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Foundations of Lung Disease

The Foundations of Lung Disease Team is focused on improving the diagnosis, treatment, and lifelong care of childhood lung disease.

Welcome to the Foundations of Lung Disease team page

We are a collaborative research team dedicated to improving the diagnosis, treatment, and lifelong management of lung disease in children and young people. Our work spans clinical, mechanistic, and population-based research, with a focus on ensuring research is rapidly translated into practice. Through strong partnerships with clinicians, researchers, and the community, we drive innovation in respiratory health and contribute to national and international clinical guidelines that shape the care of children worldwide.

Mission

To improve the diagnosis, management, and outcomes of lung disease in children and young people.

Vision

To drive innovation and foster scientific excellence in respiratory medicine, with a primary focus on enhancing the health and wellbeing of children and young people affected by lung disease.

Our research program spans three core areas:

1. Understanding Childhood Lung Disease

Through valuable cohort studies, we aim to uncover the underlying causes and mechanisms of a wide range of childhood lung conditions, including bronchiectasis, cystic fibrosis, and prematurity-associated lung disease. Our research involves:

  • Identifying age- and disease-appropriate methods that are sensitive to early changes in lung function
  • Investigating disease progression through studying lung health from infancy to adulthood
  • Examining the influence of early-life clinical exposures, structural lung changes, and respiratory symptoms on disease progression and long-term outcomes
  • Identifying individuals who would benefit from treatment or require closer monitoring
  • Investigating disease mechanisms through integrated laboratory research and partnerships with specialists in genomics, metabolomics, and related disciplines

This foundational research deepens our understanding of how childhood lung diseases develop and persist into adulthood.

2. Improving Treatments for Childhood Lung Disease

Our team is committed to advancing evidence-based care through:

  • Identifying critical periods for intervention to prevent chronic respiratory disease
  • Identifying treatable traits to inform personalised approaches to therapy
  • Conducting interventional trials to improve treatments for childhood lung disease

By targeting modifiable risk factors and key intervention windows, we aim to develop and refine therapies that ensure brighter futures for children and young people with chronic lung conditions

3. Translating Research into Practice

We are committed to ensuring our research drives real-world impact by:

  • Embedding consumer and community involvement throughout the research process to ensure relevance, accelerate implementation, and improve health outcomes
  • Partnering with health professionals and researchers at local, national, and international levels
  • Generating high-quality evidence to support improved clinical care, education, and health service delivery
  • Contributing to and authoring national and international clinical guidelines
  • Expanding the evidence base that informs best practice in the management of childhood respiratory disease

This translational focus ensures our discoveries lead to better care and better outcomes for children everywhere.

Team leader

Head, Strong Beginnings Research, Co-head Foundations of Lung Disease

Co-Head, Foundations of Lung Disease

Team members (25)

Dr Claire Shackleton
Dr Claire Shackleton

BSc (Hons) PhD

Clinical Research Coordinator

Jaqueline Macpherson
Jaqueline Macpherson

MHlthSc, BBiomedSci

Senior Project Coordinator

Amber Bates

Amber Bates

Consumer Representative

April Htun

April Htun

Research Assistant

Callan Lavery

Callan Lavery

Biostatistician

Carvern Jacobs

Carvern Jacobs

PhD candidate

Craig Schofield

Craig Schofield

PhD candidate

Dr Denby Evans

Dr Denby Evans

Research Officer

Faith Mhembere

Faith Mhembere

PhD candidate

Hannah L Moore

Hannah L Moore

PhD candidate

Dr James Gibbons

Dr James Gibbons

PhD Student & Paediatrician

Kitty Obando

Kitty Obando

Research Assistant

Michael Beaven

Michael Beaven

PhD candidate

Dr Naomi Chapman

Dr Naomi Chapman

Research Officer

Neave Garland

Neave Garland

Research Assistant

Dr Rebecca Watkinson

Dr Rebecca Watkinson

Research Officer

Tabitha Cleary

Tabitha Cleary

Research Assistant

Tiffany Bradshaw

Tiffany Bradshaw

PhD candidate

Dr Graham Hall

Dr Graham Hall

Honorary Research Associate

Dr Andrew Wilson

Dr Andrew Wilson

Honorary Research Associate

Dr Rachel Foong

Dr Rachel Foong

Honorary Research Associate

Foundations of Lung Disease projects

Featured projects

The Impact of Modulator therapy from Early life on lung health trajectories in Cystic Fibrosis (TIME-CF)

Cystic fibrosis is an inherited condition that results in chronic lung disease. In recent years, a new type of medication called CFTR modulators has become available.

FINGERPRINT: FINdinG Early markers of Respiratory disease for survivors of PReterm birth which IdeNtify Treatable traits

This research project will investigate the traits of preterm lung disease, looking into the long-term lung health of children born preterm, aiming to identify traits that could help guide better treatments in the future.

Reports and Findings

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Comparing The Physiological Responses To Cycle And Treadmill Exercise Between Preterm-born And Term-born Adults

People born preterm (<37 weeks’ gestation) have lower peak oxygen consumption (peak VO2), a well-established indicator of long-term health outcomes, compared to term-born peers. However, responses to exercise can vary with exercise mode, which has implications for prognostic assessments. 

Determinants of declining lung function trajectories from childhood to adulthood after preterm birth

Preterm birth is associated with lifelong respiratory sequelae, yet our understanding of lung function trajectories across the lifespan remains limited. We aimed to identify patterns of spirometry development from childhood to early adulthood in survivors of very preterm birth using novel data-driven methods.

A differentiated nasal epithelial cell model derived from children with acute wheeze and asthma

The airway epithelium is the primary structural and functional airway barrier and orchestrates innate immunity. Some children may have underlying epithelial vulnerabilities that contribute to the pathogenesis of acute wheeze and asthma.

Functional skills in MECP2 duplication syndrome: developmental dynamics and regression

MECP2 duplication syndrome (MDS) is an ultrarare, X-linked neurodevelopmental disorder that is poorly understood in terms of its natural history and phenotypic variability. There is limited information on how individuals with MDS acquire, retain or lose fundamental functional skills (gross motor, purposeful hand function and communication) - that of which this study aimed to better characterise in the largest case series to date.

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