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Rae-Chi Huang

Associate Professor, Honorary Research Fellow

Rae-Chi Huang

Honorary Research Fellow

MB BS, FRACP (paeds), PhD, DCH

rae-chi.huang@thekids.org.au

A/Professor Huang (MBBS, FRACP, PhD, DCH) is a paediatric physician and leading clinical researcher in early antecedents of cardiometabolic disease. Her work investigates pathogenesis of cardiovascular and related metabolic disease, with emphasis on their origins in pregnancy and early childhood. She completed her PhD in 2010, investigating the role of early life precursors on adolescent cardio-metabolic risk.  She holds an associate professorship at The Kids Research Institute Australia/UWA.  She currently leads the Australian arm of the EU “Early-life stressors and LifeCycle health” and led the NHMRC project "A two generation population study of obesity epigenetics".

Dr Huang's research focuses on understanding the early origins of human disease particularly in reference to obesity and related cardiovascular risk factors. A/Professor Huang has had continuous financial support in the role of chief investigator from the NHMRC since 2011 amounting to over $3.5 million to date and is supported by a NHMRC fellowship.  She has worked as a paediatric consultant in the paediatric obesity clinic in the department of Endocrinology at Princess Margaret Hospital, now Perth Children’s hospital since 2010.

Published research

Developmental origins of psycho-cardiometabolic multimorbidity in adolescence and their underlying pathways through methylation markers: a two-cohort study

Understanding the biological mechanisms behind multimorbidity patterns in adolescence is important as they may act as intermediary risk factor for long-term health. We aimed to explore relationship between prenatal exposures and adolescent's psycho-cardiometabolic intermediary traits mediated through epigenetic biomarkers, using structural equation modeling (SEM). 

Maternal educational attainment in pregnancy and epigenome-wide DNA methylation changes in the offspring from birth until adolescence

Maternal educational attainment (MEA) shapes offspring health through multiple potential pathways. Differential DNA methylation may provide a mechanistic understanding of these long-term associations. We aimed to quantify the associations of MEA with offspring DNA methylation levels at birth, in childhood and in adolescence.

Measures of Early-life Behavior and Later Psychopathology in the LifeCycle Project-EU Child Cohort Network: A Cohort Description

The EU LifeCycle Project was launched in 2017 to combine, harmonize, and analyze data from more than 250,000 participants across Europe and Australia, involving cohorts participating in the EU-funded LifeCycle Project. The purpose of this cohort description is to provide a detailed overview of the major measures within mental health domains that are available in 17 European and Australian cohorts participating in the LifeCycle Project.

Differences in birth weight between immigrants' and natives' children in Europe and Australia: a LifeCycle comparative observational cohort study

Research on adults has identified an immigrant health advantage, known as the 'immigrant health paradox', by which migrants exhibit better health outcomes than natives. Is this health advantage transferred from parents to children in the form of higher birth weight relative to children of natives?

Differential DNA methylation of steatosis and non-alcoholic fatty liver disease in adolescence

Epigenetic modifications are associated with hepatic fat accumulation and non-alcoholic fatty liver disease (NAFLD). However, few epigenetic modifications directly implicated in such processes have been identified during adolescence, a critical developmental window where physiological changes could influence future disease trajectory. To investigate the association between DNA methylation and NAFLD in adolescence, we undertook discovery and validation of novel methylation marks, alongside replication of previously reported marks.

Gestational age at birth and body size from infancy through adolescence: An individual participant data meta-analysis on 253,810 singletons in 16 birth cohort studies

Preterm birth is the leading cause of perinatal morbidity and mortality and is associated with adverse developmental and long-term health outcomes, including several cardiometabolic risk factors and outcomes. However, evidence about the association of preterm birth with later body size derives mainly from studies using birth weight as a proxy of prematurity rather than an actual length of gestation. We investigated the association of gestational age (GA) at birth with body size from infancy through adolescence.

Associations between Prenatal Exposure to Phthalates and Features of the Metabolic Syndrome in Males from Childhood into Adulthood

Phthalate metabolites are detectable within the majority of the population. Evidence suggests that a prenatal exposure to phthalates may be associated with the subsequent risks of obesity and elevated blood pressure. We hypothesised that a prenatal exposure to phthalates would lead to an increase in adverse cardiometabolic parameters through childhood and adulthood.

Cohort description: Measures of early-life behaviour and later psychopathology in the LifeCycle Project - EU Child Cohort Network

The EU LifeCycle Project was launched in 2017 to combine, harmonise, and analyse data from more than 250,000 participants across Europe and Australia, involving cohorts participating in the EU-funded LifeCycle Project. The purpose of this cohort description is to provide a detailed overview over the major measures within mental health domains that are available in 17 European and Australian cohorts participating in the LifeCycle Project.

Associations of early-life pet ownership with asthma and allergic sensitization: A meta-analysis of more than 77,000 children from the EU Child Cohort Network

Studies examining associations of early-life cat and dog ownership with childhood asthma have reported inconsistent results. Several factors could explain these inconsistencies, including type of pet, timing, and degree of exposure. Our aim was to study associations of early-life cat and dog ownership with asthma in school-aged children, including the role of type (cat vs dog), timing (never, prenatal, or early childhood), and degree of ownership (number of pets owned), and the role of allergic sensitization.

The relationship between intrauterine foetal growth trajectories and blood pressure in young adults

Previous studies have reported an association between low birthweight and elevated blood pressure (BP) in adulthood, but few have examined the relationship between foetal growth and adult BP.

Identifying young adults at high risk of cardiometabolic disease using cluster analysis and the Framingham 30-yr risk score

Current strategies to reduce cardiovascular disease (CVD) risk in young adults are largely limited to those at extremes of risk. In cohort studies we have shown cluster analysis identified a large sub-group of adolescents with multiple risk factors.

DNA methylation patterns within whole blood of adolescents born from assisted reproductive technology are not different from adolescents born from natural conception

Study question: Do the epigenome-wide DNA methylation profiles of adolescents born from ART differ from the epigenome of naturally conceived counterparts? Summary answer: No significant differences in the DNA methylation profiles of adolescents born from ART [IVF or ICSI] were observed when compared to their naturally conceived, similar aged counterparts.

Epigenome-Wide Association Study of Thyroid Function Traits Identifies Novel Associations of fT3 With KLF9 and DOT1L

The aim is to identify novel associations between fT3, fT4, and TSH and differentially methylated positions (DMPs) in the genome in subjects from 2 Australian cohorts. We performed an epigenome-wide association study (EWAS) of thyroid function parameters and DNAm using participants from Brisbane Systems Genetics Study and the Raine Study.

The EU Child Cohort Network’s core data: establishing a set of findable, accessible, interoperable and re-usable (FAIR) variables

The Horizon2020 LifeCycle Project is a cross-cohort collaboration which brings together data from multiple birth cohorts from across Europe and Australia to facilitate studies on the influence of early-life exposures on later health outcomes. A major product of this collaboration has been the establishment of a FAIR (findable, accessible, interoperable and reusable) data resource known as the EU Child Cohort Network. Here we focus on the EU Child Cohort Network's core variables.

Adiposity associated DNA methylation signatures in adolescents are related to leptin and perinatal factors

Epigenetics links perinatal influences with later obesity. We identifed differentially methylated CpG (dmCpG) loci measured at 17 years associated with concurrent adiposity measures and examined whether these were associated with hsCRP, adipokines, and early life environmental factors. Genome-wide DNA methylation from 1192 Raine Study participants at 17 years, identified 29 dmCpGs associated with body mass index, 10 with waist circumference and 9 with subcutaneous fat thickness.

DNA methylation and body mass index from birth to adolescence: meta-analyses of epigenome-wide association studies

DNA methylation has been shown to be associated with adiposity in adulthood. However, whether similar DNA methylation patterns are associated with childhood and adolescent body mass index (BMI) is largely unknown. More insight into this relationship at younger ages may have implications for future prevention of obesity and its related traits. We examined whether DNA methylation in cord blood and whole blood in childhood and adolescence was associated with BMI in the age range from 2 to 18 years using both cross-sectional and longitudinal models.

ApoB48-Lipoproteins Are Associated with Cardiometabolic Risk in Adolescents

Adolescents with polycystic ovary syndrome (PCOS) have increased incidence of cardiometabolic risk factors including dyslipidemia. Atherogenic apolipoprotein (apo) B-lipoprotein remnants are associated with increased cardiovascular disease (CVD) risk.

Machine Learning-Based DNA Methylation Score for Fetal Exposure to Maternal Smoking

Fetal exposure to maternal smoking during pregnancy is associated with the development of noncommunicable diseases in the offspring. Maternal smoking may induce such long-term effects through persistent changes in the DNA methylome, which therefore hold the potential to be used as a biomarker of this early life exposure. With declining costs for measuring DNA methylation, we aimed to develop a DNA methylation score that can be used on adolescent DNA methylation data and thereby generate a score for in utero cigarette smoke exposure.

Methylome-wide association study of central adiposity implicates genes involved in immune and endocrine systems

We conducted a methylome-wide association study to examine associations between DNA methylation in whole blood and central adiposity and body fat distribution, measured as waist circumference, waist-to-hip ratio and waist-to-height ratio adjusted for body mass index, in 2684 African-American adults in the Atherosclerosis Risk in Communities study.

Education and Qualifications

1995 - MBBS Bachelor of Medicine and Surgery, University of Western Australia

1997 - Diploma of Child Health (DCH), University of Western Australia/ Postgraduate Princess Margaret Hospital

2003 - Fellow of Royal Australasian College of Physicians (Paediatrics) (FRACP), Royal Australasian College of Physicians (RACP)

2001 -  Biostatistics I unit of Masters of Public Health with Distinction, University of Western Australia

2010 - PhD -UWA University of Western Australia                              

           Childhood Precursors of Adult Cardiovascular Disease – The Raine Study, University of Western Australia

Licensure and Certification

1995 - Unconditional full registration with Medical Board of Western Australia Number10377.

1998 - Unconditional full registration with Medical Board of Queensland – Number - 982239    

1999 - Advanced Paediatric Life Support (APLS) certified    

2000 - Australian Cochrane Centre Workshop

2002 - United States Medical Licensing Examination (USMLE), Education

2002 - Commission for Foreign Medical Graduates (ECFMG), Certificate number 0-624807-4

Awards/Honours

2004 - Cardiovascular Lipid Pfizer Grant – $55,000

2005 - Best Postgraduate Student Research Award, UWA - School of Medicine and Pharamacology Research Showcase

2005 - Finalist New Investigator’s Award oral presentation at High Blood Pressure Research Council Australia (HBPRCA) Melbourne

2005 - Robert Van Dongen Award at HBPRCA

2005 - Student Travel Grant for ASM of HBPRCA

2006 - Asian Pacific Society of Hypertension (APSH) Fellowship

2006 - High Blood Pressure Research Foundation’s Young Investigator Travel Award

2006 - National Heart Foundation Travel Grant  (TG 06P 2931)            

2006 - Best Oral Presentation for Young Investigators in the Asian Pacific Society of Hypertension finals at the International Society Hypertension 2006, Fukuoka, Japan, October 2006

2007 - National Health and Medical Research Council of Australia Postgraduate Medical   Training Scholarship

2007 - Best abstract for Young Investigator, DOHaD 2007, Perth

2007 - Robert Van Dongen Award HBPRCA 2007, Adelaide

Early Career Investigator Oral Award HBPRCA 2007, Adelaide

Travel Grant HBPRCA 2007

2007 - Finalist Best Young Investigator Australian Atherosclerosis Society

2008 - Epigenetic influences on child health and development in the Raine Study - WIRF starter grant     -$  15,704.00

2009 - Emerging Leaders Australia –China Dialogue (1 of 10 Australian PhD students selected as emerging leader in their field.  The meeting involved 10 Chinese PhD students and 9 PhD students from greater Asia – Pacific region.  The discussion surrounded the design of a knowledge bank for the Asia-Pacific region)– Beijing.

2009 - Finalist for Early Career Investigator at the High Blood Pressure Research Council Australia ASM – Sydney Dec 1-3.

2010 - CIB on NHMRC Project Grant #1010495:” The Effects of Omega-3 Fatty Acids on Novel Anti-Inflammatory Metabolites and Telomere Length in Early and Later Life: Potential Implications for Long-Term Cardiovascular Risk” $840,061.00

2010 - UWA Faculty of Medicine Postdoctoral Fellowship 2011-2012

2011 - Junior Faculty Travel Stipend Award 2011 Developmental Origins of Health and Disease World Congress, Oregon USA 2011

2011 - CIE on NHMRC project grant 2012-2014 App1027449 Childhood obesity and its relationship to adult sleep disordered breathing - $843,000.00

2012 - Professor Susan Prescott, Dr Rae-Chi Huang, Associate Professor Debra Palmer, Mrs Nina D'Vaz, Winthrop Professor Karen Simmer 2012, 'The International Inflammation (in-FLAME) network', UWA Research Collaboration Awards. *

2012 - Professor Susan Prescott, Winthrop Professor Karen Simmer, Dr Rae-Chi Huang, Professor Meri Tulic, Associate Professor Debra Palmer, Ms Suzanne Meldrum, Professor Phillip Calder, Professor Dianne Campbell, A/Professor Katie Allen 2012, 'WUN International Inflammation (in-FLAME) Network', Worldwide Universities Network WUN.

2013-2016 - NHMRC Early Career Fellowship: “The early life programming of Cardiovascular disease”.  App#1053384 $ 359,564.00

2013 - PMH Foundation Seeding Grant. $19 996

2013 - New Independent Researcher Infrastructure Support Award. Department of Health.  $10,000

2013-2014 - Telethon Institute for Child Health Research Leadership program

2013 - Research Collaboration World University Network UWA –Early Childhood programming of obesity $15,000

2013-2016 - NHMRC project grant CIA – “The cycle of obesity: a two generation population study of obesity epigenetics” App1059711 - $1,086, 101.70

2013 - UWA Young Investigator Award (one of five selected across all disciplines)

2014 - Telethon-Perth Children’s Hospital Research Fund 2013 (round 2) - $200,000

2015 - The Kids Research Institute Australia Research Focus Area Working Group Seeding Grant - $24,821

2015-2018 - Telethon Perth Children’s Hospital Research Fund 2014 (Round 3) - $469,540. (Co-Investigator) The ORIGINS project: a healthy start for a better future

2015 - NHMRC Equipment Grant, UWA (2015: Gorman, Nowak, Huang, Matthews, Wyrwoll, Rodger, Bakker, Firman, Malony) $26, 889.88. A centralized repository of wireless running wheels).

2015 - The Kids Research Institute Australia Research Focus Area Working Group Seeding Grant (Co-investigator) $24,486. Sunlight, nitric oxide and obesity: exploring the role of brown adipose tissue.

2016 - Medical and Health Research Infrastructure Fund (MHRIF) awarded $34,726

2016 - University of Western Australia Research Collaboration Award – Network for Preconception and Early Pregnancy Randomized Controlled Trials $19,992

2016-2021 - British Heart Foundation (RG/15/17/3174) (Collaborator) Epigenetic biomarkers and determinants of cardiovascular risk in children. £1,179,307

2017 - Chief Investigator (and Australian lead CI) on €9,957,602 EU-Horizon 2020 LIFECYCLE grant (2017-2021)

2017-2022 - CIA on NHMRC EU Collaboration Grant #1142858” LIFECYCLE - Early Life Stressors and LifeCycle Health” $453, 810.60

2017-2022 - CIA on Department of Health FutureHealth Grant support for the LIFECYCLE (WA) Project, $150,000

2019-2021 - WAHTN Rapid Translation grant ($250 000)

Active Collaborations

CIA on NHMRC EU Collaboration Grant #1142858” LIFECYCLE - Early Life Stressors and LifeCycle Health” $453, 810.60

Chief Investigator (and Australian lead CI) on €9,957,602 EU-Horizon 2020 LIFECYCLE grant (2017-2021)

 Collaboration with 

  • Erasmus University, Rotterdam, Netherlands
  • FUNDACIO CENTRE DE RECERCA EN EPIDEMIOLOGIA AMBIENTAL – CREAL, Spain
  • UNIVERSITA DEGLI STUDI DI TORINO, Italy
  • UNIVERSITY OF SOUTHAMPTON, United Kingdom
  • UNIVERSITY OF BRISTOL
  • KOBENHAVNS UNIVERSITET Denmark 
  • BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST United Kingdom
  • ACADEMISCH ZIEKENHUIS GRONINGEN Netherlands
  • PANEPISTIMIO KRITIS Greece 10 NASJONALT FOLKEHELSEINSTITUTT Norway
  • INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE (INSERM) France
  • OULUN YLIOPISTO Finland 13 SAMFUNDET FOLKHALSAN I SVENSKA FINLAND RF Finland
  • LUDWIG-MAXIMILIANS-UNIVERSITAET MUENCHEN Germany
  • STICHTING VU-VUMC Netherlands
  • Slimmere Zorg B.V. Netherlands
  •  Concentris Research Management GmbH Germany