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ENIGMA Study - The Gut Microbiota

Understanding the ecosystem within us may lead to disease cures

Within the gut resides a vast ecosystem of bacteria, fungi and viruses, otherwise known as the gut microbiota. This ecosystem comprises 90 percent of the cells in our body. Our normal human cells therefore constitute only a minority of the cells in our body.

We are working with scientists to unravel the exact nature of these organisms in our gut, and the role they play in causing or curing disease. New molecular techniques are identifying previously unknown bacterial species. New insights are also emerging about the effect of diet on the gut bacteria and how this might affect gut inflammation.

The presence and function of the microbiota are essential to our wellbeing - these organisms perform a range of functions critical to development, growth, metabolic function, and protection from disease.  However, the gut microbiota is now also thought to play some role in the development of inflammatory bowel disease, obesity, arthritis, and allergic diseases.

Identifying particular bacteria that play a role in disease can have an enormous impact. For example, identification of the bacterium Helicobacter pylori by Australian Nobel prize-winning researchers led to the virtual eradication of stomach and bowel ulcer disease. That single observation was one of the key medical discoveries of the twentieth century.

 

Of a similar magnitude, discovery of the rotavirus as the commonest cause of childhood diarrhoea, by scientists at the Royal Children’s Hospital, Melbourne, together with the subsequent development of a vaccine, has had a huge impact on childhood illness and death worldwide. There are more discoveries to be made in this area.

 

 

Manipulating the gut microbiota may also be valuable. Our recent study demonstrating the success of faecal transplant for patients with ulcerative colitis demonstrates how powerful this approach can be.

AGIRF is supporting clinical projects that will harness the power of gut bacteria manipulation. Our scientific projects will identify which gut bacteria are the most important in causing and curing disease.

The ENIGMA II Study (Eastern Inflammatory Bowel Disease Gut Microbiota) - is a collaboration with our colleagues at the Chinese University of Hong Kong. This study combines basic science, dietetics and clinical science to form a unique and powerful research combination to address the role of the gut microbiota and diet in surging Crohn's disease prevalence.  The ENIGMA II Study is making fundamental discoveries about the key microbial organisms and related dietary factors that cause and contribute to the development of IBD in the West, and in the East (Hong Kong and China) where IBD incidence is rapidly increasing.  

The ENIGMA II Studies would not be possible without the generous support of the Leona M. and Harry B. Helmsley Charitable Foundation.

The ecosystem within our gut is central to our well-being, but also to the development of many gut and non-gut disorders. Its scientific exploration is leading to new therapies and cures.

Melbourne Clinical Site Staff

PROFESSOR MICHAEL KAMM
PROFESSOR OF

GASTROENTEROLOGY
The University of Melbourne and 

St Vincent’s Hospital
 

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DR. AMY HAMILTON

CLINICAL SCIENTIST

University of Melbourne,

St Vincent’s Hospital
 

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MS. ANNALISE STANLEY RESEARCH NURSE SPECIALIST

University of Melbourne,

St Vincent’s Hospital
 

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DR. AMY WILSON-O'BRIEN

CLINICAL SCIENTIST

University of Melbourne,

St Vincent’s Hospital
 

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DR. GINA TRAKMAN

RESEARCH DIETITIAN

University of Melbourne,

St Vincent’s Hospital
 

Queensland Scientific Staff
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PROFESSOR MARK MORRISON

PROFESSOR OF MICROBIOLOGY

The Diamantina Institute,

The University of Queensland
 

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DR. SEUNGHA KANG

RESEARCH FELLOW

The Diamantina Institute,

The University of Queensland
 

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DR. ERWIN BERENDSEN

RESEARCH FELLOW

The Diamantina Institute,

The University of Queensland
 

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DR. EMILY HOEDT

RESEARCH FELLOW

The Diamantina Institute,

The University of Queensland
 

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MR JING JIE TEH

PHD CANDIDATE

The Diamantina Institute,

The University of Queensland
 

Hong Kong Clinical and Scientific Staff
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PROFESSOR SIEW NG 

PROFESSOR OF GASTROENTEROLOGY

The Chinese University of Hong Kong

 

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JESSICA CHING

STUDY COORDINATOR

The Chinese University of Hong Kong

 

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WINNIE LIN 

RESEARCH DIETITIAN 

The Chinese University of Hong Kong

 

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PROFESSOR JUN YU

PROFESSOR OF GASTROENTEROLOGY

The Chinese University of Hong Kong

 

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LEO OR

RESEARCH ASSISTANT

The Chinese University of Hong Kong

 

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DR. WENDY ZANG

RESEARCH FELLOW

The Chinese University of Hong Kong

 

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PROFESSOR JOSEPH SUNG

PROFESSOR OF MEDICINE

The Chinese University of Hong Kong

 

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WHITNEY TANG

RESEARCH ASSOCIATE

The Chinese University of Hong Kong

 

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ZHANG FEN

RESEARCH ASSISTANT

The Chinese University of Hong Kong - Shenzhen Research Institute

 

China Clinical Investigators
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PROFESSOR ZHIHUA RAN

PROFESSOR OF GASTROENTEROLOGY

Ren Ji Hospital and Jiao Tong University, Shanghai

 

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PROFESSOR MINHU CHEN

PROFESSOR OF GASTROENTEROLOGY

Sun Yat-sen University, Guangzhou

 

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PROFESSOR KAICHUN WU

PROFESSOR OF GASTROENTEROLOGY

Fourth Military Medical University, Xian

 

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PROFESSOR JIAN QIU SHENG

PROFESSOR OF GASTROENTEROLOGY

The General Hospital of People's Liberation Army, Bejing

 

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