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Author: Louise Stanley

Birmingham researchers join Nobel Prize winner to win major funding on chronic inflammation

Researchers at the University of Birmingham will lead a major research programme to transform the treatment of autoimmune diseases by halting chronic inflammation at its source, working in partnership with 025 Nobel Prize winner Professor Shimon Sakaguchi, from Osaka University, and Professor Calliope Dendrou from the University of Oxford.

Backed by a £3.83 million Wellcome Discovery Award, the ambitious eight-year programme brings together world-leading scientists and clinician-scientists to focus on understanding and controlling the immune system’s regulatory mechanisms, with a particular focus on the liver.

Research will focus on the role of Foxp3+ Regulatory T-cells in maintaining immune tolerance and preventing tissue damage caused by autoimmune responses. Scientists and clinicians in the UK and Japan will explore how these Regulatory T-cells discovered by Professor Sakaguchi can be used to restore immune balance and treat autoimmune diseases.

Project leader Ye Htun Oo, Professor of Autoimmune Liver Diseases, from BHP founder-member the University of Birmingham, has been working in research partnership for more than 12 years with Professor Sakaguchi who was announced this week as one of three co-winners of the 2025 Nobel Prize in Physiology or Medicine – alongside US scientists Mary Brunkow and Fred Ramsdell – for their work understanding how Regulatory T-cells maintain a healthy balance within the immune system, creating openings for possible new autoimmune disease and cancer treatments.

Professor Oo commented: “Congratulations to Professor Sakaguchi on his Nobel Prize success – we are looking forward to continuing the University of Birmingham’s longstanding research partnership with him as we explore together how the Regulatory T cells that he discovered 30 years ago can help to treat autoimmune liver diseases.”

He also commented that Birmingham is one of the biggest liver transplant centres in Europe and this new approach of controlling autoimmune diseases with Regulatory T cells, will give hope to prevent liver transplantations for autoimmune liver diseases in future.

Autoimmune diseases occur when the body’s immune system mistakenly attacks its own tissues. In liver diseases such as autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis, there is currently no cure, leading to chronic inflammation, organ damage, and loss of function and eventually requiring liver transplantations.

Professor Sakaguchi commented: “This exciting collaborative award will allow us to work together to understand stable functional regulatory T cells biology and to progress towards future therapy with these cells for patients with autoimmune liver diseases and multi-organ autoimmunity.”

The programme unites the expertise of Professors Sakaguchi and Professor Oo with Professor Graham Anderson, from the University of Birmingham – a leading authority on thymic T-cell development and immune tolerance – and Professor Calliope Dendrou, from the University of Oxford, an expert in immune disease single-cell and spatial multiomics.

Professor Anderson commented: “By revealing how immune cells interact with tissue during chronic inflammation, our goal is to find a way of using these Regulatory T-cells as a naturally occurring way of treating autoimmune disease of the liver – nature’s medicine. We aim to use our work as proof of concept in the liver that is transferrable to other forms of the condition which can cause significant damage to the gut, skin, and other organs.”

Professor Sakaguchi was awarded an honorary Doctor of Science degree by the University of Birmingham in 2019 in recognition of his vision and research driving the development of regulatory T cells as therapeutic in autoimmunity and organ transplantations.

Professor Shimon Sakaguchi following the award of his honorary Doctor of Science degree in 2019 – pictured with the University’s then Pro-Chancellor Ed Smith CBE (left) and former Head of College of Medicine and Health Professor David Adams. (Photo: Paul Bonning-Tyers from Ede and Ravenscroft)

New project to explore effective of vaping on respiratory system

The benefits and harms of vaping for long term respiratory health will be the focus of a new research project, thanks to a funding award of £1.46m by the Medical Research Council (MRC).

Building on internationally recognised work in e-cigarette studies at BHP founder-members the University of Birmingham, the EVALUATE study aims to address unanswered questions about the effect of long-term vaping on the respiratory system by conducting a four-year cohort study.

Dr Aaron Scott, Associate Professor in Respiratory Science at the University of Birmingham and Chief Investigator of EVALUATE said: “We will study how vaping affects important airway immune cells and the epithelial cells which line the insides of the lung. Since these cell types play a critical role in the development of smoking-related lung diseases, these changes will provide clear insight into vaping’s on lung health”

“This study will provide critical data needed to understand the safety of vaping as a short-term smoking cessation strategy and in longer-term usage so people can make an informed personal choice”

David Thickett, Professor of Respiratory Medicine at the University of Birmingham and Clinical lead of University Hospitals Birmingham’s staff smoking cessation service said: “The EVALUATE study will investigate changes to immune and lung cell health following vaping. Supported by the NIHR Birmingham Biomedical Research Centre, the multi-faceted study will also investigate how vaping changes the human microbiome after smoking cessation. For the trillions of microorganisms that live on and in the human body, environmental factors can affect the delicate balance of microbiomes and can impact health if disrupted.”

Dr Dhruv Parekh, Associate Professor in Respiratory Medicine and Director of the University Hospitals Birmingham Clinical Research Facility said: “Studying immune cells from the blood (indirect effects) and from the airways (direct effects) by bronchoscopy, allows us to get a complete picture of how the airways are affected by vaping. This important study will be delivered through our NIHR Clinical Research Facility which is integral to the delivery of this work.”

Dr Mike Cox, Assistant Professor Respiratory Microbiome at the University of Birmingham said: “Smoking can drastically alter microorganisms in our bodies, particularly in the airways. This project will allow us to uncover how vaping impacts this balance and map out how this changes over time.”

Studying toxicants in the airways

Previous work from Dr Scott’s lab at the University of Birmingham has shown that toxicants within e-cigarette vapour, formed by the breakdown of e-liquid, can negatively impact important immune cells, independently to the effects of nicotine. Some of these toxic components of e-cigarette vapour are also found in cigarette smoke. We know this could harm our airways, but this is difficult to sample and measure.

Professor Luis Mur at Aberystwyth University will lead the investigation into the accumulation of toxicants within the airways after vaping. Professor Mur said: “Using our cutting-edge mass spectroscopy platforms, we can monitor how toxicants in the airways change as people move from smoking to vaping. Combined with data on immune cell function, this interdisciplinary approach will give us a powerful insight into the true nature of e-cigarette exposure on the airways.”

This new study will also run alongside a complementary clinical trial, ECAL and linked EME mechanism study, which is examining the impact of vaping in patients with chronic obstructive pulmonary disease (COPD).

The research team will begin recruiting for the EVALUATE study in the Autumn of 2025.

UK healthcare leader Richard Meddings to chair Birmingham Health Partners 

Richard Meddings CBE, the former chair of NHS England, has been appointed Chair of Birmingham Health Partners – signifying the importance, ambition and leadership of the second city’s NHS-university partnership. Richard will take up his role from October 1st 2025. 

Richard completed a three-year term at NHS England until March 2025. During his tenure, he oversaw the reorganisation which led to NHS Improvement, NHS-X and Health Education England merging into NHS England, which reduced costs and placed more funding directly into patient care. Additionally, the first NHS Long Term Workforce Plan was delivered and Integrated Care Boards formally established.  

Alongside his NHS England role, Richard was a non-executive director at Genomics England – established by the UK Government to bring genomic medicine into routine NHS care and transform diagnosis and treatment of cancer and rare conditions. 

Originally from Wolverhampton, Richard moved into healthcare leadership after a 30-year career in financial services and banking, where his senior executive roles included Group Executive Director at Standard Chartered, following finance director roles at the Woolwich and Barclays. He has served in non-executive board roles for numerous organisations including Legal & General, Deutsche Bank, Credit Suisse and TSB Bank, as well as seven years on the Board of HM Treasury.  

Commenting on his appointment, Richard said: “Today’s NHS is a remarkable machine, providing record levels of care, and it has been humbling and inspiring to witness that front-line work in action. In tandem, research innovations are coming thick and fast which will enable us to be more proactive with patients, address capacity issues and harness the power of new technology. Nowhere are these opportunities greater than in my native West Midlands, making it a very exciting time to join BHP.” 

Professor Sir Bruce Keogh, Chair of Birmingham Women’s and Children’s NHS Foundation Trust, said: “Richard brings gravitas, wider connections and additional vision to Birmingham Health Partners. BHP’s member organisations will benefit greatly from his deep understanding of the NHS and the promise that Birmingham’s national genomics programme offers to our population, the regional life science industry, and the future of medicine.” 

Dame Yve Buckland, Chair of University Hospitals Birmingham NHS Foundation Trust, said: “Richard’s leadership experience, skills and insights will be invaluable to our important collaboration and the opportunity we have to advance new treatments, diagnostics, and technologies to improve the health and care of our communities – which include some of the most challenged in the country.” 

Sir David Nicholson, Chair of Sandwell and West Birmingham NHS Trust, said: “It is tremendous to welcome Richard back to the West Midlands. Birmingham is a UK leading centre hosting one of the most substantial Government investments in research via the National Institute for Health and Care Research (NIHR) amongst others. Our work in health data, addressing health inequalities and optimising clinical trials is already improving healthcare. It is an exciting time across our partnership.”  

Professor Neil Hanley, Executive Director of Birmingham Health Partners and Pro-Vice Chancellor and Head of the College of Medicine & Health at the University of Birmingham: ‘I am absolutely delighted we have persuaded Richard to become our next chair of Birmingham Health Partners. Combining business and financial acumen with his experience at the helm of NHS England, he will give us a unique perspective on the opportunities presented by the NHS 10-year plan and Life Sciences Sector Plan. We’re delighted to have him join our Board.” 

BHP, established in 2015, is a strategic alliance between nine University and NHS members who collaborate to deliver groundbreaking translational research, world-class education and training, and the highest quality patient care. 

NIHR Clinical Research Facility celebrates year of growth and success

Birmingham’s NIHR/Wellcome Trust Clinical Research Facility (CRF) has celebrated yet another successful year, with thousands of patients and volunteers taking part in pioneering studies that are shaping the future of medicine.

Established in 2001, the CRF provides a high-quality environment for experimental and early-phase research across all age groups.

Spanning two of Birmingham Health Partners’ NHS member Trusts, the CRF runs its adult unit from Queen Elizabeth Hospital Birmingham (QEHB), part of University Hospitals Birmingham NHS Foundation Trust, and its paediatric unit from Birmingham Children’s Hospital, part of Birmingham Women’s and Children’s NHS Foundation Trust (BWC).

Between 31 March 2024 and 1 April 2025, the CRF supported 409 active studies – 334 at UHB and 75 at BWC – involving 13,503 patient visits and the recruitment of 2,514 participants.

The facility has seen a particular growth in Advanced Therapy Investigational Medicinal Product (ATIMP) studies, which explore innovative treatments based on genes, cells, or tissues. It has also expanded work in maternal health, mental health and neonatal research, as well as opening studies in new disease areas.

Collaboration is central to the CRF’s approach, with almost half of its studies (48%) co-delivered in partnership with other NIHR infrastructure, including the Birmingham Biomedical Research Centre. This way of working ensures expertise and resources are shared to maximise patient benefit and research impact.

The year also saw significant investment, with over £4 million secured by the facility to open a new clinical research unit in the MIDRU building at Heartlands Hospital, as well as new laboratory and endoscopy equipment purchased for both QEHB and Good Hope Hospital.

Patients themselves have spoken warmly of their experience at the CRF, with recent feedback including: “Every week has been a pleasure visiting the Wellcome Research Centre”, “All staff were extremely friendly, supportive and knowledgeable” and “They are kind and thoughtful, giving you all the information you need to feel comfortable”.

Jo Gray, Head of Research and Development Operations, said: “I’m incredibly proud of all our colleagues in the Clinical Research Facility for their dedication and hard work in delivering patient-centred research across a wide range of studies and disease areas. Their impact on patients is evident in the feedback we receive, and we look forward to building on last year’s successes through continued collaboration with our industry partners.”

Members of the CRF team gathered to celebrate another successful year

New vaccine trial for head and neck cancer patients

Patients in Birmingham who have advanced head and neck cancers may be eligible to take part in a new clinical trial of a potential cancer vaccine, supported by the NHS Cancer Vaccine Launch Pad (CVLP).

Queen Elizabeth Hospital Birmingham, part of BHP founder-members University Hospitals Birmingham NHS Foundation Trust (UHB), is one of 15 sites across the country aiming to recruit more than 100 patients over the next year.

The investigational cancer vaccine in this latest trial on the platform uses mRNA technology to help the immune system recognise and kill cancer cells which express human papillomavirus (HPV) proteins.

The first head and neck cancer patients in England have received the investigational mRNA cancer vaccine in the clinical trial, known as AHEAD-MERIT (BNT113-01), with more patients to soon be enrolled at their nearest NHS hospital. 

More than 11,000 new head and neck cancer cases are diagnosed in England every year, with cancers typically developing in the mouth, throat or voice box.  

Despite advances in care for patients with head and neck cancer, the advanced form of the disease is difficult to treat and has high rates of recurrence, with two-year survival rates at under 50%.

The investigational cancer vaccine is designed to encode two proteins that are frequently found in head and neck squamous cell cancers associated with human papillomavirus (HPV-16). This is the most common type of head and neck cancer, accounting for 95% of these types of cancers, and the vaccine aims to train the immune system to fight the cancer.

NHS England is partnering with life sciences company BioNTech to help identify potentially eligible patients to refer to NHS hospitals running the clinical trial.

Dr Paul Sanghera, Consultant Oncologist and Principal Investigator of the trial at Queen Elizabeth Hospital Birmingham, said: “This clinical trial marks an important step forward in the search for better treatments for advanced head and neck cancers, which remain a significant challenge in oncology.

“These cancers are notoriously difficult to treat, and access to this investigational vaccine could offer patients a potential new option in their treatment journey. While we are still in the early stages, the hope is that this trial will pave the way for improved outcomes for those living with these challenging conditions.”

Matthew Metcalfe, Hospital Executive Director at Queen Elizabeth Hospital Birmingham, said: “We are incredibly proud to be one of the 15 sites across the country taking part in this important clinical trial. It reflects our ongoing commitment to driving forward research aimed at improving outcomes for patients in Birmingham and beyond, offering new hope to those facing these challenging diagnoses.”

Dr Iain Foulkes, Executive Director of Research and Innovation at Cancer Research UK, said: “It’s great to see more clinical trials of vaccines for head and neck cancer supported by the Cancer Research UK-funded Southampton Clinical Trials Unit.

“Research into personalised cancer treatments is vital. There are over 200 different types of cancer and it’s unlikely there will ever be a single cure that works for everyone. That’s why it’s vital that we support a wide range of research, so that more people can live longer, better lives, free from the fear of cancer.”

More cancer vaccines news from across BHP

Birmingham academic appointed Clinical Lead of new NIHR network

The National Institute for Health and Care Research (NIHR) has awarded £6.5 million, funded jointly through a public-private partnership with the pharmaceutical industry, to establish a UK-wide Commercial Research Delivery Centre (CRDC) Network. The Network is hosted by University Hospitals of Leicester NHS Trust (UHL), with Birmingham Health Partners’ Managing Director Professor Lorraine Harper as its Clinical Lead, and will commence formally on 1 September 2025.

The new Network will provide strategic coordination of all 21 CRDCs across the the UK. It will play a key role in building research capacity, streamlining the interface between industry and the UK clinical trials delivery infrastructure, and enhancing efficiency to deliver commercial clinical research through harmonised processes, in line with the Government’s call to turbocharge medical research earlier this year.

The Network will:

  • Provide strategic leadership and national coordination across the 21 CRDCs across the UK
  • Offer a central point of contact for industry sponsors
  • Facilitate study feasibility, placement and setup across the UK
  • Foster collaboration with regulators, wider NIHR and UK-wide delivery infrastructure, and other key stakeholders to advance UK Clinical Research Delivery
  • Support workforce development, inclusion, and public involvement
  • Facilitate the integration of the Primary Care CRDCs (PC-CRDCs) in England in autumn 2025, adopting them into the Network

By aligning CRDC efforts and offering a cohesive offer to industry, the Network will ensure that the CRDCs deliver against industry expectations for faster, more efficient set up and delivery of commercial research in the UK.

Lorraine Harper, Professor of Nephrology at the University of Birmingham and Managing Director of Birmingham Health Partners, is the Director of the Central and North West Midlands CRDC and has been appointed Clinical Lead of the new Network. She said: “The vision of the Network is to ensure equitable access, diverse recruitment and a much more efficient model of trial delivery, improving NHS and patient access to trials. With Birmingham Health Partners already leading a regional programme to reduce bureaucracy in clinical trials, and BHP member Birmingham Women’s and Children’s Hospitals hosting the Central and North West Midlands CRDC, this is an exciting opportunity to align all our work and deliver a ‘gold standard’ for commercial clinical trials.”

BHP founding member Birmingham Women’s and Children’s Hospitals NHS Foundation Trust hosts the £7m Central and West North Midlands (C&NWM) CRDC, working closely with regional partners Midlands Partnership University NHS Foundation Trust – host of Staffordshire and Shropshire, Telford and Wrekin Health Research Partnership (SSHERPA) – and the Black Country Provider Collaborative.

The C&NWM region, home to 4.2 million people, includes many of the UK’s most economically deprived communities who face significant health inequalities and higher rates of serious illness. The CRDC will focus on addressing these inequities by increasing access to clinical trials for patients who have the greatest need – dovetailing with BHP’s strategic focus on addressing health inequalities and giving greater opportunities for residents to participate in research.

Professor Melanie Davies, Professor of Diabetes Medicine at the University of Leicester and Honorary Consultant Diabetologist for University Hospitals of Leicester NHS Trust, and Director of the CRDC Network, said: “We are really proud that University Hospitals of Leicester NHS Trust has been awarded this funding to host this federated CRDC Network across the four nations of the UK. We are fully committed to working with our partners across the UK to deliver faster, more efficient set up and delivery of commercial research. We want to drive increased investment from industry and enable even more people to take part in studies that can lead to the future approval of new medicines and devices for the benefit of patients in the UK.”

Dr Maria Koufali, NIHR Life Sciences Industry Director, said: “The UK CRDC Network is a critical part of our national effort to transform UK clinical research delivery. By streamlining trial set-up and expanding access into community and underserved settings, it will help make the UK one of the most attractive destinations globally for commercial research. This means faster access to innovative treatments for patients, greater investment in the NHS and a stronger life sciences sector that boosts the health and wealth of the nation.”