UEGResearchPrizepromotesdevelopmentofanewtherapyforchronicinflammatoryboweldiseases

Thisyear,theEuropeanumbrellaassociationforgastroenterologyawardeditsprestigiousresearchprizetoProfessorStefanSchreibertopromoteresearchintotherapeuticmechanismsofnicotinamideinchronicinflammatoryboweldiseases.

TheUnitedEuropeanGastroenterology(UEG),theumbrellaassociationofEuropeanspecialistsocietiesforgastroenterology,awardeditsrenownedUEGResearchPrize2020toProfessorStefanSchreiber,spokespersonoftheClusterofExcellencePrecisionMedicineinChronicInflammation(PMI).Withthisprize,theUEGwillprovidefundingof100,000forSchreibersresearchprojectoninvestigatingtherapeuticmechanismsofnicotinamideinpeoplewithchronicinflammatoryboweldiseases.TheprizewasawardedonSunday,October11,withintheframeworkofthevirtualconferenceUEGWeekVirtual2020. Schreiber,DirectoroftheInstituteofClinicalMolecularBiology(IKMB)atKielUniversityandDirectoroftheDepartmentofInternalMedicineIattheUniversityMedicalCenterSchleswig-Holstein(UKSH),Kielcampus,planstousethefundingtotaketherequiredstepstowardsdevelopinganewbasictreatmentforchronicinflammatoryboweldiseases.

PatientswithchronicinflammatoryboweldiseasessuchasCrohn'sdiseaseandulcerativecolitissufferfromfrequentdiarrhea,feverandpain,aswellaspsychologicalstress.Adisturbedimmuneresponseleadstoachronicinflammationofthegastrointestinaltract,whichflaresupagainandagaininbursts.SchreiberandcolleaguesfromtheClusterofExcellencehadshowninpreviousinvestigationsthatalackoftheaminoacidtryptophananditsmetabolites,suchasnicotinamide(aformofthevitaminB3),promotedbowelinflammationinmiceandthatpatientswithchronicinflammatoryboweldiseasesalsooftensufferfromalackoftryptophan-becausetryptophanlevelsarereducedbythedisease.Intheanimalmodel,targetedadministrationofnicotinamidecanreducebowelinflammationifitcanbeintroducedtothelargeintestinethroughspecialreleasemechanisms.

NowSchreiberandhiscolleaguesplantoinvestigatewhethertheseobservationscanbetranslatedtohumansandwhethernicotinamidecanreduceinflammationandpreventfurtherflare-upsinhumans,too.Aclinicalstudytoinvestigatetheeffectivenessofnicotinamideinpatientswithulcerativecolitisistostartshortly.Alongsidethisclinicalstudy,SchreiberwouldliketousetheprojectfundedbytheUEGResearchPrizetoinvestigatethemechanismsactivatedbyadministeringnicotinamideinchronicbowelinflammationingreaterdetail.

Whatisspecialaboutnicotinamideasapotentialmedicineforchronicbowelinflammationisthatitisalreadyusedasafoodsupplementandassuchhasproventobesafeandfreeofsideeffects,saidSchreiber.Atthesametime,itischeaptomanufacture,especiallycomparedtotreatmentoptionsforchronicbowelinflammationavailabletodate,continuedSchreiber.

However,theforminwhichnicotinamideiscurrentlyingestedasafoodsupplementorthroughfoodisnotsuitableforuseagainstbowelinflammation,asheretheactiveagentisabsorbedinthestomachoruppersmallintestine.Inflammationinulcerativecolitis,however,occursinthelargeintestineandinCrohnsdiseaseinthelowersmallintestineorlargeintestine.Schreiberandhiscolleagueshavethereforedevelopedatabletthatdelaysthereleaseofnicotinamideuntilitisinthelowersmallintestineandinthelargeintestinei.e.wheretheinflammationandmostofthebowelbacteriacanbefound.Thesebacteria,accordingtotheresearchersoftheClusterofExcellencePMI,playanimportantroleininflammation.

IamverypleasedabouttheUEGResearchPrize.ItwillsupportusinoureffortstobringmanyyearsofresearchbytheClusterofExcellencePMIontheinfluenceofnicotinamideinchronicbowelinflammationtoclinicalapplication,saidSchreiber.Ifweunderstandthemechanismsbywhichnicotinamideisactivatedmoreprecisely,wewillbeabletomakebetterpredictionsinfutureabout,forexample,whichpatientswillparticularlybenefitfromtheadministrationoftheagent.Thatwouldbeanimportantsteptowardscreatingprecisionmedicine,i.e.targetedindividualmedicine,continuedSchreiber.

Contact:

Prof.Dr.StefanSchreiber
DepartmentofInternalMedicineI,UKSH
InstituteofClinicalMolecularBiology,KielUniversity,UKSH
0431/500-15101
s.schreiber@mucosa.de

portrait photo
©J.Haacks,KielUniversity

Prof.Dr.StefanSchreiber,SpokespersonoftheClusterofExcellencePMI,DirectoroftheInstituteforClinicalMolecularBiology,KielUniversityandUKSH,andDirectoroftheClinicforInternalMedicineI,UKSH,CampusKiel.

AbouttheClusterofExcellencePMI

TheClusterofExcellence"PrecisionMedicineinChronicInflammation"(PMI)isbeingfundedfrom2019to2025throughtheGermanExcellenceStrategy(ExStra).Itsucceedsthe"InflammationatInterfacesCluster,whichwasalreadyfundedintwoperiodsoftheExcellenceInitiative(2007-2018).Around300membersfromeightinstitutionsatfourlocationsareinvolved:Kiel(KielUniversity,UniversityMedicalCenterSchleswig-Holstein(UKSH),MuthesiusUniversityofFineArtsandDesign,KielInstitutefortheWorldEconomy(IfW),LeibnizInstituteforScienceandMathematicsEducation(IPN)),Lbeck(UniversityofLbeck,UniversityMedicalCenterSchleswig-Holstein(UKSH)),Pln(MaxPlanckInstituteforEvolutionaryBiology)andBorstel(ResearchCenterBorstel-LeibnizLungCenter).

Thegoalistotranslateinterdisciplinaryresearchfindingsonchronicinflammatorydiseasesofbarrierorganstohealthcaremoreintensively,aswellastofulfilpreviouslyunsatisfiedneedsofthepatients.Threepointsareimportantinthecontextofsuccessfultreatment,andarethereforeattheheartofPMIresearch:theearlydetectionofchronicinflammatorydiseases,thepredictionofdiseaseprogressionandcomplications,andthepredictionofindividualresponsestotreatment.

Pressoffice

FrederikeBuhse
PublicRelations,ExcellenceClusterPMI

ClusterofExcellence "PrecisionMedicineinChronicInflammation"
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