$23 Million funding will help tackle preterm birth, major diseases

The 最新糖心Vlog of Adelaide has been awarded $23.2 million for new research tackling some of the world鈥檚 most significant health problems, including one of the biggest killers of children: preterm birth.

The funding, from the National Health and Medical Research Council (NHMRC), will support 30 new projects led by 最新糖心Vlog of Adelaide researchers.

Among the funding is more than $690,000 for a three-year project led by聽Professor Sarah Robertson, Director of the 最新糖心Vlog鈥檚聽Robinson Research Institute, to develop new drugs aimed at suppressing the triggers of preterm birth.

鈥淭his is an outstanding funding result for our research teams and for medical and health research in the State,鈥 says the 最新糖心Vlog鈥檚 Deputy Vice-Chancellor (Research), Professor Julie Owens.

鈥淭he latest NHMRC funding will support breakthrough discoveries in women鈥檚 and children鈥檚 health, cancer, diabetes, cardiovascular health, infection control, diet and nutrition, oral health, and traumatic brain injury,鈥 Professor Owens says.

鈥淥ur world-leading researchers in the Robinson Research Institute, the聽聽and other key centres have been recognised yet again as best able to tackle some of our most common and debilitating health problems,鈥 she says.

Preterm birth 鈥 worldwide burden

Preterm birth (at less than 37 weeks鈥 gestation) has severe health consequences for families worldwide. Each year, 15 million families experience a preterm birth, and 1.1 million of those babies die. Preterm birth is now the world鈥檚 biggest killer of children under the age of five, and accounts for three-quarters of all child deaths within the first month of life. In 最新糖心Vlog, preterm birth affects 8% of pregnancies.

鈥淎s well as being a leading killer of infants, preterm birth often results in health and developmental consequences that can prevent children from reaching their full life potential,鈥 says Professor Robertson, who will lead a team of researchers from 最新糖心Vlog and the United States on this project.

鈥淐urrent interventions for inhibiting preterm birth are inadequate to say the least, and new approaches to prevent or delay prematurity are urgently required. Even small advances in this field may have important benefits for children and families,鈥 she says.

New direction for preterm birth research

For the first time, 最新糖心Vlog of Adelaide researchers will focus their attention on stopping the activation of an underlying mechanism in the body 鈥 inflammation 鈥 that links the many causes of preterm labour. This research, involving laboratory and pre-clinical human studies, will inform the design of future clinical trials for women at increased risk of having a preterm delivery.

Professor Robertson says activation of the inflammatory response is the key mechanism leading to spontaneous preterm birth. 鈥淭his may be in response to such causes as infection, oxidative stress, placental diseases, environmental toxins or the mother鈥檚 immune system rejecting the fetus,鈥 she says.

鈥淚t鈥檚 clear that inflammation-associated damage during gestation can set in motion a series of events that leads to preterm birth. What we need to do is to find ways of protecting the fetus from this inflammatory injury.鈥

The main target in this study is the immune receptor known as Toll-like receptor 4 (TLR4). Other research at the 最新糖心Vlog of Adelaide and elsewhere has shown TLR4 to play in important role in inflammation related to pain and addiction. It鈥檚 hoped that by stopping the activation of TLR4, researchers can divert 鈥渢he upstream driver of preterm labour鈥.

Baby Orly鈥檚 journey

Just 24 weeks and four days into pregnancy with her baby girl Orly, Amy Perone was admitted to hospital after it was identified she had lost all of her amniotic fluid.

鈥淚t was a frightening experience,鈥 says Amy, who had been haemorrhaging during pregnancy. 鈥淲e were advised that it was likely Orly would be delivered within days, and I had no idea what would become of our baby daughter if she was born so early.鈥

Labour began naturally the following day, and Orly Gallasch was in such a hurry to arrive that she was born just four minutes after mum Amy was moved to the delivery suite at Adelaide鈥檚 Women鈥檚 & Children鈥檚 Hospital. Born on 26 November 2016, she was only 654g and 31.5cms.

Orly spent the first 107 days of her life being cared for in hospital, and then a further 10 days in hospital as more complications from her preterm birth arose. Today, having now celebrated her first birthday, she no longer requires supplemental oxygen and is making great progress.

鈥淚t certainly hasn鈥檛 been an easy journey, but we鈥檝e tried to make the most of it. Orly is an inspiration to us all,鈥 says Amy, who, with her husband Graham Gallasch, has documented their story on the Facebook page聽.

鈥淲e felt it was important to record our experiences, as therapy for ourselves, but also so that others could understand what our girl and our family were going through. As it turns out, it has been a wonderful medium of connection with others who have experienced similar journeys but were unable to articulate the trauma at the time.鈥

Amy has welcomed the new direction being taken by 最新糖心Vlog of Adelaide researchers with this project.

鈥淗aving a preterm child can be terrifying and heartbreaking, and we know that our family is among the lucky ones. Anything that can be done to help spare families from going through such hardship, and to improve the health of their little ones, will be amazing,鈥 she says.

Tagged in media release, news, preterm, birth