M locus. mutations. Functional analysis will be conducted to Primary a characterize the novel glaucoma gene and investigate progressive optic neuropathy that would lead to the impact of mutations on the gene. We should be severe and irreversible visual impairment if not able to identify and characterize a novel glaucoma treated early and appropriately. Its occurrence is gene. Amid the present limited genetic information pan-ethnic. About 2% of the world’s population is for POAG and the small proportion of POAG patients affected. The genetics of POAG is known to be with known genetic cause, functions and properties of complex, with both monogenic and multifactorial a new glaucoma gene will give valuable insight into a etiology. Other risk factors include age and cigarette better smoking. However, there is a subset of POAG that glaucoma. appears earlier in life, even at teenage. Such patients (CU10688) open-angle glaucoma (POAG) is understanding of the pathogenesis of are often inherited in an autosomal dominant manner and have more serious clinical conditions. Three A Randomized Controlled Trial of Intravitreal genes have been identified for POAG, MYOC, Bevacizumab Monotherapy versus Triple Therapy OPTN, and WDR36, but together they account for with Half Fluence Verteporfin Photodynamic less than 10% of POAG in the Chinese population. Therapy and Intravitreal Bevacizumab and Another 19 loci for POAG are now known without Triamcinol Acetonide for the Treatment of identification of the underlying gene defects. Our Neovascular Age-related Macular Degeneration whole genome scan and linkage analysis on a juvenile-onset POAG pedigree has led to the LAM Shun Chiu Dennis identification of the GLC1M locus for POAG at Timothy 5q22.1-q32. Involvement of MYOC, OPTN, and Fiona* YIP Pui Pui* WDR36 genes has been ruled out in this family. In this application we propose first to conduct a fine LIU Ti Li David* LAI Yuk Yau LUK Oi Jing 1 November 2010 Health and Health Services Research Fund mapping study with microsatellite and SNP markers to further confine the locus to a narrowed region. We Purpose: To compare the efficacy of intravitreal shall then carry out positional cloning to identify the bevacizumab versus triple therapy with half fluence gene responsible for glaucoma in the pedigree. photodynamic Priority will be given to the genes that are expressed bevacizumab and intravitreal triamcinolone (IVTA) in the eye tissues, involved in the possible functional in the treatment of neovascular age-related macular pathways of POAG, and related to glaucoma or other degeneration (AMD). therapy (PDT), intravitreal relevant neurodegenerative diseases. When screening Faculty of Medicine Department of Ophthalmology and Visual Sciences Objectives/hypothesis: Triple therapy with reduced An fluence PDT, intravitreal bevacizumab and IVTA Observational Study following Implantation of the might result in better visual acuity compared with enVista® Intraocular Lens Open Label, Non-interventional, intravitreal bevacizumab monotherapy after 12 months. Design LAM Shun Chiu Dennis and subjects: Prospective randomized controlled trial. One hundred patients will be randomized to receive intravitreal bevacizumab or LAM Nai Man* YOUNG Lerrmann Alvin* FAN Hoi Alex* 1 December 2010 Bausch & Lomb Incorporated triple therapy using half fluence PDT, intravitreal bevacizumab and IVTA. Patients will be followed for This is an observational study which aim is to 12 months. retrieve data that was collected during normal course Study instruments: Best-corrected visual acuity, of care in the treatment of cataract with enVista® number of treatments with intravitreal bevacizumab, intraocular lens. IVTA and PDT; anatomical outcomes including (MD10669) fluorescence angiography (FA), indocyanine green angiography (ICGA) and optical coherence An Open Label, Non-interventional, tomography (OCT), growth factor levels and Observational Study Following Implanation of the multifocal electroetinography. enVista® Intraocular Lens Interventions: Patients in both groups will receive three loading doses of 1.25mg intravitreal bevacizumab injections followed by additional monthly bevacizumab if they meet the retreatment criteria based on OCT, BCVA, FA or ICGA. For patients in the triple therapy group, PDT with IVTA LAM Shun Chiu Dennis LAM Nai Man* YOUNG Lerrmann Alvin* FAN Hoi Alex* 1 December 2010 Bausch & Lomb Incorporated will be performed if the interval since the last PDT This is an observational study which aim is to plus IVTA is more than 3 months. PDT with retrieve data that was collected during normal course verteporfin will be performed using half fluence of care in the treatment of cataract with enVista® (25J/cm2) laser and 2mg IVTA is used. intraocular lens. Main outcome measures and analysis: Best-corrected (MD10702) visual acuity, number of treatments with bevacizumab, IVTA and PDT, angiographic and Tracking Retinal Mocroglia Activation in Relation visual outcomes. to Retinal Ganglion Cell Degeneration (MD10736) LEUNG Kai Shun PANG Chi Pui Calvin LAM Shun Chiu Dennis Weinreb Robert* 1 March 2011 CUHK Research Committee Funding (Direct Grants) Faculty of Medicine Department of Ophthalmology and Visual Sciences The objective of this study is to investigate the Biological longitudinal profile of microglia activation in relation Degeneration Roles of HTRA1 in Macular to retinal ganglion cell (RGC) degeneration after acute elevation of intraocular pressure (IOP) using a PANG Chi Pui Calvin novel in vivo imaging model. Microglia play a major role in mediating phagocytosis during degeneration RGCs. Upon activation in tissue injury, microglia transform to an LAI Yuk Yau Timothy LAM Shun Chiu Dennis LEE Yau Wing, Vincent YAM Hin Fai YANG Zhenglin* 1 November 2010 Research Grants Council - General Research ameboid shape capable of phagocytosis and secretion Fund of cytotoxic factors and proinflammatory molecules. Being capable of both exacerbating tissue damage In this application, we aim to characterize the and protecting neuronal cells, the relationship HTRA1 gene in the development of age-related between microglial activation and RGC degeneration macular degeneration (AMD), which is a leading remains unclear. cause of irreversible visual impairment and blindness By using a confocal scanning laser ophthalmoscope in people aged more than 65 years in developed imaging model established in our group, the retinas countries, of the CX3CR1 GFP/+ transgenic mice (CX3CR1 is a affecting about 50 million people worldwide. Its occurrence is pan-ethnic and its chemokine receptor expressed by microglia) will be etiology imaged in vivo at baseline and then weekly for 12 susceptibility. Other major risk factors include age weeks after acute IOP elevation. The dynamic and changes of microglia and the longitudinal profile of genome-wide association study, we identified an microglia activation in relation to RGC survival will AMD-associated be examined. Requirement factor A1 (HTRA1). HTRA1 encodes a One major challenge in investigating the activation of serine protease. In subsequent studies we found microglia is the lack of a suitable model that can HTRA1 SNPs rs10490924 and rs11200638 both monitor microglia longitudinally and non-invasively. conferred more than 10 times risk to develop AMD. Examination on microglia in animal studies has been Reported studies of other research groups have based on single time point measurement when the established the association of HTRA1 SNPs with animals are sacrificed. The proposed study provides a exudative AMD in different ethnic populations. An simple and rapid approach based on an in vivo independent study has shown elevated HTRA1 imaging technique to investigate the longitudinal expressions of HtrA1 mRNA and protein had been profiles of microglia activation in relation to RGC shown in lymphocytes and retinal pigment epithelium loss. The result of this study would be pertinent to of AMD patients. While the biological roles of the uncover the role of modulating microglia activation HtrA1 protein in the development of AMD are still as a novel therapeutic target for optic nerve diseases. under investigation, we propose that HTRA1 is (MD10489) directly linked to AMD pathogenesis. In this proposal, multi-factorial cigarette smoking. gene, with strong Recently, High genetic using the Temperature we shall first investigate the HtrA1 protein expression with AMD-associated proteins, CFH, VEGF and PEDF, in vitreous humors of AMD Faculty of Medicine Department of Ophthalmology and Visual Sciences patients and controls. Secondly, we shall carry out two-dimensional proteomics and mass spectrometry 2008-09 Phase II Multicenter, Age Prospective, analysis to identify HtrA1 molecular substrate targets Randomized, Related within the vitreous humor of mice given intravitreal Degeneration, Comparator Controlled, and subretinal injection of recombinant HtrA1. Dose Thirdly, the interactive effect and contribution to PF-04523655 versus Ranibizumab in the AMD by HtrA1, VEGF and identified substrate Treatment of Subjects with Choroidal targets will further be manipulated in the in vitro Neovascularization ocular cell culture system. Results from this study (MD08793) would establish the association of HtrA1 expression LAI Yuk Yau Timothy Ranging Study Evaluating (Monet in vitreous humor with the disease status of AMD Yau Gary* and identify HtrA1 molecular substrate targets in the LUK Oi Jing Fiona* Macular Study) LEE Ka LIU Ti Li David* eye. Valuable information will be provided on the biological effects of HtrA1 and how it affects the 2008-09 A Phase 2, Randomized, Double-masked, development of AMD. Such new knowledge will Placebo-controlled Study of the Safety, contribute to advancing the understanding of AMD Pharmacokinetics and Biological Effects pathogenesis and provide information for future of Intravenous Fosbretabulin in Saian design of therapeutic treatment. Subjects (CU10734) Vasculopathy (PCV) (MD08562) with LAI Polypoidal Yuk Yau Choroidal Timothy Please refer to previous issues of this publication TOMLINSON Brian (Medicine & for more details of the following ongoing research Therapeutics) LUK Oi Jing Fiona* at the department: LEE Ka Yau Gary* David* Edition LIU Ti Li WONG Raymond SM* CHAN Michael* Title/Investigators CHAN CM Jones* 2005-06 A Randomized Controlled Trial on the Safety and Efficacy of A Modified 2009-10 A Randomized, Double-masked, Regimen of Photodynamic Therapy with Multicenter, Laser-controlled Phase III Verteporfin on Acute Central Serous Study Assessing the Efficacy and Safety Chorioretinopathy (MD04609) of Ranibizumab (Intravitreal Injections) CHAN Wai Man LEE Yau Wing, as Adjunctive and Mono-therapy in Vincent LAM Shun Chiu Dennis Patients with Visual Impairment due to LAI Wai Kwan Wico# TANG Wai Diabetic Macular Edema (MD09568) Ho Emily# LAI Yuk Yau Timothy CHAN Kar MOHAMED Shaheeda LAI Yuk Yau Timothy Chi Wai TSANG LI Kai Wang Kenneth# LI Siu Hung# LIU Ta Li Mun Carmen* Shaheeda* MOHAMED LEE Ka Yau Gary* LUK Oi Jing Fiona* FOK Chung Tin Andrew* Faculty of Medicine Department of Ophthalmology and Visual Sciences 2009-10 A 24 Week Multicenter, Randomized, Double-masked, Placebo Controlled 2009-10 A Randomized Controlled Trial to Compare the Efficacy and Safety of 1) Study to Assess the Difference in the Macular Rate of Recurrent Exacerbations in Intravitreal Behcet’s Patients with Posterior or Combined Panuveitis Treated with AIN457 vs. Bevacizumab with Macular Laser for Placebo Adjunctive to Standard-of-care Diabetic Macular Edema (CU09687) Immunosuppressive Therapy (MD09882) LAM Shun Chiu Dennis LAI Yuk Yau Timothy CHAN Kar Mun Carmen* Laser Repeated Timothy Fiona* FOK Chung Tin Andrew* Double-masked, Repeated vs. 3) Intravitreal CHAN LAI Yuk Yau LEE Yau Wing, Vincent LEUNG Kai Shun LIU Ta Li 2009-10 A 38-week Extension to a 24 Week 2) Bevacizumab Kar Mun Carmen LUK Oi Jing Multicenter, vs. LIU Shu MOHAMED Shaheeda LEE Allie Randomized, Placebo Controlled 2009-10 A Randomized, Double-masked, Study to Assess the Difference in the Multicenter, Laser-controlled Phase III Rate of Recurrent Exacerbations in Study Assessing the Efficacy and Safety Behcet’s Patients with Posterior or of Ranibizumab (Intravitreal Injections) Panuveitis Treated with AIN457 vs. as Adjunctive and Mono-therapy in Placebo Adjunctive to Standard-of-care Patients with Visual Impairment due to Immunosuppressive Therapy (MD09893) Diabetic Macular Edema (MD09866) LAI Yuk Yau Timothy CHAN Kar LEE Yau Wing, Vincent LIU Ti Li Mun Carmen* LUK Oi Jing Fiona* FOK Chung Tin Andrew* David* CHAN C K Vesta* 2009-10 Suturless Retinal Detachment Surgery at the GLC1N Locus for Primary Open (MD09368) Angle Glaucoma (CU08677) LEE Yau Wing, Vincent Chi Pui Calvin LI Chi Lai* 2008-09 Characterization of the Glaucoma Gene LAM Shun Chiu Dennis PANG THAM Chee Yung Shun Chiu Dennis LAM LIU Tai Li David* LI Chi Lai* Clement YAM Hin Fai 2005-06 Diagnostic Imaging Assessment in the 2008-09 Identification of Disease-causing Gene Evaluation of Glaucomatous for High Myopia in the Novel High Neuropathy (MD05567) Myopia 5p15 Locus (MD08413) LEUNG Kai Shun LAM Shun Chiu Dennis Ping Dorothy FAN Shu YAM Hin Fai PANG Chi Pui Calvin Optic LEUNG King Sai (Faculty Office of Medicine) LI Yuen Mei Emmy Shaheeda MOHAMED HO Chuen Kwong Faculty of Medicine Department of Ophthalmology and Visual Sciences Thomas Yolanda KWONG Yuen Ying THAM Chee Yung Clement LAM Shun Chiu Dennis LI Chi Hong Felix LEUNG Yu Lung YICK Wai Fong# 2008-09 Copy Number Variation in High Myopia (MD08674) PANG Chi Pui Calvin Ping Dorothy FAN Shu LAM Shun Chiu Dennis 2009-10 Evidence-based Adjustment of Topical 2009-10 Characterization of the GLC1M Locus in Glaucoma Drop Use among Hong Kong Juvenile Onset Primary Open Angle Patients (MD09977) Glaucoma (MD09377) LEUNG Kai Shun Chiu Dennis FAN Hoi Shuet-yan* LAM Shun LAM Tsze Ho Philip POON Agnes Michael Boland* PANG Chi Pui Calvin Chee Yung Clement THAM FAN Shu Ping Dorothy YUEN Nancy* Nathan Congdon* 2008-09 Chemical Chaperone-mediated Degradation of Cataract-causing Mutant 2009-10 Investigation of Distribution Pattern of Retinal Nerve Fiber Layer Damage in Alpha A-Crystallin (BL08328) YAM Hin Fai Glaucoma (MD09470) LEUNG Kai Shun PANG Chi Pui 2009-10 Non-surgical chaperone-assisted Calvin LAM Shun Chiu Dennis Cataract 2007-08 Moh’s Micrographic Surgery (MMS) in Hong Kong for the Treatment Chemical of Periocular Basal Cell Carcinoma (BCC) and Therapy Corneal to Treat Dystrophy (CU09786) YAM Hin Fai LAM Shun Chiu Dennis PANG Chi Pui Calvin through a Multidisciplinary Approach (MD07923) 2009-10 Role of MicroRNA-145 in Corneal LIU Ta Li Paul CHOI Cheung Lung (Anatomical & Cellular Epithelium Development (MD09478) YAM Hin Fai Pathology) LIU D L David Faculty of Medicine Department of Orthopaedics and Traumatology the Mainland; RESEARCH PROJECTS 5. To share the experience of developing innovative technology for rehabilitation; and Symposium on Rehabilitation Technology – Interdisciplinary Approach from Theory to 6. To consolidated the practical skills in orthosis, prosthesis and wheelchair. Practice (MD10492) CHAN Kai Ming HUNG Leung Kim FUNG Phase III Protocol Comparing a Microfracture Treatment to a Cartipatch® Chondrocyte Graft Kwai Yau LAW Sheung Wai Treatment in the Femoral Condyle Lesions 1 July 2010 Contribution from Applicant Otto Bock CHAN Kai Ming LI Gang YUNG Shu Hang Professional Services Development Assistance Scheme, Commerce and Economic Development 1. 2. Patrick Bureau, HKSAR Govt Shanghai Kesheng 1 July 2010 Prostheses TBF Tissue Engineering The complexity of rehabilitation process and This is a phase III clinical trial and part of a multiple the technological centre international phase III clinical trial comparing development pose and ongoing challenge for a microfracture treatment to a chondrocytes graft in a Orthopaedic surgeons and therapists involved gel: CARTIPATCH® in femoral condyle lesions, in the total care of patients. The expertise and organized by TBF Tissue Engineering (France). We inputs of other professional disciplines are are going to recruit 8-16 cases of patients in Hong necessary to best serve the needs of parties and Kong who suffered from femoral condyle lesion and their families; subject them for this clinical trial follow the protocols To update the local Orthopaedics Surgeons / that are designed by TBF company. The follow up Allied Health / Community Partnership on the period is 18 months following the treatment. latest (MD10952) increasing range development of on rehabilitation technology; 3. To consolidate the collaboration between Development of a Vitamin-C Surgical Irrigation various parties in providing interdisciplinary, Solution to Improve Healing Outcomes of Surgical collaborative are to patients with complex Repair of Tendon and Ligament Injuries needs related to rehabilitation technology; 4. To updated the latest knowledge in CHAN Kai Ming HUNG Leung Kim YUNG management of rehabilitation for related Shu Hang Patrick professionals by inviting famous speakers in Hysan Clinical Research Laboratories) this field in order to enhance participants’ Yee Pauline LI Gang CHENG Wai Hang medical standard, thus promoting our high FU Sai Chuen Bruma (Lee LUI Po 1 October 2010 quality healthcare service in Hong Kong and Faculty of Medicine Department of Orthopaedics and Traumatology Innovation & Technology Tendon connects muscle and bone and transmits Commission-Innovation and Technology force generated by muscle to bone for skeletal Support Programme movement. Tendon tissue mainly composed of dense fibrous collagenous bundle and endures constant Tendon and ligament injuries are very common sporting and occupational injuries. Surgical repair provides a mechanically stable micro-environment for the tendons or ligament to heal, but the healing outcomes are always compromised by the low innate healing capacity. Thus it is important to study potential treatments to promote the innate healing capacity. We discovered that surgical irrigation with vitamin C solution may be able to improve healing in animal models. Conventional surgical irrigation solution only acts as neutral fluid to cleanse the surgical sites. Limited modifications of surgical irrigation solution have been proposed to reduce infection or bleeding, but there is no investigation to develop irrigation solution with an added value to improve healing outcomes. We propose to develop a new formula of vitamin C supplemented surgical irrigation solution which can promote tendon and ligament healing. Pre-clinical studies in well-established animal models will be used to evaluate the effects of the new irrigation solution, and the results will be used to apply for patents. In the next stage of the product development, clinical trials could be conducted with industrial collaboration. (MD10446) mechanical stress/strain loading. Tendon injuries are common with 3-5 millions injuries annually worldwide caused by sports activities and trauma. Achilles tendon is one of the most frequently ruptured tendons and counts for approximately 40% of all tendon repair surgery. Tendon injuries are usually caused by a sudden overloading strain or direct blow to the tendon during contraction or age related chronic degeneration. Achilles tendon rupture is preferably treated surgically with immobilization and the complications breakdown, adhesion, associated joint are wound contractures and secondary rupture. Tendon injury is difficult to repair and often leads to scar tissue formation, which is prone to re-rupture. Augmentation of tendon healing is needed to reduce rehabilitation time, morbidity and complications. Injection of anabolic factors, biophysical intervention and stem cell therapy with tissue engineering have been attempted to enhance tendon repair in preclinical studies. In this proposal, we will test the use of tenogenic stem cells with tendon matrix in Achilles tendon defect animal model using tissue engineering approaches. Bone marrow derived mesenchymal stem cells (MSCs) will be induced for tenogenic differentiation by growth differentiation factor-6 The Use of Tenogenic Cells and Acellular Tendon Matrix for Tendon Tissue Engineering (GDF-6) or over-expression of tendon differentiation specific gene, Scleraxis gene. The modified stem cells will be loaded to a novel three-dimensional CHAN Kai Ming CHAN Chun Wai* FU Sai Chuen Bruma (Lee Hysan Clinical Research Laboratories) LI Gang LUI Po Yee Pauline acellularised tendon matrix. The cell-matrix composites are then implanted into mouse Achilles tendon defect model to test the hypothesis that 1 January 2011 MSC-derived tenogenic cells together with tendon Research Grants Council - General Research matrix could enhance tendon healing. The objective Fund of this study are: 1) To investigate effect of GDF-6 Faculty of Medicine Department of Orthopaedics and Traumatology and Scleraxis axis on tenogenesis of bone marrow multi-lineage differentiation potential, and derived MSCs; 2) To fabricate acellularised tendon tenocyte-like properties of human TDSCs (hTDSCs) matrix as bioscaffold for tendon regeneration; and 3) isolated from patellar tendons. Results from this To exam the efficacy of tenogenic MSCs combined study will provide important information for the rapid with tendon matrix for tendon repair. The results will ex vivo expansion of hTDSCs for tendon tissue shed light on mechanisms of tendongenesis and engineering. tendon tissue engineering. (MD10395) (CU10607) Genetic Basis of Idiopathic Scoliosis in Chinese The Effect of Hypoxia on the Ex-vivo Expansion and Maintenance of Stem Cell Properties of CHENG Chun Yiu Jack TANG Leung Sang Nelson (Chemical Pathology) Tendon-derived Stem Cells (TDSCs) YEUNG Hiu Yan CHAN Kai Ming LUI Po Yee Pauline 30 June 2011 25 June 2011 CUHK Research Committee Funding (Direct CUHK Research Committee Funding (Direct Grants) Grants) Adolescent idiopathic scoliosis (AIS) is a complex and three-dimensional spinal deformity without known inefficiently after injury. Tendon-Derived Stem Cells causation. It occurs commonly in girls during their (TDSCs) have been isolated recently and have been puberty. The prevalence in Hong Kong is 3.6% in shown to promote tendon repair. The ability to girls and 1.3% in boys. The current treatment regimes achieve for are not satisfactory as there are still considerable gaps transplantation is essential for clinical applications. in our understanding of the etiopathogenesis and the Although relatively prognostic factors for curve progression. Previous oxygen-deficient, cells isolated from tendons are studies showed that strong genetic predisposition in usually cultured under ambient condition, in which AIS as a complex trait disease. In recent years, the “physiological hyperoxia” condition might alter genome-wide association study (GWAS) has been the intrinsic stem cell properties during culture. Being used as the state-of-the-art approach in identifying a newly identified stem cell type, there has been no predisposition genes in complex traits disease. report on the behavior of TDSCs at low oxygen GWAS studies on Caucasian AIS patients have tension. We hypothesized that culture of TDSCs revealed 3 novel genes involved in axon guidance under physiologically relevant low-oxygen-tension pathway (namely, CHL1, DSCAM and CNTNAP2). may favor the ex vivo expansion and maintenance of Taking reference to our previous studies ion stem cell properties, thus facilitating the application abnormal of TDSCs for tendon repair. In this study, we aimed function in AIS, these 3 novel genes might provide to study the effect of low oxygen tension (2%) on the further support along this line of research on the clonogencity, metabolic rate, DNA incorporation, etiopathogenesis of AIS. Tendons population regenerate a and sufficient the number tendon doubling repair milieu time, slowly of is cells neuroanatomy and neurophysiological immunophenotypes, Faculty of Medicine Department of Orthopaedics and Traumatology We propose to validate whether such associations lower than those of control by 5-7% but not in found in Caucasian patients are also present in local trabecular bone. It is therefore believed that case-control samples in Hong Kong. In addition to long-term bisphosphonate may highly suppress both targeting at a convergent evident based hypothesis bone resorption and bone formation due to the across different ethnic groups, the study will also remodelling coupling of osteoblasts and osteoclasts, help to provide evidence of the involvement of axon finally leading to atypical fractures in long bones. In guidance pathway and subclinical neurological the present study, we hypothesize that there is dysfunction in the etiopathogenesis of AIS. difference in biochemical markers of bone turnover Patients with different phenotypic expressions would between long-term bisphosphonate subjects and the also be correlated with the genetic findings to dissect controls. Bone mineral density, serum content of the possible basic mechanism of these new genes in RANKL, OPG, NTx and ALP will be measured AIS fundamental between long-term bisphosphonate and control pathogenic mechanism will be the cornerstone for groups. The findings of this study may help to future functional and in-vivo therapeutic research. identify a subject of patients who could be (MD10915) predisposed to atypical fractures. development. Revealing the (MD10432) Identification of Atypical Diaphyseal Fracture Subgroup in Patients with Long-term Will Low-Magnitude High-Frequency Mechanical Bisphophonate Treatment – Study of the Changes Stimulation in Biochemical Markers in Bone Metabolism Articular Cartilage? An Interventional Study with Help to Repair Degenerative Rat Model CHEUNG Wing Hoi LEUNG Kwok Sui CHEUNG Wing Hoi QIN Ling LEE Kwong Man Simon (Lee Hysan Clinical Research Laboratories) 1 September 2010 Osteosynthesis & Trauma Care Research Grant LEUNG Kwok Sui QIN Ling ZHENG Yong Ping* Bisphosphonates are a class of drugs that inhibit osteoclast action and the resorption of one. This is currently one of the commonest first-line 1 October 2010 Research Grants Council - General Research Fund prescriptions for patients with known or high risk of osteoporosis. It is therefore generally believed to Osteoarthritis (OA) is a degenerative joint disease reduce osteoporotic fractures with no doubt. However, characterized several recent reports challenged that long-term Hypomineralization of subchondral bone plate is also bisphosphonate atypical recently shown to involve in pathogenesis of OA. low-energy fractures. The long-term safety of This seriously affects the quality of life of these bisphosphonate becomes a crucial issue. In authors’ patients. More than 27 millions people in USA institute, a pilot study was conducted, which also suffered from this disease in 2005. In Hong Kong, demonstrated that the cortical bone density of 3% of the population was OA patients in 2003. intake might cause with breakdown of cartilage. long-term bisphosphonate subjects were significiantly Faculty of Medicine Department of Orthopaedics and Traumatology Unfortunately, there is currently no effective clinical and the changes in subchondral bone plate. To date, treatment to manage OA. this is the first study to evaluate the effect of LMHFV Physical activity is an alternative recommended on OA and subchondral bone. The findings of this measures for early OA patients to reduce pain and study will help to understand the response of OA improve functions, with evidence-based support from cartilage to mechanical stimulation and to investigate a Passive whether LMHFV is beneficial to joints with early OA, continuous motion was also shown to have superior which may be a potential clinical treatment for OA outcomes for those patients with deep cartilage patients. defects transplanted by autologous periosteum. (CU10774) few randomized controlled trials. Low-magnitude high-frequency vibration (LMHFV) treatment is a non-invasive biophysical intervention Low Intensity Pulsed Ultrasound Accelerates to provide whole-body vibration stimulation, which Osteoporotic Fracture Healiing through Enhanced can be used as quantifiable physical activities. Its Stem Cell Recruitment? reported biological effects include osteogenicity, blood flow enhancement and muscle gain. Its effects CHEUNG Wing Hoi on OA have not been reported yet. Previous studies Gang QIN Ling of vibration on chondrocytes showed the increased proliferation, matrix production and hence resultant biomechanical properties in 3D culture. This proves LEUNG Kwok Sui LI 1 April 2011 CUHK Research Committee Funding (Direct Grants) the direct interaction of vibration on articular cartilage. Our previous studies using LMHFV on Osteoporotic fracture usually takes longer recovery fractured rats confirmed the signal transmission to the period due to the poor reparative potential in thigh of rats and the results indicated that LMHFV osteoporotic bone. Impaired mesenchymal stem cell enhanced cartilage formation with endochondral (MSCs) recruitment is one causative factor. Our ossificationrelated genes upregulated and improved previous study has proven that some osteoblasts bone mineral density. The application of vibration at involved in fracture repair were systemically 35Hz, 0.3g is now being translated to clinical mobilized and recruited to the fracture from remote application. To study mechanical stimulation on OA, bone marrow sites via peripheral circulation. Recent we had also applied acoustic mechanical stimulus on findings also show that the recruitment of MSCs for OA rabbit model, demonstrating that OA cartilage fracture healing is through a chemokine, stromal responded with reparative activity by producing derived factor-1 (SDF-1) that binds to its receptor hyaline cartilage while control samples were healed (CXCR4). In vitro, we also demonstrated that with only fibrocartilage or fibrous tissues. SDF-1/CXCR4 expression and cell migration of Based on these related studies, we hypothesize that rat-isolated MSCs were enhanced by low intensity mechanical stimulation by LMHFV enhances and pulsed ultrasound (LIPUS), confirming mechanical maintains cartilage repair and underlying subchondral loading can modulate SDF-1/CXCR4 system in bone density for early OA. With our established MSCs. Meanwhile, LIPUS shows very promising techniques, we will make use of OA rats to evaluate evidences in accelerating fracture healing clinically, the effect of LMHFV on the repair of OA cartilage including our randomized controlled trial confirming Faculty of Medicine Department of Orthopaedics and Traumatology its efficacy in promoting complex fracture healing by hazardous. A myoelectric stimulation device is to be 30%. We are also the first group to prove that LIPUS developed to deliver electric stimulation to the accelerated osteoporotic fracture healing in rat muscles at the lateral shank, through a pair of models. Based on the above scientific evidences, we electrodes, when a hazardous motion occurs. The hypothesize that LIPUS will enhance the systemic stimulation will initiate an opposite ankle motion that recruitment of MSCs through SDF-1 to accelerate resists the hazardous motion and prevent the injury. osteoporotic fracture healing. The objectives of this In this project, a prototype version of this sprain-free study are to investigate the effect of LIPUS on the sport shoe will be fabricated, with the sensing, recruitment of intravenously administered MSCs to identification and correction systems linked up as a fracture sites in osteoporotic bones and to evaluate stand-alone device. the mechanism of MSC recruitment through SDF-1. (MD10830) This study will help us understand the mechanism of LIPUS in MSCs recruitment for osteoporotic fracture Development of Sprain-free Sport Shoe healing. (MD10440) FONG Tik Pui Daniel CHAN Kai Ming YUNG Shu Hang Patrick Development of Sprain-free Sport Shoe: Prototype Version 17 March 2011 Seed Fund, Patent Committee, CUHK FONG Tik Pui Daniel This study aims to develop an innovative sport shoe LIAO Wei Hsin to prevent supination type ankle ligamentous sprain CHAN Kai Ming YUNG Shu Hang Patrick* (Mechanical & Automation Engg) LEE Tan injury, which is the most common sport-related trauma. Results from previous ITF funded projects (Electronic Engineering) are adopted to formulate a three-step protection 1 September 2010 International Biomechanics Ltd Sengital Ltd The Hong Kong Research Institute of Textiles mechanism, which consists of sensing, identification and correction. With such basis, this study focuses on (1) miniature design of the device; (2) rechargeable and Apparel Limited power supply; (3) power management and optimized Ankle sprain is the most common sports injury. sensing control; and (4) wireless communication Repeated instability, system. The final device consists of a detachable proprioceptive and functional impairment, medical micro motion monitoring unit at the shoe heel counter, cost and economic loss. We propose to develop an insert of midsole. It sends out radio frequency signal innovative intelligent sprain-free sport shoe to to a myoelectric corrective unit with the signal prevent ankle sprain during sports. Its mechanism receiver when an ankle sprain hazard appears. The consists of three parts: (1) Sensing; (2) Identification; corrective unit is bandage-like, which wraps the and (3) Correction. A sensing and identify system is upper shank and delivers electric signal to the lateral embedded in the shoe. Through the motion data shank muscles through a pair of electrode pads. The collected by a sensor embedded in the shoe, the electric signal could initiate ankle joint pronation and system can identify if a supination motion is resists the sudden explosive ankle joint supination injury causes ankle Faculty of Medicine Department of Orthopaedics and Traumatology torque. The biomechanics effect will be evaluated by experimental model for OA. The effectiveness of the a systematic test on 10 healthy subjects in a mixture to modify knee pain and degenerative laboratory. Finally, a large scale clinical trial on two changes in knee joint will be evaluated in a rat animal professional soccer teams during two seasons will be model. Instead of oral intake, direct intra-articular conducted to demonstrate the ultimate effect to injection, which is a common method for drug reduce ankle ligamentous sprain injury incidence. delivery in OA, will be adopted. With the cutting (MD10548) edge technologies such as animal gait analysis for pain assessment we are able to scrutinize the effects Development of Post-traumatic Osteoarthritis Rat of the intra-articular injection of antioxidant mixture Model in OA, and continue to evaluate other antioxidants or and Exploration Administration of of Antioxidant Intra-articular Mixture as potential cures of OA in the future. Potential Treatment (MD10328) HUNG Leung Kim CHAN Kai Ming FU Sai P63 Regulates Cell Cycle Progression Genes and Chuen Bruma (Lee Hysan Clinical Research Promotes Neoplastic Stromal Cells Proliferation Laboratories) in Human Giant Cell Tumor of Bone CHEUK Yau Chuk (Lee Hysan Clinical Research Laboratories) 20 June 2011 KUMTA Shekhar Madhukar CUHK Research Committee Funding (Direct 29 June 2011 CUHK Research Committee Funding (Direct Grants) Grants) Osteoarthritis (OA) affects 15% of the world population with typical symptoms as acute pain Giant Cell Tumor (GCT) of Bone is a destructive causing loss of mobility. OA of the knee is neoplasm of uncertain etiology that affects the particularly common among Hong Kong Chinese. epiphyseal ends of long bones in young adults. The Currently there is no cure for OA. Numerous dietary tumor causes severe bone destruction in the vicinity supplement products including antioxidants are of major skeletal joints necessitating complex marketed with medical claims to treat OA, based on reconstructive surgery to eradicate the tumor and clinical trials with low evidence levels. Scientific save the joint. Despite aggressive therapy, this tumor explorations of the pharmacological effects of these tends to recur locally, eventually requiring surgical nutraceuticals are necessary for further development measures of increasing complexity, resulting in of OA treatment. Vitamin C, a commonly used significant morbidity and disadvantages to these antioxidant, is demonstrated with a potential to treat young patients. The stromal cells of the GCT are the OA in clinical trials but its effect of dietary neoplastic cells in this tumor, which recruit and drive supplement is still debatable. Since OA is known to osteoclast-mediated bone destruction. Yet it is involve oxidative stress and inflammation, we unclear as to what ultimately drives GCT stromal propose to test the effects of mixture of antioxidant cells (GCTSC), which are of osteoblastic origin to (vitamin C), iron chelator (deferoxamine), and behave in such a manner. anti-inflammatory flavone (quercetin) in an Faculty of Medicine Department of Orthopaedics and Traumatology A p53-related gene, p63, shares striking homology significant portion of AIS girls had osteopenia and among p53 family members within both their DNA abnormal anthropometric measurements. We also binding domain (DBD). There is growing evidence showed that low bone mass was associated with that p63 is involved in oncogenesis through several curve progression in AIS. However, there is still a mechanisms. In particular, we found that p63 is lack of knowledge on the possible mechanism over-expressed in GCTSC when compared with causing osteopenia in AIS. During skeletal growth, human normal osteoblasts. Specific inhibition of p63 two main processes will affect bone mineral density: mRNA in GCTSC leads to down-regulate some cell 1) active bone formation by osteoblasts; and 2) bone cycle related genes. Moreover, the knockdown of p63 matrix mineralization. Due to the ethical issue on also greatly decreases cell proliferation, hampers cell getting bone biopsy samples from AIS patients and growth, and reduces cell number. We speculate that age-matched control subjects, it is not feasible to the over-expression of p63 promotes cell survival of study osteoblastic activities with a good sample size. the neoplastic stromal cells in GCT through either However, with the advancement in technology of direct high-resolution peripheral quantitative compared or indirect repression of proapoptotic, which tomography (HR-pQCT), it is possible to study the contribute to its tumorigenesis. In this project, we trabecular bone micro-architectures and volumetric will investigate how the over-expressed p63 affects bone mineral density (vBMD) of the trabecular and cell proliferation, survival, and apoptosis in GCTSC. cortical bone in vivo separately. Thus, in this study, it (MD10780) is hypothesized that bone mineral accrual in AIS girls cell-cycle and anti-proliferative genes is different from that of healthy age-matched females. Abnormal Bone Mineral Accrual in Girls with The trabecular and cortical vBMD and trabecular Adolescent Idiopathic Scoliosis During Skeletal bone micro-architectures will be assessed with the Maturation HR-pQCT longitudinally for AIS and control subjects. The accrual rate and vBMD between AIS and control LAM Tsz Ping YEUNG Hiu Yan subjects will be compared. The correlation between LEE Kwong Man Simon curve severity in AIS and vBMD and trabecular bone CHENG Chun Yiu Jack (Lee Hysan Clinical Research Laboratories) 30 June 2011 CUHK Research Committee Funding (Direct Grants) micro-architectures will be studied. Longitudinal study with in-vivo HR-pQCT on vBMD and bone micro-architectures for AIS and normal controls has never been reported in the world literature. This study will carry significant impact by providing valuable Adolescent idiopathic scoliosis (AIS) is a complex information on the possible mechanism that causes and disabling three-dimensional spinal deformity of osteopenia in AIS. This will in turn lead to better unknown etiology. In Hong Kong, the prevalence is understanding of the etiopathogenesis of AIS, thus 3.6% in girls and 1.3% in boys. It is important to paving ways for further studies looking into the understand the etiopathogenesis of this common treatment for deranged bone health in AIS and the spinal condition so that treatment can be devised to therapeutic measures to control curve progression and control curve progression or even present AIS from even prevent AIS from occurrence. occurrence. In a cross-sectional study, we observed a (MD10303) Faculty of Medicine Department of Orthopaedics and Traumatology tests. Callus formation and maturation were enhanced Can Low-Magnitude, High-Frequency Vibration with increased Treatment Accelerate the Healing of Femoral ossification-related genes (collagen I, II, VEGF and Shaft Fractures? A Prospective Randomized BMP-2) were upregulated at different phases of Controlled Clinical Trial fracture healing. chondrogenesis. Application of Endochondral LMHFV on osteoporotic fracture healing also indicated similar LEUNG Kwok Sui GRIFFITH James Interventional Radiol) results that prove its high efficacy in fracture repair. & Further justified with our clinical applications of QIN LMHFV (35Hz, 0.3g) on normal postmenopausal CHEUNG Wing Hoi Francis (Imaging KOU Sio Kei* Ling 1 January 2011 Research Grants Council - General Research Fund women which demonstrated an improvement of muscle functions and balancing ability, we therefore hypothesize that LMHFV can enhance femoral shaft fracture healing in humans by enhancing callus formation and maturation, improving Diaphyseal long bone fracture is a common injury in micro-circulation, BMD and muscle functions at high-energy trauma among young people, where fracture site. femoral shaft fracture is the one commonly In the present study, we propose to study the efficacy encountered by surgeons. Due to the comminution, of LMHFV on human femoral shaft fracture healing displacements and associated severe soft tissue by conducting a randomized controlled clinical trial trauma, the nonunion rate is around 2-8% with and to document the related safety issues on intramedullary nail fixation. Diaphyseal long bone post-operative patients. The patients aged 20-40 of fractures usually take at least 4-6 months to heal and either gender, after surgical fixation of the fractures, the functional recovery takes even longer time. will be treated with LMHFV at 35Hz, 0.3g for Measures to accelerate diaphyseal long bone fracture 20min/day, 5days/week for 6 months. The results will healing and rehabilitation are main research goals and be evaluated by clinical assessments, radiography, they will give a high medico-economic impact. densitometry, dynamic MR and functional outcomes Mechanical stimulation plays a critical role in at intervals until 12 months postoperatively. Their fracture healing. Low-magnitude high-frequency biochemical bone forming markers will also be vibration (LMHFV) is a systemic biophysical assessed. The findings will provide scientific stimulation that is recently reported to enhance bone evidences to support the clinical application of mineral density (BMD), circulation and muscular LMHFV for long bone fracture patients and promote functions, as proven in animal studies and clinical this biophysical intervention as a routine adjunctive trials on normal postmenopausal subjects. Justified fracture management. with these characteristic effects on musculoskeletal (CU10704) system, we were the first group to investigate the effect of LMHFV on fracture healing in a rat model. Skeletal Muscle Stimulation by Low-magnitude Results showed that LMHFV can accelerate femoral High-frequency Vibration – Hindlimb Unloading shaft fracture healing by 30%, as confirmed Model radiologically, densitometrically and with mechanical Faculty of Medicine Department of Orthopaedics and Traumatology LEUNG Kwok Sui CHEUNG Wing Hoi detailed mechanism of the effects of LMHFV on sarcopenic QIN Ling SIU Ming Fai Parco* (unloaded) muscle tissues from cellular/biochemical to functional levels. 1 June 2011 (MD10504) CUHK Research Committee Funding (Direct Grants) Investigation of Novel Small Molecules in Bone Sarcopenia, or muscle atrophy, is the age-related loss Repair of muscle mass, strength and function. This is characterized with reduced fast-twitch muscle fiber LI Gang type II. Sarcopenia is also a major risk factor of 1 December 2010 fall-induced osteoporotic fracture that may lead to Eli Lilly and Company increased morbidity and mortality. With increasing aging population, there is a need to pursue an This alternative effective intervention to treat sarcopenia. pharmatherapeutic agents developed by Eli Lilly Low-magnitude, high-frequency vibration (LMHFV) USA on fracture healing and spinal fusion, etc. using treatment is a non-invasive biophysical modality to established preclinical orthopaedic animal models in provide systemic cyclic mechanical stimulation CUHK ORT department. It is hoped that the test which induces muscle reactive activities, with agents discovered by Lilly may have anabolic effects reported good compliance (80% on average). Our and promote bone regeneration and repair. The focus on-going randomized controlled trial with 704 of contract investigation is to determine the subjects further proves the beneficial effects of time-dependent changes induced by the test agents in LMHFV on increasing muscle strength (36.3% vs. our preclinical animal models such as fracture repair -4.4%), reducing fall rate (7.9% vs.17.5%) and or fracture rate (0.5% vs. 1.6%) significantly, as micro-computer compared with control group. These evidences qualitative strongly suggest LMHFV is effective to improve mechanical testing techniques. The project is initially skeletal muscle functions and hence sarcopenia, yet for 2 years with a possibility for renewal. the mechanism is uncertain. (MD10878) project spinal aims fusion to test the effects of using x-ray, histology, tomography (uCT), peripheral computer tomography (PQCT) and Supported by other evidences including the positive effects of mechanical stimulation on satellite cell Functional Characterizations of Peripheral Blood proliferation, Derived Mesenchymal Stem Cells glucose transporter 4 (GLUT4) expression, type II muscle fiber area, we therefore hypothesize outcomes that of LMHFV muscles, improves through functional increasing the proliferation of satellite cells, number of type II muscle fibers and expression of GLUT4. By using unloaded hindlimb rat model to stimulate sarcopenia, the effects of LMHFV on muscle tissues will be evaluated. This will be the first study to elucidate the LI Gang CHAN Kai Ming WAN Chao (School of Biomedical Sciences) ZHOU Guang Qian* 1 January 2011 Research Grants Council - General Research Fund Faculty of Medicine Department of Orthopaedics and Traumatology Skeletal tissue healing difficulties cause considerable repair and regeneration, which may reduce the pain suffering and pain to the patients following fractures, and suffer of patients. tendon or cartilage injury, hip replacement, bone (CU10711) tumor resection and metabolic bone diseases such as osteoporosis, which often result in reconstructive Effect of Sclerostin Antibody on Osteoporotic surgery. Bone grafting is frequently used, but this Fracture procedure has complications and causes further Mechanisms Healing in Rats and Underline suffering, pain and discomfort to the patients. Synthetic bone materials, culture expansion of LI Gang QIN Ling skeletal tissue cells, and specific recombinant 1 June 2011 proteins have been tried, but their use is hampered by Amgen Inc difficulty in harvesting and growing skeletal cells, lack of vascularization, long duration of treatment This project is aiming to test the effect of Sclerostin and the associated high costs. Bone marrow cells antibody (Scl-Ab) on osteoporotic fracture healing in seeded with synthetic biomaterials have been an established rat femoral fracture model with considered as an alternative to bone, cartilage or internal fixation. The Scl-Ab discovered by Amgen tendon grafting, however the requirement of bone has been showed to have anabolic effects, and marrow aspiration from the patient may cause further positive effects on normal fracture healing in mouse pain and morbidity at the donor sites and there is a and rat model given by systemic injection. It is long duration for culture expansion of these cells and hypothesized that this antibody may also promote control of their differentiation potentials. Following osteoporotic the recent discovery of a blood-borne cell population systemically. The focus of this investigation is to that may participate in tissue repair, we have determine the changes following Scl-Ab systemic demonstrated that repair cells may be recruited into administration in osteoporotic rats during fracture the peripheral circulation and transported to the sites using x-ray, micro-computer tomography (uCT), of skeletal injury to participate in healing, which may histology, and mechanical testing. We will examine be a novel alternative for skeletal tissue repair and the changes in vascularisation using mircoCT regeneration systemically. This project will examine methods and mesenchymal stem cells (MSCs) the methods for isolation, culture, and enrichment of mobilization these circulating stem cells and the potential key flowcytometry analysis. genes that govern their functions and homing (MD10786) fracture through healing peripheral when blood given using capacities. This study will broaden our understanding of how stem cells are mobilized and released into the The peripheral circulation and homed to sites where they Allogeneic Mesenchymal Stem Cells on Rat are needed to heal damaged tissues. The knowledge Femoral Fracture Healing Effect of Systemic Administration of gained from this study will help us to develop new therapeutic protocols to promote skeletal tissue LI Gang healing by directing blood-borne stem cells to tissue 15 June 2011 Faculty of Medicine Department of Orthopaedics and Traumatology CUHK Research Committee Funding (Direct TDSCs can be considered as an alternative cell source for tendon-bone junction regeneration. BMP-2 Grants) is a potent osteogenic factor with roles in MSCs (mesenchymal stem cells) have been shown to migrate to injury and ischemia microenvironments. Our previous studies showed that there was systemic recruitment of MSCs via circulating during fracture healing. In this proposal we will investigate the effect of systemic administration of allogeneic MSCs on rat femoral fracture healing. The results will shed light on mechanisms of systemic MSCs migration and homing to injurious tissues. The further understanding of the multiple MSC regenerative abilities in fracture healing will direct us to enhance the MSCs recruitment and engraftment at the fracture sites, and design of novel MSC-based therapies for treating fractures and other related bone healing conditions. physiological and pathological bone formation. The use of BMP-2 to promote the regeneration of tendon-bone junction has been well-reported. Because of the importance of BMP-2 on stem cells in tendon-bone junction engineering, this study therefore aims to compare TDSCs to the “gold standard” bone marrow-derived mesenchymal stem cells (BMSCs) with respect to their osteogenic response to BMP-2. The expression of BMP receptors will also be examined in these two cell types to explain for any differences that may be observed. Paired rat TDSCs and BMSCs will be treated with and without rhBMP-2. The osteogenic response will be examined by ALP cytochemical staining and activity assays and Alizarin red S (MD10856) staining of calcium nodules formation. The mRNA and protein expression of BMP receptors IA, IB and A study Comparing the BMP-2-induced Osteogenic Response of TDSCs and BMSCs – Implication for the Potential of Tendon-Bone Junction Regeneration II will be examined by qRT-PCR and Western blotting, respectively. Results from this study will suggest whether TDSCs with BMP-2, would be an alterative strategy for tendon-bone junction regeneration. LUI Po Yee Pauline CHAN Kai Ming (MD10801) 1 May 2011 CUHK Research Committee Funding (Direct Grants) An Innovative Treatment Approach for Steroid-associated Osteonecrosis Lesion Using a Rapid-prototyped Surgical reattachment of tendon and bone often fails due to the failure of regeneration of the specialized Osteopromotive Composite Scaffold Material Incorporating Phytoestrogenic Icaritin tendon-bone junction. The use of mesenchymal stem cells for tendon-bone junction regeneration has been reported with promising results. Recently, tendon-derived stem cells (TDSCs), which have high proliferative and multi-lineage differentiation potential, including tendon, cartilage and bone, have QIN Ling LEUNG Kwok Sui WANG Xiaohong* LI Gang WANG Xinluan ZHANG Ge 1 July 2010 been isolated. As stem cells residing in tendons, Faculty of Medicine Department of Orthopaedics and Traumatology bone-formation-promoting Icaritin that has been Research Grants Council - General Research proven to be slow-releasable in vitro after our last Fund year’s submission. Steroid-associated osteonecrosis (ON) is associated with impaired blood supply in bone and subsequent bone death. Frequent use of steroids is known to associate with ON development. ON occurs mostly in large joints such as hip that results in joint collapse and joint replacement. Core decompression, a surgical technique to remove dead bone and fill with bone substitute, is one of the surgical treatments for preventing joint collapse in early ON stages when the size of dead bone is small. Bone grafts from the same patient are frequently used for core decompression. However, in patients under steroid treatment, bone-forming capability of their marrow-stem-cells (MSCs) is inhibited and MSCs tend to differentiate into fat cells. The treatment strategy is to promote bone forming ability of the MSCs and provide The aim of this study is to investigate if the porous composite scaffold incorporating slow-release Icaritin is able to promote bone formation by facilitating proliferation and osteogenic differentiation of host bone MSCs for its better integration with host bone after core decompression using an established steroid-associated ON rabbits model. The findings of this translational research will be able to develop a novel bone-forming promotion composite porous scaffold for potential clinical application for ON management. From both patients and healthcare perspective, the potential of this project would help to preserve the affected joint without replacement surgery and significant reduction of the financial burden to both society and patients. (CU10737) scaffoldings for structural reinforcement of the empathy space in core decompression. An Innovative Approach for Treatment of Bone The investigators of this proposal have identified a novel and alternative bone forming promotion factor Icaritin derived from herbal Epimedium flavonoids. Defect Using a Rapid-prototyped Composite Scaffold Material Incorporating an Osteopromotive Molecule Our previous findings and those accumulated from our last year’s ‘Fundable but not Funded’ GRF application suggest that Icaritin has estrogenic function and is able to enhance MSCs proliferation and promote bone formation. We also show that Icaritin is able to enhance osteoporotic fracture repair in the ovariectomized mice. One of the co-investigators of our multidisciplinary team with background in material sciences has developed rapidprototyping technology to produce porous scaffold materials for orthopaedic applications. We have been collaborating for the past years to produce a special porous scaffold material for bone defect repair. Now we have successfully produced a novel composite scaffold material incorporating QIN Ling ZHANG Ge YAO Xinsheng* LEUNG Kwok Sui WANG Xinluan WANG Xiao-hong* FUNG Kwok Pui (School of Biomedical Sciences) 1 November 2010 Guizhou Tongjitang Pharmaceutical Company Limited Innovation & Technology Commission-Innovation and Technology Support Programme Sharpwell Technology Limited Bone defect repair is usually found in orthopaedic surgery due to trauma, fracture and osteonecrosis. However, failure of bone defect repair in surgical Faculty of Medicine Department of Orthopaedics and Traumatology tunnel after core-decompression for removing dead Role of Estrogen Receptor Beta in Fracture bone in steroid-associated osteonecrotic (SAON) Repair lesion is still a great challenge, which induces joint collapse with poor pathophysiology is surgical attributed prognosis. to The reduction in bone-forming-capability of marrow-stem-cells after steroid treatment and lack of platform for cellular activities in surgical tunnel. The investigators have identified an osteopromotive molecule Icaritin that promote bone-forming-capability QIN Ling ZHANG Ge HE Yi Xin PAN Xiao-hua* KE Hua Zhu* LI Gang LEUNG Kwok Sui 1 April 2011 CUHK Research Committee Funding (Direct Grants) of marrow-stem-cells and rapid-prototyping technology Orthopedic surgeons are challenged by impaired or for an innovative composite scaffold material delayed fracture repair in elderly women. The incorporating Icaritin (PLGA/TCP/Icaritin) has also investigators have found that both mRNA and protein been expression of estrogen receptor beta (ERbeta) were established with well characterized physical/chemical features. significantly higher in the old women compared to During the ITC-funded study (GHP/001/08) (Phase I the young women (Unpublished data). It indicated of our initial grant proposal), the PLGA/TCP/Icaritin that the dysregulated ER beta expression may has demonstrated significant reparative osteogenesis contribute to the impaired or delayed fracture repair than PLGA/TCP/BMP-2 in vitro and in quadruped in elderly women. It is of great importance to rabbits after understand the role of ERbeta pathway in fracture core-decompression. The investigators have also repair. It has been reported by others’ work that successfully established SAON lesion with lower ERbeta limb dysfunction in bipedal Emu, which is similar to angiogenesis in breast cancer cells in vitro. On the typical clinical feature of SAON patients with other hand, evidence from ERbeta gene knockout subchondral lesions. female Accordingly, investigators would like to perform the signaling following intramembranous with established two SAON specific studies lesion on the signaling mouse participates has in demonstrated participates and in inhibiting that inhibiting endochondral ERbeta both ossification PLGA/TCP/Icaritin: 1) to examine the efficacy on during bone development. As a matter of fact, the bone defect repair in a bipedal emu model with investigators’ previous work have revealed that SAON lesions; 2) to complete related safety tests ERbeta knockout mice had a better bone healing in a required are drill-hole model compare to the wild type. It fundamental ones to obtain approval for starting indicated that blockage of ERbeta pathway may Phase I and II clinical trials. promote bone healing (HE et al., 2010). Taken (BL10873) together, the investigators have formulated the by SFDA. These two studies following hypothesis that blockade of ERbeta signaling pathway neovascularization, could promote mineralization and callus strength during fracture repair. In this proposal, blockade of ERbeta pathway will be implemented through a Faculty of Medicine Department of Orthopaedics and Traumatology genetic approach (a commercialized female ERbeta scoliosis. Melatonin, hormone produced by pineal gene knockout mouse) and fracture will be created in gland, has been suggested to play an important role in the femoral shaft. Time course study will be designed scoliosis development. So far only pinealectomized for chicken model assembles human AIS. In the present quantifying mineralization and callus neovascularization, mechanical properties post study, we will test the hypothesis that pinealectomy fracture using our published protocols. in chicken leads to skeletal overgrowth and low bone (MD10725) mineral density leading to scoliosis. In the present study, we will monitor the change of bone mineral A Study of Melatonin Effect on Scoliosis density, bone microarchitecture, and skeletal growth Development in Adolescent Idiopathic Scoliosis – rate in pinealectomized chickens with a comparison A Pinealectomized Chicken Model to sham operated chickens. Their relationships with the development of scoliosis will be studied. The data will provide important link between melatonin and LEE Kwong Man Simon (Lee Hysan Clinical bone growth and AIS. This, in turn, suggests the Research Laboratories) possible role of melatonin in etiopathogenesis of AIS. YEUNG Hiu Yan CHENG Chun Yiu Jack LAM Tsz Ping NG Tzi Bun (School of Biomedical Sciences) Aota (MD10706) Yoichi* Blockade of VEGF-Src Signaling as a Novel 1 April 2011 Therapeutic Strategy to Prevent Destructive CUHK Research Committee Funding (Direct Repair in Steroid-associated Osteonecrotic Lesion Grants) Adolescent idiopathic scoliosis (AIS) is a ZHANG Ge QIN Ling TANG Tao three-dimensional spinal deformity with vertebral (Obstetrics & Gynaecology) rotation. In Hong Kong, the general prevalence is (Imaging & Interventional Radiol) 3.6% in girls and 1.3% in boys. The treatment for Baoting (School of Chinese Medicine) AIS is not satisfactory because of its unclear etiopathogenesis. With further understanding on the etiopathogenic factors of scoliosis development, the WANG Yixiang ZHANG 20 June 2011 CUHK Research Committee Funding (Direct Grants) clinician could have a better control of or even prevent scoliosis beforehand. Among the different Subchondral collapse in advanced steroid-associated hypotheses, anterior spinal overgrowth has been osteonecrosis may end up with total joint replacement mostly accepted as the crucial factor in development linked of AIS. We have documented the presence of taller subchondral collapse is directly attributed to the stature, longer vertebral column, higher vertebral dominant destructive repair in steroid-associated column length to spinal cord length ratio, and osteonecrotic systemic low bone mass in AIS. However, these pathophysiological mechanism of the destructive characteristics of AIS were observed after the repair largely remains unclear. In our previous development of AIS. It is necessary to investigate study, we have consistently found that extensive how these characteristics can lead to development of edema to poor induced postsurgical lesions. by prognosis. However, persistent The the vascular Faculty of Medicine Department of Orthopaedics and Traumatology hyperpermeability occurs during bone destruction RNAi-based gene silencing protocol. The current within steroid-associated osteonecrotic lesions. This proposal would provide new indight and prove the dominant bone destructive repair is accompanied concept that targeting VEGF-Src signaling pathway with an uncontrolled VEGF expression and highly may selectively inhibit VEGF-mediated both vascular activated Src phosphorylation (Zhang G et al. hyperpermeability and bone resorption, but preserve Arthritis & Rheumatism 2009; Zhang G Bone VEGF-mediated neovascularization in osteonecrotic Supplement been lesion experimentally, thereby preventing progress to demonstrated that continuously VEGF exposure subchondral collapse and facilitating tissue repair in enhances both osteoclastic bone resorption in vitro steroid-associated osteonecrosis clinically. and vascular permeability in healthy mouse; Src (MD10715) 2010). Furthermore, it has participates in mediating both osteoclast-induced bone resorption in healthy mice and VEGF-induced Please refer to previous issues of this publication vascular permeability in myocardial infarction mouse for more details of the following ongoing research model. From our in vitro experiments, knockdown of at the department: Src using rabbit-specific Src siRNA prevented VEGF-mediated activation of rabbit osteoclasts and Edition Title/Investigators VEGF-mediated disruption of Flk / cadherin complex in rabbit endothelial cells, yet without interfering 2000-01 Low Intensity Pulsed Ultrasound with VEGF-mediated endothelium tube formation in Retained vitro (Tang T Bone Supplement 2010A, B, and C). Content of Complex Tibial Fractures Therefore, our hypothesis is that blockade of (MD00354) uncontrolled VEGF-Src signaling can inhibit both CHAN Chun Wai* Change of Bone Mineral LEUNG Kwok persistent vascular hyperpermeability and dominant Sui bone resorption but preserves VEGF-mediated Sze (School of Chinese Medicine) neovascularization during destructive repair our previously TSUI Hon For# LEE Wing in steroid-associated osteonecrotic lesions. To test the hypothesis, established 2009-10 Providing Technical and Administrative Services to the Sichuan Earthquake steroid-associated osteonecrotic rabbit model with Recovery dominant destructive repair will be employed to (MD08544) achieve the following three specific aims: (1) To CHAN Kai Ming Projects to StandTALL determine the role of uncontrolled VEGF expression in vascular and skeletal events through administering 2009-10 Isolation and Characterization VEGF supplement or VEGF antibody; (2) To Multi-potent validate bone-specific distribution of Src siRNA with Patellar Tendon (MD09408) our established bone-targeting delivery system; (3) CHAN Kai Ming To determine the role of Src activation in Stem Cells from of Rat LUI Po Yee Pauline VEGF-mediating vascular and skeletal evens through administering Src siRNA or a combination of VEGF supplement and Src siRNA using our established Faculty of Medicine Department of Orthopaedics and Traumatology 2007-08 Could Clinical Ultrasound Improve the 2008-09 Can Low Intensity Pulsed Ultrasound Fitting of Spinal Orthosis for Patients Accelerate with AIS? (MD07804) Osteoblastic Cells for Fracture Healing? CHENG Chun Yiu Jack WONG Man Sang* ZHENG Yong Ping* YING Tin Cheung Michael* NG Systemic Recruitment of (MD08727) CHEUNG Wing Hoi LI Gang LEUNG Kwok Sui QIN Ling Kin Wah Bobby* LAM Tsz Ping 2009-10 Xarelto in the Prophylaxis of Post 2008-09 Diagnostic Tests for Idiopathic Scoliosis Elective Major Orthopaedic Surgery of (MD08450) CHENG Chun Yiu Jack Alain* Hiu Yan Moreau, TANG Leung Sang Nelson (Chemical Pathology) (Lee Surgical Venous Thromboembolism after YEUNG LEE Kwong Man Simon Hysan Clinical Hip or Knee (XAMOS) (MD09621) CHEUNG Wing Hoi Hing* CHIU Kwok CHEUNG Kin Wing* TSE Lung Fung* Research 2009-10 Quantification Laboratories) and Localization Mechanosensors, 2009-10 Relationship of Bioavailability of Leptin Receptors-alpha and –beta Osteoporotic Fractures (MD09606) Idiopathic Scoliosis (MD09670) CHEUNG Wing Hoi CHENG Chun Yiu Jack QIU NG Kin Wah Bobby* in LEUNG Kwok Sui QIN Ling LAM Tsz Ping TANG Leung Sang Nelson (Chemical Pathology) of Estrogen with Curve Progression in Adolescent Yong* LEE 2009-10 Analyzing Accidental Ankle Sprain Cases in International Sports Events by Kwong Man Simon (Lee Hysan Video Analysis Method (MD09488) Clinical Research Laboratories) FONG Tik Pui Daniel YEUNG Hiu Yan Ming CHAN Kai YUNG Shu Hang Patrick* MOK Kam Ming 2008-09 Angiogenesis in Osteoporotic Fracture Healing - Interventional Study of Low 2008-09 Whole Development for Physical Magnitude High Frequency Vibration in Disabled Children – Therapy through Rat Model (CU08627) Music and Arts (Services for Children CHEUNG Wing Hoi James Francis GRIFFITH (Imaging & with Disabilities of Their Limbs and Children Suffering from Burn Scarring) Interventional Radiol) LEE Kwong (SS08733) Man Simon (Lee Hysan Clinical HUNG Leung Kim Research Laboratories) Kwok Sui QIN Ling LEUNG Bobby NG Kin Wah HO Pak Cheong YUE Sau Chun Judia (Social Work) Faculty of Medicine Department of Orthopaedics and Traumatology LEE Wai Chi Edwin* WONG Associated with Vitamin-D Insufficiency? – A Case-control Study Man Wah Josephine* (CU09688) 2009-10 Investigation of the Use of LAM Tsz Ping Three-dimensional to Monitor of Life Sciences) Tendon Healing (MD09718) HUNG Leung Kim (Lee and Primary Care) LEE Tak Keung CHAN Kai Clinical Laboratories) Warren* Research TSE Hysan Clinical Kit (Medicine Collaborative and Enhancement of Research in (ED09970) Application of LAM Tsz Ping Outcome-based KUMTA Shekhar Functional Gradient Tumor Bone Repair Madhukar Materials Based on Rapid Prototyping TSANG Pak Leung Techniques (MD07783) Chuen KUMTA Shekhar Madhukar Ling CHEUNG Wing Hoi ZHANG Ren Ji* XU Ming En* ZHANG Ting* (Centre Intensive Care) WONG HUNG Leung Kim LAM Lai for Learning HO Ming Hei Anthony (Anaesthesia & JOYNT Gavin Matthew (Anaesthesia & Intensive WANG Xiao Hong* Enhancement and Research) QIN HUANG Lin (Surgery) Kwok Chuen & 2009-10 An Innovative SLO Mapping Platform for Fabrication Yee Research Laboratories) 2007-08 Joint NG Kin Wah Bobby* Therapeutics) YEUNG Hiu Yan CHEUK Yau Chuk HO CHAN Suzanne (School of Primary Health FU Sai Chuen Bruma (Lee Hysan CHENG Chun Yiu Jack HO Wing Shing John (School Micro-ultrasonography Ming Care) XIONG Zhuo* NELSON Edmund Anthony Severn (Paediatrics) XU Wei* CUI Tong Kui* LI Man Chim Albert Martin (Paediatrics) LAM Hugh Simon Hung San (Paediatrics) 2008-09 Improving Low Vibration Bone Mass with for Girls with (School Therapy WONG Yeung Shan Samuel of Public Health and Adolescent Idiopathic Scoliosis (AIS) - A Primary Care) Randomized Controlled Trial (CU08678) (Anatomical & Cellular Pathology) LAM Tsz Ping Jack NG Ho Keung CHENG Chun Yiu CHEUNG Wing Hoi 2009-10 Can Calcium and Vitamin D NG Kin Wah Supplementation Improve Bone Mineral Bobby* TSE Yee Kit (Medicine & Density and Curve Progression in Girls Therapeutics) YEUNG Hiu Yan with Adolescent Idiopathic Scoliosis? LEUNG Kwok Sui (MD09604) 2009-10 Is Adolescent Idiopathic Scoliosis and Its Accompanying Low Bone Mass LAM Tsz Ping Jack CHENG Chun Yiu HO CHAN Suzanne (School Faculty of Medicine Department of Orthopaedics and Traumatology of Public Health and Primary Care) LEUNG Kwok Sui CHAN Tan LAU Tak Fai Joseph (Centre for Jessica (The Nethersole School of Health Nursing) Behaviours YEUNG Hiu Yan Research) Man Simon (Lee Hysan Clinical Ping Research Laboratories) Wan-yiu* LEE Tak Keung Warren* To KKW (School of Pharmacy) NG Kin Wah LAM Tsz LAU Yui Man# 2009-10 Development and SHEN Manufacturing of Semi-active Surgical Robot Arm System Bobby* for 2007-08 Establishment of Comprehensive Care Centre CHAN Yu Ki Yucca# CHEUNG Wing Hoi LEE Kwong for Elderly with Fragility Computer Assisted Orthopaedic Surgery (CAOS) (MD09490) LEUNG Kwok Sui CHEUNG Fractures in the Community (MD07450) Wing Hoi NG Wai Kin# WANG LEUNG Kwok Sui Yu* CHEUNG Wing Hoi CHAN Tan Jessica (The Nethersole School of Nursing) 2009-10 A Multi-center, Randomized, Double-blind, Placebo-controlled Study SZE Pan Ching# of AMG 785 in Skeletally Mature Adults Low-magnitude, with a Fresh Unilateral Tibial Diaphyseal High-frequency Vibration Treatment on Fracture Status Post Definitive Fracture Reducing Fracture Risks and Fracture Fixation with an Intramedullary Nail Incidences in the Community Elderly - A (STARTT) (MD09674) Prospective LEUNG Kwok Sui TANG Ning* 2008-09 The efficacy of Randomized Trial (CU08695) LEUNG Kwok Sui CHAN Tan 2009-10 A Multi-center, Randomized, Jessica (The Nethersole School of Double-blind, Placebo-controlled Study Nursing) to Determine the Efficacy, Safety, and GRIFFITH James Francis (Imaging Tolerability of AMG 785 in Adults with & Interventional Radiol) QIN Ling Fresh CHEUNG Wing Hoi TSE Yee Kit (Medicine & Unilateral Intertrochanteric Fracture of the Proximal Femur, Status Post Fixation with a Sliding Hip Screw or Therapeutics) SZE Pan Ching# Intramedullary Nail 2009-10 Medico-Social Comprehensive Impact of a Multi-disciplinary Study to Assess FRacTure Healing with SclerosTin Antibody – Hip Program for the Care of Fragility (STARTT-Hip) (MD09329) Fracture of the Elderly –Implications for LEUNG Kwok Sui TANG Ning* Healthcare (MD09909) Policy in Hong Kong 2009-10 Evaluation of Changes in Serum Biochemical Markers in the Patients with Faculty of Medicine Department of Orthopaedics and Traumatology Long-term Bisphophonate Intake (MD09372) (MD09966) LEUNG Kwok Sui Wing Hoi Kee in a Tendon Window Injury Model QIN Ling Dicky CHEUNG CHOY Tak (CUHK JCC LUI Po Yee Pauline CHAN Kai Ming for Osteoporosis Care & Control) 2008-09 Epimedium-derived Flavonoids Reduce Risk of Steroid-associated Osteonecrosis: HUNG Wing Yin Vivian A Mechanistic Study from a Viewpoint 2009-10 Test Lilly Production in Orthopaedic QIN Ling Preclinical Models (MD09728) LI Gang Pauline QIN Ling LUI Po Yee CHEUNG Wing Hoi of Chemistry Metabolism (MD08767) SONG Chao# CHAN Kai Ming ZHANG Ge LEE Kwong Man Simon (Lee Hysan Clinical Research Laboratories) YAO Xinsheng* WANG Xinluan DAI Yi* 2009-10 Development of an Immortalized Human Mesenchymal Stem Cell Line 2008-09 Towards Reconstruction of Functional Overexpressing Thymidine Kinase (TK) Neovasculature Gene Steroid-associated Osteonecrosis Lesion: for Anti-tumor Therapy (MD09645) Repairing A Strategy by Implanting Autologous LI Gang CHAN for CHAN Kai Ming Chun Wai (School of Chinese Medicine) LEE Yuk Wai Marrow-mononuclear-cell Cryopreserved Prior to Pulsed-steroid-administration (CU08725) QIN Ling 2009-10 Thymidine Kinase Gene Modified Bone CHEUNG Wing Hoi DAI Kerong* GRIFFITH James Marrow Mesenchymal Stem Cells as Francis (Imaging & Interventional Vehicles Radiol) for Anti-tumour Therapy LEE Kwong Man Simon (MD09947) (Lee LI Gang SONG Chao# Laboratories) ZHANG Ge Hysan Clinical Research 2008-09 Use of Bisphosphonate to Inhibit Local 2008-09 Treatment of Delayed Bone Tendon Bone Resorption and Improve Healing of Junction Healing by Extracorporal Shock Tendon Graft to Bone Tunnel (CU08708) Wave Therapy (CU08762) LUI Po Yee Pauline QIN Ling ZHANG Ge Ming Hysan CHAN Kai FU Sai Chuen Bruma (Lee Clinical Research Laboratories) QIN Ling 2008-09 Targeting a Newly Discovered Bone Formation Inhibitor for Rebuilding Bone: Therapeutic Effect of CKIP-I siRNA on 2009-10 A Study on the Spatial and Temporal Changes of Collagens and Proteoglycans Established Postmenopausal Osteoporosis (MD08498) Faculty of Medicine Department of Orthopaedics and Traumatology QIN Ling ZHANG ZHANG Ling-qiang* Ge (Obstetrics & WANG Xinluan TANG Tao Gynaecology) LEE Kwong Man Study to Unveil the Possible Differences in Their Etiopathogenesis (CU08776) YEUNG Hiu Yan Yiu Jack CHENG Chun LEE Kwong Man Simon Simon (Lee Hysan Clinical Research (Lee Hysan Laboratories) LEUNG Kwok Sui Laboratories) Clinical Research TANG Leung Sang Nelson (Chemical Pathology) 2009-10 Identification of Cross-species siRNA to Garget a Novel Bone Formation Inhibitor 2009-10 A Knee Rotational Laxity Meter to CKIP-1 for Potential Bone Anabolic Evaluate Therapy (MD09885) (MD09402) QIN Ling ZHANG Ge TANG Tao (Obstetrics & Gynaecology) WANG Xinluan ZHENG Lizhen Knee Rotational YUNG Shu Hang Patrick Stability FONG Tik Pui Daniel LAM, Mak Ham LAW Kan Yip CHAN Wood Yee (School of Biomedical Sciences) 2009-10 Effects of Combination of Sclerostin Automation Engg) Pulsed Kung CHAN Kai Ming (LIPUS) or LIAO Wei Hsin (Mechanical & Antibody (Scl-Ab) plus Low Intensity Ultrasound CHENG Cheng Combination of Scl-Ab plus Dickopf1 Antibody (DKK1-Ab) on Bone Healing in Rat Femoral Osteotomy Model (MD09965) 2008-09 Phytoestrogenic Molecule Icaritin: A Novel Selective - Estrogen-Receptor-Modulator Developed QIN Ling ZHANG Ge Kwok Sui CHEUNG Wing Hoi LEUNG for Treatment of Osteoporosis in Cortical Bone of Ovariectomized Rat (CU08785) ZHANG Ge LI Gang LEUNG Kwok Sui QIN Ling YAO Xinsheng* 2007-08 Application of Bio-engineered Chondrocyte Pellet in Osteochondral 2008-09 Promoting Osteoporotic Fracture Repair: Defect (CU07765) Role of Estrogen Receptor Beta Pathway WONG Wan Nar Margaret CHAN Blockade (MD08851) Kai Ming QIN Ling LEE Kwong ZHANG Ge Man Simon (Lee Hysan Clinical Yong-ping* Research Laboratories) Gang* (Lee Hysan ZHENG Yong Ping* QIN Ling PAN Xiao-hua* CAO LI LEE Kwong Man Simon Clinical Research Laboratories) LEUNG Kwok Sui 2008-09 Are there Differences in Phenotypic Expressions between and Familial Curve and Progression 2008-09 Does Blockade of Estrogen Receptor Sporadic Beta Pathway Promote Osteoporotic Adolescent Idiopathic Scoliosis? - A Fracture Repair? (MD08737) Faculty of Medicine Department of Orthopaedics and Traumatology ZHANG Ge Yong-ping* Gang* (Lee Hysan QIN Ling PAN Xiao-hua* CAO LI LEE Kwong Man Simon Clinical Research Laboratories) LEUNG Kwok Sui ZHANG Ge QIN Ling TANG Tao (Obstetrics & Gynaecology) LI Ya Ping* WANG Xinluan LI Gang CHAN Chun Wai (School of Chinese Medicine) Webster S S Jee* 2009-10 Development Bone-formation-site-selective of Delivery System for Specific Small Interference RNAs to Target Negative Regulator Genes of Bone Anabolism (MD09911) Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery self-assessment 11-point scale evaluating the quality, RESEARCH PROJECTS clarity and comfortableness of the sound delivered by the signal modification system. Objective measures Clinical Evaluation of a Computerized Self-administered Hearing Test and Audio Signal include speech recognition in quiet and in noise. (MD10566) Modification System An KAM Chi Shan Ka Keung John* WONG Ka Cheong* SUNG VAN HASSELT Charles Integration Enhancement Program for Students with Social Communication Deficits: Direct Training and Beyond Andrew LEE Tan (Electronic Engineering) LEE Kathy Yuet Sheung 1 April 2011 CUHK Research Committee Funding (Direct Grants) VAN HASSELT Charles Andrew TONG Chi Fai Michael LUI Lai Yee# KAN Pui Kei Peggy LUKE Kit Ling* Pure tone audiometry is typically conducted by 2 July 2010 audiologists or trained health care professionals in a Quality Education Fund, HKSAR Government sound booth. However, such audiological services may not be readily accessible in places where Mainstreaming secondary students with high professional staff and/or audiological equipments are functioning Autism or Asperger Syndrome is a big unavailable. Most patients received pure tone challenge for teachers nowadays. School personnel audiometry are capable of following instructions and are expected to be skillful in handling and providing providing responses in automated procedures. By immediate support for these students. Nevertheless, implementing automated self-administered hearing teachers and school personnel feel incompetent in test, more patient-contact time could be made taking up such role as they were not given adequate available for the professional staff to conduct training. sophisticated tests and manage difficult-to-test With the gained experience from the Social Thinking patients. In the present study, a computerized Training Program and the sets of readily made automated self-administered hearing test system materials, we will: 1) provide Social Thinking which is also capable to modify audio signal output Training to mainstreamed secondary school students from the computer will be evaluated. with Autism and Asperger Syndrome; 2) train One hundred and twenty Cantonese speaking adults teachers and frontline school personnel such as social will be recruited in the study. All subjects will worker to implement Social Thinking Training at complete pure tone audiometry and the hearing test mainstream secondary school for students with via the automated system. Twenty of the subjects will Autism and Asperger Syndrome; and 3) further participant in the phase 2 study, in which the promote Social Thinking Training to the public. automated system will apply the hearing test results Two phases of the project will include: 1) direct in modifying the speech test material for the speech service to provide 12 training sessions to 30-40 recognition tests. Subjective measures include a students in 10 mainstream secondary schools. This will help school personnel to better understand the Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery Social Thinking training model; and 2) recruit 10 examination and practical examination. Course frontline school personnel including teachers and evaluation and feedback to students will be given. social workers to be trained to set up and lead Social (ED10602) Thinking training groups for another 30-40 mainstreamed students with Autism or Asperger A Center-based Speech and Language Training Syndrome in 10 different schools. Program for Preschool Children (ED10499) LEE Kathy Yuet Sheung Charles Andrew Macau School-teachers: Skills-training Course VAN HASSELT TONG Chi Fai Michael WONG Hoi Wa CHENG Kai Chi Wallace* LEE Kathy Yuet Sheung 12 October 2010 2 July 2010 Taipo Baptist Church Social Services Government of the Macao SAR Early identification and early intervention for young In Macau, many school teachers are not trained to children with speech and/ or language development work with communication challenged students. Yet, problems is receiving more and more attention in children with communication disorders are frequently current preschool education, considering the long part of their responsibilities. We have been invited by term negative effects they could have on one’s the Education and Youth Affairs Bureau to conduct overall development. The goal of the present program an 86 hours workshop for these teachers. is to empower preschool teachers and parents in There are three goals for this project: firstly, we aim identifying children with delayed or deviant speech to provide enrolled teachers with the ability to and/ or language development and maximizing these identify children’s children with various communication opportunities for communication disorders. Secondly, we will expose enrolled teachers development in pre-school and home settings. to various communication and behavioural strategies In this program, we will provide: 1) screening and that will help them facilitate communication with assessment service to children enrolled in the five school-aged children. Thirdly, we aim to equip kindergartens under Taipo Baptist Church Social enrolled enable Service; 2) direct individual and/or group training to service to 50-75 children with speech and/or teachers with communication-challenged strategies to school-children improve communication and learning. language problems; 3) Twenty sessions of parent talk, The workshop will be divided into 3 main targeting on enhancing parents’ ability in managing components: and children with communication difficulties; 4) Twenty examination. Enrolled teachers will learn the basic sessions of parent workshop, training them to be principles of communication assessment, goal setting volunteer speech trainer in the kindergartens; and 5) as therapy. Twenty hours of teacher training, boosting their Communication difficulties covered will include ability in maximizing children’s communication language development in daily classroom settings. well lecture, as hands-on resource impairment, practicum, design articulation for difficulties, dyslexia and autism spectrum disorder. Finally, (ED10823) teachers enrolled are required to pass a written Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery Empowering Caregivers to Improve Dysphagia lecture reported to increase dysphagia awareness in Management nursing home staff. In this project, we emphasis on knowledge transfer LEE Kathy Yuet Sheung Thomas LAW Ka Tung VAN HASSELT Charles Andrew and propose a 6-phase implementation plan for improving overall dysphagia management in New Territories East. Our goal is to empower both nursing TONG Chi Fai Michael home staff and family members with dysphagia 1 March 2011 University Grants Committee - Knowledge know-how through a series of lectures, hands-on workshops and pre- and post-assessments. At the Transfer same time, direct coaching on dysphagia Prevalence of swallowing disorder is as high as 22% management will be provided to maximize skill in adults over 50 years old. As of 2010, it is estimated transfer during bi—monthly on-site speech therapist that up to 530,486 adults above 50 years old in Hong consultation. Ultimately, this project will address all Kong suffer from swallowing disorders, or dysphagia. five issues we identified to crate lasting reduction in Individuals with dysphagia frequently experience dysphagia related medical consequences. aspiration, meaning food or fluids are misdirected (MD10586) into the airway during oral feeding. Consequences of aspiration include malnutrition, dehydration and chest The Trigger of Stuttering: An Investigation on the infection. Amongst them, chest infection is the most Linguistic Factors serious complication and highest in nursing homes. Nursing home residents are hospitalized 28.9 more LEE Kathy Yuet Sheung times a year for chest infection than their Thomas community-dwelling counterparts. K.S. Carol* Chest infection incidences can be reduced through early identification and management of dysphagia. However, nursing home residents are deprived of such due to: (1) poor dysphagia awareness of Onslow, Mark* LAW Ka Tung Packman, A* TO VAN HASSELT Charles Andrew TONG Chi Fai Michael 30 June 2011 CUHK Research Committee Funding (Direct Grants) caregivers, resulting in (2) late identification of dysphagia and (3) poor compliance of speech Stuttering is a developmental speech disorder therapist recommendations. Moreover, (4) outings to affecting the fluency of speech with a prevalence of speech therapy clinics are hampered with transport approximately 1% in all cultures and languages. issues for such frail patients; and (5) infrequent Stuttering has a significant effect on the person’s speech psychosocial and vocational well-being. There are no therapy consultation yield outdated recommendations that reinforces poor compliance. known causes of stuttering. However, it has Previous project by the Hospital Authority attempted suggested an underlying deficit in speech neural to address some of these issues through direct speech processing that is influenced by linguistic and therapy services and lectures. Outcome improved in environmental 64% of patients and transport savings amounting of associated with stuttering have generated much HK$37,720 was reported. Besides, educational research. However, previous studies have not factors. The linguistic factors Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery considered all the linguistic factors collectively and local school system of a typical Chinese city. A total also failed to recognize the levels of factors in of 360 children from 3 randomly selected schools statistical analysis which results in a bias estimation (120 children each) will be tested. For each school, of the effect of the factors. This study aims to for each of the 12 grades, we will test an equal investigate the individual contribution and interaction number of boys and girls. We proposed to implement of various linguistic factors that are associated with a new model of screening in this study. The model stuttering collectively with appropriate statistical involves 2 stages of testing. In the first stage, the modeling. students will fill in a short questionnaire and take an Twenty-one adults with stuttering will be recruited. online hearing screening test at schools. Students who The 600-syllable speech sample provided by each failed the first stage will proceed onto the second speaker will be coded according to the following stage of test which is a diagnostic hearing test done linguistic factors: linguistic stress at sentence level, by an Audiologist as well as examination by an utterance length, speech rate, word class, syllable Otologist in the Longgang ENT Hospital. position at word and sentence level, phonetic Epidemiological data such as general medical complexity, word frequency. Multilevel logistic condition, family history of deadness, household size regression model will be used assess the factors and income grouping will be collected. Data on contributing to stuttering. prevalence of hearing loss, degree and type of This will be the first ever study that applies a hearing loss as well as differences in sexes will be multilevel statistical model to collectively investigate collected. Follow-up management provided and their the linguistic factors at both the syllable and sentence effectiveness will be assessed. level. The study results will (1) contribute to the Risk factors for childhood hearing loss will be understanding of the causal link between various identified. The impact of hearing loss on academic linguistic factors; and (2) provide information in performance and social behavior will also be determining the most appropriate treatment for explored with the data collected. Further guidelines stuttering. on school screening protocol and public health will be constructed with the evidence gathered in the (MD10603) study. Hearing Screening for School Age Children in (MD10456) Longgang District of Shenzhen Middle TONG Chi Fai Michael KAM Chi Shan 邱 Ear Implantable Hearing Aids to Congenital Atresia Children 書奇* 20 August 2010 深圳市龍崗中心醫院 TONG Chi Fai Michael YU Ka Yin TSANG Sung Shan Willis WONG Ka Cheong Terence 1 September 2010 The project aims to detect, identify, intervene and S.K. Yee Medical Foundation rehabilitate hearing loss in school children in a limited sample to see the effectiveness of online Aim: To provide an effective mean for hearing hearing screening. Subjects are children from the rehabilitation for the congenital aural atresia patient Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery through the use of implantable hearing aids. The data treatment, although effective in controlling tumour collected will be used to solicit future funding. growth, results in swallowing disorder, or dysphagia. Methods: As a result, NPC patients suffer from aspiration, 1. Recruitment of patients from our clinics; meaning food or fluids are misdirected into the 2. Screening of indicated candidate with airway on oral feeding. The aspirated materials often audiological and medical assessment; lead to devastating consequences of chest infections, 3. Provide surgery for the indicated patients; dehydration and malnutrition. The management of 4. Provide post operative care and device these complications imply spiralling costs to the activation for the patients; healthcare system. Follow up for the short, intermediate and long One way to reduce the burden to the healthcare term results; and system is to minimise aspiration with swallowing Evaluation and publication of the results of the rehabilitation. Existing swallowing rehabilitation project. adopted for the NPC patients include traditional 5. 6. Questionnaire: Chinese Abbreviated Profile of swallowing therapy and transcutaneous electrical Hearing Aid Benefit (C-APHAB), International stimulation. Outcome Inventory of Hearing Aid (IOI-HA). approaches are not evidence-based for the NPC Regrettably, both rehabilitation Tone patients. Without efficacy studies in this unique NPC Cantonese population, it is impossible to justify all the resources speech perception test, Functional Gain measurement, and efforts involved with existing swallowing Chinese Hearing in Noise test. rehabilitation approaches. Instead of reducing cost to The data collected will then be analyzed to assess the the healthcare system, practising without evidence extent of benefit of middle ear implant device on could mean imposing unnecessary additional cost, on children with congenital atresia. the contrary. (MD10995) The aim of this study is to pioneer an evidence-based Audiological Assessment audiometry, Impedance include: Audiometry, Pure NPC swallowing rehabilitation approach. We propose Dysphagia Rehabilitation for Nasopharyngeal to carry out a single-blinded randomised-controlled Carcinoma trial Patients Post Radiotherapy: A of swallowing rehabilitation efficacy on dysphagic NPC patients post radiotherapy. In this Randomised-controlled Trial study, 160 subjects will be randomised into two TONG Chi Fai Michael LAW Ka Tung Thomas Sheung KU Ka Ming Peter LEUNG Sing Fai* LEE Kathy Yuet NG Kwan Yee Louisa# VAN HASSELT Charles Andrew 1 January 2011 Research Grants Council - General Research Fund treatment groups: stimulation; and 1) 2) transcutaneous traditional electrical rehabilitation. Immediate and sustained outcomes will be compared using the 1) 8-point Penetration-Aspiration Scale as observed on Fiberoptic Endoscopic Evaluation of Swallowing; 2) a NPC specific qualityof-life questionnaire FACT-NP; and 3) Self-rated swallowing score. Nasopharyngeal carcinoma (NPC) is one of the most Results from this study will be the first-ever NPC common carcinomas in Hong Kong. Radiotherapy swallowing rehabilitation evidence in the world. The Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery impact on clinical practice as well as on research cancer cell proliferation and growth. So far, at least contribution is exponential. Clinically, it helps two human ERa isoforms, designated ERa36 and clinicians to make decisions on appropriate treatment ERa46, have been identified. ERa46 has been shown approach to NPC patients. The choice of NPC to block ERa66-mediated transcription and thus swallowing rehabilitation approach would no longer inhibit ERa66-mediated proliferation in breast cancer. be dependent upon random preference of individual Therefore, it appears that anti-tumor treatment will clinician or patient, but based on scientific data. The benefit from the expression of ERa46. The function results on immediate versus sustained rehabilitation of ERa36 is debatable as both inhibitory and effects also act as guidance on the duration of promotive benefits and optimum assessment interval time. Nevertheless, neither ERa36 nor ERa46 has been The nature and treatment of NPC has been the study studied in thyroid cancer despite a close association interest radiologists, between ERa66 and the thyroid tumorigenesis. The speech-language aim of this study is to determine the expression of of oncologists, otorhinolaryngologists pathologists. Too and little is known about the functions have been described. ERa36, ERa46 and ERa66 in human thyroid cancer swallowing mechanism and rehabilitation of the NPC tissue and to correlate their levels with patients. This project will contribute to the emerging clinopathological markers/indexes. We believe the evidence bank of diagnosis-specific swallowing finding of this study will further clarify how ERa66 rehabilitation that will not only benefit the patients, works to promote the thyroid tumorigenesis and it but also justifies the healthcare resources allocated to may also help to define a subgroup of patients who swallowing rehabilitation. may sensitive to anti-ERa treatment. (CU10752) (MD10431) Levels of Estrogen Receptor Alpha36 and Alpha46 Please refer to previous issues of this publication in Human Thyroid Cancer for more details of the following ongoing research at the department: VAN HASSELT Charles Andrew VLANTIS Alexander Chris CHEN Gong George (Surgery) Edition Title/Investigators TSE Man Kit Gary (Anatomical & Cellular Pathology) 2009-10 Neural Activity Underlying Tinnitus 30 June 2011 Generation (MD09342) CUHK Research Committee Funding (Direct KAM Chi Shan Grants) KAM Chi Kong* LEUNG Kwok Shun Eric* VAN HASSELT Charles Andrew Our previous study has indicated that the function of ERa and ERb are totally different in term of their 2008-09 The Construction and Validation of the ability to promote the growth of tumors including Cantonese thyroid, with the former being promotive and the Voice (CanPEV) to Measure the Voice Perceptual Evaluation of latter being inhibitory. The full length ERa (also named ERa66) has a role in the promotion of thyroid Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery Quality of Cantonese-speaking TONG Chi Fai Michael LEE Kathy Yuet Sheung Thomas CHIU LAW Ka Tung NG Hoi Yee Iris YU Kai Man* Population (CU08687) Sung Nok* TONG Chi Fai Michael VAN HASSELT Charles Andrew 2007-08 The Importance Temporal of Slow-varying Information (Temporal Envelope) for Speech Recognition in Tonal Languages – Implications for the 2009-10 The Construction and Validation of the Design of New Hearing Aid Algorithms Cantonese Spoken Word Recognition (EE07664) Test (SWORT) to Measure the Word TONG Chi Fai Michael YUEN YUAN Perception Ability of Cantonese-speaking Chi Pun Children (CU09465) Meng (Electronic Engineering)# LEE Kathy Yuet Sheung Sung Nok* KIRK Karen I.* Hoi Yee Iris VAN HASSELT Charles Andrew YUEN Chi Pun (Surgery) Sigfrid D.* TONG Chi Fai LEE Tan (Electronic Engineering) SOLI, NG Michael LUK Pui Ki WONG Ka Cheong Terence CHIU VAN HASSELT Charles Andrew 2008-09 Development of a Chinese Traditional SOLI, Sigfrid D.* Patent Medicine Yanhouqing Buccal 2006-07 A Case-Control Study of the Risks Factors Associated with Sinonasal Tablet (MD08919) TONG Chi Fai Michael Schneiderian Papilloma (MD06567) SHAM Cheuk Lun 邱書奇* LEE Lip Yen Dennis TONG Chi Fai Michael 2009-10 Efficacy of Vibrant Soundbridge Middle Ear 2006-07 The Relationship of Epstein Barr Virus Implant System on (MD08457) p21, TONG Chi Fai Michael Schneiderian Expression in Sinonasal Papilloma (SNSP) (MD06598) Yin YU Ka VAN HASSELT Charles Andrew SHAM Cheuk Lun TO Ka Fai (Anatomical & Cellular Pathology) CHAN Chinese Population with Mixed Hearing Loss (EBV), Human Pailloma Virus (HPV), p53 GAO Han Kay (Microbiology) Sheung Paul TONG Chi Fai Michael 2009-10 Validation of Cochlear Integrity Test System (MD09569) TONG Chi Fai Michael WONG Ka Cheong Terence LUK Pui Ki 2007-08 Cohort Study of a 2-stage Universal 2008-09 Is Estrogen Receptor Beta a Tumor Neonatal Hearing Screening Program in Suppressor in Thyroid Carcinogenesis? Local Hospital (MD07685) (CU08789) Faculty of Medicine Department of Otorhinolaryngology, Head and Neck Surgery VAN HASSELT Charles Andrew CHAN Anthony Tak (Clinical Oncology) George (Surgery) Gary 2009-10 Influence of the Estrogen Receptor Alpha Cheung Antagonist and Agonist on the Activity CHEN Gong TSE Man Kit (Anatomical Pathology) & Cellular VLANTIS Alexander Chris of Peroxisome Proliferator-activated Receptor Gamma in Thyroid Cancer Cells (MD09847) VAN HASSELT Charles Andrew VLANTIS Alexander Chris CHEN Gong George (Surgery) 2008-09 Is the Increased Bcl-xl a Compensated Response to Anti-tumor Agent Ent-11 2009-10 Correlation between Peroxisome α-hydroxy-15-oxo-kaur-16-en-19-oic-aci Proliferator-activated Receptor Gamma d in Thyroid Cancer Cells? (MD08527) and Estrogen Receptor Beta in Human VAN HASSELT Charles Andrew CHEN Gong George (Surgery) Thyroid Cancer (MD09993) VLANTIS Alexander Chris VLANTIS Alexander Chris 2009-10 Customized Enhanced Sound (CE Sound), Sentinel Speech (MD09545) John TSE Man Kit Gary (Anatomical & Cellular Pathology) VAN HASSELT Charles Andrew VAN HASSELT Charles Andrew CHEN Gong George (Surgery) KAM Chi Shan SUNG Ka Keung WONG Ka Cheong Terence LEE Kathy Yuet Sheung LEE Tan (Electronic Engineering) Faculty of Medicine Department of Paediatrics RESEARCH PROJECTS new gloves after washing and drying hands. Participants are to wear gloves 8 hrs daily, 5 days per a week over a 4-week period. Throughout this 4 week A Randomised, Double-blind, Controlled Study to period, the subject is to observe and record Evaluate the Effect of Aloe Vera Examination information about the condition of their hands on a Gloves, compared to Standard Powder Free daily basis in the diary card provided to them. A Nitrite Examination Gloves, On Trans-epidermal dermatologist will examine test subject’s hands at Water Loss and Hand Dermatitis among Health baseline, during, and at the end of study. Participants’ Care Workers hands will also be documented by close-shot standardized photography at baseline, during and at HON Kam Lun CHIU Mona* 18 March 2011 ShenWei USA Inc. the end of study. (MD10862) Parental Attitudes to Major Surgery for Preterm Glove wearing by health care workers (HCWs) is an Infants with High Risk of Developing Long-term important step in preventing the spread of infections Neurological and Physical Disabilities and in protecting themselves from occupationally acquired infections. However, this often leads to more incidences of dryness, skin irritation and LAM Hugh Simon Hung San CHEUNG Hon Ming NG Pak Cheung development of hand dermatitis. Use of examination 30 June 2011 gloves containing aloe-vera has been shown, in a CUHK Research Committee Funding (Direct small number of controlled studies, to improve skin Grants) integrity. It remains unclear whether there are any substantial effects on skin hydration of on hand Advanced in neonatal intensive care have led to dermatitis with the use of aloe vera coated substantial improvements in morbidity and mortality. examination gloves. The propose of this study is to Such benefits, however, have also increased the examine hand skin conditions with the use of medical chance of survival of critically ill infants who could examination gloves coated with aloe-vera compared subsequently to standard gloves. neurodevelopmental outcomes. Whether intensive Test subjects are asked to wear the gloves while care support of all preterm infants, especially those performing their routine work (study glove on one with clinical and radiologic evidence of severe hand, standard glove on the other). Before donning central nervous system complications, is justified is on new gloves, subjects are required to wash both highly controversial. Decisions on whether to hands with standardized gentle liquid hand wash soap aggressively resuscitate extremely preterm infants and clean with water. After drying hands each subject who are likely to survive the neonatal period depends is to wear the gloves on both hands without any cover not only on the predicted long-term prognosis, but or lotion for 45 minuets to two hours. Every 45 also on the prevailing values of society and personal minutes to 2 hours subjects are required to change to beliefs of parents as well as healthcare workers develop serious adverse (HCWs). While there are many studies that provide Faculty of Medicine Department of Paediatrics the neonatologist with an evidence-base upon which to predict the long-term prognosis of preterm infants, CUHK Research Committee Funding (Direct Grants) few studies have investigated the attitudes of parents towards long-term adverse physical and neurocognitive health states. Parents’ long-term attitudes to disability states can be very different from their preferences in the acute situation. With increasing parental participation in routine daily care and, more importantly, major treatment decision-making, reliable information on attitudes of parents faced with severely disabled children is essential. The first objective of our study was to use pivotal risk and health state ranking methods to assess the differences in attitudes between HCWs, mothers of newborn term infants (MTs) and parents of preterm infants < 32 weeks gestation and birth weight < 1500 g (PPs) in decision-making. The second objective was to study the impact of their personal characteristics on these decisions, including, parental education level, religion and severity of disability. Understanding the values of the different groups of subjects and how personal characteristics could influence their decisions made would permit re-evaluation of the counseling process and assist in redefining the ideal composition of the counseling Ambient air pollution is an important trigger of asthma-related symptoms. However, there is limited data on the objective effects of pollutant exposures on respiratory health of preschool children as well as the mechanisms linking these associations. Exposures to secondary pollutants formed through photochemical reactions after emission (e.g., PM2.5, NO2, O3) induced global oxidative stress. Genetic polymorphisms related to oxidative stress modified the harmful effects of such particulate matter exposures. In this study, we propose to genotype a panel of oxidative stress-related genes in Chinese preschool children who recently completed our preschool lung function study and assess the extent of their systemic oxidative stress. Gene-environment interactions between these variables will be analyzed for their effects on lung function of local young children. The findings thus generated would add to the literature on the mechanisms through which environmental pollution mediate the deleterious effects on respiratory health. They will also provide clinicians with potentially useful genetic predictors to identify individuals who are susceptible to the team. harmful (MD10746) consequences of ambient pollutant exposures. Relationship between Ambient Pollutant (MD10525) Exposures and Lung Function of Preschoolers and Interactive Effects of Oxidative Stress-related Apnoea Genes LEUNG Ting Fan WONG Tze Wai (School of Publich Health and Primary Care) TAM Wai San Wilson (School of Public Health and Primary Care) WONG Wing Kin Gary 27 June 2011 Family Studies in Children with Obstructive Sleep LI Man Chim Albert Martin CHU Chiu Wing Winnie (Imaging & Interventional Radiol) LEE Lip Yen Dennis (Otorhinolaryngology, Head & Neck Surgery) TANG Leung Sang Nelson (Chemical Pathology) WING Yun Kwok (Psychiatry) Faculty of Medicine Department of Paediatrics 1 November 2010 understanding of ethnic predisposition of childhood Research Grants Council - General Research OSA, and how anthropometric, facial-skeletal, upper airway size and ventilatory response characteristics Fund interact in each subtype of childhood OSA. We The aim of this research project is to elucidate the intend to show that first-degree relatives of children causes of childhood obstructive sleep apnoea (OSA), with OSA have an increased risk of OSA explained in particular to identify the extent to which the by Mendelian inheritance, and that risk factors for the disorder is due to genetic factors in order to better development of OSA are different for obese and develop screening and treatment approaches. non-obese children. OSA is characterized by repeated episodes of At present the impact of predisposing risk factors on complete and or partial upper airway occlusion the two subtypes of childhood OSA is unclear. Our during sleep, associated with arousals, distorted sleep research will clarify the genetic link to inheritance of patterns and physiological abnormalities. Childhood the condition and show that differing risk factors are OSA is common in our locality, and it is associated involved in obese and non-obese children. This with an extensive array of important complications research will lead to better screening mechanisms and namely neurocognitive dysfunction as well as appropriate treatment regimens for the different cardiovascular and metabolic abnormalities. There is subtypes of childhood OSA which will impact on accumulating support that OSA has a strong familial subsequent health care provision. component, however, its magnitude is unclear. (CU10712) Current research suggest the presence of two subtypes of OSA in children with differing clinical Normal Reference Values of Twenty-four-hour characteristics: Ambulatory one associated with lymphoid Blood Pressure Monitoring in enlargement in the absence of obesity, and the other Healthy School-aged Children and Adolescents in “adult-like” entity being primarily associated with Hong Kong obesity. Differential analyses of these two subtypes in childhood OSA research is crucial to the LI Man Chim Albert Martin SUNG Yn Tz Rita development of treatment strategies. The majority of (Faculty of Medicine (Planning Office)) previous family studies were carried out in Caucasian Wai Kwok Gabriel (Medicine & Therapeutics)# adults, and limited work with questionable study SO Hung Kwan WONG Sik Nin* factors in the development childhood OSA. Nai Chung* LI PS Samantha* In this proposed genetic-epidemiological study, we will assess the distribution of OSA in families identified to have confirmed childhood OSA and YIP LEUNG CK Lettie* design has been done to evaluate the role of familial LEE Kwok Wai* FONG 1 November 2010 Health and Health Services Research Fund among families in the same community with children Objectives: To develop blood pressure reference without OSA. We aim to determine familial values based on 24-hour ambulatory blood pressure aggregation and risk factors for the development of monitoring (ABPM) in children and adolescents in OSA in Chinese obese and non-obese children. The Hong Kong. information obtained will provide a better Faculty of Medicine Department of Paediatrics Background: As in the adults, in children and Sleep Duration and 24-hour Ambulatory Blood adolescents with elevated blood pressure (BP), the Pressure in Adolescents: A Cross Sectional Study conventional office BP measurements might lead to incorrect diagnosis. Out-of-office BP measurements are often needed. Several studies have demonstrated the value of ABPM in pediatric hypertension. The clinical use of 24-h ABPM depends on establishing normal BP ranges as reference values. These have LI Man Chim Albert Martin WING Yun Kwok (Psychiatry) 30 June 2011 CUHK Research Committee Funding (Direct Grants) been obtained in some European populations but have otherwise been lacking for Chinese children. BP Obesity, obstructive sleep apnoea (OSA), sleep levels duration and blood pressure (BP) are considered to be differ between different ethnic and geographical populations. inter-related. Short sleep duration may cause obesity Design: Prospective cross-sectional cohort study. and then lead to OSA, which is associated with Setting: Community-based recruits with ABPM in 5 elevated BP. Obesity itself is also associated with regional hospitals (Prince of Wales, Prince Margaret, higher BP. In this current proposal, we would try to Kwong Wah, Queen Elizabeth, and Tuen Mun figure out if sleep duration is associated with BP, hospitals). while controlling for the confounding effects of Participants: 2000 consecutive community school obesity and OSA, in a population-based cohort of children and adolescents, aged 8-17 years adolescents. Main outcome measures: All measurements will be Adolescents aged 10-17 years will be recruited from performed in outpatients, including 24-h ABPM a previous school cohort of the epidemiological study device. Anthropometric parameters e.g., height, of childhood OSA. They will be invited to undergo weight, waist, hip, and arm circumference will be nocturnal sleep study and 24-hour ambulatory blood measured, and information on medical history, use of pressure monitoring (ABPM) on the same day. drugs, and parental history of hypertension will be Anthropometric measurements, including weight, obtained, which will be verified and completed by height, and waist circumference will also be taken. direct enquiry or telephone communication with their Sleep duration will be measured using a sleep diary parents. Two BP measurements will be taken with a which records subjects’ bedtime and wake time for 1 1-min interval before mounting and after dismounting week before their hospital admission. The primary of ABPM. The two-visit-average BP will be used for outcomes are the daytime and nighttime systolic analysis. White-coat hypertension (WCH) is defined blood pressure (SBP). as office hypertension but low home BP (<95th Totally 120 subjects will be recruited in order to percentile) whereas MH as home hypertension but detect the expected correlation between sleep low office BP (<95th percentile). duration and SBP with 80% power and 5% error. The (MD10547) whole study requires a total of 12 months to complete. The results from this study will provide evidence based medicine on whether BP is independently affected by short sleep duration in adolescents. If the Faculty of Medicine Department of Paediatrics result is positive, physicians and the public should be Development of MALDI-TOF Mass Spectrometry made more aware of the potential long-term Based Method for Sensitive Quantification of implications of sleep loss in adolescents. Citrulline (MD10950) POON Chuen Wai Identification of Circulating Antigens in Patients with Helicobacter Pylori Infection LAM Hugh Simon Hung San NG Pak Cheung 1 April 2011 CUHK Research Committee Funding (Direct POON Chuen Wai CHAN Ka Leung Francis Grants) (Medicine & Therapeutics) 1 December 2010 Research Fund for the Control of Infectious Diseases In human, citrulline is a non-essential amino acid, which is specifically produced by enterocytes of the intestinal mucosa. Recent studies have shown that postabsorptive plasma citrulline concentration is a Helicobacter pylori infection is a worldwide problem. marker of enterocyte mass and can reflect the length It is common in Hong Kong and Mainland China. H. of the functional absorptive bowel. It allows pylori infection is one of the major underlying causes differentiation of transient from permanent intestinal and/or association factors for gastric cancer and a failure in short bowel syndrome. Necrotizing number of non-malignant gastric diseases, including enterocolitis is common in preterm infants, and is one dyspepsia, gastritis, peptic ulcer, etc. Unfortunately, of the common causes of gastrointestinal surgery, highly sensitive and specific non-invasive diagnostic which subsequently leads to short bowel syndrome. test for both adults and children remain not available. Because only limited amount of blood samples could Evidence indicates the presence of H pylori soluble be obtained from preterm infants, especially for serial antigens in the blood circulation of the infected monitoring, the currently available routine assay for patients, however, their identities and positive rates measuring citrulline is not applicable to the preterm among the infected patients remain unknown. This infants suspected with short bowel syndrome. proposed study is aimed to 1) to identify the Therefore, there is a strong clinical need to develop a circulating H. pylori antigens in patients with H. highly sensitive assay for quantification of plasma pylori infection; and 2) to examine the diagnostic citrulline, which only requires not more than 2uL of values of the common H. pylori antigens. Upon plasma samples. MALDI-TOF mass spectrometry completion of the study, a list of validated H. pylori (MS) is a powerful technology which allows antigens present in the blood circulation of the quantification of proteins at fetomole sensitivity. infected patients will be obtained. This provides a Although it is not intended to be used to analyze solid foundation for future development of a novel small biomolecules, recent studies have shown that it non-invasive blood test for H. pylori. Ultimately, H. is possible to extend its applications to biomolecule pylori infection can be easily diagnosed and analyses after careful choice of matrix chemicals and monitored with high sensitivity and specificity. optimization. This proposed study is aimed to (MD10984) develop an assay which is based on MALDI-TOF MS for sensitive measurement of citrulline concentration Faculty of Medicine Department of Paediatrics in plasma specimens. Successfully development of In the past, we have performed large-scaled the proposed sensitive assay will allow us to further epidemiology studies of asthma and allergies using study clinical values of plasma citrulline in diagnosis standardized method in Hong Kong and mainland and monitoring of short gut bowel syndrome in China. Random samples of school children will be preterm neonates. recruited from three locations. We propose to (MD10932) determine the prevalence of food allergy in three populations of Chinese schoolchildren using a Comparative Study of Food Allergy in Chinese standardized and internationally accepted protocol. Children Reliable data of food allergy will be obtained as objective markers of IgE mediated food allergy will WONG Wing Kin Gary LAM Wai Kei Christopher (Chemical Pathology) LEUNG Ting Fan LI Jing* ZHONG NS* 1 January 2011 Research Grants Council - General Research Fund be measured. If supported, this will be the first population based study to determine the prevalence of food allergy in Chinese schoolchildren from both the urban and rural settings and to evaluate the possible risk and protective factors of food allergy in Chinese children. The findings will provide directions of future research in the determination of The aim of this project is to determine the prevalence the aetiology of food allergy. of food allergy and the possible associated risk (CU10771) factors in children from urban and rural areas of China. Please refer to previous issues of this publication There have been increasing concerns about the for more details of the following ongoing research problems of IgE mediated food allergies in many at the department: developed countries, especially among patients and their families, schools, food producers, government Edition Title/Investigators officials, and policy makers. Food allergy is a disease affecting all age groups and the only preventive 2008-09 Serum Levels of Heavy Metals in treatment is still avoidance of the offending food. Childhood Eczema (MD08977) Because of the constant fear and anxiety of a severe HON Kam Lun or even fatal reaction especially when the patients are HUNG Chi Wan, Emily (Chemical Pathology)# eating outside of their home, their quality of life is significantly affected. The understanding of the 2008-09 Medium and Long-term Follow up of epidemiology and risk factors of food allergy is Children with History of Melamine important in order to develop possible preventive Exposure in Hong Kong: A Multicentre strategies to help sufferers with this condition. Such Study (MD08381) information is important for clinicians, allergic LAM Hugh Simon Hung San consumers, policy makers, together with the food Wai Ming* industry to effectively manage the problem of food CHIU Man Chun* LAI WONG Sik Nin* CHU Chiu allergies. Faculty of Medicine Department of Paediatrics & 2009-10 A Randomized, Double-blind, Controlled NG Pak Study of Omegaven for Prophylaxis Cheung CHAN Ho Ming Michael* against Parenteral Nutrition-associated Wing Winnie (Imaging Interventional Radiol) TSE Kei Chiu Niko* MAK Wing Lai Tony* WONG William* LAM Wai Kei Christopher (Chemical Pathology) KWONG Cholestasis (PNAC) in Infants Requiring Prolonged Parenteral Nutrition (MD09541) LAM Hugh Simon Hung San Ngai Shan* 2008-09 Genome-wide Association Study for 2008-09 A Randomised, Double-blind, Controlled Study of Omegaven Treatment for of Rescue Parenteral Childhood Atopic Dermatitis (CU08699) LEUNG Ting Fan LAM Wai HON Kam Lun Kei Christopher Nutrition-associated Cholestasis (PNAC) (Chemical in Preterm Infants Requriing Long-term Leung Parenteral Nutrition (MD08609) Pathology) WONG Wing Kin Gary LAM Hugh Simon Hung San Pathology) Sang Nelson TANG (Chemical NG Pak Cheung CHEUNG Hon Ming* 2008-09 Establish Spirometric Reference Standards for Preschool Children in 2009-10 Comparative Necrotizing on Hong Kong (MD08697) and LEUNG Ting Fan Investigation Enterocolitis LI Man Chim Spontaneous Intestinal Perforation in Albert Martin Preterm Infants: Differential Cellular Gary RNA Expression in Bowel Tissues, and (Statistics)# Regulation of the FOXA1 and ARG1 Christopher (Chemical Pathology) Signals (CU09729) NG Pak Cheung LAM Hugh Simon Hung San CHAN Yuen Yee LI Kwai Har Karen Him (Surgery) TAM Yuk TO Ka Fai (Anatomical & Cellular Pathology) Mercury Childhood Exposure Cardiopulmonary WONG Po LAM Shing Wai Kei 2009-10 Identification of Whole-genome Targets for Asthma Susceptibility (CU09709) LEUNG Ting Fan and Health HUNG Chi Wan, Emily (Chemical Pathology)# 2009-10 Prenatal WONG Wing Kin NG Pak Cheung KONG Pik Shan (Medicine & Therapeutics) LAM Wai Kei Christopher (Chemical Pathology) Outcomes (CU09685) WAYE Mary Miu Yee (School of LAM Hugh Simon Hung San FOK Biomedical Sciences) Tai Fai LAM Wai Kei Christopher (Chemical Pathology) Chim Albert Martin WONG Wing Kin Gary LI Man 2009-10 Effect of a New Growing-up Milk on Growth and Nutrient Adequacy in Faculty of Medicine Department of Paediatrics Children with Picky-eating Behaviors Salvage (MD09871) Candidiasis, LEUNG Ting Fan CHOW Chung Treatment of Invasive Candidemia, and Esophageal Candidiasis in Paediatric Subjects (MD09665) Mo* LI Chi Kong 2009-10 Characterisation Variations in of the Copy-number Chinese Genome SHING Ming Kong* LEE Vincent* CHENG Wai Tsoi Frankie* (MD09904) LEUNG Ting Fan TANG Leung 2007-08 Makorin-2 Gene Expression and Sang Nelson (Chemical Pathology) Regulation of Mammalian Hematopoiesis WAYE Mary Miu Yee (School of in Models of Embryonic Stem Cells, Biomedical Sciences) Cord Blood CD34+ Cells and Human Wan Ronald Therapeutics) MA Ching (Medicine & TSUI Kwok Wing (School of Biomedical Sciences) CHAN Chung Ngor Juliana (Medicine & Therapeutics) Primary Leukemic Cells (CU07705) LI Kwai Har Karen KUNG Hsiang Fu (Stanley Ho Centre for Emerging Infectious Diseases) CHAN Yuen Yee 2009-10 Bone Mineral Density and Dietary 2008-09 Prospective Study of the Association Assessment in Young Allergic Children between Childhood Obstructive Sleep (MD09707) Apnoea and Hypertension (CU08701) LEUNG Ting Fan HON Kam Lun LI Man Chim Albert Martin LAU Tak Fai Joseph (Centre for Health 2005-06 Genetic Modulation of HbF in Behaviours Research) Beta-thalassemia (MD05760) Tz LI Chi Kong CHIK Ki Wai# (Planning Office)) Rita (Faculty SUNG Yn of Medicine WING Yun Kwok (Psychiatry) 2009-10 A Cross-sectional, Multi-center, Epidemiological Study in Western and Asian Countries in Children and 2008-09 An Epidemiological Study of Sleep Ecology in Hong Kong Chinese Children Adolescents with Chronic Hepatitis B Aged 2 to 7 Years (MD08798) (MD09766) LI Man Chim Albert Martin LI Chi Kong CHOW Chung Mo* Hugh Simon Hung San LAM WING Yun Kwok (Psychiatry) CHENG Wai Tsoi Frankie* Open-label, 2009-10 Endothelial Function in Children with Non-comparative Study to Assess the Primary Snoring (PS): A Case – Control Safety, Tolerability and Efficacy of Study (MD09403) 2009-10 A Prospective, Variconazole for the Primary and Faculty of Medicine Department of Paediatrics LI Man Chim Albert Martin Human Cord Blood (MD09510) WING Yun Kwok (Psychiatry) NG Pak Cheung 2007-08 Daily Measurement of Neutrophil CD64 for Early Diagnosis of Neutrophils LI Kwai Har Karen CHAN Yuen Yee Late-onset Bacterial Infection in Preterm Infants (MD07833) 2004-05 Characterization of Serum Proteomic Signatures of Hepatocellular Carcinomas NG Pak Cheung LI Kwai Har (MD04724) POON Chuen Wai Karen PANG Ting Kai Ronald (Stanley Ho Centre for 2008-09 A Prospective Clinical Study to Validate a Diagnostic Biomarkers, Model Prior on Serum Identified by Quantitative Proteomic Profiling, for Emerging Infectious Diseases)# MOK Shu Kam Tony (Clinical Oncology) CHAN Anthony Tak Cheung (Clinical Oncology) Early Diagnosis of Late-onset Systemic Infection in Preterm Infants (CU08719) NG Pak Cheung CHIU Wai Kwun Rossa (Chemical Pathology) LI 2009-10 Development of a Glycan-based Blood Test for Diagnosis of Hepatitis B Virus-associated Liver Cancer (MD09560) Kwai Har Karen POON Chuen Wai 2009-10 Study of Human Primary Neonatal Paul (Surgery) LAI Bo San CHAN Anthony Natural Killer Cells in Response to Tak Cheung (Clinical Oncology) Challenge with Lipoteichoic Acid, A SUNG Joseph Jao Yiu (Medicine & Major Therapeutics) Constituent of Gram-positive Bacteria (MD09695) NG Pak Cheung Porgador Angei* 2009-10 Role of Two Novel microRNAs in Bacterial Peptidoglycan (PGN) Activated Faculty of Medicine School of Pharmacy area±S.D.), a reduction of 41%, p=0.12. We propose RESEARCH PROJECTS to complete the study of the brains of mice we have already treated. This examination will reveal whether Transgenic Mouse Study of Deferasirox for deferasirox reduces tangles. We will also examine Treating Alzheimer’s Disease and Tauopathies effects on Aβ. Positive results might lead to human trials of deferasirox to treat AD and other tauopathies. BAUM Lawrence William (MD10770) 1 April 2011 CUHK Research Committee Funding (Direct Grants) Appointment of Evaluation Agency “Pilot Scheme: Provision of Visiting Pharmacist Services for Iron accumulates in Alzheimer’s disease (AD) Residential Care Homes for the Elderly” plaques and tangles. Fe3+ induces aggregation of hyperphosphorylated tau protein, and reducing agents LEE Chui Ping released Fe2+ and soluble tau from aggregated AD 1 June 2010 brain tau. Small aggregates of Aβ and other proteins Hong Kong Pharmaceutical Care Foundation harm neurons. Treating AD patients for 2 years with an iron chelator, desferrioxamine, slowed disease The objectives of the pilot scheme on Visiting progression, but desferrioxamine must be injected Pharmacist Services for Residential Care Homes for frequently, making compliance difficult. Therefore, the Elderly (RCHE) are to improve the quality of care we examined whether an iron chelator that can be and medication management process at the RCHEs, swallowed, deferasirox, may treat AD or tauopathies. assist RCHEs to resolve medication related problems, We treated transgenic mouse models of AD and ease the stress of staff at RCHEs; and reduce tauopathy either with or without deferasirox mixed in medication-related incident at RCHEs. To assess peanut butter. Thrice weekly treatment with 1.6 mg whether the pilot scheme can achieve its stated deferasirox began at age 8 months and continued for objectives, the Hong Kong Pharmaceutical Care approximately 6 months. Change in memory as Foundation has commissioned an independent local measured by the contextual fear conditioning test at tertiary institution, the School of Pharmacy of the the beginning and end of treatment gave a tendency Chinese University of Hong Kong to carry out an toward association of deferasirox with memory evaluation on the effectiveness of its services. The preservation (p=0.067 for audio context and p=0.28 outcomes for place context) in all mice expressing the tau Reconciliation, general interventions, hotline service, transgene (tau/APP and tau/tau mice combined). etc will be reported. Using (MD09772) the antibody AT8, which stains of tasks including Medication hyperphosphorylated tau in tangles, we observed a tendency toward less area occupied by tangles in male tau/tau mice treated with deferasirox compared to untreated mice: 3.3±2.4% vs. 5.6±3.4% (mean Faculty of Medicine School of Pharmacy Analytical Service – Chemical Testing on Pharmaceutical Products for Hospital Authority Novel Strategies (SQ10-007) Cassette to Drug Overcome Efflux ATP-binding Transporters-mediated Multidrug Resistance in Cancer Cells LEE Vincent Hon Leung CHOW Hee Lum To KKW Albert LIN Ge (School of Biomedical Sciences) FU Liwu* 13 August 2010 1 January 2011 Hospital Authority NSFC/RGC Joint Research Scheme The project involved chemical analysis of pharmaceutical products from Hospital Authority Multidrug resistance (MDR) in cancer cells, usually Chief Pharmacist Office for quality assurance mediated by overexpression of ATP-binding cassette purpose. The chemical analysis mainly involved (ABC) transporters, remains a major hurdle to identification test and quantitative analysis of successful chemotherapy. Tyrosine kinase inhibitors pharmaceutical active ingredients. Testing protocols (TKIs) are usually reference to national pharmacopeia such molecularly-targeted cancer chemotherapeutic agents. as Recent findings by us and others about the potent British Pharmaceutical and United State are an important new class of Pharmacopeia. inhibition of MDR transporters by various TKIs have (MD10871) renewed the research interest in developing drug transporter inhibitors to circumvent MDR. The Analytical Service – Chemical Testing on proposed study will systematically investigate Pharmaceutical Products for Hospital Authority selected TKIs, currently clinical trials in China, for (SQ10-038) inhibition of ABC transporters and MDR reversal. The potential mechanisms for MDR reversal will be LEE Vincent Hon Leung CHOW Hee Lum studied in detail in resistant cell lines with defined overexpression of the three major MDR transporters Albert (P-gp, 13 February 2011 MRP1 or ABCG2), which will be subsequently confirmed in appropriate animal models. Hospital Authority Cancer stem-like cells (CSCs), usually overexpress of MDR transporters including ABCG2 and P-gp, pharmaceutical products from Hospital Authority represent a small population of cells within a tumor Chief Pharmacist Office for quality assurance widely believed to be the ultimate cause of drug purpose. The chemical analysis mainly involved resistance and tumor recurrence. The potential identification test and quantitative analysis of targeting of CSCs by TKIs and the enhancement in pharmaceutical active ingredients. Testing protocols the sensitivity of CSCs to other chemotherapeutic are usually reference to national pharmacopeia such drugs will be investigated. Unfavorable drug-drug as interaction due to inhibition of drug metabolizing The project British involved chemical Pharmacopeia and analysis United State Pharmacopeia. enzymes has hindered development of the 1st and 2nd (MD10997) generation of MDR reversing agents. Therefore, the Faculty of Medicine School of Pharmacy TKIs will also be evaluated for their possible nuclear interaction with metabolic enzymes and their suggested to affect transporter activity and thereby interference of statin disposition. Understanding ABCG2 regulation co-administered anticancer drugs. Collectively, the by these phenotypic factors could guide the study will provide the basis for the rational use of appropriate TKIs in conjunction with conventional anticancer anti-hyperlipidemic therapy. drugs for the reversal of MDR. We intend to measure the ABCG2 expression and (MD10933) transport activity in easily accessible patient samples, with pharmacokinetics receptor expressions choice of have statins also and been dose for the peripheral blood mononuclear cells (PBMCs), for Exploiting Regulation of the Drug Transporter predicting the lipid-lowering response to statins. The ABCG2 for Personalized Treatment with the molecular mechanism for nuclear receptors-mediated HMG-CoA Reductase Inhibitors (Statins) regulation of ABCG2 by statins will also be studied using normal colon epithelial and hepatocyte-derived To KKW TOMLINSON Brian (Medicine & cell lines, and ex vivo in PBMCs. We will also perform transcellular transport assay using cell line Therapeutics) transfected with the ABCG2 421C>A variant to 1 April 2011 investigate the impact of this common polymorphism CUHK Research Committee Funding (Direct on Grants) drug-drug interactions involving statins. Successful completion of the studies will provide The proposed study seeks to investigate the useful insights for the personalized treatment with significance of ABCG2 regulation by serum or statins. membrane cholesterol and/or nuclear receptors in the (MD10329) inter-individual variable lipid-lowering response to A Bio-activity Guided in Vitro Pharmacokinetic statin therapy. The anti-hyperlipidemic 3-hydroxy-3-methylglutaryl drugs, Method to Improve the Quality Control of A Chinese Medicines – Part 2 (Achieving Greater coenzyme (HMG-CoA) reductase inhibitors (or statins), are Relevance) known substrates for a number of membrane drug transporters. Some genetic polymorphisms in these transporters have been shown to affect transport activity and to influence the pharmacokinetic, safety and lipid-lowering effect of certain substrate statins. The ABCG2 efflux transporter is widely expressed in many tissues and plays an important role in the ZUO Zhong CHOW S S Moses* SHI Leming* HUANG Ying* 1 October 2010 Innovation & Technology Commission-Innovation and Technology Support Programme disposition of statins. While the nonsynonymous 421C>A genetic polymorphism in ABCG2 was In part 1 of this proposal, 3 bio-active chemical found to be associated with increased systemic components with good permeability and stability exposure other have been identified for a widely used TCM, phenotypic factors such as cholesterol levels and Si-Wu-Tang (SWT) manufactured according to the to various substrate statins, Faculty of Medicine School of Pharmacy Chinese Pharmacopoeia. Thus these 3 components first marketed paclitaxel chemotherapeutical agent may potentially serve as relevant markers for general sold stability testing of SWT products. These markers Cremophor/ethanol (polyoxyethylated caster oil) as however are unlikely to represent the overall vehicle/excipent that poses adverse side effects (e.g., bio-marker of a specific branded SWT product since hypersensitivity reactions). Another formulation, there are many unknown components unique to the Abraxane®, an product which could be absorbed and produce other paclitaxel with a mean particle size of approximately pharmacologic effects. Thus the availability of 130 nm, is a Cremophor/ethanol free of formulation. certain biological activity marker unique to a specific The current study aims to evaluate the cell uptake SWT product will be most useful to serve as identity kinetics of Nanoxel into various cancer cell lines in marker/fingerprint for the product. The purpose of the comparison with that of Intaxel (the cremophor based present proposal is to investigate the applicability of a paclitaxel formulation) and Abraxane (albumin panel of special differentially expressed genes (DEGs) bound paclitaxel formulation). developed from microarray processing and analysis, (MD10462) by Bristol-Myers Squibb, albumin-bound contains nanoparticle of to serve as unique fingerprint for each specific SWT product. Such fingerprint not only will be meaningful Herb-drug Interactions (representing composite in vivo bioactivity) but also Scutellariae and useful for quality control during the manufacturing Pharmacokinetics process as well as serving as a diagnostic feature for Impacts between Radix Anti-inflammatory Drugs: and Pharmacodynamics the product in distinguishing it from counterfeit products. The results of this proposed project will ZUO Zhong demonstrate the specificity/consistency and cost Sciences) effectiveness of such gene panel in its application to 1 January 2011 SWT product and its single herb components. The proposed approach, if proved to be feasible, can LIN Ge (School of Biomedical Research Grants Council - General Research Fund potentially be applied to other TCM products for quality control and “identity testing”. With the increased accessibility of different treatment (MD10308) modalities to the lay public in recent decades, it has become very difficult to predict whether various Cancer Cell Uptake Kinetics of Paclitaxel in combinations of all of these medications will lead to Nanoxel unwanted side effects or interactions. Compared with western drugs, there are relatively few studies on ZUO Zhong herbal components. With a better understanding of 9 December 2010 the absorption and metabolic pathways of herbal components one can recognize or even predict Fresenius Kabi Asia Pacific Ltd potential herb-drug interactions and take proper Paclitaxel is a natural product extracted from the bark actions of the Pacific yew tree. It is a complex diterpene and Scutellariae (RS) is a frequently utilized plant Taxol®, ingredient in both traditional prescriptions and taxane derivative, and is very hydrophobic. to prevent their occurrence. Radix Faculty of Medicine School of Pharmacy modern herbal medications. It has been used for provide a basis for further prediction of potential centuries and herb-drug interactions between herbal components respiratory and gastrointestinal tract infections. such as flavonoids and western drugs in clinical Flavonoids are the most abundant ingredients in RS. practice. The six flavones, namely baicalein (B), baicalin (CU10800) to treat inflammation, (baicalein-7-glucuronide, BG), cancer, wogonin (W), wogonoside (wogonin-7-glucuronide, WG), oroxylin Provision of Further Research on Human Study A (OA) and oroxylin A-7-glucuronide (OAG) are the on Interactions of Oseltamivir and Chinese major bioactive components in RS. Herb-herb and Medicine Formulae Herb-drug interactions of RS have been reported, however, with emphasis on either its impact on the in ZUO Zhong LEE Vincent Hon Leung vivo pharmacokinetics or in vitro pharmacodynamics TOMLINSON Brian (Medicine & Therapeutics) of western drugs. During the past nine years, with the continuous CHAN Yan Keung Thomas (Medicine & support of two Earmarked Grants, two ITF Grants Therapeutics) and four Direct Grants for both PI and Co-I, we were Chinese Medicine) CHOW S S Moses* able to identify the mechanisms of absorption and disposition for a series of active ingredients from CHAN Kay Sheung Paul (Microbiology) LIANG Zhiying (School of 1 April 2011 Hospital Authority herbal medicines including B, BG, W, WG, OA and OAG. In order to translate this basic information on Combination of oseltamivir with 2 specific Chinese flavonoids to clinical practice, we now propose the medicine formulae (CM), Yin qiao san + Sang ju yin current animal-based herb-drug interaction studies (CMF1) or Ma Xing Shi Gan Tang and Qian Jin Wei between drugs. Jin Tang (CMF2), have been advocated for the Anti-inflammatory drugs are the e most commonly treatment of avian influenza in Hong Kong. Based on co-administered western drugs, and they share the our preliminary animal and human experimental data, same metabolic pathway and possess similar COX-2 the current study is proposed aiming to: 1) determine inhibition activity with RS components. We plan to 1) the magnitude of change in the pharmacokinetics and in vitro screen for the potential anti-inflammatory antiviral effect (H3N2 and H1N1) of O and OC when agents that may inhibit the metabolism of RS O is administered at higher dose (150mg, twice daily) components; and 2) further investigate the potential with Yin qiao san + Sang ju yin (CMF1) or Ma Xing pharmacokinetics and pharmacodynamic interactions Shi Gan Tang and Qian Jin Wei Jin Tang (CMF2) in between RS and selected anti-inflammatory agent in human subjects; 2) investigate the antiviral effect rats. The current study will not only serve as a pilot (H3N2 and H1N1) of CMFs alone in the mean time; study on the potential interactions between a and 3) provide further information on the mechanism standardized RS extract and its most likely of potential herb-drug interactions in healthy human co-administered anti-inflammatory drugs with the subjects. The ultimate goal is to provide relevant simultaneous assessment of the overall impact of clinical guidance on the safety, specificity and pharmacokinetics (on both herbal components and potential herb-drug interactions at higher dosage of O western drug) and pharmacodynamics, but also in combination with CMFs. RS and anti-inflammatory Faculty of Medicine School of Pharmacy LAM (MD10343) Wai Kei Christopher (Chemical Pathology) (Chemical CHAN Ho Please refer to previous issues of this publication Ming Pathology) for more details of the following ongoing research TANG Wai Kwong (Psychiatry) at the department: TANG Ka Lam Alan (Psychiatry) CHUNG Wai Sau Dicky (Psychiatry) Edition Title/Investigators 2009-10 Nanoparticle and Cocrystal Formulations LEE Wing Yan Vivian 2009-10 The Safety and Short-term Efficacy of of Curcumin for Treating Alzheimer’s Aliskiren in the Treatment of Disease (MD09680) Immunoglobin Nephropathy – BAUM Lawrence William CHOW Randomized Cross-over Study” A (MD09634) Hee Lum Albert LEE Kwing Chin Kenneth 2009-10 A Model of Epileptogenesis in 2008-09 Joint Alzheimer’s Disease (MD09958) BAUM Lawrence William RUDD Nursing-pharmacy Health Promotion Programme for Hidden Elders John Anthony (School of Biomedical in the Community (MD09418) Sciences) LEE Wing Yan Vivian KWAN Kwok Leung LEE Tze Fan Diana (The Nethersole School of Patrick (Medicine & Therapeutics) Nursing) 2009-10 Nanoparticle Formulation for Improved YU Sau Fung Doris (The Nethersole School of Nursing) Drug Delivery across the Blood Brain Barrier: Potential for Treatment of 2009-10 Clinical Relevance of microRNA Alzheimer’s and Other Brain Diseases Dysregulation and DNA Methylation in (MD09661) Mediating Overexpression of ABCG2 in CHOW Hee Lum Albert BAUM Chemo-resistant To KKW Method Cancer (MD09562) Lawrence William 2009-10 Waterbath Colorectal Validation NG Siu Man Simon (Surgery) (MD09863) 2008-09 Provision CHOW Hee Lum Albert Conducting 2007-08 Socioeconomic and Health Impacts of of Clinical a Human Research of Study on Interaction of Oseltamivir and Chinese Substance Abuse in Hong Kong – A Medicine Formulae (MD08467) Longitudinal Study (MD07369) ZUO Zhong LEE Kwing Chin Kenneth CHEUNG Yuet Wah (Sociology) CHAN Yan Keung Thomas (Medicine & Therapeutics) TOMLINSON Brian (Medicine & Therapeutics) CHAN Kay Sheung Faculty of Medicine School of Pharmacy Paul (Microbiology) CHE Chun 2009-10 Provision of Conducting a Systematic Review of Interaction of CHM with LEE Vincent Hon Leung CHOW S Drugs Acting upon the Central Nervous S Moses* System (MD09489) Tao (School of Chinese Medicine) ZUO Zhong LEE Chui Ping LEE 2009-10 Establishment of a Biopharmaceutics and Pharmacokinetics Characterization Vincent Hon Leung Kwok (Psychiatry) Platform for a Series of Novel Dimeric J.* AChE Inhibitors (CU09808) Medicine) ZUO Zhong HAN Yifan* YE WING Yun PERRY Paul LIN Zhixiu (School of Chinese ZHANG Hongwei (School of Chinese Medicine) Tao* Faculty of Medicine Department of Psychiatry Background: Mental Disorders are highly prevalent RESEARCH PROJECTS condition. The World Health Organization estimated that the life time prevalence of mental disorders Multi-professional Case-Management Program ranged from 18.1-36.1%. In Hong Kong, the demand for Case Managers for mental health care has substantially increased over the last decade, raising a pressing need for the CHIU Fung Kum Helen provision of basic epidemiological data of prevalence 12 July 2010 for the most significant and common disorders, in order to facilitate strategic planning for future St Vincent's Mental Health, University of prevention, early detection and intervention. Melbourne Aims: The present study presented the framework for The Hospital Authority of Hong Kong (HAHO) the Hong Kong Mental Morbidity Survey 2010 would employ case managers to look after patients (HKMMS10). The HKMMS10 aims to collect data with severe mental illness. Case managers are among community adults aged 16 to 75 in Hong expected to do individual service plans for clients. Kong. The whole survey will cover common mental This training course of case management is a disorders (CMD), psychoses, substance misuse and collaboration between the Asian Australia Mental suicidal behaviors. Health, St. Vincent’s Mental Health of University of Methods: The survey will be conducted with a Melbourne and the Department of Psychiatry of the two-phase design. The first phase interviews will Chinese University of Hong Kong and will train include approximately 5,700 subjects with structured multi-displinary staff of HAHO in providing assessments for CMD, screening instruments for case-management services to clients. psychotic disorders, substance misuse and suicidal (MD10493) behaviors, and important psychosocial risk factors for mental disorders. The second phase comprises of clinician interviews for psychotic disorders and The Hong Kong Mental Morbidity Survey 2010 suicidal behaviors. LAM Chiu Wa LEE Edwin CHIU Fung Kum Helen LAU Tak Fai Joseph (Centre for Health Behaviours Research) Analysis: Prevalence for each significant mental condition will be estimated. Comorbidity will be SHAM Pak Chung* estimated using Latent Class Analysis (LCA). CHEN Yu Hai Eric* LAM Mei Ling May* Logistic regression will be used to identify significant HUNG Se Fong* CHAN Wai Chi* factors associated with mental disorders. CHEUNG Fu Chi Eric* Man Kin Roger* LAM Ming* CHIANG Tin Po* NG Discussion: This proposal outlines a pragmatic, Glyn relatively low cost approach to provide territory wide Lewis* Jim Van Os* Paul E Bebbington* 1 September 2010 Food and Health Bureau - Commissioned Studies on Health and Health Services Research Fund data on the prevalence of the most important mental health problems, their at risk states, as well as associated risk factors in the Hong Kong population. This would have direct impact on health service planning, early intervention and community support. (MD10484) Faculty of Medicine Department of Psychiatry Evidence of Brain Damage in Chronic Ketamine Poststroke Aggression among Hong Kong Stroke Users – A Brain Imaging Study Survivors TANG Wai Kwong TANG Wai Kwong WONG Ka Sing Lawrence (Medicine & Therapeutics) MOK Chung Tong Vincent (Medicine & Therapeutics) CHU Chiu AHUJA Anil Tejbhan (Imaging CHU Chiu Wing Winnie (Imaging & Interventional Radiol) 30 June 2011 CUHK Research Committee Funding (Direct Wing Winnie (Imaging & Interventional Radiol) Grants) & Ketamine is the most commonly abused psychotropic Interventional Radiol) LEE Edwin drug in Hong Kong. The long-term abuse of ketamine 1 February 2011 Health and Health Services Research Fund causes cognitive deficits. The mechanism by which these cognitive deficits are induced by such Objective: The present proposal aims to evaluate the long-term abuse is yet to be defined. No imaging frequency, clinical and brain imaging correlates of evidence of the brain abnormalities associated with poststroke anger in a cohort of Hong Kong stroke ketamine abuse has yet been published. survivors. The 12 month clinical course of poststroke We propose a study that will examine the evidence of anger will be examined as well. brain damage in a group of chronic ketamine users in Design: A prospective longitudinal study. Hong Kong. The objectives of the proposed study are Setting: The Acute Stroke Unit of the Prince of as follows. Wales Hospital. 1. To ascertain the pattern of gray matter and Participants: We propose to recruit 355 consecutive white matter volume reduction in chronic Hong Kong patients with acute ischemic stroke. ketamine users. Main Outcome Measure: The Magnetic Resonance 2. To evaluate the correlations between the Imaging examination will be performed within the aforementioned structural abnormalities in the first 7 days after the onset of stroke to evaluate the brain and cognitive impairment in chronic number, volume and location of brain infarcts. At 3, 9 ketamine users. stroke, Seventy-two ketamine users and 36 healthy subjects participants will be assessed for poststroke anger, will be recruited. All of the subjects will receive a depression, cognitive function and physical function. detailed The proposed study will determine the frequency, examination. Comparison will be made between the clinical and radiological correlates of poststroke imaging data of the ketamine users and the healthy anger. The odds ratios of the putative risk factors will subjects. The imaging data of the ketamine users will be calculated using logistic regression. The presence be examined for correlations with cognitive task and severity of poststroke anger at 3, 9 and 15 performance. months poststroke will be described. (MD10916) and 15 months following the index cognitive assessment and imagining (MD10944) Faculty of Medicine Department of Psychiatry Evidence of Brain Damage in Chronic Ketamine REM Sleep Behavioral Disorder - A Prospective Users – A Brain Imaging Study Follow-up, Neurocognitive and Neuroimaging Study - A Search of Early Neurobiological TANG Wai Kwong CHU Chiu Wing Winnie (Imaging & Interventional Radiol) WANG Defeng (Imaging & Interventional Radiol) SHI Lin (Imaging & Interventional Radiol) YEUNG Ka Wai Daivd Markers of Neurodegenerative Disorders (Imaging & Interventional Radiol) 3 October 2011 Beat Drugs Fund WING Yun Kwok CHOI Frankie* CHU Chiu Wing Winnie (Imaging & Interventional Radiol) LAM Siu Ping LEUNG Yim Lung Eric* LI Man Chim Albert Martin (Paediatrics) MOK Chung Tong Vincent (Medicine & Therapeutics) TSOH Mei Yuek Joshua 4 October 2010 Ketamine is the most commonly abused psychotropic drug in Hong Kong. The long-term abuse of ketamine Research Grants Council - General Research Fund causes cognitive deficits. The mechanism by which these cognitive deficits are induced by such REM sleep behavior disorder (RBD) is a sleep long-term abuse is yet to be defined. No imaging disorder characterized by enactment of vivid dreams evidence of the brain abnormalities associated with with consequent sleep-related injury. Typical RBD ketamine abuse has yet been published. predominantly affects male elderly and is suggested We propose a large-scale study that will examine the to predate and predict the subsequent development of evidence of brain damage in a group of chronic synucleinopathy-related neurodegenerative disorders ketamine users in Hong Kong. The objectives of the such as Parkinson’s disease and dementia of Lewy proposed study are as follows. bodies. Some early neurobiological markers were 1. To ascertain in the pattern of gray matter and reported among patients with RBD even without white matter volume reduction and regional clinical neurodegenerative diseases (idiopathic RBD). metabolic and activation abnormalities in Over the past few years, a new variant of RBD was chronic ketamine users; and reported in psychiatric population (atypical RBD), To evaluate the correlations between the which highly resembled the clinical features of RBD aforementioned structural, metabolite and but appeared among younger female subjects with functional abnormalities in the brain and depression and usage of antidepressants. Currently, cognitive impairment in chronic ketamine the understanding of this atypical RBD and its users. relationship with typical RBD or neurodegeneration (MD11375) process is very limited. Our preliminary data 2. suggested that it antidepressant-related was more condition. than a simply Coupling with increasing evidences that depression could be a precursor of neurodegenerative diseases, we postulated that atypical RBD could potentially be an early form of typical RBD by sharing a similar Faculty of Medicine Department of Psychiatry underlying neurodegenerative process, but the onset Familial Aggregation of Insomnia in Hong Kong of illness was advanced and precipitated by Chinese: A Prospective, Case Control Study antidepressants or mental illness. In this cohort study, we aim to conduct a follow up WING Yun Kwok LI Man Chim Albert Martin study of both typical RBD and atypical RBD. It will (Paediatrics) give insights on long-term outcomes and incidence of 1 November 2010 neurodegenerative diseases of both groups. For Health and Health Services Research Fund atypical RBD, as evidence for the association with neurodegeneration is lacking, this study will provide Background: Insomnia is a common sleep problem the first follow-up data regarding its course, treatment with significant health burden to individuals, families outcome, and its comparison with typical RBD. and society. While some medium term of follow-up Apart from looking into the longitudinal course of the studies (1-3 years) suggested a relative chronic illnesses, we also aim at identifying and comparing course of insomnia in both children and adults different early neurodegenerative markers for typical separately, there is a dearth of data on the relatively RBD and atypical RBD. They include a battery of longer term (over 5 years) outcome of insomnia, psychometric neurocognitive tests, olfactory especially among children and their parents. Our dysfunction measurement, cardiac MIBG preliminary epidemiological study in 2003 suggested scintigraphy for sympathetic denervation and PET a familial aggregation of insomnia among the brain transmission children and their family members, the lack of detail abnormalities. In typical RBD, these investigations clinical, sleep and physiological measurements will shed light on the course and development of precluded further insight towards understanding of neurodegeneration and in atypical RBD, this study the vulnerability will aggregation phenomenon. imaging for provide the dopaminergic first result on early mechanism for this familial neurodegenerative markers, which may help in Objective: Firstly, we hypothesized that there would delineating its associations with typical RBD and be a chronic cause of insomnia among children and other neurodegenerative diseases. By identifying and their family. Secondly, we aim to employ a integrating a series of early neurobiological markers family-based case-control design in the second phase of underlying neurodegeneration, it may help to of unravel a better study to investigate detail of the clinical-sleep-biophysiological delineation for the these early familial aggregation phenomenon of insomnia. We markers be proven to be predictive of subsequent postulate that there will be familial aggregation in the neurodegeneration, underlying vulnerability trait and pathophysiological neurodegenerative understanding the process. they Should should, theoretically, provide a therapeutic window and guidance for future hyperarousal clinical trial of neuro-protective measures in halting endophenotype markers of insomnia. the progress of neurodegeneration. Design: This is a prospective follow up family-based (CU10766) study with a two-phase design. state, which may serve as Setting: Sleep Assessment Unit, Shatin Hospital Participants: All the eligible subjects in the previous study in 2003 with a contactable means for follow-up Faculty of Medicine Department of Psychiatry will be recruited. Among 5698 children with at least Design: Follow-up cohort study. one parent in our 2003 survey. We would randomly Setting: Third wave out-patient clinic, Prince of approach Wales hospital. 3000 adolescent who would have contactable means for follow up study. Participants: Psychiatric outpatients with major Main outcome measures: Data on subjective and depressive disorder. objective sleep variables as well as presence of Main outcome measures: Clinical variables including co-morbid psychiatric disorders will be collected. In comobidity of psychiatric diagnosis, prescription of the case-control study, 24-hour urine catecholamine antidepressants, psychosocial variables including the and salivary cortisol, plays a critical role in the scores on HADS, BDI, MEQ, etc; and biochemical familial aggregation of insomnia. measures including the levels of dim light melatonin. (MD10351) Implications: To our knowledge, this study will be the first to provide clinical and laboratory data Sleep Disturbance and Chronotypes in Major relating to the pathophysiological mechanism Depressive Disorder underlying the chronotype in depressive patients. In addition, the outcome of the study may have WING Yun Kwok CHAN Wing Yan Joey* important clinical and therapeutic implications for future management of this sleep disturbance in the LAM Siu Ping* LIN XIN context of depression. 27 June 2011 CUHK Research Committee Funding (Direct (MD10954) Grants) Please refer to previous issues of this publication Background: Depression is a common mental illness for more details of the following ongoing research with significant personal and socioeconomic health at the department: costs. There is growing evidence of circadian disturbance in depression. The repetitive pattern of Edition Title/Investigators diurnal mood fluctuation represents one of the cardinal symptoms in DSM-IV melancholic 2009-10 Assessment of Mental Capacity for depression. A diurnal pattern with worsening of Everyday cognitive performance in the morning and an Chinese Older Population (MD09527) improvement in the evening based on objective LAM Chiu Wa Decision-making for the CHIU Fung Kum neuropsychological tests was also observed. Helen LUI Wing Cheong Victor* Objectives: Our study aims to survey for the local LEUNG Kwok Fai* prevalence of chronotype by Morningness and Appelbaum* Jason Karlawish* Paul Stuart Eveningness Questionnaire and to validate its use against an objective circadian marker. We would also 2009-10 A Multicentre, Open-label, Prospective try to identify its clinical correlates in Chinese Long-term Study Evaluating the Clinical depressive patient and to assess the stability of Benefit and Effectiveness of Quetiapine chronotype by comparing the successive follow up Fumarate Extended-release Tablets data in our study subjects. Faculty of Medicine Department of Psychiatry (SEROQUEL XR®) in subjects with 2009-10 A Study on the Syndrome Differentiation Schizophrenia (MD09495) of Chinese Medicine for Psychotropic LEE Edwin Drug Abusers (MD09916) Dicky* CHUNG Wai Sau CHAN Sau Fan Teresa* TANG Wai Kwong LEE Edwin KAM Wai Kwok Irene* LUI Wing SUN Waizhu (School of Chinese Cheong Victor* Medicine) LAM Ming* Sandra CHAN Sau Man WONG Yip Chau* TUNG Fu Yin* CHANG Wing Chung* LEUNG Tak Yue Grace* 2008-09 A Multicenter, Double-blind Placebo-controlled, Investigative Extension Trial of the Safety and Efficacy of to Aripiprazole in the Treatment of Patients Paliperidone ER in Obese Patients with with Bipolar Disorder Experiencing a Schizophrenia Manic or Mixed Episode (MD08412) 2009-10 Switching from Antipsychotics or Schizoaffective Disorder: The Effect on BMI and Metabolic Indices (MD09549) LEE Edwin WING Yun Kwok LAM Siu Ping* CHUNG Wai Sau 2008-09 A Multicenter, Investigative Trial of the Dicky* Safety 2009-10 Psychiatric Comorbidity and Cognitive Dysfunction LAM Ho Bun* in Primarily Ketamine and Administration Efficacy of of Extended Aripiprazole in Combination with Mood Stabilizer for Users – A Closer Look (MD09505) the Treatment of Patients with Bipolar TANG Wai Kwong Disorder Experiencing a Manic or Mixed LEE Kwing Chin Kenneth (School of Pharmacy) WONG Adrian (Medicine & Therapeutics) TANG Alan* LEE Episode (MD08553) WING Yun Kwok LAM Siu Ping* LAM Ho Bun* Edwin TANG Kwok Hei Hezon* LEUNG Yuk Kin* NG Suet Kam 2008-09 A Multicenter, Randomized, Double Blind, Carol* Placebo-controlled, Parallel Group-comparison Trial of Aripiprazole 2009-10 Poststroke Aggression among Hong in the Treatment of Patients with Bipolar Kong Stoke Survirors (MD09926) Disorder Experienceing a Manic Episode TANG Wai Kwong or Mixed Episode (MD08618) Sing Lawrence Therapeutics) WONG Ka (Medicine & MOK Chung Tong WING Yun Kwok LAM Siu Ping* LAM Ho Bun* Vincent (Medicine & Therapeutics) LAM Wai Man Wynnie (Imaging & Interventional Radiol)# 2009-10 REM Sleep Behavioral Disorder and Psychiatry: A Hidden but Potential Serious Condition. A Case-Control Study (MD09554) Faculty of Medicine Department of Psychiatry WING Yun Kwok LAM Siu Ping* TSOH Mei Yuek Joshua* MOK Chung Tong Vincent (Medicine & Therapeutics) Faculty of Medicine School of Public Health and Primary Care RESEARCH PROJECTS daily hospital admissions. Results: Socio-demographic variables including age, gender, marital status, area of residence, chronic diseases, The Impact of Elevated Ambient Temperature in patient profile, household income and history of Injury and Disease Morbidity Patterns in Hong chronic diseases will be examined to identify Kong high-risk groups. Conclusion: Findings will help promote evidence-based public health awareness CHAN Ying Yang Emily GOGGINS III William Bernard 1 January 2011 Health and Health Services Research Fund Background: According to the International Panel on strategies for reducing heat-related illnesses in future health campaigns and programs. (MD10988) Health in Remote, Disaster Prone, Ethnic Minority Communities in China Climate Change (IPCC), global climate change has a wide range of risks and threats to human health. Periods of elevated temperature, in particular, are CHAN Ying Yang Emily LEE Po Yi Lee Yung# expected to contribute to a greater burden on public 30 June 2011 health mortality and morbidity in both high and low CUHK Research Committee Funding (Direct income settings. While there is extensive evidence of LIN Grants) the health impact of heat worldwide, limited study has been conducted in Hong Kong and none has Background: focused on injury and morbidity patterns. Objective: Chinese constitutes to 8.4% of China’s population The purpose of this project is to understand the and generally fare worse in economic status and they pattern of heat-related morbidity in Hong Kong and are disproportionally concentrate in disaster prone identify high-risk groups to reduce the negative areas or terrains with extreme climate conditions in health impact. The primary objectives are to 1) rural China. Public health research review indicated examine the relationship between temperature and that there is a limited understanding of health status hospital admissions in Hong Kong; and 2) identify and outcomes of these ethnic minority populations in injury and disease morbidity patterns and high-risk China. The aim of this project is to examine the demographic subgroups. Methods: A retrospective impact ecological study based on routine hospital admissions urbanization and climate change) might have on data, temperature, and pollution data will be health outcomes in various ethnic minority groups in conducted. Hospital admission data of injury and remote areas in China. specific diseases morbidity information will be Methodology: The project intends to recruit ten solicited from the Hong Kong Hospital Authority non-Han (HA) from 1998-2008. A generalized additive communities and examine various health outcomes (Poisson) models (GAMS) will construct to examine associated with disaster and urbanization impact for a the association between daily mean temperature and 5 year Cohort follow up study. Cross- sectional, of According to literature, macro-determinants ethnic minorities in non-Han (e.g., disaster disaster, prone face-to-face household survey will be conducted in Faculty of Medicine School of Public Health and Primary Care each of the selected site during the study period capacity in addressing lifestyle and mental health 2010-2014. Demographic information, self-reported needs of patients. health status, disaster preparedness nutritional issues, Aim: The first aim of our study is to evaluate the environmental and quality of publically funded TCM clinics in Hong related Kong by using Primary Care Assessment Tool behavior will be collected. In addition, for every (PCAT), and the second aim of our study is to assess study communities, at least two focus group studies the lifestyle and mental health needs of TCM services will be conducted. Each group will be conducted by users by Case-finding and Health Assessment Tool trained researchers and the process will be supported (CHAT). by language translators. All discussion will be Methods: 500 Chinese patients aged 18 and above recorded on site and detailed transcription will be will be sampled systematically from 6 publically conducted at SPHPC for further content analysis. funded TCM clinics under the administration of Projection implication: Project results will be Chinese University of Hong Kong Chinese Medicine submitted to regional and international academic Training and Research Centre. conferences to enhance better understanding of how Data Analysis: Multiple linear regression analysis China rural ethnic minority areas might be affected will be conducted to examine the association between by disasters, climate change and urbanized lifestyle. socio-demographic status with each domain of In addition, findings will be translated to evidence primary care score and the primary care total score. based And patients’ lifestyle and mental health risk factors living related knowledge/attitude/practices solution and health of programs health for risk potential implementation by field based project partners. will be examined with description analysis. Statistical (MD10402) significance for all characteristics will be set a p < .05. Assessing Quality of Public Traditional Chinese Potential Implications: Results from PCAT will Medicine Outpatient Services from Primary Care allow policy makers to understand the strength and Perspectives weaknesses of the publicly funded TCM sector from a primary care system perspective. In addition, results CHUNG Chi Ho LEUNG Wing Nang (School of Chinese Medicine) WONG Yeung Shan Samuel MA Haixia GRIFFITHS Sian Meryl 30 June 2011 CUHK Research Committee Funding (Direct from CHAT will reveal potential service gap in public TCM clinics. These findings will inform the formulation of corresponding strategies that help to improve service quality. (MD10624) Grants) Provision for Statistical Service on Surgical Background: Improving primary care quality is the Mortality and Morbidity central theme of Hong Kong’s healthcare reform. Despite formal recognition of TCM, there is a lack of GOGGINS III William Bernard research in assessing the quality of TCM care from a 1 September 2010 primary care perspective, as well as TCM sectors’ Hospital Authority Faculty of Medicine School of Public Health and Primary Care The Hospital Authority has collected data on hospitalizations for AMI in Hong Kong will be outcomes for all major and ultra-major surgeries obtained from the Hong Kong Hospital Authority undertaken in HA hospitals from Jul 2009 - June (HA) for the years 2000-2008. This HA data will 2010 with variables having been collected on cover approximately 90% of total AMI admissions in pre-operative risk factors, operative factors and Hong Kong. Poisson Generalized Additive Models complications including death, within 30 days after (GAMS) will be used to study the trend in AMI the operation. This project is to use this dataset to hospitalizations over the study period both overall construct and validate statistical models for both and separately by gender. Potential confounding 30-days 30-day variables including seasonality, climatic and pollution post-operative complications. The statistical models variables will also be controlled. Similar data will would adjust for risk factors for mortality and also be obtained from two Taiwanese ‘control’ cities, morbidity. Taipei and Kaohsiung, which did not implement (MD10672) smoking bans until Jan 1, 2009. The results of this post-operative mortality and study will provide information as to whether phase 1 Effect of Hong Kong’s Ban on Smoking in Public of the Hong Kong smoking ban has had a rapid effect Places on AMI incidence rates. on Incidence of Acute Myocardial (MD10569) Infarction GOGGINS III William Bernard CHAN Ying Yang Emily YANG Chunyuh* Special Programme for Research and Training in Tropical Diseases (TDR) 1 December 2010 Health and Health Services Research Fund GRIFFITHS Sian Meryl 1 September 2010 Smoking is a well-established risk factor for coronary World Health Organization heart disease. There is also evidence that exposure to second hand cigarette (SHS) has short-term effects A) Report for Infectious Diseases of Poverty; and which can increase the risk of acute myocardial infarction (AMI). Hong Kong introduced a law prohibiting smoking in workplaces, restaurants, schools, parks, museums, beaches, and swimming Technical support in writing the Global B) Meetings Rapporteur and writing for TropIKA website. (MD10376) pools on January 1, 2007. Notably smoking was not banned in most bars, saunas and karaoke clubs until Training Program on “High Level Forum on July 1, 2009. Previous studies from the United States Community Health & Primary Care Management and Italy have found that hospitalization rates for for Mainland China Health Leader” AMI have fallen suddenly following implementation of public smoking bans. Not all studies have agreed GRIFFITHS Sian Meryl TANG Jinling with this conclusion however, and the sample size for 13 September 2010 many of these studies was quite small and the Hospital Authority methodology has often been quite simple. Data on Faculty of Medicine School of Public Health and Primary Care To introduce Hong Kong’s primary health care drink driving, the government legislated to increase services and the development to the Mainland China penalties healthcare leaders, and let them have a thorough Research elsewhere has shown the public health understanding of Hong Kong’s health care systems impacts of lower alcohol price include increases in : and policies. (1) alcohol misuse; (2) alcohol related mortality, (MD10918) morbidity and healthcare utilization; and (3) drink and strengthened law enforcement. driving, domestic violence and other crime rates. The Public Health Impacts of the Policy Decision Legislation to reduce drink driving has, however, to Reduce Alcohol Tax in Hong Kong reduced harm. Our study will use the unique opportunity to assess GRIFFITHS Sian Meryl KIM Jean Hee CHUNG Chi Ho LAU Chun Hong LAU Tak the impact of a reduction of tax on alcohol, taking into account other policy changes such as Fai Joseph (Centre for Health Behaviours introduction of drink driving legislation and the Research) indirect effect of smoke free legislation applied to LEE Sing (Psychiatry) Chi Ming Michael# LEUNG WONG Chi Sang bars in 2009 .To do this we will: (1) Use telephone survey methodology to investigate changes in WONG Yeung Shan Samuel knowledge of, behaviour and attitude towards alcohol 1 October 2010 Public Policy Research Funding Scheme use in the general population subsequent to recent legislation, using our previous research in 2006 as a Our aim is to evaluate the health impact of recent baseline. This will allow us to assess changes in policy decisions, notably reduction of tax on alcohol binge drinking and alcohol misuse rates; (2) Use and implementation of drink driving legislation on routine data from the Hospital Authority, to evaluate alcohol related harm to health in Hong Kong. changes in mortality, morbidity, public healthcare Background: alcohol-use service utilization associated with alcohol-related disorders are problematic in most societies. The conditions; and (3) Working with the Hong Kong World Health Organization (WHO) estimates that Police Force and Social Welfare Department, we will “harmful use of alcohol” causes around 2.3 million utilize data from routine and special sources, premature deaths per year worldwide, causing 3.7% supplemented by qualitative methods including of global mortality. Furthermore, alcohol misuse in-depth interviews, to assess the impacts of accounts for 4.4% of the burden of disease. Given legislative change on alcohol related traffic accidents, this scenario, the non communicable disease (NCD) crime, domestic violence and other social disharmony. strategy introduced by the Hong Kong Food and This will provide information for policy makers Health Bureau prioritizes reduction of alcohol related planning public health intervention programs to harm. International research experience has shown reduce alcohol related harm, a key objective of the that alcohol drinking patterns are sensitive to tax NCD strategy. policy changes at a national level. In 2008, the SAR (MD10427) Alcohol misuse and government eliminated the 40% duty on alcohol (except spirits) in order to boost economic growth. Concomitantly, in the face of increasing incidence of Faculty of Medicine School of Public Health and Primary Care Simplification of the Alcohol Use Disorder by using validated time line follow back method; and Identification Test (AUDIT) for Screening Male (2) alcohol use disorders by the Alcohol Use Patients with Hazardous Use of Alcohol and Disorders and Associated Disabilities Interview Alcohol Use Disorder in Primary Care Settings: A Schedule – DSM-IV Version. Pilot Study Statistical analysis: Standard metrics for diagnostic accuracy will be calculated for each version of GRIFFITHS Sian Meryl TAM Wai San Wilson CHUNG Chi Ho WONG Yeung Shan Samuel KIM Jean Hee 30 June 2011 CUHK Research Committee Funding (Direct Grants) AUDIT. Further reclassification and predictiveness curve analyses will also be performed. Significance: Results will indicate whether it would be acceptable to further develop shorter questionnaires more appropriate for use in Hong Kong’s busy primary care settings thereby facilitating the uptake of screening for alcohol related problems Background: Prevalence of hazardous alcohol use by primary care professionals at a time when alcohol and alcohol use disorders (including alcohol abuse consumption is increasing. and dependence) is increasing amongst urban male (MD10478) Chinese population but are underrecognized in primary care settings. Evidence in other countries Prospective Study of Soy Intake and Breast shows screening and brief intervention by primary Cancer Prognosis in Chinese Breast Cancer care professionals can be effective in lowering Survivors alcohol use amongst problematic drinkers. There is a recognized need for implementing these strategies in HO CHAN Suzanne YEO Winnie (Clinical Hong Kong particularity since as alcohol sales are Oncology) increasing rapidly, 76% since the tax cut in 2008. Promotion of Women's Health) Objective: To pilot the validatation of a Hong Kong King* ZHANG Xin-Hua# CHOR Sin Yee Chinese version of a screening questionnaire for risky alcohol use as recommended by the World Health ZHANG Caixia (Ctr of Res & CHENG Chi 1 January 2011 World Cancer Research Fund International Grant Organization (Alcohol Use Disorder Identification Test, AUDIT, 10 items), and its three abbreviated Background: Soy is a major source of isoflavones versions (AUDIT-4, AUDIT-C and AUDIT-3, four, which have structural and functional similarities to three and one item respectively) to assess the human estrogens. Although human studies have not increment of diagnostic accuracy generated by the revealed any adverse effects of soy intake on the risk lengthening of the instrument. for breast cancer, some in vitro and animal studies Methods: A cross sectional study of audit male have shown that isoflavones promote the proliferation patients with experience of lifetime alcohol use will of breast cancer cells. So far, limited data on soy food be recruited from clinics. Respondents will fill in the intake prior to breast cancer diagnosis have either AUDIT questionnaire and provide basic health and beneficial or no adverse effect on breast cancer demographic information. As reference standards, survival. Two recent publications have shown a patients will be assesses for (1) hazardous drinking suggested reduction of breast cancer recurrence and Faculty of Medicine School of Public Health and Primary Care total mortality among breast cancer survivors with the defined outcomes with adjustments for known higher postdiagnose soy intake. There is still a lack of important prognostic predictors and other diet and data on whether continued or increased soy food lifestyle factors. intake after breast cancer diagnosis affects breast Potential impact: There is much concern among cancer prognsis. Thus whether breast survivors breast cancer survivors on whether continued habitual should continue with habitual or reduce soy intake is or additional intake of soy food will have an adverse of great concern and studies in this area are urgently effect on breast cancer recurrence of survival. Data required. on safety of food consumption for breast cancer Aims and goals: This study aims to investigate the survivors are urgently required. Our study will add to effects of habitual soy food intake before and after the limited available data on the association between breast cancer diagnosis on breast cancer prognosis soy food intake before and after breast cancer and survival among breast cancer survivors. diagnosis and breast cancer prognosis. The results of How it will be done: The study will be conducted in the study will help clinicians to provide breast cancer Hong Kong Chinese women aged 25 to 70 years survivors diagnosed with primary breast cancer. The patients recommendations. The results will also contribute to will be recruited from two Regional Cancer guiding soy food consumption for breast cancer Treatment Centres (N.T. East and Kowloon West) of survivors. Hong Kong and then prospectively followed up for 3 (MD10598) with evidence-based dietary years. Face-to face interviews based on the standardized structured questionnaire will be Adverse Events and Poisonings from conducted to collect information on soy food intake Over-the-counter Traditional Chinese Medicine: and general diet during the year prior to diagnosis. A Information on socio-demographic factors, medial Consumer Safety Population-based Survey for Improving and reproductive history, use of complementary and alternative therapy, menopausal status, active and KIM Jean Hee CHUNG Chi Ho LAU Chun passive smoking, drinking and physical activity will Hong also be collected. The interviews will be repeated at Tak Fai Joseph (Centre for Health Behaviours 18-month and 36-month. Assessment of soy and Research) GRIFFITHS Sian Meryl overall dietary intake postdiagnosis will be included in the follow-up interviews. The clinical predictors of GOGGINS III William Bernard LAU 15 January 2011 Health and Health Services Research Fund breast cancer prognosis with be extracted from the medical records, pathology reports and computerized Background: Thematic Household Survey data Clinical Management System (CMS). Information on revealed that approximately one-third of Hong Kong breast cancer outcomes including recurrence, breast residents cancer-specific mortality and all-cause mortality will approximately be obtained from active follow-up, medical records, over-the-counter traditional Chinese medicines or CMS and Department of Health. Analyses will be proprietary Chinese medicines (PCM) without TCM carried out to evaluate the associations of soy food consultation. There have also been increasing reports intake assessed both before and after diagnosis and of Chinese herbal medicine poisoning cases with had past-year two-third TCM of users, use had while used Faculty of Medicine School of Public Health and Primary Care 37.7% of cases being cause by overdosing during Saxagliptin Assessment of Vascular Outcomes self-medication. Recorded in Patients with Diabetes Mellitus: A Objectives: 1) To examine data on the PCM-related Multicentre, knowledge, attitudes, and self-medicating practices Placebo-controlled Phase IV Trial to Evaluate the by sociodemographic and health-related factors that Effect contribute to misuse and adverse events such as Cardiovascular Death, Myocardial Infarction or poisoning; 2) explore the primary sources of Ischaemic Stroke in Patients with Type 2 Diabetes of Randomised, Saxagliptin on Double-blind, the Incidence of information of proper PCM use, contra-indications and examine knowledge of possible risks of improper PCM use in relation to adverse events; 3) examine the prevalence and correlates of PCM health information seeking behavior (label use, medical KUNG Kenny WONG Yeung Shan Samuel WONG Carmen 1 December 2010 AstraZeneca consultation); 4) determine what aspects of PCM labeling and packaging instructions are perceived to Objectives: To determine whether treatment with be unclear; and 5) understand the major barriers to saxagliption compared with placebo when added to access of understandable drug information current background therapy will result in a reduction Sampling Methods and Data Collection: An in the composite endpoint of cardiovascular death, anonymous, random digit telephone survey will be non-fatal conducted of 1100 Hong Kong residents over the age ischaemic stroke, in patients with type 2 diabetes of 18. A structured questionnaire will be used to ask mellitus. The primary efficacy outcome variable of respondents about their PCM-related knowledge, the study is defined as the composite endpoint of attitudes and practices. cardiovascular death, non-fatal myocardial infarction Data Analysis: Descriptive statistics such as myocardial infarction or non-fatal or non-fatal ischaemic stroke (time to first event). percentage and their respective 95% confidence Study Design: Multicentre, randomized, double-blind, intervals will be reported for the prevalence data. placebo-controlled Phase IV study. Multivariate logistic and linear regression will be Target patient population: Approximately 12000 conducted to examine the predictors of respondent’s patients with documented type 2 diabetes mellitus PCM-related knowledge, attitude and practices. and with either a history of previous cardiovascular Implications: It is necessary to assess consumer’s events or multiple risk factors for vascular disease rational use of PCM drugs manner for reviewing including patients with renal failure will be enrolled regulations of over-the-counter drugs and to prevent from sites throughout the world. To reflect a scenario poisonings and other adverse events from misuse. as close to real life as possible, both patients who are The findings will be instrumental in developing drug treated with glucose-lowering medication (with the labeling policies and informing consumer-oriented exception drug safety education initiatives. treatment-naive patients will be enrolled. (MD10726) (MD10833) of incretin-based therapy) and Faculty of Medicine School of Public Health and Primary Care Development of Tool Kit for Schools to Respond substance abuse, to New Health Challenges of Young Generation infectious disease, Using the Healthy School Model behaviours; and • LEE Albert obesity, and outbreaks impulsive of social Tool kit will guide the school to evolve a model of care based on HPS framework for KEUNG Mei Wan (Centre for impeding health challenges in near future so Health Ed. & Health Promotion) one does not need to re-invent the wheel from 1 July 2010 time to time. Quality Education Fund, HKSAR Government (MD10659) Recently students in Hong Kong are facing the health challenges of substance abuse, obesity, influenza Southern pandemic, Community Diagnosis emotional problems, and social District Health & Safety City behavioural problems. It has been shown that schools successfully employing the Health Promoting School LEE Albert LO Siu Chee Amelia (School of (HPS) or otherwise known as Healthy School Public Health) approach improve the development of student’s Health Ed. & Health Promotion)# resilience, building important protective factors for students’ health and well being and create an overall social environment in the school which is supportive CHENG Tai Fong (Centre for 20 July 2010 Southern District Healthy & Safe Association Limited in achieving these outcomes (Stewart et al, 2004; Patton et al, 2006; Stewart-Brown, 2006). Locally, a Safe and Healthy Cities address a wide range of study has shown that students in schools that had issues related to safety and health. Those information adopted the HPS framework had a more positive can be collected from wider sectors and agencies health behaviour profile than those in non-HPS including local residents. Appropriate indicators are schools (Lee et al, 2008). HPS schools were also needed to provide evidence on various issues reported to have better school health policies, higher concerned with safety and health so accurate degrees of community participation, and a better information hygienic environment. The HPS model has the stakeholders and decisions can be made to create a potential to become a generic model to manage safe and healthy environment for living. The emerging health challenges in school. The main goal indicators form the basis of community diagnosis of this project is to develop HPS tool kit based on which can give a clear objective image of the decade of experience and research so the schools community on safety and health by reporting the would learn how to apply in school setting. The needs. specific objectives are: The Centre for Health Education and Health • • Tool kit describes how the can be shared amongst different different Promotion of School of Public Health and Primary components of HPS would be applied to Care of Faculty of Medicine has conducted manage various health issues in school setting; community diagnosis for many districts in Hong Tool kit consists of HPS model of care for Kong and is responsible to develop indicators for recent health crises of young generation, i.e., Healthy City Award for Alliance for Healthy Cities. Faculty of Medicine School of Public Health and Primary Care The Southern District Council together with the foundation for sustainable Southern District Healthy & Safe Association environment through network building, school-based Limited commissioned the Centre to conduct needs assessment, system of monitoring and outcome diagnosis for Southern District to create a city health measure to evolve the Quality Circle of Healthy profile which will provide information for health and Promoting safety improvement for residents in the district and implementation. also as the reference information for the WHO (MD10338) Schools in Healthy the first School year of Awards for Healthy Cities. (ED10850) Developing a Model for Training School Health Professional in Macao QEF Thematic Network of Healthy Schools LEE Albert LEE Albert CHEUNG Man Biu (Educational Administration & Policy) KEUNG Mei Wan 1 November 2010 Macau University of Science and Technology (Centre for Health Ed. & Health Promotion) There is a paradigm shift for school health services as 1 September 2010 Quality Education Fund, HKSAR Government part of school system to address the diverse and the complex health needs of students in the 21st century. The ultimate goal of the QEF Thematic Network on The Health Promoting School (HPS) movement has Healthy Schools is to sustain the Healthy Schools been promulgated globally and has been found to be movement that supports quality education and effective improving the health and well being of promotes the well-being of students and staff of the students. entire school community. Specific objective of the comprehensive school health programme should exist project are to: (1) establish a school network for moving sustaining the Healthy School movement territory preventive procedures towards a holistic approach in wide; (2) empower and support experienced schools addressing physical, mental, emotional and social to help other school network to become Health health of students as well as staff and families. The Promoting Schools; (3) provide learning platforms role of school health professional needs to move for effective and sustainable practices of Health towards new services for health promotion rather Promoting School; and (4) conduct research on than conventional types of school health services. Healthy School effectiveness for promoting all-round Macao SAR Government provides resources to have well-being and learning in students. It is planned that school health professionals on site. Although the 55 primary and secondary schools in Hong Kong roles of school doctors, school nurses and other (including 35-40 health professionals would differ, they would be Participating Schools) will join the Network forming regarded as school health professionals working on a Quality Circle of Health Promoting Schools, site with certain functions and roles to be delineated. directly affecting over 60,000 student and 2,000 The school health professional has a critical role in school staff estimated. It is a 5-year project from school health programme and provides acute, chronic, 2010/11 to 2014/15, and is planning to build the episodic, and emergency health care as well as 15-20 Core Schools and Under beyond the framework routine health of HPS, screening a and Faculty of Medicine School of Public Health and Primary Care providing health education, health counseling, and HPV vaccination knowledge and attitudes toward advocates for students with disabilities. This project HPV vaccination and also uptake rate of vaccination. is to develop and evaluate a training model for school (MD10837) health professionals in meeting the needs of school health services. Medical Stakeholders Survey and Interviews on (MD10436) Health Protection Scheme Prevention of Cervical Cancer LIU Su Kiong LEE Albert (Microbiology) Louisa# GRIFFITHS Sian Meryl CHAN Wan Kin CHAN Kay Sheung Paul LAU Chun Hong LAU LEUNG Choi Har 1 December 2010 CHAN Tak Ngar (Centre for Health YEOH Eng CHUNG Chi Ho Food and Health Bureau, HKSAR Ed. & Health Promotion) 1 March 2011 GlaxoSmithKline Limited The aim of this study is to collect and analyse the views of stakeholders from the medical sector (mainly the western medical practitioners) on the Cervical cancer has always been one of the leading proposed Health Protection Scheme (HPS) as set out cancer in Hong Kong. From many previous studies, it in the Healthcare Reform Second Stage Consultation was revealed that early vaccination, (as early as from Document (FHB 2010). age 10 onwards) will bring about higher functional This study will yield systematic and comprehensive antibody titres to protect females against HPV information about one of the most important infection. stakeholders of the healthcare reform – medical The recent development of HPV vaccine was professionals. Policymakers and managers can use designed to prevent cervical cancer and has been this study to assess their knowledge, interest and attracting attention of healthcare professionals and positions related to the HPS. Results can be used to the general public. However, there are still queries & provide input for other analyses, to develop action myths in the midst of our community, doctors or even plans to improve the scheme design and increase parents of female students if they are to be vaccinated support for the reform, and to guide a participatory, in their early adolescent period. consensus-building process. In the light of its health, psychological & social (MD10714) impact on our society, the communication targets of the study will be P.5 & P.6 students of primary Consultancy Services for the Pok Oi Hospital schools and secondary schools students in Shatin. Comprehensive Organisational Review Education about cervical cancer will be conveyed through a series of video on an online platform. LIU Su Sahtin Doctors Network will arrange school based 1 May 2011 vaccination services for students if they request. The Tricor Consulting Limited study will analyze any changes of an initiation for Faculty of Medicine School of Public Health and Primary Care The project provides research on future overall of voucher scheme on their choices; and (iii) The services development of the Pok Oi Hospital (POH) factors associated with healthcare services utilization in the area of medical and health. More specifically, in Hong Kong. internal and external needs assessment and gap (MD10958) analysis will be performed, strategic options for POH to develop its future services will be generated and Knowledge, Attitude and Commitment Towards discussed with the POH board though workshops, Organ Donation among Studying Health-related presentations Degrees in a University in Hong Kong and meetings, before final recommendations are made. Since POH also provides education and social services, the project will also consolidate findings and recommendations from other consultants on POH’s future overall services development in report format. (MD10513) TAM Wai San Wilson SUEN Kwai Ping Lorna (The Nethersole School of Nursing)# 1 March 2011 CUHK Research Committee Funding (Direct Grants) Public or Private: Choice of Providers among Organ donation can save lives and organ transplant Local Population and its Influential Factors has become the only hope for some patients with organ failure in order to live on. Like other countries, LIU Su GRIFFITHS Sian Meryl Hong Kong faces a perennial problem of organ 1 May 2011 shortage but the donation rate is still low. CUHK Research Committee Funding (Direct Grants) To improve the rate, it would be useful to know the attitudes, knowledge and commitment (KAC) of health-related university students towards organ Objective: donation because they, being our future health care The purpose study aims to: professionals, will take up the role for promoting 1. Use the Thematic Household surveys data to organ donation. The aim of the project is to examine describe the pattern of primary healthcare the KAB of the students towards organ donation so as services utilization of people aged 15 or above to provide recommendations for conducting effective in both public and private sectors in Hong program or campaign to promote organ donation to Kong from 2005-2009, and the related factors. students. Design: Secondary data analysis of Thematic (MD10752) Household Surveys data. Setting: Data was derived from Household survey. A Study Comparing Primary Care Services Participants: People aged 15 or above in Hong Kong. among Six Cities in the Pearl River Delta Main outcome measures: (i) Time trends of choosing sites of care between public and private practitioners; TANG Jinling WANG Jiaji* (ii) Understanding of the decision-making process GRIFFITHS Sian Meryl that the older people go through in making the choice CHUNG Chi Ho among different healthcare providers and the impact LI Donald* WEI Xiaolin WONG Yeung Shan Samuel WONG Chi Sang GAO Yang Faculty of Medicine School of Public Health and Primary Care 1 December 2010 airborne nickel is found to be particularly harmful in Bauhinia Foundation Research Centre Ltd PM2.5. A better understanding of what components in the PM2.5 mixture are most harmful would aid The primary aim of the study is to compare primary decision makers in developing the most effective care services in the cities of the Pearl River Delta policies to protect human health. In Hong Kong, the (PRD), to assess cross-city use of medical services, recently available PM2.5 component data from the and to explore wider and deeper collaboration EPD allows us to examine at a population level the opportunities in primary care in the region. The heterogeneity in toxicity of PM2.5 components. For specific objectives to achieve include: the present study, we plan to use time-series 1. To use Donabedian’s framework to assess and approaches to estimate the association between the compare the structures, process and outcome levels of primary care in six cities in PRD; cardiovascular disease (CVD) mortalities in Hong To assess cross-border use of medical services Kong. Preliminary analyses of a small dataset in particular by those from Hong Kong who revealed the link between nickel and vanadium in are living (in particular the retired elderly), PM2.5 and the cardiovascular mortalities in Hong working or visiting Shenzhen; and Kong. These preliminary findings point to the To further understand the current policies, potential adverse effect of bunker fuel emissions on regulations, and practices in China regarding human health in Hong Kong. Although understanding primary care services under the framework of the precise biological mechanism of injury from Closer Economic Partnership Arrangement PM2.5 remains challenging, opportunities are already (CEPA) so as to explore possible wider and apparent for developing targeted interventions for deeper reducing PM2.5 air pollution. Our preliminary results 2. 3. opportunities for economic collaborations in primary care area. of PM2.5 chemical components and for Ni and V suggest that the control strategies (MD10606) targeting their sources could be effective at reducing cardiovascular mortalities in Hong Kong. This study, Evaluating the Health Effects of Distinct PM2.5 along with the related work of others, will provide a Components for More Targeted Air Quality substantial evidence base for more refined air quality Control Measures in Hong Kong control strategies. (MD11950) TIAN Linwei YU Tak Sun Ignatius QIU Hong Etiological Study of Esophageal Cancer in Chinese 1 July 2011 Population – With Special Reference to Dietary Environment and Conservation Fund Factors and Genetic Polymorphisms Not all the PM2.5 are the same. Depending on the WANG Xiaorong YU Tak Sun Ignatius TSE chemical composition, some PM2.5 may be more Lap Ah dangerous than others. There is evidence that the Chen Yu* toxicity and composition of airborne PM2.5 vary from CHRISTIANI David C.* HUANG 1 March 2011 one city to another. In New York, for example, Faculty of Medicine School of Public Health and Primary Care World Cancer Research Fund International Grant mesothelioma. There has been a claim that only amphibole This study aims at identifying etiological factors involving both genetic and environment factors, particular in dietary habits and nutritional patterns as well as personal behaviors (smoking and alcohol drinking). Furthermore, it will examine the joint and interactive effects of genetic and environmental factors on esophageal cancer susceptibility, and to understand, using a holistic approach, how modifiable dietary factors augment or counter the pathways by which genetic variants increase the cancer risk. The results from this study may help answer the two critical questions: first, if genetic predisposition to esophageal cancer can be identified before overt symptoms arise, what should be the course of action for those at high risk? Second, can be identify particular environmental factors such as food groups or dietary patterns that augment or counter the pathways by which genetic variants increase risk of cancer? (MD10518) but not chrysotile causes cancer (Amphibole Hypothesis), though some studies have reported a higher incidence of lung cancer/mesothelioma in chrysotile workers. The “amphibole Hypothesis’’ has become a pretext for asbestos industry against an increasingly strong voice of global ban of asbestos. Apparently, more convincing evidence is needed for carcinogencity of chrysotile. Using the information from the TEM analysis, we will estimate past fibre-size specific exposures for each workshop based on the PCM airborne fibre concentrations determined for the same year, 2006, as well as 2002 and 1999. The exposure levels will then be estimated back to development of the cohort in 1972 with gravimetric total dust data. An asbestos fibre size-specific job-exposure matrix was developed similarly, from TEM samples from one point in time, and PCM fibre concentrations where data before the mid-1960s was estimated from correlations between PCM concentrations and total dust collected by an impinger. This study will provide a much more detailed exposure profile for Environmental Study in an Asbestos Plant in Chongqing China (Project I) each worker using a relatively novel method that will shed new light on asbestos-related diseases in general, while allowing a better understanding of the types of WANG Xiaorong exposures being experienced by workers in this 1 April 2011 factory. Teikyo University (MD10315) Asbestos is an occupational and environment hazard, which has been responsible for millions of deaths. In Retrospective Cohort Study of Asbestos Miners and Lung Cancer (Project II) addition to causing asbestosis, asbestos is a known human carcinogen. Although use of amphibole asbestos has been banned decades ago, chrysotile asbestos has continued to be mined, manufactured, and used in many countries. It has been long debated WANG Xiaorong 1 April 2011 Teikyo University on whether chrysotile can cause lung cancer and Faculty of Medicine School of Public Health and Primary Care It has been long debated on whether chrysotile can ‧ for research purposes; cause lung cancer and mesothelioma. There has been a claim that only amphibole but not chrysotile causes ‧ cancer (Amphibole Hypothesis), though some studies have reported a higher incidence of lung development and management of collaborations proposal development with other research collaborators in China; ‧ optimal use of China COMDIS-HSD resources cancer/mesothelioma in chrysotile workers. The and responsibility for ensuring the activity “amphibole Hypothesis’’ has become a pretext for remains within budget; asbestos industry against an increasingly strong voice ‧ of global ban of asbestos. Another issue to be strategies for research uptake activities, capacity development and monitoring and evaluation; clarified is so-called “asbestos mine myth’’. Many ‧ management of China COMDIS-HSD team; and previous studies reported rather lower mortality of ‧ representative for China COMDIS-HSD on the lung cancer in asbestos miners compared to asbestos consortium steering group and technical review manufacturing workers. In this study, we have panel. established a 25-year historical cohort (Jan. (MD10740) 1981-Dec.2006) in Qinghai asbestos mine, which is the largest chrysotile asbestos mine in China. We will Using a Systematic Approach to Evaluate Primary follow and compare lung cancer/mesothelioma Care Development in Hong Kong, Shenzhen, mortality between the exposed and the control Shanghai workers, while considering other confounding factors including smoking, to determine the relationship WEI Xiaolin between asbestos exposure and the mortality of Sian Meryl interest. Tung Donald This study will provide additional CHUNG Chi Ho JIANG Runsheng* LO Su Vui* GRIFFITHS LI Kwok MENG Qingyue* information and evidence to answer the question WONG Yeung Shan Samuel XU Jianguang* regarding whether asbestos miners would have a YEOH Eng Kiong lower Tsan Augustine* risk for lung cancer than asbestos manufacturing workers. (MD10809) ZHANG Dan* TANG Jinling LAM WONG Chi Sang 15 June 2011 Strategic Public Policy Research (SPPR) Communicable Diseases: Health Services Delivery (“COMDIS-HSD”) Primary care is the fundamental component of the healthcare system to achieve person focused care, WEI Xiaolin J Walley* J Newell* prevention and a fair distribution of health. The 1 January 2011 urgency of enhancing primary care is reaffirmed by University of Leeds' Nuffield Centre for International Health & Development,Leeds Institute of Health Sciences the WHO Health Report 2008: ‘Primary Care, Now More Than Ever”. China and Hong Kong have put primary care at the top of their agenda for health care reforms. Our selected cities illustrate different models COMDIS-HSD research and related activity on the of primary care development: Hong Kong presents a following: combination of private and public providers; Faculty of Medicine School of Public Health and Primary Care Shenzhen’s primary care is provided by community - Better understanding of Hong Kong’s primary health centres (CHC) owned by hospitals; Shanghai care system relative to mainland China, is the pioneer of incorporating preventative care and identifying common challenges to be faced capitation payment in CHCs which are government and possible solutions across the country. owned. Kunming is a city in west China with CHCs - Evidence based policy recommendations for primary care reform in Hong Kong and owned both by hospitals and governments. The study will compare the primary mainland China. care development in the four cities using a systematic - Suggestions - Kong’s possible A basis for further training and research on primary care. Care Assessment Tools (PCAT) developed by the John Hopkins University. The overall aims of the Hong contribution to China’s primary care reform. approach combining the Control Knobs theory developed by the Harvard University and the Primary on (MD10455) research are obtaining lessons from the different models to support primary care development, and Pilot Study of a Systematic and Multi-dimensional providing policy recommendations for healthcare Approach to Reduce Cardiovascular Risk at systems reforms in Hong Kong and mainland China. Primary Care Setting in Hong Kong This work will build on the recent reviews conducted by the SPHPC, CUHK on primary care in Hong WEI Xiaolin WONG Chi Sang Kong. 30 June 2011 Objectives: - CUHK Research Committee Funding (Direct To describe the structure of primary care in Grants) the three cities in terms of service delivery, - - financing, payment and incentives, regulation Cardiovascular disease (CVD) is the leading cause of and training of providers. death To compare the intermediate outcomes of multi-dimensional approaches have been widely primary care in terms of first contact, person regarded as an effective way to manage CVD at the focused care, primary care settings. We propose a pilot study to comprehensiveness and coordination using develop a randomized controlled trial to implement the international tool of PCAT ,measuring and evaluate the effectiveness of a systematic CVD perspectives both patients and providers. risk reduction intervention in both public government To conduct secondary analysis to generate outpatient clinics (GOPC) and private clinics in Hong indicators on final system goals, including Kong. The pilot study is to design the interventions health status (both general and clinical tracer into a guideline, then pilot and test its feasibility and indicators), costs of the system and patients. acceptability in both GOPC and private clinics. care, continuity of in Hong Kong. Systematic and Deliverables of the research are: Specific interventions will include: 1) screening - Description of primary care development and people at high risk of CVD during their attendance; 2) strategic outcomes framework for Hong Kong prescribing highly effective and low cost drugs and China primary and secondary data (aspirin, strain, anti-hypertensives and folic acid) at analysis. Faculty of Medicine School of Public Health and Primary Care individual basis; and 3) providing individualized approximately 10-15% of the adult population consultation on healthy lifestyles and drug adherence. received Detailed guideline of interventions will be designed approximately 1-2% used benzodiazepines daily for based on a previous work and revised for Hong Kong periods of more than year. Long term benzodiazepine use. A GOPC setting and private clinic setting will be prescriptions are common in women and elderly chosen. Workshops with family doctors and nurses patients and those with multiple chronic physical will be conducted to revise the guideline and action disorders. There are as yet no studies to explore the plans. Patients will be randomly selected from each prevalence of long term benzodiazepine use, the setting to participate in the pilot intervention of 6 pattern of benzodiazepines and the exploration of months. In-depth interviews with family doctors, long term benzodiazepine users’ attitudes in Chinese nurses and patients will be conducted at the end of adults in primary care. the pilot to study its acceptability and feasibility. Method & Objectives: This study is of a quantitative Patient indicators will be collected to study its and qualitative arm: feasibility for future RCT. This pilot will help in 1. benzodiazepine prescriptions and Retrospective analysis of benzodiazepine use designing a RCT to inform clinical decision making of public sector primary care patients across and improve CVD risk reduction using best evidence. the whole territory over a 3 year period to (MD10737) looking at the prevalence of benzodiazepine use, prescription patterns and health care Long Term Benzodiazepine Prescribing utilization. in Chinese Adults in Primary Care: A Quantitative 2. Focus group discussions of Chinese long term benzodiazepine users and their attitudes to and Qualitative Study reduction WONG Carmen KUNG Kenny MOK Chung and cessation, medical and psychosocial support. Implications: This study will give a good foundation WONG Kwok Tin Martin (Faculty of Medicine to further psychosocial and clinical interventional (Planning Office))# studies to Chinese long term benzodiazepine users in Tong Vincent (Medicine & Therapeutics) WONG Yeung Shan Samuel GRIFFITHS Sian Meryl 30 June 2011 CUHK Research Committee Funding (Direct Grants) the community and yield valuable information as there are to date no studies of benzodiazepine usage in the Chinese population. (MD10381) Background: Long term benzodiazepine usage is a Provision of Administrative Support Services for common problem and widely recognized in primary Registration of Public Private Interface Electronic care. Prescribing benzodiazepines can be effective Patient Record Sharing Pilot Project (PPI-ePR) when used in the short term, however prolonged consumption can result to dependence and difficulties in stopping. Adverse effects include cognitive impairment, psychomotor slowing, delirium, falls and WONG Chi Sang GRIFFITHS Sian Meryl HO Chung Ping* WONG Yeung Shan Samuel 19 July 2010 higher suicide rates. It is estimated that an average of Faculty of Medicine School of Public Health and Primary Care CUHK Research Committee Funding (Direct Hospital Authority Grants) The Public Private Interface-Electronic Patient Record (PPI-ePR) pilot was introduced by the Background: Hypertension is the most common Hospital Authority since April 2006 to enhance the chronic condition seen in public, primary care clinics. interface between the public and private sectors. The The efficacy of antihypertensive agents must be PPI-ePR allows sharing of patient records and thus matched by their persistent use, but the level of facilitates free flow of information between the two medication compliance remained to be low. Newer sectors, empower timely access of patients’ clinical primary care initiatives like drug counseling services information. This would improve continuity of care, in the community have been implemented, but their the quality of consultations and clinical outcomes. In effectiveness to enhance medication compliance has addition, healthcare costs and medical errors could be not yet been studied. reduced by minimizing repetition of investigations Objectives: to evaluate the effectiveness of a and obtaining up-to-date patient information. first-ever, A sharing pilot project was initiated to invite selected adherence-enhancing groups of patients, doctors and private hospitals to multidisciplinary team by the St James’ Settlement in participate. Through this project, clinical information the community. gathered during clinical consultations in the HA Design: A randomized controlled trial. could be viewed by registered healthcare providers Subjects: Chinese subjects attending one general through web access. The pilot project has already out-patient clinic who (1) Are aged 18 or older; (2) enrolled more than 94,300 patients and 1,600 private Take long-term antihypertensive medication & ≥ 5 healthcare professionals. The present project is to other chronic medications; (3) Rated by Morisky substantiate this initiative by extending the PPI-ePR surveys as having suboptimal medication compliance; to more private or non-governmental organization, (4) Not previously received any community-based including residential care facilities and community intervention programmes; and (5) Agreed to adhere centres. to the group of intervention allocated. Subjects who (MD10976) are not able to communicate using Cantonese or community-based programme medication offered by a mentally incapable to participate will be excluded. Effectiveness of a Medication Counselling Service They will be randomized into usual care group or on Enhancing Drug Compliance among Patients usual care plus pharmacists’ intervention from St Prescribed James’ Settlement. Antihypertensive Agents: A Outcomes: (1) The change in systolic and diastolic Randomized Controlled Trial blood pressure; and (2) The change in Morisky WONG Chi Sang Wah Ewan* WANG Haoxiang SHAM Chi Wing Gary* SO Yiu LEE Vincent Hon Leung (School of Pharmacy) GRIFFITHS Sian Meryl 1 May 2011 survey scores. They will be measured 3- and 6-months after the first visit. Statistical Analysis: Intention-to-treat analysis will be used. The changes in outcomes were compared between the two groups by ANCOVA with adjustment of inter-physician effect. Bonferroni Faculty of Medicine School of Public Health and Primary Care be This study is comprised of two parts: cross-sectional performed based on the number of comparisons survey and semi-structured in-depth individual made. interviews. (MD10352) structured questionnaire explores the severity of corrections for multiple comparisons will A cross-sectional survey using a menopause, quality of life, mood status, and sexuality How Menopause Symptoms Affect the Marriage among women > 40. A semi-structured in-depth Life, Particularly the Sexual Life Among Hong individual interview will be used to further explore Kong Women? the distress on marriage life, particularly the sexual life brought from menopause symptoms among WONG Lai Yi WONG Yeung Shan Samuel WONG Carmen CHEUNG Wai Ling 29 June 2011 CUHK Research Committee Funding (Direct Grants) women and their partners/husbands. The Family Planning Association of Hong Kong will design education programs based on the findings of this study so as to help menopausal women and their partners/husband to overcome the distress related to menopause and improve the family health/marriage Menopause is a physiological milestone in women’s crisis. life. Besides increasing the risks of developing (MD10388) osteoporosis, cardiovascular and respiratory diseases as a result of estrogen deficiency, the menopausal Air Quality Improvement for the 16th Asian Game women also experience in various physiological and Beyond changes including hot flushes, palpitation, excessive sweating, headache, dizziness, fatigue, insomnia, vaginal dryness, and sleeplessness. Many studies showed that the mood and quality of life menopausal women would be adversely affected due to these physiological changes. A few studies mention the WONG Tze Wai Christopher Frey* William Barron* LAU Kai Hon Alexis* Song Hong* 1 July 2010 The Hong Kong University of Science and Technology physiological changes and depressive symptoms might also affect the sex life of couple. However little This study aims to review and study the impact of air information exists on how menopause symptoms pollution on the health of the community in the Pearl affect the marriage life particularly the sexual life in River Delta, in relation to the implementation of air Hong Kong. Sexuality is a sensitive topic to be pollution control measures during the 16th Asia discussed among middle age women and elderly in Games that will be held in October 2010. Health Asia. Through educational programs, women can statistics will be collected. Based on air pollution increase their understanding of menopausal changes modeling results available from co-investigators at and so be psychologically well prepared, which Hong Kong University of Science and Technology resulted in continuously improved menopausal and health risk estimates attributable to air pollution symptoms, marriage life and quality of life. Thus, this obtained from local and regional studies, impact of study aims to explore how the menopause symptoms air pollution control measures that are implemented affect the marriage life, particularly the sexual life. during this event on health will be estimated. A Faculty of Medicine School of Public Health and Primary Care community-based study will also be conducted in Advanced Guangzhou. This study will be jointly planned and Doctors in Shenzhen Training Programme on Family managed by the PI and Prof. Song Hong of Zhong Shan University. The health of a vulnerable group WONG Yeung Shan Samuel will be studied before and after the implementation of 1 December 2010 the air pollution control measures to look for Shenzhen Medical Continuing Education Centre differences in health outcomes, manifested as respiratory symptoms prevalence, lung function The objective of the Primary Care Training Course is changes, and other proxy indicators of health impact. to introduce and train family doctors the concept of Comparisons of health outcomes of this group will be primary care and public health in Shenzhen. The made in this ‘before-after’ study, and associations training program includes clinical attachment, case made with changes in air pollutant concentrations discussion, didactic lectures and various primary care estimated from the modeling study led by Prof. clinics Alexis Lau, and later verified by monitoring data in practitioner and family doctor’s clinic. air monitoring stations in Guangzhou. The quality (MD10327) including public and private general and scientific validity of this health impact study will be independently assessed by Prof. Christopher Frey 四川成都醫療社會服務體驗考察團 and Prof. William Barron. Sichuan Chengdu Healthcare Service Study Tour (MD10961) 黃仰山 WONG Yeung Shan Samuel Training Programme on Public Health and Primary Care 7 April 2011 Home Affairs Bureau WONG Yeung Shan Samuel TANG Jinling 本學院希望透過是次「四川成都醫療社會服務體驗 2 August 2010 考察團」,讓 20 名香港中文大學的學生參觀四川 Tianjin Hexi District Public Health Bureau 天津 市河西區衛生局 省成都市各衛生部門、醫院及福康機構,從而令學 生瞭解內地的醫療體系及醫療服務,將來畢業後可 投身本地或內地的公共衛生機構,推動全港、全 The objective of the Primary Care Training Course is 國,甚至全球人民的健康水準。透過是次考察團的 to introduce the concept of public health and primary 社會服務活動,學生可把書本上的知識傳遞給當地 care in Hong Kong. The training program includes 的人民,推廣健康訊息,使人民瞭解公共衛生的重 case discussion, didactic lectures and visits to various 要性、培育學生的社會責任感和愛國熱誠,令學生 primary care clinics including public and private 的知識得以學以致用。學生亦有機會與四川大學的 general practitioner and family doctor’s clinic and 師生進行面對面的交流,分享彼此在日常生活及學 other public health organizations. 習上的經驗和趣聞,建立友誼。是次考察團將會為 (MD10909) 一眾參與的 20 名學生帶來一次既難忘又能影響深 遠的體驗旅程。 (MD10387) Faculty of Medicine School of Public Health and Primary Care Evaluation of Self Anal Sample Collection for The proposed study may contribute to improving the Chlamydia control of CT and NG infections in high risk Trachomatis and Neisseria population MSM, and serving as the evidence Gonorrhoeae Detection in MSM reference of clinical sampling methods. WONG Yeung Shan Samuel CHAN Pui (MD10348) Chung Denise (Stanley Ho Centre for Emerging Infectious Diseases) FONG Francois Yeung To Wear or Not to Wear: The Psychosocial Impact of Mask Wearing on Patients’ Reported 1 June 2011 Satisfaction, Enablement and Empathy on Doctors. CUHK Research Committee Funding (Direct A Randomized Controlled Trial Grants) Anal sex is a high risk factor associated with STI WONG Yeung Shan Samuel Mercer, Steward* including Chlamydia, gonorrhea and HIV especially in men who have sex with men (MSM). However, Carmen most clinics do not offer anal Chlamydia or William Bernard GRIFFITHS Sian Meryl gonorrhea testing in MSM. Also the stigma prevents MSM from seeking the CT/NG anal test. To increase screening coverage and overcome possible reticence KUNG Kenny CHOR Sin Yee WONG Chi Sang WONG GOGGINS III 30 June 2011 CUHK Research Committee Funding (Direct Grants) among MSM reluctant to undergo anal STI examination, self anal sample collection is proposed. Introduction: We would like to recruit 250 men who ever had recommends the used of standard and droplet receptive anal sex and is aged above 16 to participant precautions for the protection of healthcare workers in our study. Each participant will collect self and against pandemic influenza during most patient clinician-obtained respectively. interactions. However, one concern over the use of Participants are also invited to complete our face masks or respirators in healthcare settings is its questionnaires potential on anal the samples attitude of self and World negative Health psychosocial Organization impact on clinician-obtained anal sample collection; their doctor/healthcare provider-patient interactions. profile and their risky sexual behaviors. For the Nonverbal communication is a critical element of diagnostic lab testing of CT/NG, we plan to apply patient-centered care and it is important for the nucleic acid amplification test (NAAT), which is therapeutic relationship with effects on important recommended by most western countries testing outcomes that included adherence to medical advice guidelines. and medication compliance, patient satisfaction and We would like to compare the acceptability of clinical outcomes. self-collected and clinician-obtained anal samples. Objective: The association between risk behaviors and CT (or psychosocial effects of mask wearing among primary NG) anal infection will also be calculated using care doctors in public general outpatient clinics. statistical software SPSS. Further, the prevalence of Design: A randomized controlled trial will be anal CT and NG infections among MSM in Hong conducted in primary care clinics in Hong Kong. Kong can be estimated. Doctors who work in outpatient clinics will be The study aim at exploring the Faculty of Medicine School of Public Health and Primary Care recruited and randomized to wear masks. In order to Lee's Pharmaceutical (HK) Limited control for differences in individual doctor effects on patient satisfaction and empathy score, the same doctors will be randomized to wear masks on different days. Consecutive patients of the participating primary care doctors will be invited to Centre for Clinical Trial will be responsible for the protocol development Outcome Measures: Patient’s empathy will be measured by the Consultation and Relational for a study “Double-blind Randomized Placebo Controlled Trial Comparing Aloxi versus Placebo for Patients Receiving complete a questionnaire. services Moderate or Severe Emetogenic Chemotherapy”. (MD10339) Empathy (CARE). In addition, patient Satisfaction, the impact of patient doctor encounter in the patients’ ability to cope with and understand their illness will be measured by Patient Enablement Instrument as well as Psychological distress will be measured by Statistical Analysis with a Stratification Analysis Set to the Clinical Study Entitled “A Pilot Study to Investigate the Efficacy and Safety of IMD-1041 in Patients with Type II Diabetes Mellitus” the validated Chinese General Health Questionnaire. ZEE Chung Ying Benny (MD10896) 10 February 2011 An Efficacy Study: Canine Induced Acute Severe IMMD Inc. Hemorrhagic Shock in Dogs with OC99 Oxapex Center for Clinical Trials will be responsible for the Treatment statistical analysis with a stratification analysis set to the clinical study entitled “A Pilot Study to ZEE Chung Ying Benny Investigate the Efficacy and Safety of IMD-1041 in 22 December 2010 Patients with Type II Diabetes Mellitus”. New A Innovation Limited (MD10717) Centre for Clinical Trial will be responsible for the statistical analysis services for a study “an Efficacy Please refer to previous issues of this publication Study: Canine Induced Acute Severe Hemorrhagic for more details of the following ongoing research Shock in Dogs with OC99 Oxapex Treatment”. at the department: (MD10979) Edition Protocol Development for Double-blind Randomized Placebo Controlled Trial Comparing Aloxi versus Placebo for Patients Receiving Moderate or Severe Emetogenic Chemotherapy ZEE Chung Ying Benny 1 January 2011 Title/Investigators 2007-08 People and Patient Centered Healthcare Initiative (MD07904) CHAN Wan Kin 2006-07 Heat Wave Impact in China (MD06761) CHAN Ying Yang Emily Liping* LI GRIFFITHS Sian Meryl Faculty of Medicine School of Public Health and Primary Care JAFFE Harold* William Bernard GOGGINS III SUEN Ying Pui# KIM Jacqueline Jakyoung (Gender Studies Programme)# Vaccine among Healthcare Workers in the Time of Pandemics (MD09701) CHOR Sin Yee Shan Samuel WONG Yeung GOGGINS III William Bernard GRIFFITHS Sian 2009-10 Effectiveness of Psychological First Aid (PFA) in Improving Mental Health Meryl CHAN Kay Sheung Paul (Microbiology) Outcomes for Emergency Responders: A Randomized Controlled Trial (MD09536) CHAN 2009-10 Food Labeling and Self Management in Primary Care Patients with Hypertension Ying Yang Emily (MD09952) CHOR Sin Yee YUNG Ka Chun CHEUNG, YEE LAI FUNG Siu Cheung Colman# 2009-10 Informed Decision of Women in Breast GRIFFITHS Sian Meryl WOO Cancer Screening – A Qualitative Study Jean (Medicine & Therapeutics) (MD09689) SEA Man Mei CHOR Sin Yee SUNG Joseph Jao Yiu (Medicine & Therapeutics) HO CHAN Suzanne Yi CHEUNG Polly* TSOI Kam Fai SU Xuefen GRIFFITHS Sian Meryl CHAN Suk Mei (Medicine & Therapeutics) 2008-09 Public Health Training Support for Department of Health (MD08305) GRIFFITHS Sian Meryl LEE Shiu Hung YEOH Eng Kiong YU Tak Sun Ignatius 2009-10 The WONG Lai Association Papillomavirus of (HPV) Human Infection in WONG Tze Wai LEE Shui Shan (Stanley Ho Centre for Emerging Infectious Diseases) Occurrence and Prognosis of Head and Neck Cancer – A Case Control and Cohort Study (MD09801) CHOR Sin Yee Sheung Paul Satisfaction (MD08645) CHAN Kay (Microbiology) WONG Chi Sang Lin* CHOW Tam CHAN Kin Chun* Siu Fung* 2008-09 Provision of Survey Service on Patient FUNG VLANTIS Alexander GRIFFITHS Sian Meryl Eng Kiong WONG Lai Yi YEOH LAU Tak Fai Joseph (Centre for Health Behaviours Research) YAM Ho Kwan SIU Yuen Man Judy (Centre Chris (Otorhinolaryngology, Head & for Health Behaviours Research) Neck Surgery) LAM Kwok Man# 2009-10 Decisions across Cultures and Health 2009-10 A Survey of Knowledge, Attitude & Policies on the Acceptance of H1N1 Practice (KAP) in Response to the Melamine in Milk Crises amongst Clients Faculty of Medicine School of Public Health and Primary Care Attending the Material & Child Health Centres (MCHCs) in Hong Kong (MD08792) Health Care Voucher Scheme in Hong GRIFFITHS Sian Meryl Ying Yang Emily Joseph 2009-10 Evaluation of the Impact of Elderly (Centre CHAN Kong and its Potential LAU Tak Fai (MD09956) for GRIFFITHS Sian Meryl Health Behaviours Research) Fai Joseph (Centre Extension LAU Tak for Health Behaviours Research) LEUNG Chi 2009-10 RFCID Commissioned Study: 2009-2014 (MD09881) Donald GRIFFITHS Sian Meryl Cheong Ming Michael# David Therapeutics) HUI Shu (Medicine & LI Kwok Tung YAM Ho Kwan Eng Kiong YEOH ZEE Chung Ying Benny KUNG Hsiang Fu (Stanley Ho Centre for Emerging 2009-10 Evaluation Study on Stakeholder Infectious Diseases) HE Mingliang Satisfaction of Healthcare Programmes (Stanley Ho Centre for Emerging (MD09817) Infectious Diseases) GRIFFITHS Sian Meryl SUNG Joseph YEOH Jao Yiu (Medicine & Therapeutics) Eng Kiong LEE Chi Kei (Stanley Ho Centre for Samuel WONG Chi Sang Emerging Infectious Diseases) GOGGINS III William Bernard LEE Shui Shan (Stanley Ho Centre LEUNG Chi Ming Michael# for Emerging Infectious Diseases) KUNG Kenny WONG Yeung Shan SU Xuefen LEE Lai Shun Nelson (Medicine & LEUNG Choi Har Louisa# Therapeutics) Donald* TO Kin Wang (Medicine & Therapeutics) LAU LI CHAN Kay Sheung Paul (Microbiology) 2009-10 Interim Evaluation on Health Care IP Voucher Scheme – Willingness-to-pay Raphael Study on Elders Aged 60 or Above Margaret CHAN (Microbiology) Chiu Yeung CHAN Chi Wai (SS09579) TSOI Kam Fai GRIFFITHS Sian Meryl (Microbiology) (Microbiology) TSUI Wing Kwok Biomedical Sciences) (School of CHAN Ting Xiaolin CHAN Wan Kin WEI YAM Ho Kwan HUANG Hoi Yee Olivia Fung Philos (School of Life Sciences) LEUNG Ting Fan (Paediatrics) 2009-10 Provision of Economic Input into YU Tak Sun Ignatius LAU Tak Fai Research Studies Undertaken by the Joseph Research Office of the Food and Health (Centre for Behaviours Research) Yeung Shan Samuel Yi YUNG Ka Chun Health WONG WONG Lai Bureau (MD09436) GRIFFITHS Sian Meryl LEUNG Chi Ming Michael# Faculty of Medicine School of Public Health and Primary Care Medicine on Coronary Artery Disease 2009-10 A Cohort Study on Pathological Internet Use and Associated Psycho-social (MD09380) TANG Jinling CHUNG Chi Ho Factors among University Students in Hong Kong and Shanghai (MD09437) KIM Jean Hee 2008-09 Nanoquartz in Late Permian C1 Coal and GRIFFITHS Sian the High Incidence of Female Lung Cancer in the Pearl River Origin Area: A Meryl LAU Chun Hong Retrospective Cohort Study (PS08516) 2009-10 Development of a Generic Job Exposure TIAN Linwei Matrix in Hong Kong (MD09908) (Physics) LAO Xiangqian DAI Shifeng* YU Tak Sun Ignatius TSE Lap Ah 2008-09 Building on the Concept of Health Promoting Schools to Develop an WANG Jianfang HO CHAN Suzanne HUANG Yunchao* ZHOU Yiping* 2009-10 Improvement in Roadside PM2.5 Pollution after Vehicle Emission Control Effective and Sustainable Model of Measures in Hong Kong (PS09987) ‘Healthy Campus’ (MD08895) TIAN Linwei LEE Albert WONG Tze Wai 2009-10 Electron Microscope Analysis of Quartz in Women Lung Cancer Tissues from the LO Siu Chee Amelia (School of Pearl River Origin Area (MD09352) Public Health) TIAN Linwei KEUNG Mei Wan (Centre for Health Ed. & Health Promotion) LEE Shun-cheng* HO Kin-fai* HO Man (Centre for Health Ed. & Health Promotion) WONG Kwok Keung* WANG Jianfang (Physics) 2009-10 To Develop a Model of Community 2009-10 Evaluation of the Test Performance and Based Adolescent Health Programme: Cost-effectiveness Pilot Programme in Macao (MD09348) Surveillance LEE Albert Exposed to Silica Dusts (MD09830) KEUNG Mei Wan (Centre for Health Ed. & Health Programs TSE Lap Ah Promotion) 2009-10 Evidence-Based Framework for Clinical of Medical for CHEN Wei Hong* LEUNG Chi Chui* Cai* Tze Workers WONG XING Jing Wai GOGGINS III William Bernard Effects of Chinese Medicine (MD09948) TANG Jinling KIM Jean Hee 2009-10 Assessment of Sensitivity, Specificity and 2009-10 Systematic Review on the Efficacy and Effectiveness of Chinese Herbal Positive Predictive Asbestos-related Benign Value of Pleural Abnormalities for Lung Cancer and Mesothelioma: A 29-year Historical Faculty of Medicine School of Public Health and Primary Care Cohort of Asbestosis Workers in Hong WONG Kong (MD09501) Pathology) TSE Lap Ah LEUNG Chi Chiu* YU Tak Sun Ignatius AU Siu Kie* QIU Hong WANG Xiaorong Chun Kwok (Chemical CHAN Kay Sheung Paul (Microbiology) Wah Helen* MA Shuk Hung Tak Fung Anchor* LAO Xiangqian 2009-10 Prevention of Anxiety and Depression in 2008-09 Epidemiological Study on Exposure to Chinese: A Randomized Clinical Trial Chrysotile Asbestos and Lung Cancer Testing the Feasbility and Effectiveness Mortality (MD08824) of a Generic Stepped Care Programme in WANG Xiaorong QIU Hong Primary Care (MD09602) WONG Yeung Shan Samuel 2009-10 Training Services for CDTP 09/10 TANG Wai Kwong (Psychiatry) (Misc8) – Allied Health and Nursing MAK Wing Sze Winnie (Psychology) Professions (MD09662) WONG Yeung Shan Samuel (Psychology) CHEUNG Fanny Mui Ching Mercer, Steward* GRIFFITHS Sian Meryl 2009-10 A Randomized, Controlled Clinical Trial: The Effects Cognitive of Therapy Mindfulness-based on Generalized Anxiety Disorder and Health Service WOO Jean (Medicine & Therapeutics) LEE Tze Fan Diana (The Nethersole School of Nursing) KUNG Kenny LAM Tsan Augustine* Utilization among Chinese Patients in Primary Care (MD09998) 2007-08 Tender for the Study on Flagship WONG Yeung Shan Samuel TANG Wai Kwong (Psychiatry) Program Hospitalization (MD07548) Mercer, Steward* KUNG Kenny MAK Wing Sze Winnie (Psychology) GRIFFITHS Sian Meryl LEE Tatia Mei Chun* on Reducing YEOH Eng Kiong Sian Meryl GRIFFITHS CHAN Wan Kin WONG Lai Yi Michael# Avoidable LEUNG Chi Ming YAM Ho Kwan WONG Yan Yan Fiona JIANG Yu 2009-10 The Effect of a Mindfulness Based Cognitive Therapy (MBCT) Programme 2009-10 Wheeze during the First 18 Months of on Immune Status in Caregivers with Life: A Prospective Cohort Study to Chronic Psychosocial Stress in Hong Explore the Associations with Indoor Kong: A Randomized Controlled Trial Nitrogen Dioxide, Formaldehyde and (MD09406) Family History of Asthma (MD09762) WONG Yeung Shan Samuel Mercer, Steward* LAM Wai Kei Christopher (Chemical Pathology) YU Tak Sun Ignatius LI Man Chim Albert Martin (Paediatrics) GOGGINS III William Bernard Faculty of Medicine School of Public Health and Primary Care CHAN Pharmacokinetic Study of Intravenous CHAN Chak FIXFc in Previously Treated Hemophilia LEUNG Oi Shan Joanna* Yuk Sing Gilbert* B Patients” (MD09941) Keung* LAU P.S. Arthur* ZEE Chung Ying Benny 2009-10 Occupational, Non-viral Environmental, the 2009-10 Randomization and Support for the Study Nasopharyngeal Entitled “鹽酸丙哌維林緩釋胶囊治療 Carcinoma – A Case-control Study 膀胱過度活動症的有效性和安全性的 among Hong Kong Chinese (MD09523) 多中心、隨機、雙盲雙模擬、以酒石酸 YU Tak Sun Ignatius AU Siu Kie* 托特羅定緩釋片為陽性對照的臨牀研 and Genetic Risk Causation Factors of TSE Lap Ah in YIP Tak Chun Timothy (Anatomical & Cellular Pathology)# GOGGINS William Bernard ZEE Chung Ying Benny III LAU Sze Man June (Clinical Oncology)# 究” (MD09485) WONG 2009-10 A Randomized, Open-label, Controlled, Exploratory Trial to Characterize the Results of Daily Oral Administration of Tze Wai Telbivudine 2004-05 Data Management Services for Disproxil 600mg and Fumarate Tenofovir 300mg in to combination or Telbivudine 600mg or Investigate the Effects of Recombinant Tenofovir Disproxil Fumarate 300mg Intestinal Trefoil Factor (ITF) on Oral Monotherapy Given over 12 Weeks on Mucositis the Kinetics of Hepatitis B Virus DNA in "Randomized Phase in II Study Patients Receiving Radiation Therapy for Nasopharyngeal Adults Cancer Compensated CHB (MD09396) with Protocol Number with HBeAg Positive ZEE Chung Ying Benny 2004-ITF-004" (MD04927) ZEE Chung Ying Benny 2009-10 Recombinant Human Arginase I (rhArgI) 2008-09 Project Management, Monitoring and for Patients with Advanced Training Related to the Clinical Study Hepatocellular Carcinoma (HCC): An Entitled “Insulin Resistance Intervention Adaptive Design Dose Escalation Trial after Stroke (IRIS) Study (“Study”) with Addition of Standard Doxorubicin (MD08811) Treatment (MD09848) ZEE Chung Ying Benny LAI Ming ZEE Chung Ying Benny Po (Centre for Clinical Trials) KWOK Kei Ming (Centre for Clinical Trials) 2009-10 Project Management and Site Monitoring for Project Study 998HA101 Entitled “A Phase I/IIa, Open-label, Crossover, 2009-10 Project Management and Site Monitoring Dose-escalation, and Multi-center Study for Project “A Phase I/IIa Safety and to Determine the Safety, Tolerability, and Faculty of Medicine School of Public Health and Primary Care Pharmacokinetics of a Single Intravenous Injection of rFVIIIFc in Previously 2009-10 Quantitative Analysis of Diabetic Treated Patients with Severe Hemophilia Retinopathy as a Tool to Predict Stroke A” (“Service”) (MD09652) in Diabetes Patients (MD09524) ZEE Chung Ying Benny ZEE Chung Ying Benny (School of Public Health) 2009-10 A Phase 2, Double-blind, Randomized, LI, Qing LEE Jock Wai Placebo-controlled Study of FG-3019 in Subjects with Liver Fibrosis due to Chronic Hepatitis B Infection 2009-10 左卡尼汀注射液治療心力衰竭的有效 性和安全性臨床研究﹕一項前瞻性、多中 (MD09773) 心、隨機、雙盲、安慰劑平行對照臨床 ZEE Chung Ying Benny 研究 (MD09559) 2009-10 An Exploratory Efficacy Study by ZEE Chung Ying Benny Repeated Intravenous Infusions of OC99 in Experimental Immune-medicated Hemolytic Anemia in Beagle Dogs (MD09391) ZEE Chung Ying Benny Faculty of Medicine Centre for Health Behaviours Research RESEARCH PROJECTS Behavioural Surveillance Surveys of the Male Clients of Female Sex Workers Population in Hong Kong HPV Vaccine Acceptability among Men Who Have Sex with Men in Hong Kong LAU Tak Fai Joseph YI Huso (School of Public Health and Primary Care) LAU Tak Fai Joseph 1 May 2011 1 December 2010 Council for the AIDS Trust Fund Merck Sharp & Dohme (Asia) Ltd. Investigator-Initiated Grant Objectives: The proposed project aims to document population-based HIV behavioral surveillance Human papillomavirus (HPV), the causative agent in surveys (BSS) data for the male clients of female sex genital warts and cervical carcinoma, is one of the workers (MCFSW) population in Hong Kong. Such most common sexually transmitted diseases (STDs) represents continual efforts of keeping track of worldwide. Studies have demonstrated a high relevant behaviors among this HIV vulnerable group prevalence of HPV infection among MSM, which is in the territory for monitoring the HIV epidemic. associated with an increased risk for cancer. The Participants: A total of 3 surveys will be conducted Merck’s multivalent HPV vaccine that prevents annually from year 2011 to 2013. In each round of acquisition of subtypes 6, 11, 16, and 18, which the 3 surveys, about 2000 Hong Kong Chinese males together cause approximately 90% of genital warts, aged 18-60 will be randomly sampled from the was approved by Food and Drug Administration in up-to-date phone directories. 2006. MSD has recently released the data on the Design: Three rounds of cross-sectional anonymous efficacy of HPV vaccine on men sex with men. This telephone surveys will be conducted using a specially study will be conducted in Hong Kong, with the aim designed telephone survey system. A structured to understand the attitudes of MSM to the HPV questionnaire comparable to those used in previous vaccine and factors influencing the acceptability of BSS surveys will be adapted. HPV vaccine. A cross-sectional survey will be Main outcome measures: The interview will take conducted among MSM recruited from the gay about 10-15 minutes to complete. The interview venues. The willingness to be vaccinated and the consists of two parts. Part I of the questionnaire factors associated with the acceptability of HPV queries about less sensitive questions including vaccine will be assessed. The findings of the study socio-demographic will have both marketing and public health HIV-related implications. condom use etc. After completing Part I, the (MD10959) respondents will be transferred to a pre-recorded in a background knowledge, perceived information, efficacy of computerized phone system for the second part of the interview, which asks about sexual practices (e.g., number of female sex partners, patronage of FSW, condom use), self-reported STD, HIV antibody testing and self-perceived chance of contracting HIV Faculty of Medicine Centre for Health Behaviours Research in the future. Time trend and factors associated with on cognitive theories while the second one added an risky sexual behavior among MCFSW will also be affective component (fear appeal) onto the first identified. intervention. A third control intervention delivers (MD10445) facts about HIV via an email. Main outcome: The primary outcome measures A Randomized Controlled Trial to Investigate the whether UAI occurred with MSM in the last month. Relative Secondary outcomes include behavioral intention for Efficacy of Three Internet-based Promotion condom use, STD-related knowledge, perceived Targeting Men Who Have Sex with Men in Hong norms about condom use, self- reported STD in the Kong last 3 months (only at Month 3). Interventions for Condom Use Data analysis: Relevant between-group differences LAU Tak Fai Joseph Linda* TSUI Hi Yi Cameron in the outcome and potential confounders will be compared at the baseline. Between-group differences LEE LAI Annisa (School of will be measured at Month 1 and 3, adjusting for any Sheer Vivan* LIN Chunqing# FONG Francois* Journalism and Communication) 25 May 2011 Research Fund for the Control of Infectious potential confounders with significant baseline between-group differences. (MD10972) Diseases Illness Perception of Influenza and Related Purpose: To develop evidence-based HIV prevention Coping Behaviors in Hong Kong General Public interventions targeting local men who have sex with men (MSM) MAK Kwok Kei LAU Tak Fai Joseph MAK Objectives: To design two interventions preventing unprotected anal sex (UAI) targeting MSM, to compare their relative efficacy and to compare their Wing Sze Winnie (Psychology) 1 June 2011 CUHK Research Committee Funding (Direct relative efficacies against a control intervention. Grants) Study design: A3-arm randomized controlled trial (RCT) method will be conducted (N=399). An online Promoting good preventive and avoidance behaviors questionnaire will be administered at the baseline, at is important to prepare the general public for Month 1 and 3. pandemics of infectious diseases. Although yearly Inclusion/exclusion criteria: Hong Kong Chinese updates of vaccination are effective preventive MSM with anal sex with men in the last 6 months, measures of seasonable influenza, the prevalence of visiting gay websites in the last month (>1 per week influenza vaccination (IV) is consistently low and and would do in the future 6 months), willing to information about repeated vaccination is not receive intervention materials via the internet and to available. Understanding illness coherence and be followed-up for 3 months, never been explored to cognitive-emotional interactive internet-based STD/HIV interventions. pre-requisites for effective behavioral modifications Interventions: Two new internet-based, STD-based and imagery interventions- the first intervention is based Leventhal’s Common Sense Model (CSM) (a.k.a. improvement representations of health are outcomes. the The Faculty of Medicine Centre for Health Behaviours Research Self-Regulation Model, SRM) is a social cognition (FSW) Population in Hong Kong model in health psychology widely used for assessing (MD06353) psychological predictors (identity, cause, timeline, LAU Tak Fai Joseph TSUI Hi Yi consequences, control, coherence, and emotional representation) of illness. No study has used the CSM 2007-08 Behavioral Health Informatics Capacity – to examine illness perceptions of influenza and Building in China (MD07889) related coping behaviors. This project aims to LAU Tak Fai Joseph investigate the associations of CSM-based cognitive FRIEDMAN Robert H.* Peng, Ji* representation of influenza with coping behaviors in the Hong Kong public. A cross-sectional telephone 2008-09 HIV Sexual Behavioral Research in survey among > 500 adults will be conducted China (SS08978) between August 2011 and September 2011 before the LAU Tak Fai Joseph next seasonal peak of influenza, as an assessment of preparedness for the next influenza pandemics of the 2009-10 Flagship Collaboration Project: Hong Kong general public. CSM dimensions will be Surveillance assessed Population-based Responses to Human by the revised illness perception Surveys questionnaire (IPQ-R). Other questionnaire items will Swine be demographic information, and preventive and (SS09410) avoidance coping behaviors including vaccination LAU Tak Fai Joseph Influenza in on Hong Kong GRIFFITHS (initial and repeated). Logistic regression and Sian Meryl (School of Public Health generalizes linear models will be used to determine and Primary Care) the associations between CSM dimensions and the influenza-related coping behaviors. This study will provide up-to-date information regarding the 2009-10 The Dietary Intake and Body Weight Status of Adolescent Psychotropic prediction of coping behaviors of pandemics with Substance Abusers in Hong Kong – An psychosocial factors for local and international Explorative Study for Improving Drugs references. Rehabilitation Programme (SS09631) (MD10720) LAU Tak Fai Joseph YUNG Ka Chun (School of Public Health and Please refer to previous issues of this publication Primary Care) for more details of the following ongoing research at the department: 2009-10 A Pilot Social Network-based HIV Peer Education Program for MSM in Hong Edition Title/Investigators Kong (SS09894) LAU Tak Fai Joseph 2006-07 Behavioural Surveillance Surveys of the Male Clients of Female Sex Workers 2009-10 A Longitudinal Study of the Prevalence, Incidence and Predictors of Seasonal Influenza Vaccination among Children Faculty of Medicine Centre for Health Behaviours Research Aged from 6 Months to 5 Years Old in GU Jing* TSUI Hi Yi Hong Kong (SS09919) LAU Tak Fai Joseph LAU Tak Fai Joseph MAK Wing Sze Winnie (Psychology) CHAN Kay Sheung Paul (Microbiology) 2009-10 Study on Drug Abuse Situation and Service Needs of Non-engaged Youths in Hong Kong (SS09604) 2009-10 Event-specific Risk Factors Predicting LAU Tak Fai Joseph Unprotected Anal Intercourse among Hong Kong Men Who have Sex with Men (MSM) Case-crossover Using Study a Special Design (MD09636) Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases RESEARCH PROJECTS Objectives: 1. To construct a DC-specific lentiviral vector to express 32S-peptide; Characterization of HBV Vial Protein Induced 2. To generate lentivectors in 293T cells; Innate Immune Responses 3. To check whether lentivectors could stimulate 32S-specific CD8+ T cell maturation; HE Mingliang 4. lentivector; and 20 June 2011 CUHK Research Committee Funding (Direct Grants) To check the antibody titers raised by 5. To check whether the protection effect after mice are challenged with lethal dose of EV71. Research Plan: Enterovirus 71(EV71) is a viral Hepatitis B virus (HBV) infection is a major concern pathogen within the Picornaviriadae family that for public health since 370 million people are causes inflected worldwide. More than one million deaths manifestations such as herpangina, aseptic meningitis, were reported related to HBV-associated liver failure, encephalitics, pulmonary edema and hand, foot and cirrhosis and HCC annually. Our recent studies mouth disease (HFMD). EV71-infected children can have been demonstrated for the first time that develop severe neurological complications that lead HBV replication would stimulate innate immune to rapid clinical deteriorations and even death. A response in HepG2 cells via GRP78-mediated significant increase in EV71 epidemics with high stress responses. However, the detailed mechanism mortalities has been observed throughout the of this process is still not well understood. Asia-Pacific region since 1997. This year, an In this study, we propose to further identify the HBV epidemic of EV71 infection affected more than viral protein(s) that stimulate(s) the innate immune 10,000 young children in China and caused over 30 response in hepatocyte. Furthermore, we will dissect children death. However, neither vaccine nor the key motif(s) responsible for this process. Results therapeutic treatment is available. obtained from this study could potentially lay a In this study, (1) we will construct a DC-specific foundation for the development of host-target-based lentivector to 32S-peptide in DC cells in vitro and antiviral drugs. check the effects of induction of dendritic cell (MD10841) maturation; (2) we will also measure and compare the clinical diseases in humans with numbers of 32S-specific CD8+ T cells and antibody A New Vaccine Against EV71: Dendric Cell titers against 32S peptide after immunization of mice Specific Vaccination (Sub-project of MD09881) using vector and 3S peptide-keyhole limpet hemocyanin (32S-KLH); (3) we will test the KUNG Hsiang Fu HE Mingliang 1 July 2010 Research Fund for the Control of Infectious efficiency for protection of mice after challenged with dead dose of EV71. (MD10802) Diseases Commissioned Grant Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases Preliminary Testing of HPV therapeutic Vaccine has been applied for over ten years and get significant by Combination of Superantigen and Traditional results by killing tumor cells and enhancing E6 & E7 Protein for Treating Cervical Cancer immunity. So, in this project, considering the mild effects of E6 KUNG Hsiang Fu ZHANG Jinfang WANG and E7 we wonder the effect of combination of Sags and E6 or E7 to cervical cancer. Hua (BL10462) 10 November 2010 HealthBaby Biotech (Hong Kong) Co Ltd A Novel Vaccine System Consisted of HPV E7 Cervical cancer is the second leading fetal Fusion Proteins that Works Synergistically with malignancy among women worldwide and is a Staphylococcal Enterotoxin C2 in HPV-associated pressing health issue in the female community. Tumor-bearing Mice Although radical surgery and radiotherapy represent effective treating modalities for invaseive cervical KUNG Hsiang Fu ZHANG Jinfang cancer, the treatment outcome is still unsatisfactory 30 June 2011 for 35% of the overall patients will develop recurrent or metastatic disease. Therefore, effective therapy in CUHK Research Committee Funding (Direct Grants) reducing the risk of recurrence or metastatic disease is desperately needed. Cervical Human papillomavirus (HPV) infection is regarded malignancy among women worldwide and is a as the prime risk factor in the development of pressing health issue in the female community. cervical dysplasia and cervical cancer. Two HPV Although radical surgery and radiotherapy represent oncoproteins, E6 and E7, are constantly expressed in effective treating modalities for invasive cervical cervical cancer and represent ideal tumor-specific cancer, the treatment outcome is still unsatisfactory target antigens for immunotherapy. Last year, our for 35% of the overall patients will develop recurrent group has demonstrated that E6 and E7 and generated or metastatic disease. Therefore, effective therapy in potent antitumor effect in preclinical HPV-16 reducing the risk of recurrence or metastatic disease expressing tumor mice model. However, the theraptic is desperately needed. effects were moderate and not get to the standard of Out team has generated E6 (PE-E6-K3) and E7 the protein. (PE-E7-K3) fusion protein therapeutic vaccines and Superantigens (SAgs) are a class of antigens which our previous data has demonstrated that E6 and E7 cause non-specific activation of T-cells resulting in proteins polyclonal T cell activation and massive cytokine preclinical HPV-16 expressing tumor mice model. release. SAgs can be produced by pathogenic However, the therapeutic effects of these proteins microbes (including viruses, were moderate and not get to the standard of the clinical usage, especially E6 mycoplasma, and cancer is generated the potent second leading antitumor effect fetal in bacteria) as a defense mechanism against the immune clinical usage, especially E7 protein. system. The Sags is recombination staphylococcal In this proposal, we are going to study the anti-tumor enterotoxin and were centificated by State Food and effect of immunotherapy (induced by SEC2) and E7 Drug Administration, P.R. China (SFDA). The Sags fusion protein. We will investigate the therapeutic Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases potentials of combing superantigen SEC2 with E7 reducing social inequality in Hong Kong. We will fusion protein vaccine and the underlying mechanism adopt a case study approach to obtain a detailed and will be clarified. Therefore, the outcome of this study contextualized understanding and allow comparisons will and across 5 contrasting sites (Hong Kong, mainland immunotherapeutic basis for treating cervical cancer China, Taiwan, United Kingdom and Canada). Both patient via vaccine-combined with immunotherapy. qualitative and quantitative study methods will be (MD10888) used. be well presented as preclinical The study will bear significant information useful for Legal Recognition of Same Sex Partnerships in a consideration by policy makers and service providers Chinese Context: A Public Health Perspective in formulating policies and planning programmes related to same-sex partnership in Hong Kong. LEE Chi Kei LEE Sing (Psychiatry) (MD10377) GRIFFITHS Sian Meryl (School of Public Health and Primary Care) LEE Shui Shan 1 July 2010 Shaw College, CUHK Marriage is constructed as a key social institution for the welfare of our society. In the past decade, a major shift in this ideology is the gradual recognition of same-sex partnership in the form of marriage or its variants such as civil unions or domestic partnerships. Exploration of HIV Transmission Risk in Men Having Sex with Men (MSM) Using a Two-mode Network Approach LEE Shui Shan LEE Chi Kei YAN Houmin (Systems Engineering & Engin. Management)# 1 January 2011 Research Grants Council - General Research Fund As of November 2007, around 30 countries or its states have given some form of legal recognition and The rising number of men having sex with men protection to same-sex partnerships. (MSM) reported with HIV infection in Asia and the Strong and consistent evidence shows that marriage Pacific is a cause for concern. It is hypothesized that is associated with various remarkable improved the phenomenon might have arisen from changes in health-related outcomes, including lower death rates, network decreased mental illness rates, higher life satisfaction behaviours. The study is founded on the 2-mode and improved social well-being. In accessibility to principle of the duality of place and people, with marriage between partners of the same sex is MSMs seeking sex partners at specific venues being considered a form of structural discrimination to non considered to be closer to one another. The objectives - heterosexuals. In Hong Kong, same-sex marriage of the study are, using a 2-mode approach, to has been a controversial topic that has attracted describe the network configuration of MSM, track intense media attention. Polarized views were changes longitudinally, and differentiate the risk noticeable during public debates. between different venues of sex partnership. The The present study aims to generate evidence on the study is planned to be rolled out in 4 phases. Phase I health implications of same -sex marriage and its involves MSM sampling and the establishment of a relevance towards modifying the society norms and relational database on sex networking. Through a configuration instead of individual Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases field survey administered through gay saunas and the IL28B encodes interferon-λ-3, the genetic variation internet, the sex-partnership pattern of 200 Chinese of which has recently been demonstrated to be MSM in Hong Kong would be assessed. An associated with treatment outcome in hepatitis C affiliation matrix is constructed to record the virus (HCV) infected patients. Ethnic variation of the frequency of sex partnership in different venues, C>T at rs12979860 has likewise been reported, the alongside behavioural and demographic data. Phase implications of which would be far-reaching in view II centres on the mapping of MSM networks, their of the availability of the battery of antiviral agents for visualization, network HCV treatment. To face the challenge of the measures in terms of density and centrality. paradigm change, a cohort of HCV infected injection Longitudinal data would be collected over a one year drug users (IDU) in Hong Kong would be tested for period to model the changes of configuration. The the allelic frequency and genotype of IL28B, taking influences of regular partnership, alongside the reference from genomic studies reported in the partner-seeking practice at different venues, will be literature. Archived samples from a cohort of about assessed. At Phase III simulation modeling would be 300 IDU recruited in 2006 would form the study conducted to explore differences in infection risk population in this project. An in-house pilot system between MSM using different sex partnership venues. using RT-PCR would be designed for the genotypic Simulation would be pursued on the foundation of the and allelic studies. An assessment would then be co-evolution model. Results collected from the three made to explore the implications of the new phases would then be integrated for the development knowledge in the prevention, treatment and control of of analysis, on the advice of people in the community HCV infection in IDU in the Hong Kong setting. This and venue operators, during the final Phase IV. would involve an integration of virus and host factors, Feedback from MSM and public health authorities the latter incorporating demographic information as would be collected for improving the output well as the profile of injection behaviour. generation process. The analysis so obtained would (MD10677) and the calculation of be useful for assessing the HIV risk of MSM in the coming years, and would provide the rationale for Assessing HIV Risk in Donated Blood and Blood appropriate intervention to be designed for preventing Products in Hong Kong HIV transmission in a Chinese community. (CU10701) LEE Shui Shan LEE Chi Kei LEE Cheuk Kwong* Genetic Variation in IL28B in a Cohort of HCV Infected Injection Drug Users in Hong Kong LEE Shui Shan CHAN Pui Chung Denise 1 May 2011 Council for the AIDS Trust Fund Objective: The objectives are to examine the risk LEE Chi Kei behaviour of blood donors and to examine the 1 April 2011 health-seeking behaviour of men who have sex with CUHK Research Committee Funding (Direct men (MSM). Grants) Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases Design: Two cross-sectional electronic-based survey geographically and temporally with the application of studies of risk behaviour of blood donors and Geographic Information System (GIS) technologies, health-seeking behaviour of MSM. and to evaluate the surveillance mechanisms of Setting: Seven blood donation centers and interest infectious website. spatial/temporal analysis would be incorporated to Project Layout: Two surveys will be conducted. The examine the profile of institutions and residents, the first one invites post-donation blood donors to fill in implementation of infection control practice and the a questionnaire for studying the situation of blood current donors with risk behaviour. Risk behaviour includes microorganisms colonization among residents in drug injection, prostitution and men who have had RCHE. Qualitative analyses would also be conducted sex with men (MSM) for blood donation. Another to assess the feasibility of implementing a space-time survey will be conducted at the same time. surveillance system in RCHE and to evaluate its Recruitment notice will be posted on websites effectiveness in enhancing infection control practices. frequently browsed by MSM. Participants are The results of this project would be expected to required to fill in a detailed questionnaire to study provide up-to-date information of infection control their risk behaviour, health-seeking intention, and practice in RCHE, to enable further understanding on reasons for having such behaviour. infection control programme, and to enhance the Anticipated outcome: The study may provide updated current surveillance system of infectious disease in information of the situation of risk behaviour of RCHE. blood donors in Hong Kong and for understanding (MD10882) diseases situation in of RCHE. Descriptive multi-drug resistant reasons for test-seeking behaviour of MSM. This evidence-based information may provide reference Please refer to previous issues of this publication and insight for revision of blood donation policy and for more details of the following ongoing research HIV-health service. at the department: (MD10627) Edition Title/Investigators Examination of Surveillance of Infectious Diseases and Infection Control in Residential Care Homes for Elderly 2008-09 Therapeutic TBX2/TBX3 Antagonist Peptide for the Treatment of Multiple Cancers (BL08755) LEE Shui Shan PANG Tak Ting HE Mingliang KUNG Hsiang Fu DONG Qi WU Wing Yi# 1 May 2011 Centre for Health Protection, Department of 2009-10 Differential Gene Expression Profiles of Health, HKSAR Government CD4+/CD8+T Cells in HIV, HCV This is a two-year research project the objective of Monoinfected and HIV/HCV Confected which is to describe the infection control practice and Patients (MD09796) infectious disease occurrence in Residential Care Homes for Elderly (RCHE) in Hong Kong Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases HE Mingliang ZHAO Jin* 2009-10 腫瘤非編碼 RNA 轉錄加工相關蛋白的 功能研究 Research on the Functions of KUNG Hsiang Fu Proteins Related to Post-transcriptional 2007-08 Function and Regulation of Processing of Tumour Non-coding RNAs ADP-ribosylation Factor 6 (ARF6) in (MD09829) EGF 孔祥復 KUNG Hsiang Fu Mediated Glioblastoma Cell Proliferation (CU07675) KUNG Hsiang Fu CHEN 2008-09 Legal Recognition of Same Sex Yangchao (School of Biomedical Partnerships in a Chinese Context: A Sciences) LIN Chia Mi Marie* Public Health Perspective (MD08972) LEE Chi Kei 2009-10 Functional microRNAs characterization associated with of glioma carcinogenesis (CU09671) KUNG Hsiang TAM Siu Mi Maria (Anthropology) (Psychiatry) LEE Sing GRIFFITHS Sian Meryl (School of Public Health and Fu CHEN Primary Care) LEE Shui Shan Yangchao (School of Biomedical Sciences) HE Mingliang 2008-09 (PPE 581 Project 3) – Sexually Transmitted Diseased (STD) Testing for 2009-10 The Gene Expression Profiles of CD4 Male Sex Workers in Hong Kong and CD8 Cells in Influenza Infected Medical Patients (MD08379) (Sub-project of MD09881) Support and Research LEE Chi Kei LI Chun Wai* (MD09543) KUNG Hsiang Fu HE Mingliang HUI Shu Cheong David (Medicine & Therapeutics) LEE Lai Shun 2009-10 Evaluation of the Men who have Sex with Men (MSM) Syphilis Prevention Campaign (MD09809) Nelson (Medicine & Therapeutics) LEE Chi Kei 2009-10 Evaluation of Novel Non-immunosuppressive Cyclosporines as Potential Antiviral Agents Against Enterovirus EV71 (Sub-project of KWOK Lai Yi LEE Shui Shan 2009-10 Social Network Contexts of Configuration Influenza and Infection MD09881) (MD09566) (Sub-project of MD09881) (MD09544) KUNG Hsiang Fu HE Mingliang LEE Chi Kei LEE Shui Shan CHOI Kin Wing* TO Kin Wang* 2009-10 (Sub-project of MD09881) Identification of Super Interferon Against EV71 Virus 2009-10 Quantitative Study on “Understanding (MD09820) the Perception of Risk in Gay Men KUNG Hsiang Fu HE Mingliang Attending Private Group Sex Parties” (MD09373) Faculty of Medicine Stanley Ho Centre for Emerging Infectious Diseases LEE Chi Kei PUI Wing Tai* 2009-10 Training Programme on Syndormic Surveillance in Clinical and Public KWOK Lai Yi Health Practice (MD09422) 2009-10 A Community-based Sexual Health LEE Shui Shan Clinic for Female Sex Workers in Hong 2009-10 Exploratory Study on the Diffusion Kong (MD09934) LEE Chi Kei LEE Shui Shan Pattern of Human Swine Flu in Hong FONG Francois Yeung (School of Kong (MD09350) Public Health and Primary Care) LEE Shui Shan 2006-07 Early Access Combination Background of in 2009-10 Socio-spatial Contexts of Sex Partnership Optimized in Sauna-associated MSM Community MK-0518 with an Antiretroviral Therapy (OBT) in Highly Treatment Experienced (MD09506) LEE Shui Shan LEE Chi Kei HIV-1 Infected Patients with Limited to No Treatment Options (MD06428) LEE Shui Shan 2009-10 Therapeutic WU Che Yuen Justin (Medicine & Therapeutics) Drug Monitoring for Optimizing HIV Treatment (MD09733) LEE Shui Shan CHEUNG Siu Wai LEE Lai Shun Nelson (Medicine & (Microbiology) Therapeutics) CHOI Kin Wing* Yeung Raphael (Microbiology) CHAN Chiu CHAN Pui Chung Denise 2008-09 The Pharmacologic Correlates of Neurologic Toxicity of Efavirenz in 2009-10 Profiling Host Genetic Factor for Chinese HIV Patients (MD08891) Evaluating Hyperlipidaemia Associated LEE Shui Shan with HIV Treatment (MD09748) CHAN Pui Chung Denise TO Kin Wang* LI Chung Ki Patrick* LEE Man Po* CHEUNG Siu Wai* CHAN Chiu LEE Shui Shan CHAN Pui Chung Denise TO Kin Wang* LEE Man Po* LI Chung Ki Patrick* Yeung Raphael (Microbiology) Faculty of Medicine Centre of Research and Promotion of Women's Health (>40%) in soy is a precursor of equol. Equol RESEARCH PROJECTS production is hypothesized to be the key to the clinical effectiveness of isoflavones. The role of A Double-blind Randomized Controlled Trial on whole soy or daidzein on BP is yet unclear. Whole Soy and Daidzein Supplementation on We hypothesize that whole soy (soy flour) or purified Reduction of Blood Pressure in Prehypertensive daidzein alone could reduce BP, improve EF, and Postmenopausal Chinese Women decrease CVD risks in equol-producing menopausal women with prehypertension or initial untreated LIU Zhaomin CHEN Yuming (School of Public Health and Primary Care) HO Sin Yee hypertension. We propose to perform a 24-week double-blind, randomized, placebo-controlled trial in HO postmenopausal women with prehypertension or CHAN Suzanne (School of Public Health and stage 1 hypertension. The primary objective is to Primary Care) verify if whole soy (soy flour) or purified daidzein Stella (Imaging & Interventional Radiol) TANG Leung Sang Nelson (Chemical Pathology) Pharmacy) Therapeutics) WOO To KKW (School of alone has anti-hypertensive effects at a dosage of Jean habitual high soy intake (top quartile in Hong Kong (Medicine & TOMLINSON Brian (Medicine women) in prehypertensive equolproducing postmenopausal women; and the secondary objective & Therapeutics) is to test and compare their effects on endothelial 1 October 2010 Research Grants Council - General Research Fund function and other cardiovascular risk factors (lipid profile, glycemic control and inflammatory biomarkers). Hypertension is an important risk factor for This study will be performed in community subjects. cardiovascular diseases. Substantial evidence has also If the hypotensive effect of whole soy (soy flour) shown that prehypertension [systolic blood pressure and/or daidzein is proven, the provision of whole soy (BP) 120-139 mm Hg or diastolic BP 80-89 mm Hg] foods or daidzein extracts alone will be an important is the strongest predictor of incident hypertension and strategy for the primary and secondary prevention of is associated with elevated risk of cardiovascular hypertension and cardiovascular diseases on a diseases. Thus, prehypertension and its progression to population hypertension prehypertension or early hypertension has enormous have enormous public health basis. The population control of implications. public health significance. These research efforts will Soybean contains many beneficial components, also have significant implications in the industrial among which isoflavones have received most segment in the provision of suitable soy products or research attention. The prominent soy isoflavone food fortification for the prevention of hypertension components are genistein and daidzein. Recently and its related complications. researchers have investigated their influences on (CU10658) vascular functions but only a handful of studies have focused on BP reduction as the primary outcome. Daidzein, the second most abundant isoflavone Faculty of Medicine Department of Surgery having malignant ureteric obstruction by RESEARCH PROJECTS relieving the obstruction without the need of frequent and repetitive changes as in the cases The Use of Metallic Stent (Memokath 051) to of the conventional double J stents or external Relieve Cancerous Ureteric Obstruction percutaneous nephrostomy drainage tubes and hence multiple hospital admissions (4-5 CHAN Chi Kwok YIP Kam Hung admissions per patient per year). What is NG Siu more important, the quality of life of these Man Simon YIM So Fan* unfortunate patients will be greatly improved 1 August 2010 and preserved; and S.K. Yee Medical Foundation 2. To reduce number of intervention and hospital The main aim of the project is to provide a simple, admission so that patients have more time efficacious, durable and better tolerated alternative with their families of higher quality. (Memokath 051) to our patients having ureteric (MD10626) obstruction due to advanced cancer. Persistent untreated ureteral obstruction leads to permanent Association between ZBP-89 kidney damage followed by renal failure and even Deacetylase/Histone death. Untreated ureteral obstruction also leads Hepatocellular Carcinoma and Histone Acetyltransferase in severe loin pain and severe kidney infection, which is often intolerable and endangering the lives of the CHEN Gong George LAI Bo San Paul patients. 30 June 2011 The ureteral obstruction is conventionally relieved by CUHK Research Committee Funding (Direct insertion of an internal plastic double J stent (a tube) Grants) into the ureter or by drainage of the obstructed kidney with the use of an external tube (percutaneous ZBP-89, a transcription factor, has been shown to nephrostomy). an regulate a number of genes that are related to cell endoscopic procedure every 2 – 3 months for revision, proliferation, growth, differentiation, and apoptosis and ultimately most fail necessiting the use of (1). Functionally, ZBP-89 is able to inhibit the external drainage via percutaneous drainage. On the development and growth of certain cancers including other hand, percutaneous drainage is disfiguring to hepatocellular carcinoma (HCC). The molecular most people and often greatly corrupts their quality of mechanism responsible for the tumor-inhibitory life with its external drainage bag. They also require effect of ZBP-89 is largely unknown, but ZBP-89 is scheduled drainage at every 3-month time but urgent known to bind to GC-rich elements in the promoter revisions are often seen as they are prone to region of target genes, suggesting a possible dislodgement and infection. mechanism involved in DNA methylation. The Memokath 051 will revolutionize the treatment degree of acetylation is mediated by histone option currently available, being able acetyltransferases (HATs) and histone deacetylases 1. (HDACs). Among the HDACs, HDAC1 and HDAC3 The double J stents need To improve those poor and sick patients appear to participate in hepatocarcinogenesis or HCC Faculty of Medicine Department of Surgery growth and HDAC inhibitors have emerged as a new been shown to inhibit bovine aortic endothelial cell class of anti-cancer agents for HCC. Since ZBP-89 proliferation, revealing its potential antiangiogenic has been shown to associate with HDAC1 and activity. We first investigated the in vivo efficacy of HDAC3 in cervical cancer and lung cancer cells recombinant adeno-associated virus carrying human respectively, we thus wonder if ZBP-89 can associate vastatin (rAAV-vastatin) for treating hepatocellular with HDAC1/HDAC3 in HCC. In addition, the carcinoma (HCC) in a rat orthotopic model. Recently, function of ZBP-89 may require p300, and ZBP-89 we evaluated its effect for treating glioblastoma in a can form a complex with p300. Interestingly, the human glioblatoma U87 cell nude mouse xenograft activity of HAT is regulated by p300. Therefore, it is model, and compared its efficacy with other possible that ZBP-89 may regulate the activity of anti-angiogenic genes. Our results showed that HAT via interacting with p300. We therefore rAAV-vastatin significantly prolongs median survival hypothesize that ZBP-89 can regulate the levels of time and inhibits tumor growth in both HCC-bearing HDAC1/3 and HAT which can in turn enhance the rats and U87 glioblastoma-bearing mice. No toxicity anti-tumor effects of chemotherapy of HCC. The was purpose of this study is to determine the effect of rAAV-vastatin was administered. Importantly, we ZBP-89 on the levels of HDAC1/2 and HAT and to discovered that vastatin is particularly effective for analyze whether such an influence will increase the the treatment of glioblastoma. As the molecular sensitivity of HCC cells to chemotherapy. mechanisms and the therapeutic benefits associated (MD10575) with observed, even when vastatin-mediated a therapy high are dose not of fully understood, we propose here to further evaluate the A Novel Antiangiogenic Molecule, the NC1 therapeutic efficacy of vastatin in a clinically relevant Domain of Type VIII Collagen: Therapeutic intracranial glioblastoma animal model, and examine Effect, the Mechanism of Action, and Signal Transduction Pathway mechanisms by which vastatin inhibits angiogenesis and glioblastoma proliferation. We will identify the downstream targets and signaling LIN Marie Chia-mi NG Sai Ming Samuel* pathways for vastatin-mediated anti-angiogenic and 1 November 2010 anti-glioblastoma therapies. Understanding these Research Grants Council - General Research Fund mechanisms should lead to future advances in the clinical use of vastatin and in the development of novel, promising treatments for glioblastoma, HCC Angiogenesis plays an important role in many and other cancers. diseases including cancer. Although antiangiogenic (CU10729) agents targeting vascular endothelial growth factor are already in clinical use and can effectively treat The Role of microRNA in Glioblastoma Invasion various cancers, there is a continued need for the and development of new angiogenesis inhibitors to Transitions Proneural Mesenchymal Stem-like circumvent resistance or reduce toxicity. A recombinant polypeptide, NC1 domain of the α LIN Marie Chia-mi chain of type VIII collagen (vastatin), has previously Faculty of Medicine Department of Surgery 1 April 2011 further determine and compare the molecular CUHK Research Committee Funding (Direct mechanisms by which miR-124a regulates cell proliferation, invasion, PMT, and MST. Knowledge Grants) gained will provide new insights regarding the A hallmark feature of the most common and lethal potential roles of miR-124a in glioma / glioblastoma primary brain tumor, glioblastoma (GBM), is its carcinogenesis and may lead to the discovery of highly invasive potential, immature differentiation novel carcinogenic pathways, therapeutic targets, as state and a subpopulation of tumor-initiating Cancer well as prognostic biomarkers. Stem Cell (CSC) type. Novel insights into the (MD10765) molecular mechanisms that drive GBM and CSC formations are urgently needed in order to develop Functions new strategies for improved patient outcome. The Dopaminergic emerging Mesenchymal Stem Cells concept of generating CSCs from of NRSF-targeted MicroRNAs Differentiation of in Human Epithelial-Mesenchymal cells has attracted great interests. We have recently reported that miR-200a LU Gang POON Wai Sang KUNG Hsiang could regulate Epithelial-Mesenchymal and Stem-like Fu (Stanley Ho Centre for Emerging Infectious Transitions (EMST) in nasopharyngeal carcinoma Diseases) cells. However, the expression level of miR-200 is very low in both normal brain and glioma samples and members of miR-200 family are not effective in controlling MST in GBM. Instead, the brain enriched 30 June 2011 CUHK Research Committee Funding (Direct Grants) miR-124a has previously been shown to be MicroRNAs are short non-coding RNAs involved in down-regulated tissues. post-transcription regulation of gene expression and Over-expression of miRNA-124a could promote the diverse biological activities. They are crucial for differentiation of brain tumor stem cells. We self-renewal and behavior of embryonic stem cells, hypothesize that miR-124a may exert this effect by but their role in mesenchymal stem cells is poorly shifting the brain tumor stem cells through a reversed understood. Recently emerging evidence suggests Proneural Mesenchymal and Stem-like Transitions that miRNAs are closely involved in controlling key (PMST), a process reminiscent to that of EMST. steps of mesenchymal stem cell differentiation into Consistent with this hypothesis, our preliminary data certain cell lineages. NRSF (Neural Restrictive showed in Silencing Factor) regulates neuronal gene expression the through interacting with a group of corepressor several proteins. In this study, we propose to investigate the Stem-like traits including CD133+ side population, functional relationship between primate specific neurosphere formation, and stem cell marker microRNA and Dopamine neural differentiation in expressions. In this application, we aim to extend our MSCs. We plan to employ a bioinformatic analysis to observations and investigate the potential functions of select candidate microRNAs targeting the NRSF miR-124a in GBM invasion and PMST by both gain corepressors to identify several specific microRNAs. of function and loss of function studies. We will Using both bone marrow derived and umbilical cord that in glioma/GBM over-expression Mesenchymal-like GBM migration/invasion and of cells also miR-124a inhibited reduced Faculty of Medicine Department of Surgery derived MSCs to further demonstrated the functions primary and metastatic GIST demonstrated that and underlying mechanisms of each microRNA as imatinib is feasible as a neoadjuvant treatment for well as the expression of downstream response GIST (Eisenberg 2008). factors of NRSF complex. Information gained from In concordant with neoadjuvant imatinib therapy, this study will provide new insights regarding the nilotinib, a second generation tyrosine kinase mechanisms of MSC neural differentiation, which inhibitor, has shown clinical activity in GIST may lead to new approaches to include MSC neural progressing on imatinib and sunitinib ( Montemurro differentiation 2009). for clinical treatment such as At physiologically concentrations, the Parkinson’s diseases. intracellular levels of nilotinib are much higher (7-10 (MD10617) fold) than those of imatinib as demonstrated in two GIST cell lines (Prenen 2006). However, no study in has been done to investigate the role of nilotinib in Unresectable or Marginally Unresectable Patients neoadjuvant setting. We postulate that nilotinib may with Gastrointestinal Stromal Tumor (GIST) be more clinically beneficial to responsive GIST as a The Efficacy of Neoadjuvant Nilotinib neoadjuvant therapy in comparison to imatinib, in NG Enders Kwok-wai CHIU Wai Yan Philip TO Ka Fai (Anatomical & Cellular Pathology) 1 August 2010 Novartis Pharmaceuticals (HK) Ltd which there might be more effective in reducing tumor size to allow organ-preserving surgery. In this study, patients diagnosed with unresectable or marginally unresectable GIST will be treated with nilotinib for maximun 6 months before resection The role of imatinib neoadjuvant therapy in GIST has (Joensuu 2008). The computed tomography (CT) recently been discussed and explored in clinical trials. scan, In a case report, a 72-year-old man with irregular and emission tomography (18FDG-PET) scan, blood test low-density GIST of 7cm x 6cm in the rectum was and biomakers will be done to monitor the tumor treated with imatinib 400 mg daily for 1.5 months response. before surgery. The tumor showed cystic changes (MD10541) fluorine-18-fluorodeoxyglucose positron with sharp demarcation in the resected specimen, and the size was reduced to 4cm x 3.5cm x 3cm. This The Role of CEACAM6 Overexpression in patient responded well with a disease free survival of Peritoneal Metastases of Gastric Cancer 57 months at the time of report (Hou 2009). In another successful case, a 69-year-old man with a huge tumor (23 x 14 x 12cm) adjacent to the greater curvature of the stomach, the pancreatic tail and the descending colon was treated with imatinib 400mg daily for 4 months. The tumor size shrink to 7cm x NG Enders Kwok-wai LUNG Kar Wing Lydia# CHIU Wai Yan Philip 1 June 2011 CUHK Research Committee Funding (Direct Grants) 6cm x 6cm before operation, and the patient performed well after tumor excision with a DFS of Gastric 3.5 years (Tanaka 2008). Recently, a larger scale malignancy-related phase II prospective trial of neoadjuvant imatinib for According to Globocan Database 2008 published by cancer is the cause second of most death common worldwide. Faculty of Medicine Department of Surgery the World Health Organization, over 65% of gastric about changes in tumor cells migration and cancers are indeed diagnosed within Asia, of which implantation will be investigated. China, Japan, and Korea are countries bearing the (MD10819) highest incidence. Though recent advancement in surgical and medical oncological treatment has led to The Impact of Fast-track Perioperative Program improved survival outcomes among patients with on the Clinical and Immunological Outcomes after locally advanced gastric cancer, prognosis of those Laparoscopic Colorectal Surgery in Hong Kong with peritoneal and distant metastases remains Chinese Patients: A Propective Randomized Trial pessimistic. Novel therapeutic agent targeting metastatic mechanism of gastric carcinoma is therefore of urgent needs. Carcinoembryonic molecule 6 NG Siu Man Simon CHAN Simon Kin Cheong (Anaesthesia & Intensive Care) antigen-related (CEACAM6) cell is glycosylphosphatidylinositol-linked adhesion a 90kDa (GPI-linked) macromolecule that belongs to the carcinoembryonic antigene (CEA) family. It is known to play an Ling Margaret (Anatomical NG Heung & Cellular Pathology) LEE Fung Yee Janet LAI Bo San Paul 1 October 2010 Health and Health Services Research Fund influential role in cell-cell interaction and tumor migratory ability. Moreover, CEACAM6 expression Background: Laparoscopic colorectal surgery has has with been shown by randomized trials to be associated anoikis-resistance, and it is thought to be mediated by with better short-term clinical outcomes when CEACAM6 Akt compared with open surgery. However, in a phosphorylation and upregulation of insulin-like traditional perioperative care setting, the reduction in growth factor I (IGF-I). All these biomolecular hospital stay following laparoscopic surgery in these features of CEACAM6 in pancreatic adenocarcinoma trials was modest. Fast-track perioperative programs have been well reported, but whether the same have been introduced in the West to optimize happens to gastric cancer remains undetermined. perioperative In our previous experiments, we observed that physiological/psychological stress of open colorectal CEACAM6 upregulation can be induced in gastric surgery. However, few studies have evaluated the cancer cells by exposure to peritoneal mesothelial impact of fast-track programs on the outcomes after cells. In addition, we also confirmed that native laparoscopic colorectal surgery. overexpression of CEACAM6 in MKN45, a gastric Objective: cancer cell line, is associated with increased cellular immunological outcomes of Hong Kong Chinese invasiveness. In this proposal, we aim to determine patients whether CEACAM6 upregulation is playing a colorectal genuine role in peritoneal metastases of gastric “fast-track” perioperative program. cancer in vivo. In addition, we want to investigate the Design: Prospective randomized trial. downstream CEACAM6 Subject: One hundred and twenty-eight consecutive overexpression in gastric cancer and how it brings patients undergoing elective laparoscopic resection of been reported induced to be associated suppression mechanism of of factors To to compare undergoing the laparoscopic cancer with a reduce the clinical and surgery “traditional’’ for vs. a Faculty of Medicine Department of Surgery non-metastatic colonic and upper rectal cancer will should be considered for patients who are at high-risk be recruited. of recurrence. At present, no surrogate markers are Interventions: Patients will be randomized to a validated for predicting rectal cancer recurrence at “traditional” or a “fast-track” perioperative program. the time of surgery, and therefore there is a pressing Outcome total need to discover new prognostic markers to guide postoperative hospital stay, including hospital stay of individualized postoperative therapy. In this study, patients who are readmitted within 30 days after we propose to evaluate the feasibility of using surgery. immunological microRNA (miRNA) expression profiles in tumor parameters (including systemic cytokine response tissues as prognostic biomarkers for prediction of and cell-mediated immune function), morbidity and rectal cancer recurrence after curative surgery. mortality, quality of life, and medical costs. TaqMan® Human MicroRNA Array will be used to Conclusion: This study may confirm whether the generate differentially expressed miRNA profiles introduction of fast-track perioperative program will from tumor and paired nontumorous tissues of 4 further improve postoperative recovery and shorten selected rectal cancer patients (2 with recurrence and hospital stay after laparoscopic colorectal surgery. 2 without recurrence after surgery). Dysregulated This may help reduce the financial burden to the miRNAs (change >2-fold as a cut-off value) will be hospital/health care system. Furthermore, this study identified may improve our understanding of the impact of expressions will be validated in an independent fast-track program on the immunological outcomes cohort of 54 rectal cancer patients (24 with after laparoscopic surgery for colorectal cancer. recurrence), using quantitive reverse transcription (MD10341) polymerase chain reaction assays. The correlation measure: Secondary Primary outcomes: outcomes: as candidate biomarkers, and their between these candidate miRNA expressions and Prognostic recurrence/survival will be evaluated with univariate Biomarkers for Prediction of Rectal Cancer and mulrivariate analyses. It is hoped that our results Recurrence after Curative Surgery can help establish a panel of miRNA markers in Evaluation of microRNAs as tumor tissues that outperforms existing test for NG Siu Man Simon YU Jun (Medicine & Therapeutics) prediction of rectal cancer recurrence. (MD10336) 1 May 2011 CUHK Research Committee Funding (Direct Grants) Combined Therapy of TRAIL-secreting Umbilical Cord Mesenchymal Stem Cell and Lovastain for Glioblastoma Rectal cancer constitutes approximately 1/3 of all colorectal cancer cases. Despite major improvements in surgical techniques and postoperative care, up to 25% of rectal cancer patients will still experience a recurrence within 5 years after curative surgery; recurrence is often the ultimate cause of death in POON Wai Sang KUNG Hsiang Fu (Stanley Ho Centre for Emerging Infectious Diseases) 30 June 2011 CUHK Research Committee Funding (Direct Grants) rectal cancer patients. Aggressive adjuvant therapy Faculty of Medicine Department of Surgery Factor-Related which in turn reduces chances of major complications Apoptosis-Inducing Ligand, TRAIL, is regarded as including cardiovascular, cerebral vascular events an ideal anti-tumor drug because of its cytotoxic and mortality. effect to the tumor cells without harming normal cells. The project reduces risks of such surgery to otherwise However, most of the glioblastoma cells are resistant high risks patients, namely, those aged >70, and/or to TRAIL in varying degree, limiting is efficacy. Our patients with ASA status class II or above, at no previous work found lovastatin, a cholesterol-lowing additional costs to patients, and with added benefit of drug, can sensitize TRAIL-induced apoptosis by reduced hospital stay. death receptor 5 (DR5) upregulation. The short We aim to offer prostate surgery using available and half-life in vivo is another difficulty that needs to be affordable technology with proven safety profile at addressed. In this study, we will utilize mesenchymal no additional cost to patients who are high risk stem cells derived from umbilical cord as a carrier to surgical / elderly patients. They are in retention of target-deliver and continuously secrete TRAIL. This urine, and we shall render them free of indwelling system urinary catheter and enjoy good quality of life with The Tumor can Necrosis provide a stable concentration surrounding the tumor and targeting attack. This minimal urinary disturbances. project can provide a new insight into the treatment (MD10488) of glioblastoma. (MD10568) Clinical Profile of Lower Urinary Tract Changes and Urinary Marker Measurements in Young Hybrid Bipolar Transurethral Vaporization and Adults Using Ketamine Resection of Prostate for at Risk/Elderly Patients YIP Kam Hung NG Chi Fai CHAN Shu Yin in Urinary Retention Eddie* YIP Kam Hung NG Chi Fai HOU See Ming Simon* CHUI Ka Lun* CHEUNG Ho Yuen* TAM Po Chor* CHU Chiu Wing Winnie (Imaging & Interventional Radiol) HOU See Ming Simon* CHEUNG Ho Yuen* MAK Siu King* LAM Nga Yee 1 August 2010 1 December 2010 S.K. Yee Medical Foundation Beat Drugs Fund Elderly patients with underlying medical conditions Objectives: Ketamine use adversely affects the lower are at risk of surgical intervention even when their urinary tract (LUT). We aim to determine the relative urinary retention warrants surgery by means of risk of dosage, frequency of ingestion and duration of transurethral resection of prostate, which was ketamine use for changes in LUT function, the utility standard therapy. The risks include bleeding, need for of urinary markers to correlate with the degree of transfusion, bladder changes is evaluated clot retention, cardiovascular and cerebral vascular events. Technology including Key activities and methodology: Subjects presenting bipolar resection of prostate in normal saline media to the service for cystitis symptoms, who have history has been proven to reduce blood loss, transfusion rate, of ketamine use are invited to participate in the incidence of transurethral resection syndrome, all of assessment. The dose frequency, duration and onset Faculty of Medicine Department of Surgery of symptoms are surveyed. LUT function is evaluated Umbilical using the Pelvic Pain Urgency and Frequency (MD09894) questionnaire (PUF), uroflowmetry and portable BURD Cord and David RDEB Andrew Skin Ross ultrasonography. Urine samples are collected and HUANG Lin LEUNG Tak Yeung* tested for nerve growth (NGF), prostaglandin E2 HON Kam Lun (Paediatrics) (PGE2). The relationship between frequency, related dosing, duration of exposure, PUF scores, functional 2007-08 A Multicenter, Double-blind, bladder volume and urinary marker levels will be Randomized, determined. The reference ranges of the marker levels Parallel-group Study of the Safety and will be formulated. A severity scale incorporating the Efficacy of a Single Treatment with Two above measurements will be constructed to reflect the Dose Levels of BOTOX® (Botulinum severity of the condition. toxin Impact: The most common presentation of subjects to Complex Followed by A Treatment with clinical service is LUT symptoms including pelvic BOTOX® in Patients with Urinary pain / cystitis symptoms. At first presentation, Incomtinence irreversible upper or lower tract structural changes Detrusor Overactivity (MD07895) may not have developed; the urinary marker CHAN Chi Kwok NG Chi Fai LI elevation serves as an objective measurement of ongoing bladder damage before changes type Placebo-controlled, A) Purified due to Neurotoxin Neurogenic Miu LIng* in conventional parameters can be detected. This may 2008-09 The Significance of Alpha-Fetoprotein represent an important window for intervention to Gene Promoter Mutants in Hepatocellular help prevent the undesirable late outcomes. Carcinoma (MD08692) (MD10794) CHEN Gong George LAI Bo San Paul Please refer to previous issues of this publication for more details of the following ongoing research 2009-10 Molecular Mechanisms Responsible for ZBP-89-mediated Increase of Bak in at the department: Hepatocellular Carcinoma (CU09620) Edition CHEN Gong George Title/Investigators LAI Bo San Paul 2009-10 Fat Harvesting by Liposuction (MD09458) BURD David Andrew Ross 2009-10 The Relationship between ZBP-89 and p21waf/cip-1 in Hepatocellular Carcinoma (MD09693) 2009-10 Targeting a Normal DEJ: In Vitro Study of the Combinations of Epidermal and CHEN Gong George LAI Bo San Paul Mesenchymal Cells Derived from Human 2009-10 Correlation Environment of Laryngeal with Symptoms pH of Faculty of Medicine Department of Surgery Laryngopharyngeal Reflux among 2008-09 Hydrogen Sulfide in Non-steroidal Patients with Gastroesophageal Reflux Anti-inflammatory Disease (MD09867) Bleeding Peptic Ulcers (MD08849) CHIU Wai Yan Philip Yuen Justin Therapeutics) WU Che (Medicine Related LAU JY & TONG Chi Fai Drugs 2009-10 Early Selective Angiographic Michael (Otorhinolaryngology, Head Embolization to Severely Bleeding Peptic & Neck Surgery) Ulcers after Their Initial Endoscopic Hemostasis 2009-10 The Potential Role of Decoy Receptor 3 in the Pathogenesis of Keloid Scarring A – Randomized Controlled Trial (CU09693) LAU JY (MD09658) HUANG Lin BURD David 2008-09 A Randomized, Open Label, Multi-center Phase II Study to Compare Bevacizumab Andrew Ross plus RAD001 versus Interferon Alfa-2a 1997-98 Prospective Study on the Relationship of plus Bevacizumab for First-line Central Venous Pressure and Blood Loss Treatment of Patients with Metastatic During Hepatectomy (MD96217) Clear Cell Carcinoma of the Kidney LAI Bo San Paul CHUI Po Tong (Anaesthesia & Intensive Care) LEOW Chon Kar Joseph LAU Wan Yee (Faculty of (MD08912) NG Chi Fai HOU See Ming Simon* YEE Chi Hang* Medicine (Planning Office)) 2008-09 A Prospective Study to Investigate the Effects of Different Shockwave Delivery 2009-10 Correlation between Alpha-fetoprotein Rates in Extracorporeal Shockwave and Forkhead Box P3 in Hepatocellular Lithotripsy in Patients Suffer from Renal Carcinoma (MD09985) Calculi (CU08715) LAI Bo San Paul CHEN Gong George NG Chi Fai CHUNG Wai Yee* GOHEL Mayur Danny Indulal* WONG Ka Tak* 2009-10 Molecular Transduction Mechanisms Network and Novel 2008-09 Measuring Melamine and Its Effects on Anti-Angiogenesis Molecule, the Kringle Urine Crystallization Kinetics and Cell 1 Domain of Human Hepatocyte Growth Responses (MD08452) Factor (HGFK1) (MD07673) NG Chi Fai LIN Marie Chia-mi of a Signal YIU Siu Ming* NG Sai Ming Samuel* (Paediatrics) HON Kam Lun GOHEL Mayur Danny Indulal* Faculty of Medicine Department of Surgery 2009-10 A Phase 2b, Randomized, Double-blind, 2007-08 Randomised Evaluation of Surgery with Placebo-controlled, Dose Ranging Study Craniectomy for Uncontrolled Elevation Evaluating the Efficacy and Safety of of Intra-cranial Pressure-the RESCUEicp Tanezumab Study (MD05787) for the Treatment of Moderate to Severe Pain Associated with Interstitial Cystitis/Painful POON Wai Sang Bladder CHAN Matthew Tak Vai (Anaesthesia & Intensive Syndrome (IC/PBS) (MD09467) Care) NG Chi Fai Wai Man Wynnie (Imaging & CHAN Shu Yin WONG Kwok Chu Interventional Eddie* CHIU Ka Fung Peter* Radiol)# LAM NG Stephanie* 2009-10 Role of Urine microRNAs in the Diagnosis of Urinary Bladder Cancer (MD09393) 2007-08 A Multi-Center, Prospective, Randomised Controlled Trial Comparing NG Chi Fai SZETO Cheuk Chun CHAN Implant to Anterior Cervical Discectomy WANG Gang and Fusion (ACDF) Surgery, in the (Medicine & Therapeutics) Shu Yin Eddie* the Efficacy and Safety of PRODISC-C® (Medicine & Therapeutics) Treatment of Symptomatic Cervical Disc Disease (SCDD) (MD07630) 2008-09 Electroacupuncture Ileus after for Postoperative Iaparoscopic POON Wai Sang Colorectal SUN Tin-fung David* NG Wing-kit Daniel* Surgery: A Randomized Sham-controlled Study (MD08314) NG Siu Man Simon LEUNG Wing Wa LEE Fung Yee Janet 2008-09 Relationship between DTI Fibre Tracking Evaluation and Molecular Variations in an Experimental Haemorrhage 2009-10 A Phase III Placebo-controlled Trial of Celecoxib in Genotype Positive Subjects (ICH) Intracerebral Induced Axon Degeneration Model (MD08828) POON Wai Sang CHEN Gong with Familial Adenomatous Polyposis George (MD09668) & Interventional Radiol) WANG Yixiang (Imaging NG Siu Man Simon LEE Fung Yee Janet LI Chak Man Jimmy 2009-10 神經系統疾病治療研究 (MD09439) 2009-10 The Use of Self-expandable Metal Stent 潘偉生 POON Wai Sang (SEMS) as a “Bridge to Surgery” or Palliative Treatment for Malignant Large 2009-10 A Prospective, Multi-center, Bowel Obstruction (MD10309) Double-blind, NG Siu Man Simon LEE Fung Yee Placebo-controlled, Parallel-group Study Janet Randomized, to Assess the Efficacy and Safety of Clazosentan in Reducing Faculty of Medicine Department of Surgery Vasospasm-Related Morbidity and All-Cause Mortality in Adult Patients with Aneurysmal (Anatomical & Cellular Pathology) 2005-06 Evaluation of Sustained Efficacy of Venous Bypass Graft Gene Therapy Coiling (MD09685) POON Wai Sang LUI Chi Wai Subarachnoid Hemorrhage Treated by Endovascular Chu Gong George WONG Kwok YU Chun Ho (Imaging & Interventional Radiol) SIU Yung (MD05940) WAN Song YIM Ping Chuen Anthony CHEN Ge* Woon* 2009-10 A Randomized Study to Evaluate the 2009-10 Fibre Regeneration after Mesenchymal Stem Cell Transplantation in Efficacy and Laparoscopic Acceptability Placement of of Gastric Experimental Intracerebral Haemorrhage Modulator [ICH]; How Does it Work? (CU09737) versus Insulin Treatment in Obese Type 2 POON Wai Sang CHEN Gong Diabetic Parents Ho Controlled with George NG Keung (TANTALUS® System) Sub-optimally Oral Anti-diabetic (Anatomical & Cellular Pathology) Agents (MD09811) TSANG Kam Sze Kent WONG Kin Hung Simon WANG KONG Yixiang (Imaging & Interventional Pik Shan (Medicine & Therapeutics) Radiol) MA Ching Wan Ronald (Medicine & Therapeutics) 2009-10 Characterization of NF-kB and MAPK S* NG Vanessa W SO Wing Yee* TONG Peter Pathway in Lovastatin Induced TRAIL Chun Yip (Medicine & Therapeutics) Resistant Glioblastoma Cell Sensitization (MD09754) (Medicine & Therapeutics) CHOW POON Wai Sang LI Jun CHEN Gong George LU Gang CHAN Chung Ngor Chun Chung Francis* Kwok-wai Juliana NG Enders CHU Chiu Wing Winnie (Imaging & Interventional 2009-10 Fibrin Matrix-supported Mesenchymal Radiol) OZAKI Risa* Stem Cell Treatment for Traumatic Brain Wing Yan* Injury (MD09938) TING Zhao Wei* POON Wai Sang LAU LUK Andrea O Y* LAM Ping Kuen WANG KW Kevin* Stan 2009-10 High-dose Simvastatin for Aneurysmal Subarachnoid Haemorrhage: Is It Better? Svetlov* (MD09307) 2008-09 Expression of Thromboxane Receptors in Lung Cancer (MD08709) UNDERWOOD Malcolm John HSIN Michael Kuan Yew CHEN WONG Kwok Chu Sang Wai Kei POON Wai SIU Ying Woon* Pathology) Christopher LAM (Chemical CHAN Matthew Tak Faculty of Medicine Department of Surgery Vai (Anaesthesia & Intensive Care) GIN & 2009-10 Nursing Workshop on Comprehensive ZEE Chung Ying Management of Bladder Dysfunction Tony Intensive Care) (Anaesthesia Benny (School of Public Health and (MD09466) Primary Care) YIP Kam Hung LEUNG Chi Ming NG Chi Fai Michael (School of Public Health CHAN Shu Yin Eddie* and Primary Care)# Ling# LI Miu 2009-10 Prevalence of Intracranial Aneurysm in 2009-10 A Prospective Randomized Controlled Hong Kong Chinese with a Family Trial comparing Efficacy of Hybrid History of Subarachnoid Haemorrhage Bipolar Transurethral Vaporization and (MD09731) Resection WONG Kwok Chu Sang AHUJA POON Wai Anil Tejbhan (Imaging & Interventional Radiol) SIU Yung Woon* CHEUNG Chi of Transurethral Prostate with Bipolar Resection Prostate of (MD09565) YIP Kam Hung NG Chi Fai CHIU Ka Fung Peter* CHUI Ka Yan TOM* YU Chun Ho (Imaging Lun* CHEUNG Ho Yuen* HOU & Interventional Radiol) Sze Ming* LEUNG Chi Ming Michael (School of Public Health and Primary Care)# Faculty of Medicine Laboratory Animal Services Centre RESEARCH PROJECTS The purpose of this study is to perform an exploratory study to evaluate the potential acute toxicity of YQ23, a novel oxygen carrying Biologic A Pilot Study of YQ23 Intravenous Infusion in in Sprague-Dawley rats when administered via Rats intravenous infusion. Possible toxicity will be assessed according to blood chemistry, hematology ROWLANDS Dewi Kenneth JAMES Anthony Edward and histological analysis of tissues. (BL10692) 1 May 2011 New Sagaxia Limited Faculty of Medicine
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