Prospective students may browse through the list of research projects available for their candidature. Applicants are advised to approach the academic staff directly for further details of the research projects.

List of Research Projects Available for Prospective Graduate Students

The list below is grouped by the following 10 Translational Research Programmes (in no particular order):


1   Cardiovascular Disease Translational Research Programme

1.1 Cardiac gene delivery by enhanced Adeno-associate virus
1.2 Dissection of the regulatory pathways for heart regeneration and cardiovascular disease
1.3 Immunology and nanomedicine in cardiovascular disease
1.4 Developing personalized atrioventricular heart valves for human implantation: Biomimicry in design and testing
1.5 The impact of bile acids on vascular function and heart disease
1.6 Semaphorin3F in the vascular wall
1.7 Modulation of cellular behavior of ageing cardiomyocytes using amniotic stem sell sesretome
1.8 Investigation of a recently identified ADTRP protein for its role in cardiometabolic diseases
1.9 Genetic epidemiology of cardiometabolic diseases
1.10 Biomarker discovery for precision medicine and patient health using advanced analytics and multiplex mass spectrometry
1.11 Modulation of vascular smooth muscle cell in Type 2 Diabetes
1.12 Exploring the Prospect and Molecular Basis of 3D Spheroid Culture in Vascular Biology and Disease Modelling
1.13 From bench to bedside: Exploring venomous and haematophagous animals for novel therapeutics
1.14 Maintaining usability of hemodialysis vascular access
1.15 Data-driven machine learning models for vascular mechanobiology
1.16 Decoding vascular response to mechanical forces during atherosclerosis
1.17 Investigating the role of bile acids in non-alcoholic fatty liver disease and insulin resistance
1.18 Project RESET: Redirecting immune, lipid and metabolic drivers of early cardiovascular disease
1.19 Functional Validation of GWAS Candidates Associated With “Extreme” and “Paradoxical” Clinical Phenotypes in a Multi-Ethnic Asian NAFLD Cohort
1.20 Elucidation Of Molecular And Cell-biological Mechanisms Of Lifestyle Intervention and Pharmacotherapy-induced NASH Reversal At Singlecell Resolution
1.21 Dissecting the role of immune-endothelial interactions and portal hypertension in driving patients with metabolic dysfunction-associated steatohepatitis (MASH) advanced fibrosis to decompensated cirrhosis
1.22 A realistic genome-wide CRISPR screen to identify drivers of vascular endothelial cell dysfunction induced by low-grade systemic inflammation during metabolic syndrome: A pilot study to identify genetic lead candidates
1.23 Enhancing Equity in Liver Transplantation Using Machine Learning Algorithms.
1.24 Nanomedicine for metabolic diseases
1.25 Nanomedicine for cardiovascular disease: Atherosclerosis
1.26 Nanomedicine for fatty liver disease
1.27 Advanced drug delivery in heart disease
1.28 Development of milk extracellular vesicle-based nanomedicine
1.29 Functional Characterization of SYNPO2L in Cardiovascular Disease
1.30 Target prioritisation and molecular insights from an iPS cell platform for cardiometabolic disease
1.31 TRACE-CVD - Bridging the Translational Gap: Resolving Pathogenic Cell-State Transitions in Cardiovascular Diseases by Integrating Tissue Omics and iPSC Biobank
1.32 Building a NUHS Metabolic Sphere
1.33 Nanomedicine therapeutic vaccine development
1.34 Project Reset: Redirecting immune, lipid and metabolic drivers of early cardiovascular disease

2   Healthy Longevity Translational Research Programme

2.1 Longitudinal study of multimodal brain imaging for behavioural prediction in health and neuropsychiatric disease
2.2 Mechanisms of neuronal and glial dysfunctions in aging and neurodegeneration
2.3 Identifying therapeutic targets for skeletal muscle disorders
2.4 Elucidating plasticity and cognitive changes in aging andneurodegenerative diseases
2.5 Cholinergic mechanisms in different chronic diseased state – divergent roles or a continuum?
2.6 Task for healthy longevity: Improving aging muscle strength by restoring the communication between the motor neuron and skeletal muscle
2.7 Exploring novel RNA-based mitochondrial delivery vectors for mitochondrial targeting of nucleic acids towards mitochondrial gene therapy and for anti-aging
2.8 Developing a mitochondrial gene therapy targeting platform – toward mitochondrial gene therapy of LHON
2.9 Neurobehavioral & structural MRI markers for Cognitive Impairment & Dementia
2.10 Multimodal MRI-based network breakdown and progression prediction in Cognitive Impairment and Dementia
2.11 Retinal markers for Cognitive Impairment and Dementia
2.12 Blood markers for Cognitive Impairment and Dementia
2.13 The SINgapore GERiatric intervention study to reduce cognitive decline and physical frailty (SINGER) Study
2.14 Ionotropic serotonin receptor 5HT3a-R mediated synaptic transmission and plasticity underlying adaptive behaviours
2.15 Investigating the Amygdala – Nucleus Accumbenscircuitry mediting motivated behaviours
2.16 A role for neutrophin and GABAergic mechanisms in hippocampus in mediation of experimental neuropathic pain?
2.17 Sex differences in aging
2.18 Mass Up Aging Skeletal Muscle- study of mTORC1 and Sarcopenia
2.19 Correlating paraspinal muscle mitochondria structure and function change with sagittal spinal alignment
2.20 Is ergothioneine a longevity nutrient?
2.21 Investigating the potential mechanism of neuroprotection ny the dietary compound, ergothioneine
2.22 Rejuvenating Senescent Traits of Older Adults Through Regular Exercise (RESTORE)
2.23 REBOOT (Resistance Exercise improves BiOlOgical age inolder adulTs)
2.24 BREXINT (Breast Cancer Exercise INTervention)
2.25 Understanding the association between platelet characteristics of patients with ischemic stroke and the risk of stroke recurrence
2.26 CaV1.3 IQ-domain RNA editing in circadian rhythm
2.27 Cav1.2 Deubiquitinases: implications in cardiovascular diseases
2.28 CaV1.3 IQ-domain RNA editing: implications in mood disorders
2.29 Dissecting cellular pathways of aging- and senescence-associated amyloidosis
2.30 Elucidation of common proteotoxic stress response signatures across aging and age-related diseases
2.31 Vagus stimulation effects on tone-evoked synaptic excitation and inhibition in the auditory cortex
2.32 Restoring Memory in Aging and Neurodegeneration Using Transcranial Direct Current Stimulation (tDCS)
2.33 Build multimodal Neuro AI models for decoding brain health and human behavior
2.34 CEDIRA — The effect of daily multivitamin and mineral supplementation on biological age in relatively healthy middle-aged individuals
2.35 ABLE — Ageing and Biological Age with Longevity Enhancers
2.36 SIRT6 — Can seaweed-derived fucoidan impact the biomarkers of ageing?
2.37 ACCURATE — AI-guided personalised dosing of nicotinamide mononucleotide (NMN) to optimise NAD+ levels and prevent age-related physiological changes
2.38 PROMETHEUS — Precision gerOMedicine: Tailored Healthy agEing with lifestyle, sUpplements and drugS
2.39 Rejuvenating the Microbiome — Can a multi-nutrient supplement and exercise programme support healthy longevity?
2.40 LONGER — HeaLthy LONGEvity With Rapamycin
2.41 HEAL — Healthy Longevity Clinic
2.42 HELO — HEalthy LOngevity Survey
2.43 Why Do Some People Age Without Losing Their Independence? Life-Course Determinants of Functional Ageing in the Singapore Chinese Health Study
2.44 From Resilience to Frailty: Trajectories and Biological Determinants of Ageing
2.45 Validation of the VasCog Screen test: a cognitive screening tool for vascular cognitive impairment
2.46 Developing Social Robot Empowered by Embodied AI to Sustain Cognitive Training for Return to Work after Stroke

3   Human Potential Translational Research Programme

3.1 Investigating the physiological role of lipids and lipid metabolites in influencing maternal and child health outcomes
3.2 Longitudinal study of multimodal brain imaging for behavioral prediction in health and neuropsychiatric disease
3.3 Uncovering the role of CNS in hyperthermia-induced fatigue and potential augmentation strategies to overcome it
3.4 Harnessing the gut microbiome to combat heat injuries
3.5 The importance of sleep in the neurobehavioural and psychosocial development of children
3.6 Studying the Heterogeneity of Gestational Diabetes Mellitus: Cardio-Metabolic Alteration and Treatment Response in a Multi- Ethnic Population in Singapore(GDM- CARE)
3.7 Investigating the mechanistic role of the placenta in maternal-fetal transmission of mental health risk
3.8 Machine learning of brain MRI to improve mental health and disorder
3.9 Personalizing sleep for better health using large scale device data
3.10 Neurobehavioural functions of school-age children during multiple weeks of sleep restriction and recovery
3.11 Reducing children’s screen use for better sleep, mental, and brain health: a personalized approach
3.12 Omics, metabolomics and novel risk factors and biomarkers to better understand the etiology and prevention of gestational diabetes mellitus
3.13 Prediction models of gestational diabetes mellitus and unfavorable fetal growth with high-dimensional multi-omics approaches in conjunction with conventional risk factors for improved precision medicine
3.14 Omics for fetal growth- longitudinal and prospective studies to uncover novel risk factors and biomarkers of suboptimal fetal growth: exploring fetal overgrowth or growth restriction
3.15 Long-term health implications of common pregnancy complications and their determinants – a life course perspective
3.16 Nutrition, diet and lifestyle factors and maternal and child heath, and chronic diseases – nutrition/food as the new medicine
3.17 Understanding the pathways to offspring and maternal health through the lens of metabolomics
3.18 Infant Neural Trajectory and EEG (INTr-EEG)
3.19 The role of early life factors in growth, cardiometabolic health, and mental health during puberty
3.20 Screen use and sleep in children and older adults
3.21 Behavioural and environmental factors associated with sleep disturbance in adults with autism spectrum disorder
3.22 Empowering and Mobilizing through a Personalized and Outreach-driven Women’s mental Health Education Resource (EMPOWHER): A Randomized Controlled Trial
3.23 Integrated Women’s Health Programme (IWHP): Longitudinal cohort on critical issues facing mid-life women
3.24 The MUSE Randomized Clinical Trial: MUScle strengthening exercises and transdermal Estradiol for menopausal arthralgia
3.25 Project RESET: Redirecting immune, lipid and metabolic drivers of early cardiovascular disease
3.26 Exploring the underlying molecular mechanisms of maternal micronutrient supplementation on maternal and child health
3.27 Understanding how pregnancy complications shape future maternal ageing and chronic disease risk
3.28 Investigating the bioactive mechanisms linking human milk oligosaccharides to offspring growth and neurodevelopment
3.29 Brain and Language Development in Young Children: Bilingualism as Resilience in the Development of Human Potential

4   Immunology Translational Research Programme

5   Infectious Diseases Translational Research Programme

6   Digital Medicine Translational Research Programme / Institute for Digital Medicine (WisDM)

7   Cancer Translational Research Programme / NUS Centre for Cancer Research (N2CR)

7.1 Developing novel therapeutics in cancer for personalized therapy
7.2 Developing new molecular detection methods in cancer
7.3 Discovering new mechanisms in genome maintenance
7.4 Early prediction of radio resistance and distant metastasis through molecular signature-based surveillance strategy
7.5 Targeting Cysteine metabolism in ovarian clear cell carcinoma
7.6 Anti-tumor effects of electrostimulation in mice with ovarian tumors
7.7 Cancer/Testis Antigen in mitochondria function and potential implications on metastasis and therapy-resistance
7.8 Identify molecular signatures of early prediction of therapy resistance and recurrence to develop surveillance strategies for personalized treatment
7.9 Expression and functional analysis of Glycosaminoglycans and Proteoglycans in breast cancer
7.10 Clinical Molecular Imaging Research for Precision Oncology
7.11 Single centre prospective evaluation of 68Gallium-FAPI PET/MRI in Hepatocellular Carcinoma
7.12 Know thy neighbour – Spatial profiling of Intra-Tumour Heterogeneity (ITH)
7.13 ADAR1 meets NF-kB signaling: Functional role of lncRNA in regulating immune evasion
7.14 Investigating the physiological roles of p52-ETS1, a new transcription factor
7.15 Alternative UTRs of key cancer genes: Novel regulators and therapeutic targets?
7.16 Machine learning approach to cancer and cardiovascular risk prediction
7.17 Mass spectroscopy biomarker discovery for precision medicine
7.18 New digital models of health information implementation
7.19 Synthetic biology of translational therapeutics and large scale bioproduction
7.20 Oral Delivery of Bioorthogonal Catalytic Centres for Treating Gastric Cancer: A Mice Model Study Using Ultra-Stable Thermostable Exoshells
7.21 Novel role of Abemaciclib in activating NK-cell cytotoxicity against nasopharyngeal carcinoma
7.22 Targeting transcription factor pathways in cancers
7.23 Loss of genomic stability of repetitive sequences as an early epigenetic predictor of leukemia
7.24 Cytoskeletal rearrangements and its effect on tumor immune escape in ovarian cancer
7.25 Uncovering the role of extracellular vesicles enriched FAM3C in promoting NSCLC metastasis
7.26 Targeting chromatin vulnerabilities in cancer
7.27 Identifying epigenetic drivers of therapeutic resistance
7.28 Investigating the role of early-embryonic factor reactivation in cancer cell plasticity
7.29 AI-driven Protein Design and Drug Discovery
7.30 AI-based protein and RNA structure prediction
7.31 Characterising RNA Condensates in Cancer Biology
7.32 Breaking the Mechanical Code of Ovarian Cancer: PTK6 as a Driver of Metastasis and Therapy Resistance
7.33 Turning DNA Damage into Immunotherapy: PTK6 as a Dual Precision Target in Ovarian Cancer
7.34 Lyn Kinase as a Therapeutic Achilles’ Heel in Cervical Cancer: From Mechanism to First-in-Class Targeted Therapy
7.35 From activation of Alternative Lengthening of Telomeres (ALT) to therapeutic vulnerabilities in cancer
7.36 Translating an In-House Lyn Kinase Inhibitor into a Next-Generation Therapy for Treatment-Resistant Neovascular Age-Related Macular Degeneration (nAMD)
7.37 Development of a First-in-Class Degrader–Antibody Conjugate
7.38 From Exposure to Disease: An AI-Guided Precision Toxicology Framework to Uncover the Human Health Effects of Emerging Contaminants
7.39 AI for Molecular Recognition and Biomolecular Interactions
7.40 AI for Context-Aware Protein Function and Biological Mechanisms
7.41 Multimodal Foundation Models for Biomolecular Intelligence
7.42 Spatial Architecture of Immune Suppression in the Acute Myeloid Leukemia Bone Marrow Microenvironment
7.43 Identification of novel immunotherapeutic targets in Extramedullary Multiple Myeloma (EMM)
7.44 Investigating targets identified via plasma membrane profiling for Natural Killer/T-Cell Lymphoma (NKTL)
7.45 Defining the Expression and Function of Circulating microRNAs in Multiple Myeloma
7.46 Development of functional lipid nanoparticles for messenger RNA delivery
7.47 Invention of “3D” messenger RNA to improve intracellular delivery
7.48 Multifunctional nanomaterials to amplify T cell based cancer immunotherapy
7.49 Harnessing artificial intelligence for precision drug delivery
7.50 Development of immune modulator delivery nanomedicne for cancer immunotherapy

8   Synthetic Biology for Clinical & Technological Innovation for Synthetic Biology (SynCTI)

9   Precision Medicine Translational Research Programme

10   Others

10.1 Engineering and characterisation of stem cell extracellular vesicles for improved therapeutic efficacy
10.2 Developing novel cell therapies against inherited retinal diseases
10.3 Investigating retinal pigment epithelium in the context of age-related retinal degenerative diseases
10.4 Study an interesting gene in the development and progression of colorectal cancer via regulating ferroptosis
10.5 Creating isogenic reporter lines to identify regulators of cancer specific promoters
10.6 Development of gene therapy for pediatric liver diseases
10.7 Characterizing hepatocellular carcinoma at spatial resolution
10.8 Identification of SATB2 as biomarker for drug response in CRC
10.9 Single-cell strategies for simultaneous diagnosis of monogenic disorders and screening of chromosomal abnormalities in IVF preimplantation embryos to achieve healthy pregnancies and unaffected livebirths
10.10 Heart-brain connection: Cognitive impairment in heart failure
10.11 Feasibility study to explore heart-brain biomarker correlates of cognitive impairment in atrial fibrillation
10.12 Developing a digital solution for salutogenic brain health
10.13 Independent living and future care for stroke patients and their caregivers
10.14 Addressing heart-brain health disparities in women: Music intervention and reflective wisdom for self-care
10.15 Prevalence and predictors of chronic treatment guideline adherence among patients attending National University Polyclinics: a Big Data study
10.16 BRAIN EYE HEALTH AXIS RESEARCH (REALISE)
10.17 Inter-disciplinary nanotechnology in biomedical applications
10.18 In-depth mechanistic study of neurocognitive dysfunction in patients with systemic lupus erythematosus using multi-modal neuroimaging
10.19 Physiology study of electrolyte changes, CO2 kinetics and their effect on plasma pH under extreme conditions such as during bicarbonate dialysis
10.20 Beyond sight - Elucidating the non-visual consequences of ocular diseases
10.21 Handheld pupillometry for a fast detection and diagnosis of ocular diseases
10.22 The Spectral Tuning of Light for MyOPia-control (STOP)
10.23 Understanding the mechanisms and refining the use of bright light for Myopia-control
10.24 Identifying novel eye movement and pupillometric biomarkers for ocular and neurological diseases
10.25 EaRly impAct theraPy with ceftazidime-avibactam via rapID diagnostics versus standard of care antibiotics and diagnostics in patients with bloodstream infection, hospital-acquired pneumonia or ventilator-associated pneumonia due to Pseudomonas aeruginosa or carbapenem non-susceptible Enterobacterales (RAPID)
10.26 Extracellular vesicle (EV) and EV-mimetic therapies for musculoskeletal disorders
10.27 Development of Social Communication and Emotional Regulation Skills in Children with Autism Spectrum Disorders
10.28 Biomanufacturing an allogeneic-hMSCs-derived Cartilage membrane for therapy
10.29 Development of a Health Systems Performance Ranking
10.30 Patient Voice in Singapore
10.31 An Evaluation of the Mechanisms of Allergy to Galacto-oligosacharide, a Supplemental Prebiotic in Food and Beverage
10.32 Radioligang Therapy (RLT)
10.33 Optimizing Tendon Healing with Functionalized Sutures and Modified Fibrin Gels
10.34 In vivo Gene Modification of Beta Thalassaemia Mutations in Human Haemopoietic Stem Cells in Humanized Mice
1   Cardiovascular-Metabolic Disease Translational Research Programme
S/N Principal Investigator Project Title and Abstract
1.1 Dr Jiang Jianming
bchjian@nus.edu.sg
Department of Biochemistry
Cardiac Gene Delivery by Enhanced Adeno-associate Virus

Recently, our group has generated pre-clinical animal models as well as uncovered new gene therapy targets for dilated cardiomyopathy using our established AAV9 gene delivery platform. Although AAV9 is the most tropism to the heart as well as the cargo of U.S. FDA–approved gene therapy for spinal muscular atrophy (SMA), relative high titers of AAV9 based gene therapies targeting heart disease likely induce liver or other tissue toxicity in the clinical trials. Importantly, the manufacturability, efficacy, specificity and safety of gene therapies is still limited by natural vectors, which are not optimized for clinical trials or treatment for heart disease. To solve these problems and realize the full potential of gene therapy, we will build enhanced cardiac-specific gene therapy vectors through the AAV capsid engineering. Our approaches include generation of high complexity libraries of AAV variants, random peptide insertion of spike regions and optimization of hotspot regions. Using high-throughput measurement of capsid properties as well as in vivo assessment, we will characterize variant properties important for therapeutic success. Enhanced AAV vectors will be used to target variant cardiac cell types including cardiomyocytes, cardiac fibroblasts, smooth muscle cells and endothelial cells, which will support our cardiovascular program, gene therapy community as well as general cardiovascular research field.

1.2 Dr Jiang Jianming
bchjian@nus.edu.sg
Department of Biochemistry
Dissection of the Regulatory Pathways for Heart Regeneration and Cardiovascular Disease

Cardiovascular disease is a leading cause of death and disability worldwide. Heart failure (HF) occurs as a consequence of heart muscle damage. However, the adult mammalian heart, including the human heart, has limited potential to generate new muscle following injury and the burden of persisting decreased heart function may eventually lead to HF. Development of regenerative therapeutic strategies to reverse the progression of HF is an urgent and unmet clinical need. Recent research indicates regenerative potential of mammalian heart exists but dissipates shortly after birth. It is generally believed that the potential of heart regeneration is correlated with cardiomyocyte proliferative capacity. Interest in reinstating the generative potential of adult mammalian heart has led to exploration of the mechanisms underlying cardiomyocyte exit from their cell cycle to permanent arrest during the perinatal period. Our research interests focus on identifying and dissecting the regulatory pathways for heart regeneration using cutting-edge and integrated approaches in RNAseq analysis, in vivo gene modulation, stem cell reprograming and high-throughput pharmacological and genetic screening. Our research will not only uncover novel regulators and pathways for reinstating regenerative potential in adult mammalian hearts, but also provide novel targets for drug discovery and lead to better approaches for treatment or prevention of cardiovascular disease.

1.3 Dr WANG Jiongwei
surwang@nus.edu.sg
Department of Surgery
Immunology and Nanomedicine in cardiovascular disease

Heart failure is predicted the most rapidly increasing cardiovascular disease over the next 20 years. Immune response (inflammation) following heart attack (acute myocardial infarction) is critical to heart injury and repair and dictates the disease progression towards heart failure. How the immune cells communicate with each other and with heart cells in the disease setting becomes a hot topic and critical step to understand the pathogenic mechanisms underlying heart injury and failure. However, effective pharmacologic treatment is very limited and the currently available drugs for cardiovascular disease mostly end up with systemic side effects and/or suboptimal drug targeting to the diseased site. Therefore, our research aims: 1) To discover novel mechanisms of cardiovascular disease with a focus on immunology; 2) To identify novel therapeutic targets using our unique animal models, cell models and cutting-edge technologies including mass spec imaging and advanced flowcytometry; and eventually 3) to develop nanomedicine drug delivery systems for potential therapeutic compounds with advanced nanotechnology. My lab is also working on cardiac hypertrophy, atherosclerosis, cardiac regeneration and cardiac-oncology toxicity. Since my lab has a lot of local and international collaborations, the candidate will work in a multi-disciplinary and dynamic team.

1.4 Prof Theodoros Kofidis
surtk@nus.edu.sg
Department of Surgery
Developing Personalized Atrioventricular Heart Valves for Human Implantation: Biomimicry In Design And Testing

The existing prostheses offer an overly simplistic rigid circular implant at the level of the patient’s native valve ring and lack all the other atrioventricular valve components. Currently commercially available prostheses, with a rigid and symmetrical shape, lack cords or connections to the papillary muscles that are prone to serious complications and depend on heavy medications, which may cause serious side-effects.
We aim to develop a prosthetic valve which is designed to resemble a patient’s natural atrioventricular (mitral and/or tricuspid) valve. Compared to existing valves, the proposed prosthetic valve will be prefabricated to the patient’s needs. It will serve better than any best available prosthesis, because it will be made precisely fit and function for individual patient, permitting superior hemodynamic performance; it will also allow faster/better heart recovery after surgery because the annulus of the prosthesis wholly provides freedom of motion to the annulus.
This project will not aim to develop off-the-shelf valve prosthesis product as in the current practice; instead, the remote diagnosis imaging results are used to manufacture a more closely approximate valve prosthesis for an individual patient. The diagnosis imaging techniques (Echocardiography and CT scan) are able to provide those commonly characterized valve parameters. The individualization of the valvular dimension and geometry is implemented based on the provided imaging data and through a set of algorithm formulae. The individual geometry and dimension will be taken as inputs for engineering drawing software or tools and further used in producing the valvular leaflets and the chords components from a sheet of bovine pericardium. The valvular components are subsequently assembled to form the valve prosthesis exactly fit for the patient’s unique anatomy and clinical conditions.

1.5 Dr Roshni Rebecca Singaraja
mdcrrs@nus.edu.sg
Department of Medicine
The impact of bile acids on vascular function and heart disease

Cardiovascular diseases (CVD) are the leading cause of death worldwide, indicating that current therapeutic options are inadequate. To identify novel markers of CVD, we performed a human genetic screen and identified several genes associated with CVD. One of these encodes a bile acid synthesis gene. We have found that the absence of this gene increases the circulatory levels of chenodeoxycholic acid (CDCA), a bile acid synthesized in the liver. To confirm this finding, we administered CDCA to mice with susceptibility to CVD and found decreased vessel blockage (atherosclerotic plaques). However, how the increase in CDCA decreases CVD is unclear. Using primary human vascular cells (endothelial, smooth muscle and macrophage) in vitro and studies in mouse models, in this programme, we aim to identify the mechanisms by which CDCA protects against CVD and validate CDCA as a therapeutic target for CVD. Highly motivated PhD students will work on exciting translational research, and gain expertise in cardiovascular diseases and atherosclerosis, bile acids, mouse models, primary human and mouse cells, and a variety of molecular biology, protein biochemistry and immunohistological methods. Students will also manage national and international collaborations including with clinicians and scientists, present at international meetings and author publications.

References:
1. Rattanasopa C et al. Semaphorin3F reduces vascular endothelial and smooth muscle cell PI3K activation and decreases neointimal plaque formation. https://doi.org/10.1101/2022.03.22.485288
2. Tripathi M et al. Caffeine prevents restenosis and inhibits vascular smooth muscle cell proliferation through the induction of autophagy. Autophagy. 2022; Jan 11:1-11
3. Monteiro-Cardoso VF et al. Bile Acids: A Communication Channel in the Gut-Brain Axis. Neuromolecular Med. 2021;23(1):99-117.

1.6 Dr Roshni Rebecca Singaraja
mdcrrs@nus.edu.sg
Department of Medicine
Semaphorin3F in the vascular wall

Cardiovascular diseases (CVD) are the leading cause of death worldwide, indicating that current therapeutic options are inadequate. To identify novel markers of CVD, we performed large scale human genomic studies and identified several genes associating with CVD, one which is Semaphorin 3F. To confirm if SEMA3F causes CVD, we administered SEMA3F to mice and found that it was atheroprotective. Using a combination of in vivo, ex vivo and in vitro studies, we found that SEMA3F has beneficial effects on vascular endothelial and smooth muscle cells.
In the proposed project, we aim to determine mechanisms underlying SEMA3F’s impact on CVD, and to identify pathways to increase SEMA3F as a therapeutic strategy for atheroprotection. Highly motivated PhD students will work on exciting translational research, and gain expertise in cardiovascular diseases and atherosclerosis, bile acids, mouse models, primary human and mouse cells, and a variety of molecular biology, protein biochemistry and immunohistological methods. Students will also manage national and international collaborations including with clinicians and scientists, present at international meetings and author publications.

References:
1. Rattanasopa C et al. Semaphorin3F reduces vascular endothelial and smooth muscle cell PI3K activation and decreases neointimal plaque formation. https://doi.org/10.1101/2022.03.22.485288
2. Tripathi M et al. Caffeine prevents restenosis and inhibits vascular smooth muscle cell proliferation through the induction of autophagy. Autophagy. 2022; Jan 11:1-11
3. Yakala G et al. FURIN Inhibition Reduces Vascular Remodeling and Atherosclerotic Lesion Progression in Mice. Arterioscler Thromb Vasc Biol. 2019;39(3):387-401.

1.7 Dr Rufaihah Abdul Jalil
surraj@nus.edu.sg
Department of Surgery
Modulation of cellular behavior of ageing cardiomyocytes using amniotic stem cell secretome

Hutchinson-Gilford progeria syndrome (HGPS) is a rare disorder of accelerated aging that results in patients dying of myocardial infarction, stroke or other atherosclerotic complications in their teenage. Progerin cumulation disrupts the function of cardiovascular cells and leads to cardiovascular disease (CVD). Moreover, cumulation of progerin in low levels was observed also in natural aging. Cardiomyocyte (CM) signaling between CM and other cell types define crucial cellular processes critical for cardiac function and regeneration. Most of these processes are still not entirely understood. Moreover, the EC-CM signaling changes over time in the process of natural aging.
Based on our previous study demonstrating the anti-inflammatory and cardioprotective properties of amniotic fluid stem cell secretome (AFSC-S) on CM in an animal diseased model, we postulate that AFSC-S will positively influence the ageing CM cellular behavior in an ischemic environment of HGPS patient cells. Furthermore, the characterization of CM secretome will be crucial for a deeper understanding of CM behavior forgoing CVD and informative in understanding cardiac recovery to develop cardioprotective therapy for HGPS patients.
Our study focuses on characterization of iPSC-CM secretome, coculture of iPSC-CM with AFSC-S and a pilot study of AFSC-S influence on CM in ischemia/reperfusion injury mouse model.

1.8 A/Prof Heng Chew Kiat
paehck@nus.edu.sg
Department of Paediatrics
Investigation of a recently identified ADTRP protein for its role in cardiometabolic diseases

Androgen-dependent Tissue Factor Pathway Inhibitor Regulatory Protein (ADTRP) was recently identified. Although its gene has been shown to be associated with coronary artery disease (CAD), its role in the disease’s pathogenesis is still poorly understood. Our study has found, for the first time, that CAD patients have significantly lower levels of this novel protein in the blood circulation than controls (DOI: 10.1371/journal.pone.0237074). Our findings from in vitro investigations have also suggested this protein to be a cardio-protective factor.
The novel protein is an enigmatic one that we have shown to have potentially great impact on cardiometabolic health, possibly as a biomarker for assessing CAD risk and as a therapeutic target. As it is a recently discovered protein, very little is known about its characteristics. This provides ample scope for investigations.

1.9 A/Prof Heng Chew Kiat
paehck@nus.edu.sg
Department of Paediatrics
Genetic epidemiology of cardiometabolic diseases

We have genomic and well characterized phenotypic data from large longitudinal cohorts of >20,000 participants above 45 years old from Singapore who were recruited in the 1990s. They have all been genotyped with genome-wide arrays.
Based on follow-up of hospital records and the death registry, more than 2000 of them have either developed cardiometabolic diseases or/and have died of the diseases.
Along with >3000 coronary artery disease cases recruited from the National University Heart Centre, these provide powerful means to investigate association of risk factors with diseases and gene x environment interactions. Numerous high impact publications have arisen from our genetic epidemiological studies (https://pubmed.ncbi.nlm.nih.gov/?term=heng+CK&sort=date).

1.10 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Biomarker discovery for precision medicine and patient health using advanced analytics and multiplex mass spectrometry

Metabolism is at the core of every disease process, in addition to natural mechanisms of oxidative-stress and age-related mitochondrial dysfunction. This project combines deep phenotyping of patients using the technique of mass spectrometry, regression modelling and some basic machine learning algorithms. In particular, we focus on modifiable exogenous analytes which can improve patient outcomes and provide the basis for controlled clinical trial design. One of the most interesting outcomes of this research is the identification of compounds which reduce oxidative stress. Despite the near universal acceptance that oxidative stress plays a fundamental role in aging, carcinogenesis and cardiovascular disease, a clinically actionable marker of oxidative stress remains to be discovered. Clinical cohorts are sourced from either our own recruitment from Dr. Drum's clinic or through collaborators in Singapore and/or internationally. Clinical findings can be validated via access to the UK Biobank, a resource of over 400,000 clinical records and the MOH National Disease Registry, which covers national outcomes in Singapore. This project is fully funded and open for enrolment.

1.11 A/Prof Vitaly Sorokin
sursv@nus.edu.sg
Department of Surgery
Modulation of Vascular Smooth Muscle Cell in Type 2 Diabetes

Type 2 Diabetes (T2D) are marked by high blood glucose level and often associated with insulin resistance. Patients suffering from T2D are at much higher risk of cardiovascular-related complications and mortality. Studies have shown that T2D affects the biology of various cell types found in the vasculature, including vascular smooth muscle cells (VSMC). VSMC from T2D patients showed increased proliferation rate, cell migration, and extracellular matrix production.
Our laboratory has developed a robust protocol to isolate VSMC from aortic tissues of patients undergoing cardiac surgery. Using these primary cells, we have shown that T2D VSMC exhibited phenotypic characteristics of synthetic VSMC and fibroblast-like cells. A better understanding of how T2D modulates VSMC phenotype would potentially help in the management of T2D-associated cardiovascular complications.
Based on our results, the aims of this research project are:
1. To characterize VSMC subpopulation phenotypes in T2D patients using single-cell RNA sequencing technology.
2. To elucidate the molecular pathways leading to the T2D-associated VSMC phenotypic modulation.
3. To identify potential therapeutic targets in T2D VSMC to prevent cardiovascular-related complications.

1.12 A/Prof Vitaly Sorokin
sursv@nus.edu.sg
Department of Surgery
Exploring the prospect and molecular basis of 3D spheroid culture in vascular biology and disease modeling

3D culture as a model has been observed in different fields of research, predominantly observed in cancer biology. It has also been widely understood that cells in 3D culture would better mimic specific physiological environment in vivo whereby genes and proteins expressions have been reported to be comparable to the in-vivo conditions. However, in the field of vascular biology, the usage of such 3D modelling has been limited, albeit with recent advancements such as the microfluidic and organ-on-a-chip approaches. Thus, we want to develop a simple and alternative model for studying vascular biology and disease progression using the 3D spheroid culture, with the advantage of less complex setup and high throughput analysis.
In our preliminary findings, we have established a 3D spheroid culture aimed at modelling atherosclerosis using patient-derived vascular smooth muscle cells (VSMCs), endothelial cells (ECs) and macrophages. Early findings suggest the potential in these spheroids in exhibiting features of inflammation and having greater response towards oxLDL treatment.
Thus, our aim of this project would be:
1. To understand and elucidate the molecular interactions within the spheroid model.
2. To determine the potential of the spheroids in modelling cardiovascular disease progression.
3. To determine the potential of the spheroid in identifying patient-specific therapeutics treatment.

1.13 Dr Koh Cho Yeow
choyeow@nus.edu.sg
Department of Medicine
From Bench to Bedside: Exploring Venomous and Haematophagous Animals for Novel Therapeutics

Venomous animals, including snakes, spiders, scorpions, bees, cone snails, and sea anemones, as well as hematophagous animals, such as ticks, leeches, mosquitoes, vampire bats, and horseflies, use their venomous or salivary secretions for predation, defence, and feeding. These secretions consist primarily of proteins and peptides, hypothesised to originate from the animals’ genomes, and have been recruited and evolved to become specialised toxins. Over the course of millions of years, these toxins have become potent, specific, and stable molecules that target the circulatory system, enabling the incapacitation of prey or extraction of nutrients from hosts.
Research into venomous and salivary secretions from animals has led to the discovery and development of life-saving therapeutic related to cardiovascular diseases. For example, captopril, eptifibatide, tirofiban, lepirudin, and bivalirudin are drugs derived from these toxins that are used to treat conditions such as hypertension or thrombosis.
Our team has long-standing interest in discovery, design, and development of novel drug candidates like anticoagulants and natriuretic peptides from toxins found in venomous and hematophagous animals. Students joining our team will receive comprehensive training and exposure to basic science and translational clinical science research. They will have access to a wide range of techniques, including peptide/protein synthesis, expression, and purification; enzymatic, molecular, and cellular assays; protein/DNA/RNA blotting and cell imaging; high- and medium-throughput screening campaigns; protein structure determinations using x-ray crystallography or cryo-electron microscopy; protein design, engineering, and directed evolution; mass spectrometry- or affinity-based proteomics and RNA sequencing-based transcriptomic studies; animal models in thrombosis, bleeding, myocardial infarction, fibrosis, pulmonary hypertension, nanoparticle drug delivery, and pharmacokinetics (mice, rats, rabbits, pigs); platelet/coagulation assays and biomarker analyses of clinical samples.
Our goal is to provide our students and staff with a comprehensive understanding and capability in bench-to-bedside translational research. If you are interested in joining our team or learning more about our research and specific projects, please contact us (choyeow@nus.edu.sg) for further details.

1.14 A/Prof Jackie P Ho
surhp@nus.edu.sg
Department of Surgery
Maintaining usability of hemodialysis vascular access

The incidence and prevalence of end stage kidney disease ESKD is increasing in Singapore as well as worldwide. ESKD patients will require long term dialysis for survival. In Singapore, more than 80% of ESKD patients chose hemodialysis as the modality of dialysis and a dialysis access is required to enable smooth and effective hemodialysis. Stenosis develop over various location of a hemodialysis access may lead to dysfunction and even thrombosis of the access. Various surgical and intervention strategies have been developed to rectify the hemodynamic significant stenosis. New technology are also coming up as new solutions. This project aim to evaluate the effectiveness of various endovascular strategies for treatment of stenosis and thrombosis of the vascular access, comparing conventional and various new solutions.

Apart from the retrospective study, our research group will also do clinical study of assessing the effectiveness of vascular access maintenance with more strangent access monitoring by the community dialysis nurses.

1.15 Dr Shailaja Seetharaman
shailaja@nus.edu.sg
Department of Physiology
Data-driven machine learning models for vascular mechanobiology

The broad objective of this project is to understand, predict, and control tissue mechanoresponses driving cardiovascular aging and disease. In particular, we will address how mechanical force response of the vascular endothelium lining blood vessels is important for tissue health and homeostasis or driving cardiovascular disease. Over the past decade, we and others have extensive high-dimensional genomics, proteomics, and microscopy datasets encoding complex information in cells and tissues that could provide new insights into disease progression. However, due to the complexity of data collection, analysis, integration, and interpretation at large scales, we lack quantitative and theoretical models of cell and tissue behaviours. Leveraging recent advances in AI/ML, the goal of this project is to build neural network models to learn novel information from cardiovascular tissues during health and disease. Such models will have great impact in discovery of molecular mechanisms of endothelial function in health and disease.

1.16 Dr Shailaja Seetharaman
shailaja@nus.edu.sg
Department of Physiology
Decoding vascular response to mechanical forces during atherosclerosis

Endothelial cells forming the innermost lining of blood vessels experience various mechanical forces induced by blood flow. There is emerging evidence for endothelial mechanobiology in playing a key role in maintaining health and homeostasis of blood vessels and cardiovascular systems. The goal of this project is to understand how endothelial cell dysfunction promotes atherosclerosis, which will ultimately pave the way for future therapeutic strategies. We will tackle this long-standing problem by unravelling spatiotemporal molecular mechanisms underlying multi-scale force adaptation in healthy and diseased tissues. Using interdisciplinary approaches ranging from cell biology, biophysics, high-throughput screening, and computational biology, we will discover key signalling and mechanical drivers of vascular dysfunction contributing to atherosclerotic progression.

1.17 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Investigating the role of bile acids in non-alcoholic fatty liver disease and insulin resistance

The project focuses on understanding how gut microbiome–derived metabolites influence metabolic dysfunction and liver disease. Our multidisciplinary research program examines interactions between the gut, liver, and muscle in both healthy and disease-like conditions, aiming to uncover mechanisms driving insulin resistance and progressive liver injury.
We use advanced human-relevant in vitro systems, integrating liver organoids, skeletal muscle cells, and microbial communities, combined with computational and statistical approaches to study cross-organ communication and metabolic regulation.
Current research includes:
1. Investigating how microbial metabolites impact liver and systemic metabolism.
2. Characterizing gut-liver-muscle interactions in controlled experimental models.
3. Studying longitudinal changes in metabolic responses under varying microbial and environmental conditions.
4. Developing computational frameworks to link microbial activity with host metabolic dysfunction.
5. Exploring strategies for metabolite- or microbiome-based interventions to prevent or reverse liver injury.
Lab members gain hands-on experience with organoid culture, microbiome analysis, metabolic assays, and high-performance computing for data integration and modeling, preparing them for research in metabolism, microbiome science, and translational therapeutics.

1.18 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Project RESET: Redirecting immune, lipid and metabolic drivers of early cardiovascular disease

The project focuses on understanding how early cardiovascular disease (CVD) develops and progresses long before clinical events occur. Our multidisciplinary research program investigates interactions across the heart, vasculature, liver, metabolism, and lifestyle factors, aiming to uncover mechanisms driving subclinical cardiovascular dysfunction.
We use the deeply phenotyped RESET cohort, combining advanced cardiac MRI, vascular imaging, molecular profiling, and digital lifestyle measurements with computational and statistical approaches to study multi-organ disease trajectories and early indicators of CVD. Current research includes:
• Mapping how myocardial fibrosis, vascular disease, liver fat accumulation, and metabolic dysfunction evolve over time.
• Characterizing interrelated multi-organ changes and their associations with lifestyle and physiological signals captured through digital technologies.
• Studying longitudinal changes in sensitive surrogate markers, such as arterial stiffness, plaque progression, and early myocardial changes.
• Developing computational frameworks to integrate imaging, molecular, and lifestyle data for predictive modeling.
• Exploring strategies for early detection and prevention of cardiovascular disease before clinical events occur.
Lab members gain hands-on experience with advanced imaging, molecular profiling, longitudinal data analysis, and high-performance computing, preparing them for research in cardiovascular biology, multi-organ disease, and precision medicine.

1.19 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Functional Validation of GWAS Candidates Associated With “Extreme” and “Paradoxical” Clinical Phenotypes in a Multi-Ethnic Asian NAFLD Cohort

The project focuses on understanding why some individuals develop severe non-alcoholic steatohepatitis (NASH) while others remain protected despite similar risk factors. Our multidisciplinary research program investigates extreme and paradoxical NAFLD phenotypes, such as lean MASLD or disproportionate fibrosis, to uncover genetic and cellular mechanisms underlying disease susceptibility and protection.
We combine human genetics with advanced functional approaches, including CRISPR-engineered liver organoids, transgenic mouse models, molecular and cellular assays, histopathology, and single-cell transcriptomics, to study how hepatocytes and non-parenchymal liver cells interact to drive or modify disease progression.
Current research includes:
• Characterizing genetic variants identified through genome-wide association studies in diverse Asian NAFLD cohorts.
• Investigating cellular mechanisms by which specific genes influence liver function and disease severity.
• Studying interactions between hepatocytes and non-parenchymal liver cells in experimental models.
• Applying molecular, histological, and single-cell approaches to link genotype with cellular phenotype.
• Exploring potential therapeutic targets and prognostic biomarkers for precision medicine in NAFLD/NASH.
Lab members gain hands-on experience in functional genomics, liver organoid culture, molecular assays, and translational research, preparing them for work in metabolic disease, genomics, and precision medicine.

1.20 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Elucidation Of Molecular And Cell-biological Mechanisms Of Lifestyle Intervention and Pharmacotherapy-induced NASH Reversal At Single-cell Resolution

The project focuses on understanding why some patients with non-alcoholic steatohepatitis (NASH) experience true disease regression while others progress to cirrhosis despite similar lifestyle or pharmacological interventions. Our multidisciplinary research program investigates liver-intrinsic mechanisms that drive NASH reversal, beyond weight loss or improved insulin sensitivity.
We use spatially resolved single-cell and multi-omics technologies, combined with human liver organoids and mouse models, to identify hepatic cell states, cell communities, and intercellular signaling networks associated with disease regression or progression.
Current research includes:
• Mapping distinct hepatic cell states and intercellular signaling networks during NASH regression versus progression.
• Linking high-resolution cellular and molecular data with clinical outcomes from patients undergoing lifestyle or pharmacological interventions.
• Functionally testing key molecular pathways in human liver organoids and mouse models to validate causal mechanisms.
• Identifying potential therapeutic targets and biomarkers for personalized NASH treatment.
• Integrating multi-omics data to define liver-specific mechanisms that drive disease resolution independent of global metabolic health. Lab members gain hands-on experience with single-cell technologies, organoid culture, molecular assays, and translational research, preparing them for careers in metabolic disease, liver biology, and precision medicine.

1.21 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Dissecting the role of immune-endothelial interactions and portal hypertension in driving patients with metabolic dysfunction-associated steatohepatitis (MASH) advanced fibrosis to decompensated cirrhosis

The project focuses on understanding how immune–endothelial dysfunction drives disease progression in metabolic dysfunction–associated steatohepatitis (MASH), from advanced fibrosis to decompensated cirrhosis. Our multidisciplinary research program investigates liver vascular and immune mechanisms across the full clinical spectrum, aiming to uncover how portal hypertension and cirrhosis develop.
We combine patient samples, spatial and transcriptional profiling, and functional assays with computational and molecular approaches to study immune–endothelial interactions and their impact on liver structure and function.
Current research includes:
• Quantifying liver sinusoidal endothelial cell (LSEC) dysfunction and parenchymal extinction across disease stages.
• Mapping spatial and transcriptional landscapes of immune and endothelial cell states involved in disease progression.
• Identifying molecular pathways that drive endothelial injury and vascular dysfunction.
• Validating key findings using biomarkers of endothelial function and immune profiling from portal blood and liver perfusate samples.
• Exploring potential mechanistic targets to prevent portal hypertension and slow disease progression in MASH.
Lab members gain hands-on experience with advanced cellular profiling, patient sample analysis, molecular assays, and translational research, preparing them for careers in liver disease biology, vascular pathology, and precision medicine.

1.22 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
A realistic genome-wide CRISPR screen to identify drivers of vascular endothelial cell dysfunction induced by low-grade systemic inflammation during metabolic syndrome: A pilot study to identify genetic lead candidates

The project focuses on identifying genetic drivers of vascular endothelial cell dysfunction triggered by chronic, low-grade systemic inflammation, a hallmark of metabolic syndrome and a major contributor to cardiovascular disease. Our multidisciplinary research program investigates how metabolically relevant inflammatory stress affects endothelial function and vascular health.
We use a genome-wide CRISPR screening approach in human vascular endothelial cells under conditions that closely mimic chronic metabolic inflammation, combined with functional and computational analyses to uncover causal pathways.
Current research includes:
• Systematically perturbing genes across the genome to identify regulators of endothelial barrier integrity, inflammatory activation, and stress responses.
• Measuring functional readouts to prioritize genes that causally drive endothelial dysfunction.
• Generating a shortlist of high-confidence genetic lead candidates for mechanistic validation.
• Exploring potential molecular targets for therapeutic intervention to prevent or reverse endothelial dysfunction.
• Establishing a scalable experimental and computational platform for studying vascular consequences of metabolic inflammation.
Lab members gain hands-on experience with genome-wide CRISPR screening, vascular cell culture, functional assays, and computational analysis, preparing them for research in vascular biology, genomics, and cardiometabolic disease.

1.23 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Enhancing Equity in Liver Transplantation Using Machine Learning Algorithms

The project focuses on improving equity and accuracy in liver transplantation by evaluating and redesigning current waitlist allocation systems. Our multidisciplinary research program investigates how predictive models and data-driven approaches can better prioritize patients based on true disease progression and mortality risk.
We use large-scale national and local transplant waitlist data, combined with computational and machine learning methods, to study allocation fairness and optimize predictive performance beyond static laboratory scores.
Current research includes:
• Assessing the accuracy and equity of current MELD-based allocation and exception point systems.
• Incorporating longitudinal clinical data to capture dynamic changes in liver disease and complications such as portal hypertension.
• Developing machine learning frameworks to predict waitlist outcomes more accurately.
• Identifying gaps in fairness and proposing improved, data-driven allocation strategies.
• Informing policies to reduce waitlist mortality and ensure equitable access to liver transplantation.
Lab members gain hands-on experience with large-scale clinical datasets, machine learning, statistical modeling, and health equity analysis, preparing them for research in transplantation science, computational medicine, and precision healthcare.

1.24 Dr Jiong-Wei Wang
surwang@nus.edu.sg
Department of Surgery
Nanomedicine for metabolic diseases

Nanomedicine is a multi-disciplinary branch of medical science using nanotechnology and biomedical technology to develop diagnosis (nano-diagnostics) and treatment (nano-therapeutics) for diseases. Our lab has set up various unique animal models for metabolic diseases including cardiovascular diseases (atherosclerosis, myocardial infarction and metabolic heart failure) and fatty liver disease as well as a broad range of nanoparticle formulations for drug delivery. In collaboration with both local and international scientists, our lab aims: 1) To identify novel therapeutic targets with special focuses on lipid biology and inflammation/immunology, using our unique animal models, cell models and cutting-edge technologies including mass spec imaging and state-of-the-art flowcytometry; 2) To design and develop nanomedicine drug delivery systems for potential therapeutic compounds with advanced nanotechnology. We welcome talent students from different background including immunology, pharmacy, pharmacology, (bio)chemistry or material science. The candidates will work in a multi-disciplinary and dynamic environment with both local and international collaborators. Good communication skills (team-work), quick learning and independence are required.

1.25 Dr Jiong-Wei Wang
surwang@nus.edu.sg
Department of Surgery
Nanomedicine for cardiovascular disease: Atherosclerosis

Nanomedicine is a multi-disciplinary branch of medical science using nanotechnology and biomedical technology to develop diagnosis (nano-diagnostics) and treatment (nano-therapeutics) for diseases. Atherosclerosis is a common cause for a variety of cardiovascular diseases including heart attack and ischemic stroke. Our lab has set up several animal models for atherosclerosis and a broad range of nanoparticle formulations for diagnosis (imaging) and drug delivery. In collaboration with both local and international scientists, our lab aims: 1) To identify novel therapeutic targets with special focuses on lipid biology and inflammation/immunology, using our animal models of atherosclerosis, various cell models and cutting-edge technologies including mass spec imaging and state-of-the-art flowcytometry; 2) To design and develop nanomedicine drug delivery systems (synthetic nanoparticles or extracellular vesicles) for potential therapeutic compounds (or imaging agents) with advanced nanotechnology. We welcome talent students from different background including immunology, pharmacy, pharmacology, (bio)chemistry or material science. Background in cardiovascular research is preferrable but not a must. The candidates will work in a multi-disciplinary and dynamic environment with both local and international collaborators.

1.26 Dr Jiong-Wei Wang
surwang@nus.edu.sg
Department of Surgery
Nanomedicine for fatty liver disease

Non-alcoholic fatty liver disease is the most common chronic liver disease, affecting one third of the population in Western societies and even up to 40% of the population in Singapore and Hong Kong. Its prevalence is growing alarmingly and closely associated with other metabolic diseases such as obesity, type 2 diabetes, and cardiovascular disease. Non-alcoholic fatty liver disease may progress to more aggressive nonalcoholic steatohepatitis (NASH) and the lethal cirrhosis that may result in liver cancer and liver failure. There is so far lack of good diagnosis and therapy. In collaboration with hepatologists, chemists, pharmacists and biomedical nanomaterial scientists, we have established a multi-disciplinary team to develop nanomedicine-based diagnosis (nano-diagnostics) and treatment (nano-therapeutics) strategies for the treatment of fatty liver disease. By employing the state-of-the-art animal models and nanotechnology, we aim: 1) To identify novel therapeutic targets; 2) To design and develop nanomedicine drug delivery systems for potential therapeutic compounds (or imaging agents). We welcome talent students from different background including immunology, pharmacy, pharmacology, (bio)chemistry or material science. Good communication skills (team-work), quick learning and independence are required. The candidates will work in a multi-disciplinary and dynamic environment.

1.27 Dr Jiong-Wei Wang
surwang@nus.edu.sg
Department of Surgery
Advanced drug delivery in heart disease

Myocardial infarction (heart attack) is the main cause of heart failure. Myocardial infarction is mostly caused by blockage of coronary arteries resulting in massive oxidative stress and inflammatory responses followed by cell death and irreversible heart tissue damage. Minimizing cardiac damage while repairing the injured cardiac tissue or regeneration of functional cardiomyocytes to replace the damaged tissue have always been the main challenges in the field. Apart from stenting, however, effective pharmacologic treatment for myocardial infarction remains limited. Furthermore, the currently available drugs for cardiovascular disease mostly end up with systemic side effects and/or suboptimal drug targeting to the diseased site. In this project, we aim to develop clinically viable drug formulations by using advanced nanotechnology to deliver small molecule drugs and nucleic acids (siRNA, microRNA or mRNA) for the treatment of myocardial infarction and related heart injury. Talent students with great passion to explore high risk high rewarding research are highly welcome. The capability of working in a multi-disciplinary and dynamic environment is required.

1.28 Dr Jiong-Wei Wang
surwang@nus.edu.sg
Department of Surgery
Development of milk extracellular vesicle-based nanomedicine

Our lab has extensive expertise in milk-derived extracellular vesicles (mEVs), including their isolation, characterisation, bioengineering, and functional evaluation. This PhD project aims to develop mEV-based nanomedicines for the treatment of cardiovascular and metabolic diseases. The student will investigate the biological properties, cargo-loading strategies, targeting potential, and therapeutic efficacy of mEVs using relevant cellular and preclinical models. The project will integrate extracellular vesicle biology, nanomedicine, nutrition science, and disease physiology to establish safe and effective mEV platforms for drug or bioactive molecule delivery. Applicants with interests in extracellular vesicles, biomedical engineering, molecular biology, cardiovascular biology, metabolism, or translational medicine are encouraged to apply. This project offers an opportunity to contribute to an emerging therapeutic technology with strong potential for real-world clinical and nutritional applications.

1.29 Prof Roger Foo
roger.foo@nus.edu.sg
Department of Medicine
Functional Characterization of SYNPO2L in Cardiovascular Disease

SYNPO2L is a cardiac-enriched protein associated with sarcomere organization and heart disease, but its molecular function remains poorly understood. This project aims to determine how SYNPO2L regulates cardiomyocyte function and contributes to cardiac stress responses and heart failure.
The student will employ molecular biology, proteomics, and cellular approaches to characterize the SYNPO2L protein interaction network and define its roles in sarcomere maintenance and RNA regulation. Experiments will be conducted primarily in human pluripotent stem cell-derived cardiomyocytes, complemented by animal models to investigate the physiological relevance of SYNPO2L in the heart.
This research will provide fundamental insights into the molecular mechanisms that govern cardiac structure and function and may reveal novel pathways involved in cardiac remodelling and heart failure, potentially identifying new therapeutic targets for cardiovascular disease.

1.30 Prof Roger Foo
roger.foo@nus.edu.sg
Department of Medicine
Target prioritisation and molecular insights from an iPS cell platform for cardiometabolic disease

Heart failure imposes a heavy burden on society, with high rates of mortality, morbidity, and hospitalization. Despite past advances, there is still a need to target other disease pathways in the heart. To discover novel first-in-class targets, we combine disease pathway analysis with population-scale human genetics approaches by profiling heart failure-relevant phenotypes in patient-derived induced pluripotent stem cells. This target discovery and prioritization platform is powered by a large (N~500), genetically diverse iPSC biobank (“iPSC diversity panel”) gathered from local and Southeast Asian collaborators. Through the two complementary approaches of quantitative trait loci analysis of profiled phenotypes from "cell villages" and a suite of genetically encoded molecular sensors engineered into genomic safe harbours, we aim to identify genes underpinning cellular phenotypes of interest and prioritize targets by colocalization with genome-wide association studies and other means. In the future, by integrating function and ‘omics data from iPSC-derived cardiac cell-types with matched clinical and lifestyle data from donors, we hope to develop predictive models for risk and response, incorporating an individual’s genetics, lifestyle, and environmental context, culminating in clinical insights and tools for heart failure management.

1.31 Prof Roger Foo
roger.foo@nus.edu.sg
Department of Medicine
TRACE-CVD - Bridging the Translational Gap: Resolving Pathogenic Cell-State Transitions in Cardiovascular Diseases by Integrating Tissue Omics and iPSC Biobank

TRACE-CVD is a genome- and stem cell-based precision cardiovascular medicine platform that aims to bridge the gap between genetic risk and disease mechanisms. Leveraging the Asian Diversity iPSC Panel, a unique biobank of ~1,300 donor-derived stem cell lines linked to deeply phenotyped Singapore cohorts, the programme will define biologically meaningful cardiovascular disease subtypes, identify therapeutic targets, and predict individual disease trajectories.
By integrating unsupervised genetic stratification, large-scale functional genomics, spatial multi-omics, and longitudinal clinical data, TRACE-CVD seeks to move beyond association-based genetics towards mechanistic disease modelling. Preliminary studies have already identified thousands of response-QTLs and uncovered novel HFpEF targets missed by conventional GWAS approaches.
Ultimately, TRACE-CVD will establish a scalable framework for precision cardiovascular medicine, addressing Singapore's growing cardiometabolic burden while accelerating target discovery and patient-specific risk prediction.

1.32 Adj Prof Mark Muthiah
mdcmdm@nus.edu.sg
Department of Medicine
Building a NUHS Metabolic Sphere

The project focuses on understanding the shared biological drivers of metabolic disease across multiple organ systems, including the heart, kidney, liver, brain, eye, and cancers. Rather than studying metabolic complications from an individual organ perspective, this multidisciplinary research programme aims to identify common upstream mechanisms that drive disease development and progression.

We integrate longitudinal clinical data, advanced imaging, metabolic assessments, lifestyle measures, genomics, and multi-omics profiling to deeply phenotype patients with early or subclinical metabolic disease. AI-enabled analysis of electronic health records and longitudinal data will be used to identify disease trajectories, rapid progressors, and shared clinical, demographic, and molecular drivers across the cardiovascular–kidney–liver–brain–metabolic axis.

Current research includes identifying early metabolic disease phenotypes; characterising longitudinal multi-organ disease progression; integrating genomic, proteomic, lipidomic, microbiome, and clinical data; and investigating shared molecular pathways associated with disease progression. Mechanistic findings will also be explored using patient-derived extracellular vesicles and human iPSC-derived organoid models to study organ-specific effects and inter-organ metabolic signalling.

1.33 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Nanomedicine therapeutic vaccine development

We have a patented novel nanotechnology developed at NUS that is undergoing rapid development and commercialization. It is a thermo-rigid shell (Nature Comms, PMID: 29129910), which encapsulates and folds protein substrates (Nature Comms, PMID: 34588451) and can be used for cancer treatment (ACS Nano, PMID: 35653306), engineered for long half-life (Nanomedicine, PMID: 30853651) and even oral administration (Int J Mol Sci, PMID: 36077259) and therapeutic stabilization (Pharmaceutics, PMID: 34834205).
This project will use the encapsulation technology for the first time to create a novel RNA based vaccine for either cancer or infectious disease protection.

1.34 Prof Roger Foo
roger.foo@nus.edu.sg
Department of Medicine
Project Reset: Redirecting immune, lipid and metabolic drivers of early cardiovascular disease

Cardiovascular and metabolic diseases (CVMD) remain a global health challenge, with subclinical forms constituting a hidden burden with significant long-term risk, especially in rapidly ageing, multiethnic Asia. Traditional risk models inadequately capture dynamic lifestyle and physiological variables, and novel molecular markers remain uncharacterized for subclinical disease. Project RESET aims to characterize early subclinical CVMD and its drivers in Singapore's multiethnic population by integrating advanced cardiovascular, liver, metabolic, molecular, and digital health biomarkers. This observational cohort follows 3,000 Singaporeans aged 40–70 years with an atherosclerotic cardiovascular disease risk ≥5% and no prior major adverse cardiac events (MACE) over five years with annual assessments, including anthropometry, medical, lifestyle, and psychosocial questionnaires, advanced cardiovascular imaging, liver elastography, dual-energy X-ray absorptiometry, bio-sample analyses, and wearable sensor data. Within RESET, we will conduct "CVLMLM" phenotyping — comprising a panel of Cardio-Vascular, Liver, Metabolic, digital Lifestyle, and Molecular markers — to support association and trajectory analyses and novel biomarker and target discovery. Integrating multi-dimensional clinical phenotypes and digital lifestyle markers, will identify novel biomarkers and targets for tracking disease trajectories and predicting individualized responses to targeted lifestyle interventions, informing upstream strategies to reduce CVMD burden regionally and globally.

2   Healthy Longevity Translational Research Programme
S/N Principal Investigator Project Title and Abstract
2.1 A/Prof Juan Helen Zhou
mdczju@nus.edu.sg
Department of Medicine
Longitudinal study of multimodal brain imaging for behavioral prediction in health and neuropsychiatric disease

The project research will be centered around brain network vulnerability hypothesis. The multidisciplinary research program focuses on large-scale brain structural and functional networks in healthy developing and aging brain and symptoms-related changes in diseases such as neurodegenerative disorders and psychosis.
Statistical, computational, and machine learning methods are developed to fuse multimodal neuroimaging data and build predictive models. Our current lines of research include the following:
1) detecting early brain network changes in preclinical and clinical neuropsychiatric disorders such as Alzheimer’s disease and psychosis;
2) understanding the neurophysiological signatures and behavioral relevance of time-varying brain functional connectivity;
3) examining the longitudinal brain network changes and its associations with cognitive and mental problems in the developing and aging brain;
4) investigating the underlying neural mechanism of brain-computer interface-based intervention;
5) examining the influence of amyloid-beta, tau, and cerebrovascular pathology as well as other risk factors on brain integrity and cognition in aging;
6) developing machine learning and statistical methods for big data analysis, brain-behavior associations, and disease prognosis. Lab members have access to research-dedicated Siemens 3T MRI scanners, MR-compatible EEG, eye-tracking devices, and high-performance computing cluster and storage. You are welcome to check out www.neuroimaginglab.org for more information.

2.2 A/Prof Ling Shuo-Chien
phsling@nus.edu.sg
Department of Physiology
Mechanisms of Neuronal and Glial Dysfunctions in Aging and Neurodegeneration

Adult-onset neurodegenerative diseases remain the most devastating and crippling diseases without a cure. Our group investigates the mechanisms underlying amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD), which affect the motor and cognitive systems, respectively. In particular, we focus on two fundamental questions: (1) why certain types of neurons are vulnerable in particular type of neurodegenerative diseases, and (2) how dysfunctions from glial cells may contribute to neuronal dysfunctions and neurodegeneration. The research in our laboratory uses disease-causing genes in human to understand the normal and pathophysiological process by constructing in vitro and in vivo models followed by an integrated approach combining genomic quantitative analysis, molecular and cellular studies. This arm of our research is to understand the pathogenic mechanisms and to identify therapeutic targets for ALS and FTD.
Late-onset neurodegenerative diseases. The second arm of our recent effort is to identify critical molecules involved in prolonging health- and lifespan using the genomic dataset generated in the above-described approaches.

2.3 Prof Reshma Taneja
phsrt@nus.edu.sg
Department of Physiology
Identifying therapeutic targets for skeletal muscle disorders

De-regulation of epigenetic control is increasingly apparent in many human pathologies including cancer. Small molecule inhibitors to chromatin modifying proteins have shown great promise in preclinical trials validating druggability of epigenetic modulators. In muscle cells, proliferation and differentiation are mutually exclusive events that are regulated by chromatin-associated proteins. Among these, lysine methyltransferases that mediate methylation of histone and non-histone proteins play a central role in maintaining this equilibrium.
We have recently shown that G9a and GLP, lysine methyltransferases that mediate histone H3 lysine 9 di-methylation (H3K9me2), inhibit differentiation of skeletal muscle cells. We are currently investigating mechanisms by which they function using RNA-Seq and ChiP-Seq analysis as well as interactome studies using IP-Mass spec to obtain an integrated view by which lysine methylation of histone and non-histone proteins balance growth and differentiation of muscle cells. Our results will help design therapies for muscle disorders that are characterized by a differentiation defect.

2.4 A/Prof Saji Kumar Sreedharan
phssks@nus.edu.sg
Department of Physiology
Elucidating plasticity and cognitive changes in aging and neurodegenerative diseases

As the percentage of the elderly population continues to rise, aging and the associated neurodegenerative diseases pose a huge burden on the socioeconomics of the society and on the quality of the individuals and caretakers. Aging is thought to play a causal role in the deterioration of cognitive function, but the mechanisms responsible are not yet fully understood. Our lab is interested in deciphering the consequences of neuronal dysfunction on plasticity and cognitive function in aging and neurodegenerative diseases such as Alzheimer’s disease (AD). We will be using animal models, electrophysiology, molecular biology, and behavioral study to elucidate the impaired functioning of hippocampal neural networks in aging and AD. Delineating the underlying mechanisms would facilitate the development of novel strategies for treating impairments associated with aging and AD. We aim to establish the foundation for translational development of effective therapeutic strategies and for identifying suitable targets for novel drug development.

2.5 A/Prof Sanjay Khanna
phsks@nus.edu.sg
Department of Physiology
Cholinergic mechanisms in different chronic diseased state – divergent roles or a continuum?

The septo-hippocampal-prefrontal-network is implicated in a variety of functions in young and aged. These include learning and memory, mediation of chronic pain, anxiety and mood disorder.
Interestingly, the circuit mechanisms suggested to be involved in the mediation of the foregoing chronic states include the septal cholinergic neurons. Some hypotheses suggest that the imprint of cholinergic neurons diverges with disease – cholinergic hypoactivity is associated during dementia, while hyperactivity leads to mood disorder (depression). On the other hand, chronic pain, which is associated with cholinergic hyperactivity is also associated with impaired learning and memory, and depression. Most observations leading to the preceding hypothesis are based on snapshots of cholinergic activity at selected times points. Here we propose, using fluorometric recording with optogenetic techniques, to monitor changes in neuronal activity of septo-hippocampal and septo-prefrontal cholinergic neurons during the disease trajectory to explore the relationship between cholinergic activity and disease development. Furthermore, we will use optogenetic based ‘gain of function’ and ‘loss of function’ type experiments to examine causal relationship between cholinergic activities.
The chronic neuropathic pain model and its associate comorbidities will be the starting point for such investigations. The findings will have implications for promoting a healthy lifespan.

2.6 Dr Tsai, Shih-Yin
phsts@nus.edu.sg
Department of Physiology
Task for healthy longevity: Improving aging muscle strength by restoring the communication between the motor neuron and skeletal muscle

Sarcopenia, defined as an age-associated decline of muscle mass and strength, is a risk factor for mortality and disability in the elderly. Recent clinical trials showed that nutritional supplements had positive effects on muscle mass, but not on muscle strength, demonstrating our limited understanding of the pathophysiological mechanisms of sarcopenia. Since the decline either in motor neuron or skeletal muscle could correspond to sarcopenia, it is difficult to differentiate the sequential molecular events in which part contributes to the initiation of sarcopenia development. The challenge is to have a reliable in vitro system to recapitulate the in vivo microenvironment of aging-associated muscle degeneration. The recently developed microfluidic system for the 3D NMJ model, in which both motor neuron and skeletal muscle fibers assess their collective behavior in a 3D microenvironment, could exceed the limitation of 2D co-culture platform. The optogenetic control of motor neuron enables us to measure the muscle strength in the normal physiological condition. This innovative technology will allow us to clarify a cause-effect relationship between motor neuron and skeletal muscle in the development of sarcopenia. The proposed work seeks to identify the regulatory signaling between skeletal muscle and motor neuron in the microfluidic system for the 3D NMJ model. Ultimately, identification of the mechanistic links between skeletal muscle, and motor neuron will provide novel therapeutic strategies for age-induced muscle weakness.

2.7 Dr Volker Patzel
micvp@nus.edu.sg
Department of Microbiology & Immunology
Exploring novel RNA-based mitochondrial delivery vectors for mitochondrial targeting of nucleic acids towards mitochondrial gene therapy and for anti-aging

Defects of all protein-coding mitochondrial genes have been associated with human, mainly neurodegenerative disorders or with aging. Many mitochondria have both, healthy and defect mitochondrial genomes (heteroplasmy) and defects accumulate with aging. Mitochondrial gene therapy could provide cure for mitochondrial disease and dysfunction but is hampered by the lack of an efficient mitochondrial gene delivery system. We developed an efficient novel scalable mitochondrial targeting vector based on RNA subdomains of a long non-coding viral RNA. We demonstrated that this vector system can efficiently target functional recombinant coding (mRNA) or non-coding (antisense) RNA to the mitochondria resulting in mitochondrial gene expression or knockdown of gene expression. The aim of this project is to improve the mitochondrial targeting vectors and to explore them for mitochondrial delivery (i) of ‘healthy’ gene functions and/or (ii) of the CRISPR/Cas system to selectively destroy defect mitochondrial genomes. The methods cover computational RNA structure design, in vitro techniques including cloning, PCR, and RT-PCR, experiments with tissue culture cells, cybrids, and Rho-zero cells including transfection, nucleofection, reporter gene assays and functional assays, and experiments with mouse models. This project is highly translational and can be explored towards mitochondrial gene therapy of yet incurable human diseases and for anti-aging.

2.8 Dr Volker Patzel
micvp@nus.edu.sg
Department of Microbiology & Immunology
Developing a mitochondrial gene therapy targeting platform – toward mitochondrial gene therapy of LHON

Defects of all protein-coding mitochondrial genes have been associated with human, mainly neurodegenerative disorders or with aging. Mitochondrial gene therapy could provide therapy or cure but is hampered by the lack of an efficient mitochondrial gene delivery system. We developed a novel scalable mitochondrial targeting vector that is based on RNA subdomains of a long non-coding RNA derived from the human cytomegalovirus. We demonstrated that this vector system could efficiently target functional recombinant coding (mRNA) or non-coding (antisense) RNA to the mitochondria resulting in mitochondrial expression of recombinant RNA or knock-down of mitochondrial gene expression. We aim to refine and translate to pre-clinical phase, a novel nucleic acid-based therapeutic platform for the treatment of mitochondrial disease. We will target Leber’s Hereditary Optic Neuropathy (LHON), an orphan disease that causes sudden blindness in young adults. The methods cover computational (in silico) RNA structural design, in vitro techniques including cloning, PCR, RT-PCR, the CRISPR/Cas technology, and experiments with tissue culture cells, cybrids, and Rho-zero cells including transfection, nucleofection, reporter gene assays and functional assays, and eventually experiments with a mouse model of LHON. The approach may prevent/restore LHON-associated vision loss and pave the way for mitochondrial gene therapy in general.

2.9 A/Prof Christopher Chen
phccclh@nus.edu.sg
Department of Pharmacology
Neurobehavioral & structural MRI markers for Cognitive Impairment & Dementia

The specific aims of this project funded by a Singapore Translational Research (STAR) Investigator Award are:
1) To study, in a cohort of 700 subjects with up to 5 years longitudinal follow up, the independent and joint associations of MRI, retinal imaging, blood and neurobehavioural markers with risk of cognitive decline & vascular events.
We hypothesise that a) Longitudinal MRI, retinal as well as blood-based and neurobehavioural markers are associated with poorer cognitive performance and incidence of dementia and vascular events. b) Both baseline and serial change in, one or more of these biomarkers, will add additional predictive information on progression of cognitive decline and incident events beyond the utility of currently used predictors.
2) To examine how Mild Behavioural Impairment (MBI) is influenced by the independent and interactive effects of MRI, retinal and blood biomarkers.
We hypothesise that: a) Severity of CeVD and neurodegeneration, structural and functional disruptions and reduced perfusion on MRI are associated with MBI; b) Retinal markers are associated with MBI; c) Altered levels of blood-based markers are associated with MBI; d) Interaction between the above-mentioned biomarkers influence MBI and NPS.

2.10 A/Prof Christopher Chen
phccclh@nus.edu.sg
Department of Pharmacology
Multimodal MRI-based network breakdown and progression prediction in Cognitive Impairment and Dementia

The specific aims of this project funded by a Singapore Translational Research (STAR) Investigator Award are:
(1) To examine longitudinal brain network and microstructural changes using multimodal MR imaging and evaluate their interactions with AD & CeVD and cognitive and behavioural decline in patients with NCI, MCI and dementia. The hypotheses are:
a) Plasma amyloid-β and p-tau are related to specific brain functional and structural network breakdown leading to cognitive decline and behavioral problems;
b) The effect of network changes and atrophy on cognitive performance and behavior is network-specific and disease stage-dependent and modulated by CeVD markers;
c) Individuals with both CeVD and AD would have an accelerated trajectory of neurodegeneration and cognitive decline.
(2) To build a large international longitudinal database comprising local and international imaging and neurobehavioural data to develop AI algorithms for predicting dementia risk and progression. We hypothesize (a) that deep learning can be used to harmonize imaging and neurobehavioural data across multiple sites; b) By pooling harmonized data across multiple sites, the larger sample size will dramatically improve prediction of future cognitive decline and clinical outcomes.

2.11 A/Prof Christopher Chen
phccclh@nus.edu.sg
Department of Pharmacology
Retinal markers for Cognitive Impairment and Dementia

The specific aims of this project funded by a Singapore Translational Research (STAR) Investigator Award are:
1) To determine the relationship of existing (retinal vasculature, Optical Coherence Tomography (OCT), OCT-Angiography) and novel (Doppler OCT, hyperspectral OCT) retinal imaging measures over time to progression and development of vascular cognitive impairment and other imaging markers of dementia, with a goal to determine the potential diagnostic and prognostic value of retinal imaging. We hypothesise that as multiple cross-sectional studies have consistently demonstrated the association of retinal imaging biomarkers and dementia, retinal imaging biomarkers will be predictive of the incidence and progression of dementia.
2) The creation of an international big data consortium, AIDA (Artificial Intelligence for Dementia Assessment) to evaluate retinal imaging markers of dementia. Using datasets from multiple institutions around the world and through the integration of deep learning, we hypothesize that we will be able to further improve the sensitivity and specificity of retinal imaging biomarkers to detect dementia.

2.12 A/Prof Christopher Chen
phccclh@nus.edu.sg
Department of Pharmacology
Blood markers for Cognitive Impairment and Dementia

The specific aims of this project funded by a Singapore Translational Research (STAR) Investigator Award are:
1) To develop novel blood-based biomarkers of oxidative stress, vascular disease and neurodegeneration, and to examine their potential diagnostic and prognostic value for cognitive impairment and dementia.
2) To examine novel blood-based biomarkers of neurodegeneration and oxidative stress using a state-of-the-art immunoassay platform and assess their relationships with brain integrity and cognition,
3) To compare plasma vs. neural- or endothelial-specific extracellular vesicle measurements to assess the diagnostic and prognostic utility of these biomarkers
4) To develop a combination of multiple biomarkers with high accuracy in predicting longitudinal disease development.
We hypothesise that markers involved in the disease pathophysiology, can identify individuals with high disease risk. Specifically, that a) blood-based biomarkers of neurodegeneration and oxidative stress are predictive of incident CeVD in parallel with cognitive decline; b) neural- or endothelial-specific extracellular vesicle biomarkers are more sensitive than neat plasma biomarkers in diagnosing and prognosis for cognitive impairment and CeVD; c) A combination of multiple biomarkers adds value to the diagnostic and prognostic performance of single blood-based biomarkers.

2.13 A/Prof Christopher Chen
phccclh@nus.edu.sg
Department of Pharmacology
The SINgapore GERiatric intervention study to reduce cognitive decline and physical frailty (SINGER) Study

The specific aims of this project, funded by a Large Collaborative Grant, are:
1) To investigate novel interventions for vascular cognitive impairment (VCI). We propose to conduct a large community-based innovative trial as part of the Worldwide FINGERS interdisciplinary network for the prevention of cognitive impairment or dementia. The trial will recruit 1200 subjects at high risk to develop cognitive impairment and dementia. The main goal is to determine the efficacy and safety of multimodal lifestyle interventions together with intensive blood pressure lowering. We hypothesize that these interventions will reduce cognitive decline and severity of cerebrovascular disease (CeVD) and other VCI biomarkers.
2) To examine how CeVD, tau, and amyloid impact longitudinal brain integrity and cognitive decline in elderly at-risk for cognitive decline or dementia. We hypothesize that CeVD and AD have distinct influence on brain, retina and blood markers of neurodegeneration and cerebrovascular burden. Further, we hypothesize that these multimodal measures at baseline coupled with polygenic scores could identify high risk individuals and predict future disease progression or response to intervention.

2.14 Dr Jai Polepalli
jpolepalli@nus.edu.sg
Department of Anatomy
Ionotropic serotonin receptor 5HT3a-R mediated synaptic transmission and plasticity underlying adaptive behaviours

Synapses are the fundamental units of computation in the brain, and normal synaptic function is crucial for normal brain function – consequentially – most neurodegenerative and psychiatric disorders arise from abnormal synaptic function. In the forebrain, fast synaptic transmission is of two types- excitatory and inhibitory, primarily mediated by glutamate and gamma aminobutyric acid (GABA) at glutamatergic and GABAergic synapses respectively. However, in addition to glutamate, the monoamine serotonin also mediates fast excitatory transmission through 5HT3a-Receptors. In the memory and decision-making circuits, fast serotonergic transmission through 5HT3aRs exerts a strong, fast, sub-cortical influence from the neuro-modulatory region of the brain- the medial and the dorsal raphe.
Although existing literature strongly hinted at the possibility of 5HT3aR serving as a promising therapeutic candidate for neurocognitive disorders, there are no studies to date that directly investigate and dissect the roles of 5HT3aR in cognition- specifically in mediating adaptive behaviours. This project aims to adopt a comprehensive approach to establish and characterize the role of 5HT3aR in mediating adaptive behaviours at multiple levels, ranging from their molecular interactors to their roles in regulating synaptic plasticity, neural circuits and eventually, cognition.
To achieve the aims of this project, we will use state-of-the-art techniques in mouse genetics, viral mediated gene manipulations, in vitro and in vivo electrophysiology, 2 photon imaging, optogenetics, and rodent behavior.
For more information: www.polepallilab.org

2.15 Dr Jai Polepalli
jpolepalli@nus.edu.sg
Department of Anatomy
Investigating the Amygdala – Nucleus Accumbens circuitry mediting motivated behaviours

Food, social stimulation and sex are pleasurable and rewarding. The motivation to experience pleasure derived from these pursuits is innate to all mammals and ensures survival. However, motivation to obtain pleasure as a reward has an addictive liability, and pathological ‘reward-seeking’ manifests as behavioural addiction, often resulting in harmful outcomes such as obesity. Similarly, use of recreational drugs like cocaine and methamphetamine hijacks brain regions that mediate this pleasure response, or ‘reward’, leading to drug addiction. In healthy individuals however, seeking pleasure through natural rewards has a quenching, or a ‘reward-stopping’ signal, which acts as a temporary brake on reward seeking. What brain circuitry mediates reward stopping is unknown. The research described in this proposal is intended to describe and delineate the circuitry mediating motivation from the circuitry acting as a brake on motivation and attempt to identify circuit-based therapeutics to treat disorders of the ‘reward system’.
At the core of the brain’s reward circuitry is the nucleus accumbens (Nac), which is involved in the processing of reward signals. This brain region integrates a mix of excitatory, inhibitory and modulatory inputs to optimize motivated behaviours. While inputs to the Nac from the basolateral amygdala (BLA) are thought to facilitate motivation and reward seeking, what brain circuitry mediates reward-stopping is unknown. Also, a mechanistic understanding of the synaptic and molecular mechanisms that mediate motivated behaviours is yet to be detailed.
Understanding the molecular specifications, synaptic and circuit mechanisms that modulate motivated behaviours underpinning reward-related behavior is of fundamental interest in neuroscience and behavioural psychology. The primary objective of this proposal is to gain a mechanistic understanding of the synaptic and molecular mechanisms that mediate reward-related behaviours, specifically to identify and characterize neural circuits that underlie the stop signal for reward seeking. Defining the synaptic and circuit mechanisms that mediate the brake on reward-seeking, and dissociating those from the adaptations that mediate reward seeking will usher in a better understanding of debilitating human conditions that are caused by either exaggerated reward/pleasure seeking, or the inability to experience pleasure.
This project will use a range of cutting-edge techniques in rodent behaviour, optogenetics, mouse genetics, slice electrophysiology and intersectional genetics.
For more information - www.polepallilab.org

2.16 A/Prof Sanjay Khanna
phsks@nus.edu.sg
Department of Physiology
A role for neutrophin and GABAergic mechanisms in hippocampus in mediation of experimental neuropathic pain?

Chronic pain affects one-fifth of world population. However, there are few effective analgesics, in part because the CNS basis of chronic pain has not been clearly elucidated.
Experiments in our laboratory suggest that experimental neuropathic pain in young rodents is accompanied by decrease in level of TrkA, but not p75 neurotrophin receptors (NTRs) in hippocampus. Notably, TrkA NTRs are implicated in disinhibition, by inhibiting GABAergic inhibition. Indeed, microinjection of bicuculline, a GABAA receptor antagonist, into hippocampus attenuated experimental pain. Thus, we hypothesize that imbalance in hippocampal NTRs leads to a state of chronic pain in young and perhaps aged rodent, by favoring GABAergic inhibition of hippocampal principal neurons. The project will test this hypothesis by using electrophysiological, cell biology and behavioural techniques. The findings will have implications for drug discovery for chronic pain by identifying NTR in forebrain as novel targets.

2.17 Dr TSAI, Shih-Yin
phsts@nus.edu.sg
Department of Physiology
Sex differences in aging

Aging-related health issues are emerging worldwide. The female advantage in longevity has been observed across years and countries. Many factors have been proposed to attribute to the sex-biased aging difference, including sex hormones, sex differences in adipose tissue and immune system. However, a precise relationship between sex bias and aging is still an enigma. The research interests of my lab explore the underlying mechanism that whether and how sex bias may have a role in aging.
We answer this question from a perspective of metabolism and aim to examine metabolic signaling pathways underneath the aging. Specifically, we focus on mTORC1 signaling, as evidenced in our previous studies that the activation of mTORC1 pathway is differentially regulated between males and females. In cells, mTORC1 is a nutritious and energy sensor, and a protein synthesis regulator. Once activated, mTORC1 promotes the phosphorylation of its two substrates: S6K and 4E-BP. mTORC1-mediated phosphorylation activates S6K and inhibits 4E-BP, together leading to initiation of protein translation. Interestingly, while inhibition of mTROC1 has been shown to slow down aging for both females and males, the advantages for each sex seem to result from divergent downstream effectors. Abrogated S6K activities contributed to longer lifespan only for females, whereas males relied more on the protection of activated 4E-BP from aging-induced metabolic declines. Our lab has generated a novel mouse model, 4E-BP1 transgenic mice, which provides a unique tool to study how S6K and 4E-BP signaling can be differently regulated in females and males, and how such a different regulation would produce a feedback signal to instruct sex-biased metabolic phenotypes. Our work will provide a more sophisticated understanding of how mTORC1 pathway is differently regulated between females and males and will lead to more effective therapies to treat aging-related metabolic disorders.

2.18 Dr TSAI, Shih-Yin
phsts@nus.edu.sg
Department of Physiology
Mass Up Aging Skeletal Muscle - study of mTORC1 and sarcopenia

Aging is an emerging health issue worldwide. Sarcopenia is commonly related to aging and is a major risk factor for mortality. To date, there is no effective and approved pharmacological intervention to treat sarcopenia. The mechanisms to control skeletal muscle growth during aging is also not well understood. In order to address these questions and discover new therapeutic targets to reverse sarcopenia and strengthen skeletal muscle, my lab is devoted to understanding the signaling pathways in skeletal muscle growth. One potential regulator of muscle growth is mechanistic target of rapamycin complex 1. Upon exercise and injury, mTORC1 is acutely activated and induces muscle growth and regeneration. Yet chronic activation of mTORC1 has been documented to be associated with aging-related sarcopenia. This suggests that both the timing and duration control of mTORC1 expression are subject to the strict regulation in muscle cells in order to achieve the maximum benefit for injury-induced repair responses and long-term tissue health. To explore how mTORC1 expression in skeletal cells may contribute to the muscle homeostasis, we utilized genomic approach to analyze which genes are specifically modulating or collaborating with mTORC1 activity in mouse skeletal muscle and how they affected the functional aging. mTORC1 is a crucial regulator of protein homeostasis. Activation of mTORC1 leads to phosphorylation of S6 kinases and 4E-BPs, consequently stimulating translation initiation. This project will use the cutting-edge Ribosome-seq technique to monitor mRNA translation in skeletal muscle and further identify the differentially translated genes regulated by mTORC1 during aging. The candidate genes will be validated in a mouse model of sarcopenia to test therapeutic potential in recovery of the muscle function. A better understanding of mTORC1 pathway would lead to the development of more effective and safe therapies to treat aging-related metabolic diseases, and limiting potential off-target side effects while targeting mTORC1.

2.19 Dr Hey Hwee Weng Dennis
doshhwd@nus.edu.sg
Department of Orthopaedic Surgery
Correlating paraspinal muscle mitochondria structure and function change with sagittal spinal alignment

Hyperkyphosis of the spine and paraspinal myopathy are age-related phenomena. To keep the human spine upright, paraspinal muscles act as dynamic stabilizers to prevent the forward-hunched posture. The process of aging is thus believed to result from paraspinal muscle dysfunction, leading to accelerated kyphosis of the spine. The current state-of-the-art treatment for paraspinal sarcopenia hinges largely on physical therapy and core muscle strengthening exercise regimes to reverse the process.
Unfortunately, these strategies have shown limited efficacy. Multiple clinical and radiological studies have supported the morphological association between paraspinal sarcopenia, spinal degeneration and kyphosis. Few studies have investigated the role of mitochondria abnormality as a mechanism leading to poorer muscle strength. Under high mechanical demand, an increase in free radical generation could have enhanced biogenesis of defective mitochondria, resulting in paraspinal dysfunction, thus accelerating the process of spinal kyphosis.
This proposed work seeks to further pursue greater understanding in the integrity of paraspinal muscle mitochondria at lower and upper lumbar spine segments using the novel, accelerated sarcopenic TSC1mKO mice at different stages of kyphosis development. Identification of the mechanistic links between skeletal muscle mitochondria structure and function, and spinal kyphosis will enable novel therapeutic strategies to treat the ageing spine.

2.20 Prof Barry Halliwell
bchbh@nus.edu.sg
Department of Biochemistry
Is ergothioneine a longevity nutrient?

Our clinical studies have demonstrated that the naturally occurring amino acid, ergothioneine, can accumulate in the body at high concentrations from the diet (especially mushrooms). This avid uptake and retention by the body suggests that ergothioneine may play an important role in health and prevention of disease. We previously demonstrated that blood ergothioneine levels decline with age in elderly individuals greater than 60 years of age.
Moreover, significantly lower blood levels of ergothioneine were observed in patients with a range of age-related neurological disorders such as mild cognitive impairment, Parkinson’s disease, and dementia (Alzheimer disease and vascular dementia), suggesting that declining ergothioneine levels maybe a risk factor for age-related diseases. A recent study also demonstrated that lower levels of ergothioneine are highly associated with elevated markers of frailty in a Japanese population. As such, some have suggested that ergothioneine may be a longevity nutrient, that is, supplementation of ergothioneine may promote healthy ageing and reduce the risk of age-related disorders. However, presently little is known about the mechanisms by which ergothioneine may modulate longevity pathways. Using a range of cell culture and molecular techniques, this study will investigate whether ergothioneine interacts with longevity genes to promote healthy longevity. Tapping into an existing cohort we will also investigate the association of ergothioneine levels with various health factors in elderly human subjects.

2.21 Prof Barry Halliwell
bchbh@nus.edu.sg
Department of Biochemistry
Investigating the potential mechanisms of neuroprotection by the dietary compound, ergothioneine

Numerous studies have demonstrated that blood levels of ergothioneine, a unique dietary amino thiol/thione, are significantly lower in patients with various neurodegenerative disorders such as Parkinson’s disease, mild cognitive impairment, and dementia including Alzheimer disease. This suggests that lower ergothioneine levels may play a role in elevating the risk of- or fuel the pathological progress of these neurodegenerative disorders. Supporting this notion, numerous studies in animal models of neurodegeneration have shown that ergothioneine is protective. Studies with cell cultures suggest that ergothioneine may act as an antioxidant and anti-inflammatory agent, however the mechanisms of neuroprotection by ergothioneine remain largely unknown.
Using a range of in vitro and in vivo models together with a range of molecular techniques, this study aims to investigate the possible mechanisms of neuroprotection by ergothioneine.

2.22 Dr Goh Jorming
jorming@nus.edu.sg
Department of Physiology
Rejuvenating Senescent Traits of Older Adults Through Regular Exercise (RESTORE)

Longitudinal studies have consistently reported improved health spans in human populations that are physically active, that is, meeting the World Health Organization (WHO)’s recommendations of a minimum of 150 minutes of regular, moderate-intensity physical activity weekly. Unfortunately, most people do not meet even the minimal guidelines.
In this project, the goal is to determine whether 3 months of regular physical activity participation will reduce biological age in middle-aged adults. Novel biomarkers of aging, including DNA methylation status, inflammAging markers, and other physiological parameters such as cardiorespiratory fitness and arterial stiffness will be assessed.
We will recruit middle-aged adults (40-60 years) that are either healthy or with 1 chronic condition (e.g. hypertension) to undergo a 3 month-long physical activity intervention program. Serial measurements of biomarkers and other secondary outcomes will be conducted from baseline at regular intervals (weeks 0, 6, 12, 18).

2.23 Dr Goh Jorming
jorming@nus.edu.sg
Department of Physiology
REBOOT (Resistance Exercise improves BiOlOgical age in older adulTs)

Skeletal muscle loss usually starts after 40 years of age at a rate of -0.5% per year, and then accelerates rapidly after 60 years. Sarcopenia, a condition typically associated with the geriatric population, is characterized by low skeletal muscle mass and reduced skeletal muscle function or strength.
Although the actual prevalence of sarcopenia in Singapore is unknown, recent estimates in a clinical study indicated that ~44% of elderly medical outpatients aged 65 years and above were sarcopenic, and in this cohort, women were far more likely than men to be sarcopenic (58% vs 29%) and frail (68% vs 32%). Elderly women with low muscle strength had an increased mortality risk (OR: 1.65, 95% CI: 1.19-2.30), whereas there was no significant association between muscle mass and mortality, suggesting that the age-related loss of muscle strength is a more important factor in predicting mortality than muscle.
In this project, we will investigate the mechanisms through which 6 months of regular strength exercise improves skeletal muscle strength and mass in older (>59 years) adults. Novel biomarkers of aging, including DNA methylation status, inflammAging markers, and other physiological parameters such as cardiorespiratory fitness and arterial stiffness will be assessed.

2.24 Dr Goh Jorming
jorming@nus.edu.sg
Department of Physiology
BREXINT (Breast Cancer Exercise INTervention)

Breast cancer is the most common cancer in Singapore, representing 29.1% of all cancers diagnosed in women, regardless of ethnicity and is the most frequent cause of death (17.3%) amongst Singaporean women with cancer. For women who completed cancer treatment, fatigue is the most reported adverse effect - exacerbated by poor cardiorespiratory fitness and low skeletal muscle strength. Anthracycline-based chemotherapy is also associated with cardiotoxicity, pathological remodeling of the left ventricles, and increased risk of cardiomyopathy or heart failure in breast cancer patients. Hence, cancer and chemotherapy are known to accelerate biological aging. While exercise training – be it aerobic or strength-based, improves clinical and physiological outcomes in breast cancer survivors, it is not clear whether such interventions also modulate biological aging.
Exercise modulates the immune-inflammatory-muscle axis and dampening of the immune response can be improved with physical training, possibly by mediating the i) skeletal muscle secretome, ii) immune cell phenotype, iii) biological age, or all three factors.
This project will determine whether 4-months of aerobic and resistance exercise modulates senescence, inflammation and immune expression in women with breast cancer. Novel tools include applying DNA methylation age, transcriptomic profiling of peripheral blood mononuclear cells (PBMCs) and characterization of exosomal cargo prior to, and after exercise intervention.

2.25 A/Prof Raymond Seet
mdcrscs@nus.edu.sg
Department of Medicine
Understanding the association between platelet characteristics of patients with ischemic stroke and the risk of stroke recurrence

Stroke is a leading cause of death in many developed and developing countries. Close to 80% of stroke is caused by arterial thrombosis that underpins ischemic stroke. Although platelets play an important role in maintaining hemostasis, overactivation of platelets may lead to platelet aggregation and thrombosis capable of occluding blood vessels. During activation, membrane proteins involved in various pathways of aggregation may be differentially upregulated and expressed. Under these pathological circumstances, platelets of stroke patients may be hyperactivated and increase their expression of membrane proteins. A detailed interrogation of these proteins may be useful to prognosticate stroke outcomes and reveal a newer target for platelet inhibition to prevent stroke recurrence. Hence, the objective of this study is to examine the relationship between platelet surface markers in stroke patients and compare them with those of age-matched controls and long-term stroke outcomes. Flow cytometry and RNAseq would be utilized to study the expression level of these platelet surface markers.

2.26 Prof Soong Tuck Wah
phsstw@nus.edu.sg
Department of Physiology
CaV1.3 IQ-domain RNA editing in circadian rhythm

RNA editing can diversify protein functions through recoding after adenosine-to-inosine (A-to-I) substitution catalyzed by adenosine deaminases acting on RNA (ADAR) enzymes, which generates various levels of post-transcriptional edited sites in a developmental and spatial-temporal manner.
Recoding of exons leads to diversification of protein function in response to various environmental or physiological conditions. CaV1.3 channel is known to undergo RNA editing specifically in the central nervous system. CaV1.3 channel is also found to be the dominant calcium source supporting spontaneous firing of SCN neurons during the day in rodents. Recently the mechanism of decreased current from edited CaV1.3 channel due to a more dominant effect of the reduction of open probability was established with the transgenic knockout mouse model. In this CaV1.3∆ECS knockout mice, disrupted sleep-wake pattern was observed in a gender specific manner. In particular, the KO male animals showed disrupted sleep as they wake up more during the daytime, while this phenotype was not observed in female animals. We hypothesize that deletion of RNA editing may altered the day-firing of SCN neurons and lead to the disrupt sleep in male mice, while there could be compensatory mechanisms in female mice possibly relating to estrogen and estrogen receptors.

2.27 Prof Soong Tuck Wah
phsstw@nus.edu.sg
Department of Physiology
Cav1.2 Deubiquitinases: implications in cardiovascular diseases

CaV1.2 channel is the major pathway for calcium influx in smooth muscle cells and its dysfunction significantly contributes to cardiovascular disorders. Recently the mechanism of ubiquitin-mediated turnover of CaV1.2 channels by specific E3 ligases has been generally established. In particular, CaV1.2 channels in the absence of CaVβ subunit are recognized by an endoplasmic reticulum (ER)-resident E3 ligase, RFP2 which mediates their polyubiquitination and proteasomal degradation. However, how CaV1.2 channels remain in a dynamic equilibrium between trafficking to plasma membrane and degradation by ER-associated degradation (ERAD) complex and how they can be regulated through the removal of polyubiquitination chains by selective deubiquitinases (DUBs) in ER are still unknown. To date, only six DUBs in ERAD, such as USP13, USP25, YOD1, ataxin-3, OTUB1 and VCIP135, have been reported. Among them, USP13 shares about 80% sequence similarity to USP5, only showing the difference on the second ubiquitin-associated domain. Based on these previous findings, we hypothesize that at least one of them may function as the deubiquitinase that reverses CaV1.2 channel polyubiquitination and stabilizes CaV1.2 channel activity.

2.28 Prof Soong Tuck Wah
phsstw@nus.edu.sg
Department of Physiology
CaV1.3 IQ-domain RNA editing: implications in mood disorders

RNA editing can diversify protein functions through recoding after adenosine-to-inosine (A-to-I) substitution catalyzed by adenosine deaminases acting on RNA (ADAR) enzymes.
CaV1.3 channel is known to undergo RNA editing specifically in the central nervous system. Recently the mechanism of decreased current from edited CaV1.3 channel due to a more dominant effect of the reduction of open probability was established with the transgenic knockout mouse model. In this CaV1.3∆ECS knockout mice, with abolishment of CaV1.3 RNA editing, the male animals exhibit anxiety-like behaviours and enhanced fear memory. The mice will be used as a model to investigate the role of CaV1.3 RNA editing in regulating neuronal excitability in amygdala neurons and the connection between amygdala and hippocampus. We will also explore whether there is any gender differences of the anxiety-like behaviour in these animals and whether interventions such as restricted feeding would have beneficial effects on reducing anxiety level. As risk variations in CACNA1D were also associated with major types of psychiatric disorders, we could also explore the potential role of CaV1.3 RNA editing in psychiatric disorders such as BD, SCZ, ADHD, MDD, and ASD.

2.29 Dr Vincenzo Sorrentino
vsorrent@nus.edu.sg
Department of Biochemistry
Dissecting cellular pathways of aging- and senescence-associated amyloidosis

Protein homeostasis (proteostasis) includes all processes required to maintain the cellular proteome, from regulation of protein synthesis to aggregation and degradation. Loss of proteostasis occurs in aging and neurodegenerative disorders such as Alzheimer’s disease, and in muscle during sarcopenia and inclusion body myositis.
Recent published and unpublished work from Sorrentino’s research indicates that aging is accompanied by accumulation amyloidogenic aggregates, and this also occurs in senescent cells. However, the major mechanisms and types of protein aggregates occurring in aging and senescence are yet to be defined. This project will focus on unveiling the relationship between aging, proteostasis decline and cellular senescence in the following aims:
- Identification of aging-associated amyloid oligomers from brain and muscle tissues of old mice, and from senescent cells generated via several methods, through enrichment and proteomics methodologies.
- Mechanistic studies in cells and in the aging model C. elegans to evaluate the role of the identified pro-amyloidogenic proteins on cellular health and on the senescence process via loss- or gain-of-function experiments, followed by molecular characterization.
Overall this will unveil mechanisms linked to age- and senescence-associated amyloidosis, and create new opportunities to drug proteostasis in aging.
For Prof. Sorrentino’s related work: DOI: 10.1016/j.celrep.2020.108660

2.30 Dr Vincenzo Sorrentino
vsorrent@nus.edu.sg
Department of Biochemistry
Elucidation of common proteotoxic stress response signatures across aging and age-related diseases

While aging and neuromuscular proteinopathies all show features of metabolic and proteostasis dysfunction, the underlying global molecular alterations of these conditions are unknown, and whether there may be shared mechanisms of disease and repair that could be targeted across conditions is unclear. The hypothesis for this project is that proteotoxicity conditions in diseases like Alzheimer’s disease, Parkinson’s, Hungtington, or during aging itself result in a common cellular adaptation response that can be identified, mapped, and therapeutically targeted. The activities of the project will involve:
- Execution and analyses of metabolomics, transcriptomics and proteomics on mammalian cells and nematode models of protein aggregation (e.g. amyloid-beta and Huntingtin),
- Cross-reference studies of the datasets obtained with existing datasets of human patients and mice models of aging, and proteotoxic diseases to identify possible common deregulated pathways.
- Assessment of the disease relevance of pathways identified by knock-out or overexpression studies in cellular models, and in C. elegans, or by compound-based approaches for known druggable metabolites, lipids or proteins.
This will provide a comprehensive view of the effects of proteotoxicity across age-associated diseases and facilitate identification of potential novel disease biomarkers and therapeutics.
For Prof. Sorrentino’s related work in this field:
1) DOI: 10.1016/j.celrep.2020.108660
2) DOI: 10.1371/journal.pcbi.1007162

2.31 Dr Tan Yong-Yi Andrew
phstya@nus.edu.sg
Department of Physiology
Vagus stimulation effects on tone-evoked synaptic excitation and inhibition in the auditory cortex

Vagus nerve stimulation (VNS) has been recently approved by the US FDA for helping to accelerate stroke rehabilitation, but its effects on synaptic excitation and synaptic inhibition in the cortex remain unknown. To develop acute VNS protocols suited for measuring those effects in living rodents, this project will first characterize the effect of various VNS parameters on tone-evoked responses in the auditory cortex. Whole-cell patch clamp recordings in living rodents will then be used to measure the changes in tone-evoked excitation and inhibition elicited by the relevant VNS parameters. As the balance of excitation and inhibition is a key parameter for constructing models of cortical circuitry, depending on the interests of the student, there may also be an opportunity for computational modelling of the experimental data they acquire. By helping build a better understanding of the mechanisms of VNS, this project may contribute towards principled ways of improving VNS for rehabilitation.

2.32 A/Prof Saji Kumar Sreedharan
phssks@nus.edu.sg
Department of Physiology
Restoring Memory in Aging and Neurodegeneration Using Transcranial Direct Current Stimulation (tDCS)

This project investigates transcranial direct current stimulation (tDCS) as a non-invasive neuromodulation strategy to restore memory and cognitive function during aging and neurodegenerative disease, particularly Alzheimer’s disease. We aim to determine how tDCS modifies hippocampal and cortical circuits and whether it can rescue impaired synaptic plasticity and memory.
The project will integrate state-of-the-art electrophysiology, optogenetics, chemogenetics, high-resolution and super-resolution microscopy, molecular and biochemical approaches, and behavioural analysis to identify the cellular and circuit mechanisms underlying the beneficial effects of tDCS. Advanced approaches, including multi-electrode recordings, calcium imaging, transcriptomics and spatial/single-cell molecular profiling, will be used to characterize stimulation-induced changes from synapses to neural networks. Optogenetic and chemogenetic manipulation of defined neuronal populations will establish causal relationships between circuit activity, synaptic plasticity and memory rescue.
The ultimate goal is to identify mechanistically informed tDCS paradigms that enhance neural plasticity and develop a translational framework for non-invasive interventions to preserve or restore cognitive function in aging and neurodegenerative disorders.

2.33 A/Prof Juan Helen Zhou
mdczju@nus.edu.sg
Department of Medicine
Build multimodal Neuro AI models for decoding brain health and human behavior

1. Brain decoding using AI (vision, audio, and text)
2. Multimodal brain imaging and AI integration for prognosis, diagnosis and treatment response prediction
3. Build brain foundation model and evaluate its interpretability
4. Link brain with multimodal biomarkers (digital, blood, omics) for decoding brain health and healthy longevity.

2.34 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
CEDIRA — The effect of daily multivitamin and mineral supplementation on biological age in relatively healthy middle-aged individuals

Micronutrient deficiencies are common in middle-aged adults and have been associated with accelerated biological ageing. While multivitamin and mineral supplements are widely consumed, robust evidence of their effect on biological age in relatively healthy individuals remains limited. CEDIRA is a double-blind, placebo-controlled randomised controlled trial investigating whether daily multivitamin and mineral supplementation can slow biological ageing over 12 months in adults aged 40 to 60 whose biological age exceeds their chronological age, as measured by DNA methylation. Secondary outcomes include body composition, cognitive function, muscle strength, skin characteristics, metabolic and lipid profiles, and gut microbiome composition. The study is currently ongoing and the first datasets are available for analysis. Students and interns joining this project will have hands-on involvement in our clinical trial centre, including participant-facing assessments, biological sample collection (blood, urine, saliva and stool), and wet laboratory processing of biological samples.

2.35 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
ABLE — Ageing and Biological Age with Longevity Enhancers

Alpha-ketoglutarate (AKG) is a naturally occurring molecule involved in cellular energy production and epigenetic regulation that declines with age. Preclinical evidence suggests AKG supplementation may slow biological ageing by supporting mitochondrial function and DNA demethylation processes. ABLE was a double-blind, placebo-controlled randomised controlled trial testing whether 1g/day of calcium AKG could reduce biological age over 6 months in adults aged 40 to 60 with accelerated epigenetic ageing. Primary outcome was DNA methylation age measured using four validated epigenetic clocks. Secondary outcomes included physical function, body composition, cardiovascular health, blood biomarkers and gut microbiome. The study is currently finished and the database is currently undergoing analysis. Students and interns joining this project will have hands-on involvement in wet laboratory sample processing, data cleaning and statistical analysis support.

2.36 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
SIRT6 — Can seaweed-derived fucoidan impact the biomarkers of ageing?

SIRT6 is a protein with a key role in DNA repair, inflammation regulation and metabolic homeostasis, and its activity declines with age. Fucoidan, a natural polysaccharide derived from brown seaweed, has been identified as a potential SIRT6 activator with promising geroprotective properties. SIRT6 is a randomised controlled trial investigating whether fucoidan supplementation can positively influence biomarkers of healthy ageing in males aged 50 to 80 over a 6-month period. Assessments include blood biomarkers, body composition, physical performance and cognitive function. The study is currently ongoing and the first datasets are available for analysis. Students and interns joining this project will have hands-on involvement in our clinical trial centre, including participant-facing assessments, biological sample collection, and wet laboratory processing of blood and biological samples.

2.37 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
ACCURATE — AI-guided personalised dosing of nicotinamide mononucleotide (NMN) to optimise NAD+ levels and prevent age-related physiological changes

Nicotinamide adenine dinucleotide (NAD+) is a critical coenzyme involved in cellular energy metabolism, DNA repair and immune function, and its levels decline significantly with age. Nicotinamide mononucleotide (NMN) is a precursor that can restore NAD+ levels, but standard dosing may not be optimal for all individuals. ACCURATE evaluates whether CURATE.AI, an artificial intelligence-guided personalised dosing method, outperforms standard dosing in optimising blood NAD+ levels and improving age-related physiological outcomes in adults aged 35 to 65. The study is currently ongoing and the first datasets are available for analysis. Students and interns joining this project will have hands-on involvement in our clinical trial centre, including participant-facing clinical assessments, biological sample collection, wet laboratory sample processing, and wearable and digital health data management.

2.38 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
PROMETHEUS — Precision gerOMedicine: Tailored Healthy agEing with lifestyle, sUpplements and drugS

Ageing is a heterogeneous, multisystem process that requires a shift from population-level interventions to gerotype-guided approaches targeting specific biological processes. PROMETHEUS was a single-arm, open-label clinical trial conducted as part of the XPRIZE Healthspan semi-finalist competition. It tested an 8-week personalised multimodal intervention combining supervised exercise, dietary recommendations, cognitive behavioural therapy and nutraceuticals tailored to each participant's biological profile. Significant improvements were observed in cognitive function, muscle strength, skeletal muscle mass and visceral fat after 8 weeks, with high compliance and minimal dropout. The study is currently ongoing and the first datasets are available for analysis. Students and interns joining this project will have hands-on involvement in clinical trial operations, biological sample collection, wet laboratory sample processing, and data analysis and manuscript preparation support.

2.39 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
Rejuvenating the Microbiome — Can a multi-nutrient supplement and exercise programme support healthy longevity?

The gut microbiome plays a central role in immune regulation, metabolic health and biological ageing, and its diversity declines with age and physical deconditioning. This Danone-partnered study examined whether a 12-week multimodal intervention combining multinutrient supplementation and supervised concurrent exercise training could improve gut microbiome diversity and markers of biological age in pre-frail older adults. Outcomes included gut microbiome composition, dietary intake, sleep health measured using the Oura Ring, and body composition. The study is currently ongoing and the first datasets are available for analysis. Students and interns joining this project will have hands-on involvement in wet laboratory microbiome sample processing, dietary data management, wearable data handling, and data cleaning and analysis support.

2.40 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
LONGER — HeaLthy LONGEvity With Rapamycin

Rapamycin (sirolimus) is an FDA-approved inhibitor of the mTOR pathway, a central regulator of cellular ageing and immune function. Given intermittently, rapamycin extends lifespan in animal models and improves measures of healthspan. However, evidence of its effect in healthy middle-aged humans remains limited. LONGER is a double-blind randomised controlled trial investigating the effects of low-dose rapamycin versus placebo over 9 months on inflammation and multiple systems of biological ageing in adults aged 40 to 60. Outcomes span biological, clinical, digital and quality-of-life domains including body composition, cardiovascular health, cognitive function, physical activity and sleep. Students and interns joining this project will have hands-on involvement in our clinical trial centre, including participant-facing assessments, blood and biological sample collection, wet laboratory sample processing, and wearable monitoring and data management.

2.41 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
HEAL — Healthy Longevity Clinic

The HEAL clinic is a precision geromedicine clinical programme offering comprehensive multi-system biological age assessments to healthy community members in Singapore. It serves simultaneously as a clinical service and a real-world research platform for evaluating the feasibility and outcomes of precision geromedicine approaches. Assessments span over ten biological systems including body composition, cardiovascular health, cognitive function, skin, muscle strength, physical performance, gut microbiome and epigenetic ageing. The study is currently ongoing and the first datasets are available for analysis. Students and interns joining this project will have hands-on involvement in rotating across all clinical assessment stations, participant coordination, data collection, compliance monitoring and operational support across concurrent clinical trials.

2.42 Prof Andrea B. Maier
a.maier@nus.edu.sg
Department of Medicine
HELO — HEalthy LOngevity Survey

By 2030, one in six people globally will be 60 years or older. While lifespan is increasing, these added years are not necessarily healthier. Understanding what the general public knows, thinks and feels about healthy longevity is essential for designing effective public health strategies and translating geroscience discoveries into real-world impact. The HELO consortium, led by the NUS Academy for Healthy Longevity, is a large international initiative investigating public perspectives on lifespan, healthspan and healthy longevity medicine. Population surveys are being conducted across multiple countries including Singapore, Indonesia, the Netherlands, Switzerland, Hungary, the United States, the United Arab Emirates, Thailand and Australia. The study aims to assess awareness, knowledge and motivations towards healthy longevity, and to examine how these are shaped by demographic, lifestyle and psychosocial factors. Students and interns joining this project will be involved in data cleaning and analysis, literature review, and support for manuscript preparation. This project is particularly suited to those interested in public health, behavioural science and the societal dimensions of ageing research.

2.43 Prof KOH Woon Puay
kohwp@nus.edu.sg
Dean’s Office
Why Do Some People Age Without Losing Their Independence? Life-Course Determinants of Functional Ageing in the Singapore Chinese Health Study

Maintaining independence is a key goal of healthy ageing, yet why some older adults preserve functional ability while others decline remains poorly understood. This PhD project will use the Singapore Chinese Health Study (SCHS) to investigate life-course determinants of functional ageing. Approximately 4,700 older adults have all eight Lawton Instrumental Activities of Daily Living (IADL) functions assessed at two time points eight years apart, enabling study of the maintenance, loss and recovery of abilities essential for independent living. Importantly, participants have been followed since midlife, with extensive prospective data on lifestyle, diet, body weight, chronic diseases and other health determinants. The project will characterise patterns of functional change and examine whether healthy lifestyles earlier in life predict preservation of independence decades later. It will also investigate functional resilience—why some individuals maintain independence despite multimorbidity—and whether cognitive, physical, cardiometabolic and social factors contribute to different patterns of functional loss. Individual IADL transitions will provide insights beyond changes in functional scores.
By shifting the focus from disability to maintenance and resilience, this project aims to identify modifiable determinants of functional ageing, clarify pathways leading to loss of independence, and inform strategies to prolong independent living in ageing populations, especially in Asian settings.

2.44 Prof KOH Woon Puay
kohwp@nus.edu.sg
Dean’s Office
From Resilience to Frailty: Trajectories and Biological Determinants of Ageing

Frailty is a multidimensional manifestation of ageing encompassing physical, cognitive, psychological and social deficits. Understanding how frailty evolves and its biological determinants is important for promoting healthy longevity. The Singapore Chinese Health Study Frailty Trajectory Cohort (SCHS-FTC) comprises 4,520 older adults with extensive longitudinal sociodemographic, clinical and biospecimen data, providing a unique opportunity to investigate frailty progression and resilience.

This project has two aims. Aim 1 will analyse longitudinal multidomain frailty data collected over a decade to identify distinct trajectory phenotypes, including rapid decliners and resilient maintainers, and determine their sociodemographic, clinical, nutritional and psychosocial determinants. We hypothesise that comorbidities and reduced social support accelerate frailty progression, whereas cognitive reserve and favourable nutritional factors promote resilience. Aim 2 will investigate biological mechanisms underlying these trajectories using genomic, telomere and proteomic profiles from blood samples collected 24 years apart. We will identify molecular signatures associated with adverse and resilient frailty trajectories and examine domain-specific biological patterns. By integrating long-term multidomain frailty trajectories with biological ageing markers, this study will clarify the heterogeneity and mechanisms of frailty progression, identify high-risk and resilient phenotypes, and inform strategies for healthy ageing.

2.45 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Validation of the VasCog Screen test: a cognitive screening tool for vascular cognitive impairment

The VasCog Screen is a brief cognitive test developed by our group to detect vascular cognitive impairment in patients with stroke or heart failure. Both conditions are associated with accelerated cognitive decline, and vascular dementia is the second most common type of dementia in Singapore. Formal neuropsychological assessment is the gold standard but takes several hours, so it is best reserved for patients who screen positive. The MMSE and MoCA, used locally for screening, have limited sensitivity and omit processing speed, a domain commonly affected in vascular cognitive impairment. The VasCog Screen retains half of the MoCA subtests and adds a processing speed task, so it is shorter than the full MoCA. It was designed for Singapore's multilingual and multicultural population. In our development study, it outperformed the MMSE and MoCA in detecting cognitive impairment. To validate the VasCog Screen, we will recruit patients to complete the VasCog Screen, MMSE, MoCA, and the locally validated formal neuropsychological battery as the reference standard. Primary outcomes are diagnostic accuracy and convergent validity. Findings are translatable to acute hospitals, rehabilitation services, and outpatient clinics.

2.46 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Developing Social Robot Empowered by Embodied AI to Sustain Cognitive Training for Return to Work after Stroke

This project will co-design an AI-enabled social robot to support Train Your Brain (TYB), a cognitive health program for community-dwelling stroke survivors in Singapore. Post-stroke cognitive impairment affects independence, mood, and return to work, but face-to-face cognitive training is costly and difficult to scale. The robot uses conversational AI grounded in approved TYB content to hold spoken dialogue, give prompts, and demonstrate activities during therapist-led sessions. In Phase 1, 15–20 stroke survivors, caregivers, and rehabilitation professionals will refine the robot and study procedures in co-design workshops. Phase 2 is a three-arm pilot randomised controlled trial. It will allocate 132 stroke survivors with cognitive impairment equally to Social Robot + TYB, TYB only, or usual care. Both TYB groups will receive nine sessions over about two months, followed by robot or telephone contacts of matched frequency and content. Primary outcomes are feasibility, acceptability, and safety, with cognition and mood as exploratory outcomes. Concurrent fNIRS and EEG during cognitive tasks will test the feasibility of repeated brain measurement, as groundwork for future brain-computer interface feedback. Findings will guide a definitive trial and are translatable to hospital outpatient and community rehabilitation services.

3   Human Potential Translational Research Programme
S/N Principal Investigator Project Title and Abstract
3.1 A/Prof Chan Shiao-Yng
obgchan@nus.edu.sg
Department of Obstetrics & Gynaecology
Investigating the physiological role of lipids and lipid metabolites in influencing maternal and child health outcomes

Lipids play essential roles in pregnancy as energy sources, structural components, and signalling molecules. Disruptions in lipid metabolism have been linked to pregnancy complications, including gestational diabetes, hypertensive disorders of pregnancy, and preterm birth, as well as adverse cardiometabolic and neurodevelopmental outcomes in children. However, the underlying biological mechanisms remain incompletely understood.

This project will investigate how lipids and their metabolites influence maternal and child health outcomes. Using clinical, metabolic, neurodevelopmental, and multi-omic data from ongoing mother-offspring cohorts, the student will apply integrative biostatistical and bioinformatic approaches to characterise lipid dynamics during preconception and pregnancy and determine their associations with health outcomes in mothers and children. Opportunities may also exist to explore key lipid metabolic pathways experimentally using molecular biology techniques, in vitro functional studies, and liquid chromatography-mass spectrometry (LC-MS)–based lipid profiling.

By improving understanding of lipid metabolism in early life, this research aims to identify novel biomarkers and therapeutic targets for predicting pregnancy complications and adverse developmental outcomes. Findings could support the development of targeted interventions to improve long-term maternal and child health.

3.2 A/Prof Juan Helen Zhou
mdczju@nus.edu.sg
Department of Medicine
Longitudinal study of multimodal brain imaging for behavioral prediction in health and neuropsychiatric disease

The project research will be centered around brain network vulnerability hypothesis. The multidisciplinary research program in focus on large-scale brain structural and functional networks in healthy developing and aging brain and symptoms-related changes in diseases such as neurodegenerative disorders and psychosis.
Statistical, computational, and machine learning methods are developed to fuse multimodal neuroimaging data and build predictive models. Our current lines of research include the following: 1) detecting early brain network changes in preclinical and clinical neuropsychiatric disorders such as Alzheimer’s disease and psychosis; 2) understanding the neurophysiological signatures and behavioral relevance of time-varying brain functional connectivity; 3) examining the longitudinal brain network changes and its associations with cognitive and mental problems in the developing and aging brain; 4) investigating the underlying neural mechanism of brain-computer interface-based intervention; 5) examining the influence of amyloid-beta, tau, and cerebrovascular pathology as well as other risk factors on brain integrity and cognition in aging; 6) developing machine learning and statistical methods for big data analysis, brain-behavior associations, and disease prognosis. Lab members have access to research-dedicated Siemens 3T MRI scanners, MR-compatible EEG, eye-tracking devices, and high-performance computing cluster and storage. You are welcomed to check out www.neuroimaginglab.org for more information.

3.3 Dr Ivan Low Cherh Chiet
phsilcc@nus.edu.sg
Department of Physiology
Uncovering the role of CNS in hyperthermia-induced fatigue and potential augmentation strategies to overcome it

Exertional hyperthermia is a key factor known to limit human endurance performance. Recent evidence suggests that the CNS may contribute, at least in part, to hyperthermia-induced fatigue. However, the exact physiological mechanisms underlying heat-induced neural perturbations and impairments remains unknown. In this study, we seek to evaluate functional brain changes in human volunteers subjected to exertional hyperthermia using a continuous fNIRS monitoring system. CNS perturbations identified will also be correlated with a host of physiological parameters (eg. heart rate, core temperature, skin temperature, gait variability, electromyography etc) to develop a data model to predict CNS alterations during exertional hypothermia. The understanding of how CNS symptoms develops during exertional hyperthermia is pivotal to our efforts in combating performance deficits during heat stress. Data attained from the continuous monitoring of CNS perturbations throughout the course of exertional hyperthermia may further augment our understanding on the predisposing factors of exertional heat stroke. If successful, insights gained would allow future design of heat mitigation strategies that are efficiently targeted for the abatement of CNS deficits during exertional hyperthermia.

3.4 Dr Ivan Low Cherh Chiet
phsilcc@nus.edu.sg
Department of Physiology
Harnessing the gut microbiome to combat heat injuries

Hyperthermia-induced endotoxemia resulting from elevated gut permeability is amongst the main factors linked to the development of exertional heat stroke. Gastrointestinal ischaemia resulting from elevated heat stress could disrupt the integrity of endothelial tight junctions. The integrity of endothelial tight junctions is heavily influenced by the composition of the intestinal microbiota. Alterations in gut microbiota composition may affect gut permeability and the translocation of substances across the gastrointestinal barrier. While thermal stress is known to disturb gut microbiota function, it remains uncertain if endotoxemia triggered by an acute bout of exertional heat stress can be contributed by perturbations in gut microbiota composition. As such, the impact of gut microbiota modulation on hyperthermia-induced endotoxemia and its associated CNS symptoms is an idea worthy of future investigations.
To better understand the changes in human gut microbiota induced by exertional (exercise-induced) heat exposure, this study will profile the gut microbiome before and after a single acute bout of exertional hyperthermia. The microbial community of the stool samples will be characterized (16S-based RNA analysis) to assess the respective impact of exertional and passive heat stress on the gut microbiome. In addition, blood samples will also be collected and analysed for serum endotoxins and gut permeability biomarkers to assess if potential changes in gut microbiome composition is correlated with disrupted gut permeability in individuals subjected to exertional hyperthermia. Successful characterization of post-hyperthermia gut microbiome will not only augment our understanding on the role of gut microbiota composition in mediating hyperthermia-induced endotoxemia, but also allow us to develop nutritional strategies to counter the debilitating effects of exertional heat stress.

3.5 Dr Lo Chi Yan
mdclocy@nus.edu.sg
Department of Medicine
The importance of sleep in the neurobehavioural and psychosocial development of children

Project 1:
Having adequate sleep helps optimize cognitive outcomes in school-aged children. However, the features of sleep macro- and micro-structure that contribute to such benefits are not well established with only a handful of cross-sectional studies linking various stages of sleep with IQ, and sleep stages, slow wave activity, and sleep spindles with executive functioning.
To determine the features of sleep that are associated with neurobehavioural and psychosocial development in children, in this longitudinal study, we will track changes in polysomnographically-assessed sleep, cognitive performance, and internalizing and externalizing behavior in children, aged 7-9 years at baseline, over a 1-year period.

Project 2:
In this cross-sectional survey, we will uncover factors that determine children’s sleep and developmental outcomes.
Specifically, we will examine the impact of sleep-related parental involvement and parenting practices on school-age children’s sleep, psychosocial, and academic outcomes (objective 1).
Moreover, we will investigate the demographic profile of families with suboptimal sleep-related parenting practices in Singapore (objective 2). Data will also be collected from a US sample which will allow cross-cultural comparisons (objective 3).

3.6 Dr Queenie Li Ling Jun
obgllj@nus.edu.sg
Department of Obstetrics & Gynaecology
Studying the Heterogeneity of Gestational Diabetes Mellitus: Cardio-Metabolic Alteration and Treatment Response in a Multi-Ethnic Population in Singapore (GDM-CARE)

Gestational diabetes mellitus (GDM) is a transient hyperglycaemic condition identified during pregnancy among pregnant women without history of chronic diabetes. Evidence has shown that GDM leads to a series of adverse health outcomes including pre-term birth, progression to pre-diabetes, and type 2 diabetes after delivery in mothers. Interestingly, GDM is getting more and more prevalent in Asian pregnant women, due to the increasing number of overweight and obesity and genetic susceptibility. Even though there is increasing recognition in GDM, the efficiency and efficacy of treating GDM is poor mostly due to its heterogeneity underlined by various pathophysiological mechanisms. Therefore, understanding better on GDM heterogeneity can help clinicians in offering more targeted treatment and follow-up strategy to GDM mothers. This CSAINV proposal aims to define GDM phenotypes in terms of cardio-metabolic profiles in vivo and treatment response during pregnancy, by using a set of unique and novel technology applied (i.e. continuous glucose profiling and untargeted metabolites profiling). In this proposed 3-year pregnancy cohort, we will recruit 800 overweight or obese Asian pregnant women in early pregnancy without a history of diabetes until delivery. We aim to develop a systematic antenatal and postnatal screening, treatment and intervention guidance in GDM mothers.

3.7 A/Prof Chan Shiao-Yng
obgchan@nus.edu.sg
Department of Obstetrics & Gynaecology
Investigating the mechanistic role of the placenta in maternal-fetal transmission of mental health risk

Maternal mental health stresses during pregnancy, presenting as anxiety and depression, are associated with later offspring psychopathology, independent of postnatal maternal mental health status. Intrauterine signals of maternal stress received by the fetus via the placenta are thought to program the fetal brain during pregnancy and influence subsequent neurodevelopment.
This project aims to identify the key placental pathways involved in maternal-fetal transmission of mental health risk. An integrative bioinformatics approach will be applied to available data (eg. Clinical, neurodevelopmental outcomes, placental omics) from ongoing mother-offspring cohorts to determine significant transmission pathways, which can be validated in a separate cohort of samples using a range of laboratory techniques including molecular biology to investigate gene expression changes and in vitro cultures for functional analysis and magnetic resonance imaging and spectroscopy to analyse placental structure and measure metabolites respectively.
Understanding the precise mechanisms by which the effects of maternal mood are transmitted via the placenta to the fetus will generate novel knowledge critical for designing interventions that can behaviour the risk of vertical transmission of mental health vulnerability, and improve long-term neurocognitive and behavioural outcomes of offspring, and ultimately behaviour in human potential and reducing societal costs of poor mental health.

3.8 A/Prof Boon Thye Thomas Yeo
thomas.yeo@nus.edu.sg
Department of Medicine
Machine learning of brain MRI to improve mental health and disorder

We are an interdisciplinary group of neuroscientists and computer scientists seeking to understand the human brain, improve mental health and treat mental disorders. There is a deluge of data across many scientific disciplines. Future scientific breakthroughs will rely on algorithms to explore these massive data. Our group develops and applies machine learning algorithms to generate neuroscientific discoveries from large-scale datasets comprising thousands of subjects with brain MRI, behavioral, genetic and other physiological measures. For example, we have estimated high-quality functional brain atlases, which are widely used around the world to study healthy brain network organization and mental disorders. We have also developed machine learning techniques to predict Alzheimer’s Disease progression, as well as uncover transdiagnostic mental disorder subtypes. Finally, we are one of the first groups to develop machine learning techniques to “invert” biophysical neural networks, yielding new insights into healthy brain organization and development. We are interested in students with background either in (1) engineering/computer science or (2) neuroscience. For students with neuroscience background, some programming experience is necessary. More information about our group can be found here (https://sites.google.com/view/yeolab/home).

3.9 Prof Chee Wei Liang Michael
Michael.chee@nus.edu.sg
Department of Medicine
Personalizing Sleep For Better Health Using Large Scale Device Data

Many Asians have poor sleep habits that impact health, wellbeing and productivity. This can be transformed by; 1. Developing and integrating smartphone and wearable based technologies to unobtrusively obtain long-term measurements of sleep patterns and cognition. 2. Collecting data using the aforementioned platform to characterize sleep patterns across the lifespan and from there uncover their associations with outcome variables relevant to cognition, mood, cardiometabolic health and ageing. 3. Using the above knowledge to personalize age-specific sleep recommendations in a manner relevant to Asians.
The student will join a multi-disciplinary team that has experience collecting and analyzing multisensor data in students, working adults and older adults. In the coming years, we will be intensifying efforts in the NUS population, with the goal to characterize and personalize interventions for better sleep and wellbeing in this cohort. The student will be involved in the:
(1) Development of large-scale data collection pipelines from multiple wearable and e-device streams,
Analysis and visualization of intensive longitudinal data; and
(2) Design and evaluation of interventions catered to specific groups of individuals.

3.10 Dr Lo Chi Yan
mdclocy@nus.edu.sg
Department of Medicine
Neurobehavioural functions of school-age children during multiple weeks of sleep restriction and recovery

In school-age children, sleep curtailment is associated with deficits in multiple neurobehavioural domains. Alarmingly, on school days, 64.5% of school-age children in Singapore sleep less than the minimum recommended duration of 8 hours, and they typically attempt to pay their sleep debt by extending their time in bed during weekends. However, empirical evidence from adolescents and adults suggest that sleep extension for one or two nights may not be sufficient to fully reverse the neurobehavioural impairments caused by repeated sleep restriction on weeknights. To what extent sleep extension on weekends can facilitate the recovery of cognitive functions and mood remains unexplored in children, particularly when sleep restriction is recurrent across weeks.
The study aims to investigate the neurobehavioural deficits and recovery dynamics of two weeks of sleep restriction on weekdays and extension on weekends among school-age children.

3.11 Dr Lo Chi Yan
mdclocy@nus.edu.sg
Department of Medicine
Reducing children’s screen use for better sleep, mental, and brain health: a personalised approach

Short-sleeping school-age children are at risk for poor mental, cognitive, and brain health. Alarmingly, in Singapore, 64.5% of school-age children sleep less than the minimum recommended duration of 9 hours on school nights. These short-sleeping children, on the other hand, spend on average 2.5 hours per school day on media use for non-academic purposes, revealing the potential of reducing their screen time for more sleep. The effectiveness of various interventions targeted at reducing media use and/or improving sleep has been studied among school-age children. While these existing interventions focus on screen use in the evening and before bedtime in view of the physiological effects of light emittance and the cognitively stimulating effects of the media content, they took a one-size-fits-all approach and ignored the individual differences in the duration, type, and purpose of media use throughout the day. In this project, we will use a scalable, personalised approach to curtail media use based on each individual’s need throughout the waking hours so as to (1) advance children’s bedtime and hence, increase their sleep duration, (2) improve their mood, depressive symptoms, and behavioural problems, and (3) enhance their brain and cognitive functions.

3.12 Prof Cuilin Zhang
obgzc@nus.edu.sg
Department of Obstetrics & Gynaecology
Omics, metabolomics and novel risk factors and biomarkers to better understand the etiology and prevention of gestational diabetes mellitus

Gestational diabetes mellitus (GDM) is a common pregnancy complication. While established risk factors like obesity and family history of diabetes are recognized, the intricate molecular mechanisms underlying GDM remain largely undefined.
Unearthing novel metabolites is pivotal for enhancing our comprehension of GDM’s etiology and, for potentially, developing more effective preventative strategies to disrupt the viscious cycle of ‘diabetes begetting diabetes’.
With these objectives in mind, this study aims to unravel the etiology of GDM by investigating maternal modifiable lifestyle-related factors and novel biomarkers including metabolites. Multiple projects can be undertaken within the overall scope of the study:
Examination of modifiable risk factors contributing to GDM, such as nutrition, dietary, and lifestyle factors.
Exploration of novel, modifiable biomarkers capable of informing precise prevention strategies for diabetes. These encompass targeted and non-targeted analyses of metabolomics, lipidomics, microbiome profiles, and cardio-metabolic biomarkers.
Within the context of established pre-pregnancy and maternal risk factors, an additional research aim is to explore methodological advancements facilitating the identification and utilization of sparse and interpretable metabolite features. This includes enabling mediation analysis with high-dimensional exposures.
To achieve these research aims, the study will harness the comprehensive and longitudinal data and biospecimen collected in the NICHD Fetal Growth Study. This dataset comprises 2,802 pregnant women of four races/ethnicities with risk factors and biomarkers data assessed at four timepoints throughout pregnancy.

3.13 Prof Cuilin Zhang
obgzc@nus.edu.sg
Department of Obstetrics & Gynaecology
Prediction models of gestational diabetes mellitus and unfavorable fetal growth with high-dimensional multi-omics approaches in conjunction with conventional risk factors for improved precision medicine

Prior work from the team have investigated and identified a panel of key biomarkers including fatty acids, amino acids, thyroid function markers, iron status, and HbA1c, associated with the development of GDM. The primary objective of this study is to build upon our prior findings. In this study, we aim to develop a prediction model that integrates conventional risk factors, such as maternal obesity and family history of diabetes, with a comprehensive omics biomarker profile. This model seeks to enable early prediction of GDM, offering a potentially effective and feasible tool for clinical applications.
To accomplish this research objective, the project will leverage the comprehensive and longitudinal dataset, along with data derived from biospecimen collected in the NICHD Fetal Growth Study. This dataset comprises 2,802 pregnant women of four race/ethnicity. It provides a wealth of information, including demographics, conventional pre-pregnancy and maternal health-related factors, and rich omics data assessed through blood and urine samples at four key timepoints during pregnancy. This abundant dataset offers a unique opportunity for students to delve into the development and establishment of optimal prediction models for GDM.

3.14 Prof Cuilin Zhang
obgzc@nus.edu.sg
Department of Obstetrics & Gynaecology
Omics for fetal growth - longitudinal and prospective studies to uncover novel risk factors and biomarkers of suboptimal fetal growth: exploring fetal overgrowth or growth restriction

Within the framework of the well-established developmental origins of health and diseases, addressing suboptimal fetal growth -- whether restricted or excessive -- is pivotal due to its potential impacts on cognitive/physical development, obesity, and cardiometabolic health. The in-utero environment significantly influences fetal development. Yet, the association between maternal biomarker profiles and fetal growth remains largely unexplored.
The main objective of the study is to investigate maternal biomarker profiles in relation to suboptimal fetal growth. Leveraging longitudinal data collected at various stages of pregnancy, the dataset enables two key analyses:
(1) Investigating the associations of maternal biomarker profile with fetal growth at discrete time points;
(2) Conducting trajectory analyses to evaluate longitudinal patterns or changes in maternal biomarkers associated with suboptimal fetal growth. This approach provides insights into the dynamic physiological changes in both mother and fetus during pregnancy.
To achieve these research aims, the projects will harness comprehensive and longitudinal data, including maternal information, fetal growth data, and biospecimen collected from the NICHD Fetal Growth Study. The NICHD study encompasses 2,802 pregnant women of four races/ethnicities. Fetal growth was assessed by ultrasonogram at four time points over the course of pregnancy. Maternal data on conventional pre-pregnancy and maternal health-related factors, alongside longitudinal omics data obtained from blood and urine samples collected four times during pregnancy, are ready for analysis.

3.15 Prof Cuilin Zhang
obgzc@nus.edu.sg
Department of Obstetrics & Gynaecology
Long-term health implications of common pregnancy complications and their determinants – a life course perspective

Pregnancy serves as a ‘stress test’, unveiling underlying cardiometabolic susceptibility (i.e., hypertension during pregnancy, gestational diabetes mellitus [GDM], preterm birth). Women experiencing these complications become high-risk groups for subsequent cardiometabolic disorders (type 2 diabetes, cardiovascular diseases). This project aims to conduct prospective and longitudinal investigations on women with a history of pregnancy-related cardiometabolic complications, including GDM, gestational hypertension, preeclampsia, and preterm birth, to achieve the following objectives:
(1) Understand and characterize the etiology of cardiometabolic health profiles following the index pregnancy in these women with a history of these complications;
(2) Identify early predictors of mid- to late-life cardiometabolic health profiles and outcomes, including both exogenous (e.g., lifestyle, environmental) and endogenous (e.g., genetics) factors;
(3) Investigate long-term cardio-metabolic health for outcomes like type 2 diabetes, cardiovascular diseases, and kidney diseases, among these high-risk women.
Data from the Nurses’ Health Study II, a prospective longitudinal female cohort of 116,429 U.S. nurses followed for more than 30 years, are ready for use to address these study aims. The NHS II contains rich longitudinal information on health-related characteristics, including diet, physical activity, and reproductive history; they are regularly updated over the follow-up period, enabling time-dependent survival analyses. As part of the Diabetes & Women’s Health Study (DWH Study), biosamples measuring cardiometabolic markers and microbiomes were also prospectively collected from the NHS II participants who reported a history of GDM (n=~4500). Genetic data is also available for participants in NHS II and the DWH Study.

3.16 Prof Cuilin Zhang
obgzc@nus.edu.sg
Department of Obstetrics & Gynaecology
Nutrition, diet and lifestyle factors and maternal and child health, and chronic diseases – nutrition/food as the new medicine

“Let food be thy Medicine” – a famous quote by Hippocrates, aligns with the growing concept of “food is medicine”, endorsed by various health organizations such as the American Heart Association. This idea is supported in numerous studies on chronic diseases including cardiometabolic health, cancer, and brain health, and ageing, suggesting the substantial impacts of diet on one’s health status. Such impacts on health also extend for other lifestyle factors, such as physical activity and exercise, alcohol consumption, sleep, and mental well-being. The Global Centre for Asian Women’s Health emphasizes the significance of nutrition and lifestyle on women’s health, spanning from early- and mid-life to later-life cardiometabolic health. This includes the primary prevention of gestational diabetes, type 2 diabetes, and cardiovascular diseases. Moreover, the Centre is working towards uncovering the intergenerational impacts of these lifestyle factors on offspring.
This project aims to understand the relationship between nutrition/diet and lifestyle and women’s cardiometabolic health, fetal growth, and their intergenerational impacts from a global perspective. Outcomes of interest focus on gestational diabetes, type 2 diabetes, cardiovascular diseases, fetal growth (restricted or excess fetal growth) throughout pregnancy, and long-term offspring health outcomes.
Multiple sources of data covering different geographics and race/ethnicity can be used for this project. Specifically, the Nurses’ Health Study II (NHS II), the Diabetes & Women’s Health Study, NICHD Fetal Growth Study, and the Growing Up In Singapore Towards healthy Outcomes (GUSTO) Study are ready for use to address the study aim. The NHS II, a prospective longitudinal female cohort of 116,429 U.S. nurses followed for more than 30 years, contains rich longitudinal information on health-related characteristics, including diet, physical activity, and reproductive history; they are regularly updated over the follow-up period, enabling time-dependent survival analyses. As part of the Diabetes & Women’s Health Study, biosamples measuring cardiometabolic markers and microbiomes were also prospectively collected from the NHS II participants who reported a history of GDM (n=~4500). Genetic data is also available for participants in NHS II and the DWH Study. The GUSTO Study, a Singapore-based cohort, follows expectant mothers and their children, providing detailed insights into both fetal and maternal health from the antenatal period to the child’s first 12 years of life.

3.17 Prof Cuilin Zhang
obgzc@nus.edu.sg
Department of Obstetrics & Gynaecology
Understanding the pathways to offspring and maternal health through the lens of metabolomics

The concept of the developmental origins of health and disease (DOHaD), posits that several non-communicable diseases (NCDs), such as type II diabetes, have their origins in-utero and in early childhood. It is thus important to examine and identify the critical pathways in pregnancy and early childhood that can have an impact on offspring health and disease.
Metabolomics, a comprehensive analysis of small molecules or metabolites, can reveal specific metabolites or metabolic pathways that are involved in the development of diseases.
Metabolites act as markers of metabolic changes associated with environmental factors (e.g., diet intake, physical activity, chemical exposure, and stress) which can be used to study the development of various diseases, as well as to inform precise disease-prevention strategies.
Harnessing metabolomics data from maternal plasma in pregnancy and cord blood, together with well-characterised basic and clinical data on deeply-phenotyped Singaporean cohorts, the Growing Up in Singapore Towards healthy Outcomes (GUSTO) and Singapore PREconception Study of long-Term maternal and child Outcomes (S-PRESTO) https://www.gusto.sg/, these are projects that can be undertaken within the overall scope of the study, including:
(1) Exploration of maternal/cord blood metabolites contributing to offspring health, including cardiometabolic, musculoskeletal and cognitive health.
(2) Identification of novel metabolites linked to maternal health, including pregnancy outcomes (such as gestational diabetes, preeclampsia, fetal growth restriction, small for gestational age, preterm birth), maternal mental health, breastfeeding success and breastmilk composition.

3.18 Dr Evelyn Chung Ning Law
paelecn@nus.edu.sg
Department of Paediatrics
Infant Neural Trajectory and EEG (INTr-EEG)

Our lab focuses on the biological, social, and environmental determinants of paediatric brain health. Specifically, we examine the influences of socioeconomic status (SES) and contextual factors on the attention and executive functions of children. By carefully dissecting the modifiable determinants, such as early relational health, parental mental health, infant screen use, cognitive and language stimulation, and school readiness, we are designing prevention and treatment programmes for children across the population.
In addition, we contribute to the field by unravelling the neural processes via infant brain electroencephalography (EEG). By using EEG, we delineate underlying pathways that contribute to intergenerational transmission of parental psychopathology and cognitive deficits.
This lab trains research coordinators on administering cognitive and psychological assessments in multiple cohorts, including the Growing Up in Singapore Towards healthy Outcomes (GUSTO). The data collected are available for analyses to answer research questions pertaining to the above. In particular, we delineate the lifecourse of children with attention and executive functioning deficits from preschool to adolescence. As this interdisciplinary lab consists of clinician-scientists, we also have an available clinical population of children with attention-deficit/hyperactivity disorder (ADHD) that helps us understand early life predictors of their outcomes. For more information, please see brainhealthlab.org.

3.19 Dr Ong Yi Ying
yy.ong@nus.edu.sg
Department of Paediatrics
The role of early life factors in growth, cardiometabolic health, and mental health during puberty

The Growing up in Singapore Towards Healthy Outcomes (GUSTO) study is a comprehensive birth cohort study which started 15 years ago, which aims to examine how pregnancy and early life influences shape the future health of the offspring. The concept of developmental origins of health and disease (DOHaD) and developmental programming is the scientific basis for this study and its research aims. The DOHaD concept proposes that in-utero and early life experiences (termed the first 1000 days) will have long lasting effect on the subsequent health and development of the offspring. The areas of focus include growth and adiposity, metabolic health, neurocognitive development, mental health, dental health, and allergy. More than 1200 mothers were recruited at early pregnancy, and more than 900 children and their mothers are still being followed up today. The children are now entering puberty and there are opportunities to study how the first 1000 days influence development and various health outcomes.

3.20 Dr Lo Chi Yan
mdclocy@nus.edu.sg
Department of Medicine
Screen use and sleep in children and older adults

This project aims to examine the associations between screen use and sleep in school-age children and older adults.

3.21 Dr Lo Chi Yan
mdclocy@nus.edu.sg
Department of Medicine
Behavioural and environmental factors associated with sleep disturbance in adults with autism spectrum disorder

This project aims to examine the behavioural and environmental factors associated with sleep disturbance in adults with autism spectrum disorder.

3.22 A/Prof Shefaly SHOREY
nurssh@nus.edu.sg
Department of Medicine
Empowering and Mobilizing through a Personalized and Outreach-driven Women’s mental Health Education Resource (EMPOWHER): A Randomized Controlled Trial

Depression is a leading cause of disability among women of reproductive age, yet many remain undiagnosed or untreated because of barriers to timely screening, access to care, and mental health stigma. This study aims to develop and evaluate EMPOWHER, an artificial intelligence (AI)-enhanced mobile health (mHealth) intervention that integrates mental health screening, psychoeducation, self-management support, and primary care referral to improve early identification and management of depressive symptoms among women in Singapore.

The study adopts a four-phase mixed-methods design. Phase I comprises semi-structured interviews with women and healthcare professionals to identify needs, barriers, and facilitators to digital mental health care. Phase II consists of focus group discussions to map women's mental health journeys, providers' system-level care challenges, and joint priority setting of unmet needs. Phase III involves Co-design workshops with women and healthcare professionals to co-design the EMPOWHER application. Phase IV is a parallel-group randomized controlled trial evaluating the effectiveness of the intervention compared with standard care.

3.23 Prof Yong Eu Leong
obgyel@nus.edu.sg
Department of Obstetrics & Gynaecology
Integrated Women’s Health Programme (IWHP): Longitudinal cohort on critical issues facing mid-life women

The IWHP was initiated in 2014 to identify and address in a comprehensive fashion, the health care needs of mid-life Singaporean women. For the first time, the size and scope of women-specific health issues, such as menopause, arthralgia, sarcopenia, urinary incontinence, poor sleep, anxiety, depression, diabetes, hypertension, osteoporosis, hip fractures, cardiovascular disease, dementia, and Alzheimer’s disease have been scientifically characterized, and some shown to be unique for Asian women. The third 12 year following up assessment is planned. The award-winning IWHP program has published more than 40 impactful papers and aims to translate its findings into better care for mid-life women.

3.24 Prof Yong Eu Leong
obgyel@nus.edu.sg
Department of Obstetrics & Gynaecology
The MUSE Randomized Clinical Trial: MUScle strengthening exercises and transdermal Estradiol for menopausal arthralgia

Generalized joint pain and muscular aches (collectively referred to as menopausal arthralgia) are among the top complaints among women universally as they transit through menopause, yet no randomised controlled trials (RCT) has been performed to examine the effects of any interventions. In the MUSE RCT, the effects of muscle strengthening exercises and transdermal 17β-estradiol alone and in combination on menopausal arthralgia was studied. This unique RCT has been completed and data analysis is ongoing. Since this is the first RCT on menopausal arthralgia, impactful publications are expected.

3.25 Prof Roger Foo
roger.foo@nus.edu.sg
Department of Medicine
Project RESET: Redirecting immune, lipid and metabolic drivers of early cardiovascular disease

Cardiovascular disease (CVD) remains a leading cause of mortality despite major advances in pharmacological management of hypertension and dyslipidaemia. Emerging evidence suggests that CVD originates from a prolonged subclinical phase characterised by complex interactions among metabolic, inflammatory, lipid, hepatic, vascular, myocardial, and behavioural pathways. This programme aims to elucidate the shared mechanisms linking fatty liver disease and early CVD, focusing on immune, lipid, and metabolic dysregulation as common drivers of disease initiation and progression.
Using a systems medicine approach, the study will integrate multimodal phenotyping encompassing advanced cardiovascular imaging, molecular and immunometabolic profiling, and continuously acquired digital biomarkers of lifestyle and physiology, including physical activity, heart rate dynamics, sleep quality, circadian rhythm, and psychological resilience. We hypothesise that early CVD comprises distinct but inter-related myocardial, vascular, hepatic, metabolic, molecular, and lifestyle phenotypes that can be quantitatively characterised and longitudinally tracked.
A particular focus is the identification of the “missing millions” of ostensibly healthy individuals who remain undiagnosed yet are already on adverse cardiometabolic trajectories. This challenge is especially relevant in Singapore, where individuals frequently exhibit a uniquely Asian phenotype characterised by central adiposity despite relatively low BMI, a high burden of metabolic syndrome, earlier onset of heart failure, and substantial contributions of metabolic dysfunction independent of coronary artery disease.
By combining precision risk stratification with AI-enabled digital health platforms and health coach-supported behavioural interventions, this programme seeks to improve activation, engagement, and sustained lifestyle modification. We further hypothesise that effective lifestyle intervention can attenuate or reverse subclinical myocardial fibrosis, thereby preventing progression to overt CVD, myocardial infarction, and heart failure. Ultimately, the project aims to establish a cost-effective, scalable framework for early detection, risk prediction, and precision prevention of CVD through integrated imaging, molecular, digital, and behavioural biomarkers.

3.26 A/Prof Chan Shiao-Yng
obgchan@nus.edu.sg
Department of Obstetrics & Gynaecology
Exploring the underlying molecular mechanisms of maternal micronutrient supplementation on maternal and child health

Micronutrient supplementation is widely used during pregnancy, particularly in high-income countries, yet evidence for its benefits on maternal and child health remains limited due to poor understanding of the underlying biological mechanisms.

This project will investigate how specific micronutrients influence maternal and child health outcomes using comprehensive longitudinal data from observational mother-child cohorts and randomised clinical trials. The student will examine associations between micronutrient status and outcomes across domains including cardiometabolic and mental health. Access to matched multi-omic datasets, including genetic, transcriptomic, and metabolomic data, will enable the identification of molecular pathways through which micronutrients affect health. These mechanisms may be further explored using laboratory approaches such as gene expression analyses, in vitro functional studies, and liquid chromatography-mass spectrometry (LC-MS) metabolite profiling.

By uncovering the biological pathways linking micronutrients to health outcomes, this research will support the development of targeted supplementation strategies for specific populations. Findings may also inform public health recommendations on maternal nutrition and contribute to improved health outcomes for mothers and children.

3.27 A/Prof Chan Shiao-Yng
obgchan@nus.edu.sg
Department of Obstetrics & Gynaecology
Understanding how pregnancy complications shape future maternal ageing and chronic disease risk

Pregnancy can act as a physiological stress test, revealing underlying vulnerabilities in maternal health. Complications such as hypertensive disorders of pregnancy, gestational diabetes, preterm birth, and fetal growth restriction have been linked to increased risks of later-life cardiometabolic disease and cognitive decline, yet the biological mechanisms remain unclear.

This project will investigate how pregnancy complications influence women’s ageing trajectories and long-term disease risk. Using data from multiple longitudinal cohorts that recruited women before or during early pregnancy, the candidate will examine whether pregnancy complications are associated with accelerated biological ageing, measured through clinical biomarkers and epigenetic ageing markers. Advanced statistical modelling will be used to determine whether these complications directly accelerate ageing, uncover pre-existing vulnerabilities, or both, and to identify factors that protect against adverse health outcomes.

By integrating repeated measurements from pre-pregnancy through postnatal follow-up, this research will provide new insights into maternal ageing pathways. Findings will help identify critical opportunities for intervention, improve understanding of modifiable risk factors, and inform future screening, postnatal care, and prevention strategies aimed at improving women’s long-term health.

3.28 A/Prof Chan Shiao-Yng
obgchan@nus.edu.sg
Department of Obstetrics & Gynaecology
Investigating the bioactive mechanisms linking human milk oligosaccharides to offspring growth and neurodevelopment

Human milk oligosaccharides (HMOs)—complex, non-digestible carbohydrates abundant in human breastmilk—play a vital role in shaping early infant health, gut microbiota composition, and immune system maturation. Emerging evidence from mother-offspring cohort studies suggests that specific HMO profiles are significantly linked to key offspring developmental milestones, including early childhood growth trajectories, metabolic programming, and cognitive/neurodevelopmental outcomes. During critical windows of postnatal development, HMOs are hypothesized to act directly via gut-brain axis signaling and systemic metabolic pathways to influence infant brain maturation and somatic growth.

This project aims to identify key functional HMOs and plausible pathways involved in mediating offspring growth and development. An integrative bioinformatics and multi-omics approach will be applied to clinical, nutritional, and developmental data from ongoing mother-child cohorts to map associations between HMO profiles and infant neuroimaging, behavioral, and anthropometric endpoints, validating top biological targets across independent cohorts.

Elucidating the precise biological mechanisms by which HMO composition drives infant development and growth will generate critical insights into early-life nutrition. Ultimately, these findings will lay the groundwork for targeted nutritional strategies, next-generation infant formulas, and early interventions aimed at optimizing long-term neurocognitive potential and healthy growth in early childhood.

3.29 Prof Twila Tardif
ttardif@nus.edu.sg
Department of Paediatrics
Brain and Language Development in Young Children: Bilingualism as Resilience in the Development of Human Potential

Uncovering the specific features of brain architecture that change as a result of children’s developing competencies is an essential component of understanding patterns of resilience and growth in brain structure and function. Bilingualism is a broad experience for children growing up in Singapore. However, there are infinite possibilities in how spoken and written language exposures (which languages, how much, how many speakers, and so on) might combine in a single child’s life. This provides an opportunity to examine the relative importance of different components in the developing brain. This project examines patterns of brain structural and functional changes in the first ten years of life in children who have bilingual exposures to English and Malay, Mandarin, and/or Tamil, growing up in Singapore. We will be collecting data from preschoolers using fNIRS imaging of children’s performance on language-related tasks in English and their MTL as well as analyzing structural MRIs from these same children and existing data from the GUSTO, S-PRESTO, and MAMS-CO longitudinal cohorts. Students with experience analyzing structural and/or functional neuroimaging data who are interested in how brain development in young children relates to family background and early language and literacy experiences are encouraged to apply.

4   Immunology Translational Research Programme
S/N Principal Investigator Project Title and Abstract
4.1 A/Prof Nguyen Nam Long
bchnnl@nus.edu.sg
Department of Biochemistry
Harnessing sphingosine-1-phosphate transport for the treatment of inflammatory diseases

Sphingosine-1-phosphate (S1P) is the signaling lipid that plays numerous functions including regulation of immune cell trafficking and blood vessel integrity by activating 5 different S1P receptors (S1PR1-5). The source of circulating S1P is yet to be revealed Spns2 and Mfsd2b are the two major S1P exporters (Science 2009; Nature 2017). We are interested in mapping the S1P concentrations in the body. Specifically, we will genetically delete S1P transporters and study the cellular controls for S1P levels in blood and lymphoid tissues. We plan to investigate how S1P gradient will affect the ins and outs of lymphocytes in lymphoid tissues. The knowledge gained can be explored to regulate the traffic of immune cells in treatment of inflammatory conditions.

4.2 A/Prof Nguyen Nam Long
bchnnl@nus.edu.sg
Department of Biochemistry
The roles of endothelial cell transporter Mfsd7c for CNS vascular health and brain functions

Several missense mutations of Mfsd7c, an orphan transporter have been reported in Fowler syndrome. Affected subjects exhibit signs of severe neurological defects. We recently reported the characterizations of Mfsd7c knockout (KO) mice and compare it to phenotypic findings in human mutations (JCI 2020). Mfsd7c is a transporter that is specifically expressed in blood vessels. Global KO of Mfsd7c in mice resulted in late gestation lethality, due to central nervous system (CNS) phenotypes. We found that the angiogenic growth of CNS blood vessels in the brain of Mfsd7c KO embryos was inhibited in cortical ventricular zones and ganglionic eminences. Vascular tips are dilated and fused resulting in glomeruloid vessels. Both embryos and humans with bi-allelic MFDS7C mutations exhibited reduced cerebral cortical layers, enlargement of the cerebral ventricles, and microcephaly. These preliminary results indicate MFSD7c is required for the normal growth of CNS blood vessels and ablation of this gene results in microcephaly-associated vasculopathy in mice and humans. The blood brain barrier is the critical barrier that partitions blood from neurons. It is equipped with multiple transport systems that are essential for exchanging nutrients, ions, and wastes between blood and neuronal cells. A huge gap in knowledge is to understand which nutrient molecules are transported into brain parenchyma.
Guided by these preliminary data, we hypothesize that Mfsd7c transports an essential nutrient(s) for the brain development and functions. Mfsd7c and its ligands are also required for blood vessel functions. The overarching goals are to understand the roles of nutrients for brain development and functions by deorphanizing the ligand(s) for transporters at the blood brain barrier. The broad objective here is to unravel the mechanisms by which Mfsd7c facilitates the delivery of nutrients to the brain and maintains blood vessel functions.

4.3 A/Prof Liu Haiyan
micliuh@nus.edu.sg
Department of Microbiology & Immunology
Personalized RNA-based Cancer Vaccine for AML Immunotherapy

We hypothesize that personalized RNA-based cancer vaccine, coupled with immune-checkpoint inhibitors delivered in the form of RNA, can be an effective treatment option for AML patients. We will combine the approaches of computing algorithm prediction, T cell activation screening, linker sequence and adaptor protein design, and proof-of-concept validation with both murine leukemia models and patient PBMCs. In this specific project, the student will perform the design, generation, and validation of single-chain variable fragments (scFvs) of anti-PD1 and anti-PD-L1 antibodies.
The scFvs will be cloned and produced in HEK293 cells. Various linker sequences and adaptor proteins to T cells will be incorporated as scFvs’ scaffold, and subsequently screened for effective and specific blocking of immune checkpoints during the validation experiments. Furthermore, the anti-leukemia effects of the RNA-based vaccines with/without scFvs will be determined in immune competent murine AML model and humanized mouse models. Survival will be monitored, and antigen-specific T cell responses will be evaluated.

4.4 Dr Su Xinyi
ophsux@nus.edu.sg
Department of Ophthalmology
Modelling and evaluating retinal stem cell transplants in humanized immune system

There are no effective treatments for end-stage retinal degenerative diseases. In advanced age-related macular degeneration and inherited retinal diseases, there is a profound reduction in the quality of life because of loss of central vision, secondary to an irreversible loss of RPE and photoreceptors cells. Stem cell derived cell/tissue replacement is an emerging therapy, particularly for dry AMD, whereby Phase 1 clinical trials have demonstrated that it is safe, albeit with modest improvements in vision. The lingering and critical question remains whether we can further augment vision recovery via other adjunct mechanisms such as immuno-modulation. The proposed work seeks to address this unmet clinical need, and if successful, will provide novel ways to augment the outcome of retinal cell therapy.

4.5 A/Prof Jinhua Lu
miclujh@nus.edu.sg
Department of Microbiology & Immunology
mRNA-based engineering of dendritic cells for the cross-priming of broad tumour-killing CD8+ T cells

Cancers differ from normal tissues in two major aspects:
1) tumour cells are hyper-proliferative, and 2) tumour cells accumulate genetic mutations. As a result, 1) tumour cells are more susceptible to chemotherapy and radiotherapy than normal cells which disrupt cell growth, and 2) some mutant tumour proteins are targeted by killer CD8 T cells which form the basis of the fast-growing cancer immunotherapies. The challenges are: 1) besides tumour cells, some normal cells, especially the fast-renewing hematopoietic and other tissue progenitor cells, are also damaged by chemo/radiotherapies which limit the dosage/length of such treatments and hence it also limits the therapeutic outcomes; 2) for immunotherapy, a cure is often not achieved because of the cells in most tumours are heterogeneous. The heterogeneity is due to progressive mutational loads when a tumour grows leading to generations of tumour cells with different mutational loads. Immunotherapy is often more effective against some but not other populations which then re-grow the tumour mass in situ or in distant organs.
We recently discovered a family of adjuvant peptides suitable for cancer vaccine development (https://medicine.nus.edu.sg/nic/kickstart/projects/). An NMRCOF-IRG grant has been awarded to 57ehavior this in-house platform for developing various cancer vaccines. In this project, CAR-DC will be generated based on this platform for cancer immunotherapy.
Basically, monocytes are isolated from patients to introduce two classes of mRNA using our adjuvant peptide (P2M2): 1) the DC1-specific transcription factor DC-SCRIPT which promotes tumour antigen cross-presentation to activate CD8+ killer cells, and 2) chimeric antigen receptors (CAR) that target specific nuclear antigens specifically displayed on tumour cells and the tumour-associated vasculature. This engineering strategy is possible because of P2M2 and resultant CAR-DC are expected to home to tumours for antigens and then cross-prime/activate tumour-specific CD8+ killer T cells.

4.6 A/Prof Jinhua Lu
miclujh@nus.edu.sg
Department of Microbiology & Immunology
Mining alarmin adjuvants hidden among the chromatin network

Self-reactive immunity against the nucleus was first described at the turn of 1950s and it is now known to be a signature of many autoimmune diseases, cancer, and ageing. The antinuclear autoantibodies (ANA) can amplify aberrance in tissue homeostasis to cause or contribute to chronic diseases and is therefore a routine clinical test in hospitals. What caused these autoantibodies remain poorly defined, but our recent discovery of 3 strong alarmins in the nucleolus has led us to propose that cells contain complex hidden alarmin adjuvants that fuel self-reactive immune responses to nuclear antigens (https://www.nature.com/articles/s41419-021-03766-w). One such alarmins has been translated for cancer vaccine development (https://medicine.nus.edu.sg/nic/kickstart/projects/). In this PhD project, we continue to mine the nucleus for further alarmins for understanding the causes of autoimmune diseases, cancer and accelerated ageing. In addition, some of these alarmins could be applied in vaccine development.

4.7 A/Prof Jinhua Lu
miclujh@nus.edu.sg
Department of Microbiology & Immunology
Tilt cancer vaccine-induced immunity in favour of CD8 killer cells

A vaccine can induce antibody, CD4 and CD8 mediated immunity. While antibody immunity is highly protective against bacterial, fungal and viral infections, it is predominantly CD8-mediated immunity that is effective against cancers. However, to target an exogenous antigen to MHC class I molecules for CD8 T cell activation is a daunting task. In discovering alarmins hidden among the chromatins, we identified a peptide which brings cancer antigens across the membrane of dendritic cells into the cytoplasm (https://medicine.nus.edu.sg/nic/kickstart/projects/). A cancer vaccine discovery platform has been developed employing this peptide (P2M6), dendritic cells, and T cells. The PhD project focuses on dendritic cell responses to P2M6-linked cancer vaccines and how CD8 T cells are optimally activated to kill tumour cells.

4.8 A/Prof Paul Anthony MacAry
micpam@nus.edu.sg
Department of Microbiology & Immunology
Generation and characterization of Immunotherapy candidates for surface-displayed Cancer Testes Antigens (CTAs)

Cancer Testes Antigens (CTAs) are expressed in various types of solid tumors but absent in healthy tissues with the exception of testis and germline-derived cells. My laboratory has identified a number of novel CTAs that are highly upregulated in Breast, Cervical, Lung and Head & Neck tumors and will exploit our expertise in Antibody Engineering to develop new therapeutic/diagnostic candidate antibodies that will be modified into antibody-drug conjugates and CAR-T formulations that can be utilized for future therapy.

4.9 A/Prof Paul Anthony MacAry
micpam@nus.edu.sg
Department of Microbiology & Immunology
Derivation and characterization of fully human Allo-antibodies in renal transplant rejection

Derivation and characterization of fully human Allo-antibodies in renal transplant rejection.
In collaboration with the National University Centre for Organ Transplantation at the National University Hospital we are isolating and characterizing human monoclonal antibodies that target mis-matched HLA molecules-these are the principal determinants of chronic, solid organ rejection.

4.10 A/Prof Jinmiao CHEN
micchenj@nus.edu.sg
Department of Microbiology & Immunology
CELL2VIRUS: a virus-host interaction map at single-cell resolution

Viral infections continue to pose significant global health challenges, as highlighted by the COVID-19 pandemic. Understanding virus-host interactions at a granular level is crucial for developing effective strategies to combat these infections. The CELL2VIRUS project aims to map virus-host interactions at single-cell resolution using advanced single-cell RNA sequencing and spatial transcriptomic techniques. This project leverages the DISCO database (https://www.immunesinglecell.org/), which comprises over 100,091,857 cells from 16,734 human samples, providing an unprecedented resource for identifying viral transcripts and understanding their impact on host cells.

Our research will focus on four key objectives: (1) Identifying viruses and their host cell types across a large-scale dataset, (2) Investigating virus-induced transcriptome reprogramming and its implications for disease development, (3) Exploring the spatial interactions between virus-infected and bystander cells using single-cell spatial transcriptomic data, and (4) Developing a machine learning model to predict virus-infected cells based on gene expression data. By integrating these findings, we will create a comprehensive virus-host interaction map and develop an online resource, CELL2VIRUS, to facilitate the dissemination of our insights and foster further research collaborations. This project has the potential to significantly advance our understanding of virus-host dynamics and contribute to the development of novel therapeutic strategies.

4.11 A/Prof Jinmiao CHEN
micchenj@nus.edu.sg
Department of Microbiology & Immunology
Constructing immune aging atlas through integration of single-cell transcriptomic data

As global populations age, understanding the underlying mechanisms of immune system aging becomes increasingly critical. The proposed project aims to develop a comprehensive Human Immune Aging Atlas by integrating publicly available single-cell transcriptomic data. This atlas will provide an unprecedented resource for investigating how aging impacts different immune cell types across various tissues, addressing fundamental questions such as whether all cell types age uniformly and how immune aging differs between tissues.
Our approach involves creating tissue-specific atlases to identify aging signatures at the cellular level, with a particular emphasis on immune cells. Given the subtle and gradual nature of aging-related changes, larger sample sizes are essential for accurately capturing and analyzing these alterations. By integrating extensive data from diverse populations, we aim to address challenges related to cellular heterogeneity and inter-individual variability. This project also seeks to elucidate the relationship between immune aging and age-related diseases, offering insights that could lead to novel therapeutic strategies for enhancing immune function in the elderly.
Ultimately, the Human Immune Aging Atlas will serve as a critical resource for the scientific community, enabling deeper exploration into the aging process and its implications for human health.

4.12 A/Prof Jinmiao CHEN
micchenj@nus.edu.sg
Department of Microbiology & Immunology
Spatial meta-transcriptomics for microbiome–host interactions

The interactions between host tissues and their resident microbiota play a crucial role in health and disease. However, the spatial context of these interactions remains poorly understood. This project aims to leverage spatial meta-transcriptomics to map and analyze host-microbe interactions at unprecedented resolution. By integrating spatial transcriptomics with microbial RNA profiling, we will create detailed maps that reveal how microbial communities and host cells interact within specific tissue microenvironments.
This innovative approach will allow us to explore fundamental questions, such as how microbial populations influence local gene expression in host tissues, and how these interactions contribute to health or disease states. We will apply this technology to various tissue types, providing insights into the spatial dynamics of microbiomes across different physiological contexts.
The outcomes of this project will advance our understanding of microbiome-related diseases and open new avenues for therapeutic interventions targeting the spatial organization of host-microbe interactions. This research will generate a valuable resource for the scientific community, enabling further studies into the complex interplay between host and microbiota in a spatially resolved manner.

4.13 Dr Tay Sen Hee Frank
mdctays@nus.edu.sg
Department of Medicine
Exploration of epigenetic signatures in naïve CD4+ T cells for downstream development of exhaustion across different immunological contexts

We lack an understanding of the epigenetic regulation of T cell exhaustion and research is urgently needed to determine how such an imprint will affect the development of exhaustion. While much has been learned about CD8+ T cell exhaustion in chronic viral infections, there is still a critical gap in our knowledge of this process in CD4+ T cells for immune-mediated diseases (IMD). In our pilot data, 15 healthy controls (62.5%) were exhaustion low (IMD1) and the remaining 9 (37.5%) exhaustion high (IMD2). We hypothesize that T cell exhaustion may be acquired due to a hard-wired program, i.e., propensity to developing CD4+ T cell exhaustion in 37.5% of human healthy controls (IMD2) may be epigenetically determined. In this project, we will perform the following using sorted naïve CD4+ T cells:
1) Induce CD4+ T cell exhaustion using anti-CD3/anti-CD28 in IMD1 and IMD2
2) Differentiation into different subsets CD4+ helper T cells and determining their effector function in IMD1 and IMD2
3) Neutralizing antibodies production to post-primary SARS-CoV-2 vaccination in IMD1 and IMD2
4) Drug and genetic manipulation of DNA methyltransferase inhibitors to rescue the IMD2 phenotype
5) Generation of IMD1-CAR-T and IMD2-CAR-T cells to test their proliferation and anti-tumor efficacy

4.14 Prof Yap Hui Kim
paeyaphk@nus.edu.sg
Department of Paediatrics
Role of Nephrin autoantibodies in patients with idiopathic nephrotic syndrome

Idiopathic nephrotic syndrome (INS) is the most common glomerular disease in childhood and also accounts for 15% of adults with nephrotic syndrome. While remission can generally be achieved with high dose steroids, the disease takes a relapsing and remitting course in 65-80% of patients, many of whom will thus require long-term maintenance immunosuppression with its attendant complications. Recent reports of Nephrin autoantibodies in INS patients could potentially alter the current treatment paradigm of INS. These autoantibodies, which are present in relapse but undetectable in remission, are posited to be directly pathogenic by binding to podocytes in the glomerular filtration barrier, causing podocyte dysfunction. We hypothesise that Nephrin autoantibodies in INS imply the presence of Nephrin-specific memory B-cells and T-cells. We aim to: 1) correlate Nephrin autoantibody titres in newly diagnosed Nephrin autoantibody positive (NephAb+) patients with response to steroid sensitivity and time to remission; 2) correlate B-cell and T-cell responses to Nephrin in NephAb+ patients with the risk of relapse; 3) characterise Nephrin-specific B-cells and T-cells in terms of expression of canonical differentiation, activation markers and cytokine production; and 4) examine the efficacy of cytokine antagonists in inducing and maintaining remission in a mouse model of Nephrin autoantibody-mediated nephrotic syndrome.

4.15 Dr Alan Y. Hsu
Alan_hsu@nus.edu.sg
Department of Microbiology & Immunology
Decoding neutrophil dysfunction in aging and chronic inflammation

Neutrophils are essential first responders to infection and tissue injury, yet their dysregulation can drive persistent inflammation and tissue damage. Aging is associated with chronic low-grade inflammation (“inflammaging”), impaired immune function and increased susceptibility to inflammatory disease. However, how aging reshapes neutrophil biology and contributes to the failure to appropriately initiate, control and resolve inflammatory responses remains poorly understood.
This project will investigate the cellular and molecular mechanisms underlying neutrophil dysfunction during aging and chronic inflammation. Using complementary in vitro, in vivo and human translational approaches, we will define how aging alters neutrophil development, activation, migration, antimicrobial responses, survival and interactions with other immune and stromal cells. We will further investigate how age-associated changes in the tissue and systemic environment influence neutrophil phenotype and function, and identify pathways that distinguish protective neutrophil responses from those that perpetuate inflammation and tissue injury.
By integrating functional neutrophil biology with molecular, imaging and translational approaches, this project aims to uncover fundamental mechanisms linking neutrophil dysfunction to inflammaging and chronic inflammatory disease. Ultimately, these studies will identify pathways that can be targeted to restore appropriate neutrophil function, promote inflammatory resolution and improve immune homeostasis during aging.

4.16 Dr Alan Y. Hsu
Alan_hsu@nus.edu.sg
Department of Microbiology & Immunology
Reprogramming immunity with neutrophil-derived vesicles to restore inflammatory resolution

Inflammation is normally terminated through active resolution programs that restore tissue homeostasis while preserving host defence. Failure of these programs can lead to persistent immune activation and underlies many chronic inflammatory diseases. Our work has identified lipid-associated neutrophil-derived vesicles (LAND-Vs) as a distinct population of neutrophil-derived extracellular vesicles with potent immunomodulatory properties, raising the possibility that they function as endogenous mediators of inflammatory resolution.

This project will investigate how LAND-Vs communicate with and reprogram immune cells to promote the transition from inflammation toward resolution. We will define the immune cell populations targeted by LAND-Vs, determine how LAND-V uptake alters cellular phenotype and function, and identify the vesicular proteins, lipids and other molecular cargo responsible for these effects. Particular emphasis will be placed on how LAND-Vs regulate macrophage inflammatory states and coordinate broader immune responses during tissue inflammation.

Using complementary cellular, molecular and in vivo approaches, we will determine whether LAND-V-mediated immune reprogramming can be harnessed therapeutically to restore defective resolution in inflammatory disease. Ultimately, this project seeks to establish LAND-Vs as an endogenous immune-regulatory platform and uncover new strategies for treating chronic inflammation by restoring resolution rather than broadly suppressing immunity.

5   Infectious Diseases Translational Research Programme
S/N Principal Investigator Project Title and Abstract
5.1 A/Prof Chu Jang Hann
miccjh@nus.edu.sg
Department of Microbiology & Immunology
Molecular RNA Virology and Antiviral Strategies (MARVAS)

Emerging and re-emerging viral pathogens, including enteroviruses, arboviruses and respiratory viruses, continue to pose major challenges to global health. With limited therapeutic and preventive options available for these clinically important infections. As RNA viruses made up of the majority of these clinically significant viruses, our research lab seeks to elucidate the molecular and cellular mechanisms governing virus–host interactions and to translate these insights into innovative antiviral and preventive strategies.

Using enteroviruses, arboviruses and respiratory viruses as model systems, we integrate viral pathogenesis, host-pathogen interaction, functional genomics, single-cell transcriptomics, small-molecule drug discovery and vector biology to identify and validate critical viral and host targets for translation into medical countermeasures. This includes next-generation vaccine designs for enteroviruses, arboviruses and respiratory viruses through novel vaccine technologies and platforms, exploitable molecular mechanisms that serves as antiviral targets, or for repurposing into novel therapeutic strategies for both communicable and non-communicable diseases, and vector host factors for vector control strategies.

5.2 Prof Lim Seng Gee
mdclimsg@nus.edu.sg
Department of Medicine
Achieving Functional Cure of Chronic Hepatitis B

Background: Chronic Hepatitis B is a chronic viral disease affecting the liver and there are over 270 million infected patients globally, being the most common cause of liver disease and liver cancer globally. Functional cure (HbsAg loss) is an achievable goal leading to improved survival, lower liver cancer and liver complications.
The biology of different stages of Chronic Hepatitis B (CHB) is still not well understood but insights are likely with deep multidimensional phenotyping comprising genomics, transcriptomics, proteomics, microRNA, immunology and virological 59ehavior59ize59ng59, an opportunity we are well placed to explore with our well established cohort of over 2000 Chronic Hepatitis B patients The main focus will be on functional cure of CHB defined as HbsAg loss, not achievable with current therapies.
The objectives of our proposal are to understand the virological and immune mechanisms involved in functional cure by examining the liver microenvironment with state of the art technologies such as single cell analysis, genomics, transcriptomics, proteomics, and epigenetics in patients with/without functional cure. As the key to CHB is an in-depth analysis of epigenetics of cccDNA, factors found in the HBV TCR to be important in viral replication will be investigated to understand their direct or indirect relationship to HBV. Concurrently, a validated target for HBV will be a particular focus for assay development, 59ehavior59ize modelling, and medicinal library development as possible new classes of antiviral agents. New mechanisms of action, and new antiviral agents can be tested out in the 59ehavior59 mouse model which is being developed as a model-of-choice for CHB with chronic HBV infected hepatocytes and a fully matched immune system.
Potential projects for suitable applicants, especially those interested in PhD projects:
(1) Transcriptome analysis of intrahepatic versus peripheral blood compartment in CHB patients with and without functional cure
(2) Functional immunological analysis of intrahepatic compared to peripheral blood in functional cure
(3) Innate versus adaptive intrahepatic immune responses in CHB patients with and without functional cure
(4) Examination of HBV minichrosome (cccDNA) quantity and function in CHB livers in patients with and without functional cure
(5) Dissecting cccDNA silencing mechanisms in patients with and without functional cure of CHB
(6) Assay development in novel targets towards HBV
(7) Medicinal library construction of potential antiviral agents using novel targets and assays
(8) Humanised mice models for Chronic hepatitis B
Interested candidates should contact Prof Lim Seng Gee: mdclimsgnus.edu.sg or Ms Amy Tay: mdctyla@nus.edu.sg

5.3 Dr Sham Lok To, Chris
miclts@nus.edu.sg
Department of Microbiology & Immunology
Elucidating capsular polysaccharide biogenesis in Streptococcus pneumoniae

Streptococcus pneumoniae is an important respiratory pathogen that causes more than one million deaths worldwide annually.
Similar to other pathogenic bacteria, S. pneumoniae encases its cell envelope with capsular polysaccharide (CPS). This layer protects the cell from host insults, such as opsonophagocytosis and mucus clearance. Because of its importance in pathogenesis, all clinically relevant vaccines against S. pneumoniae target the CPS. There are at least 100 serotypes identified and the structural variation of CPS is attributed to the extreme diversity of glycosyltransferases (GTs), flippases, and polymerases at the cps locus. Little is known about the molecular mechanisms governing their specificity, regulation, and function.
The long-term goal of this project is to investigate the specificity determinants of CPS enzymes based on the wealth of structural information available for pneumococcal CPS. Our approach is enabled by conditional essentiality of the CPS enzymes and the genetic tractability of S. pneumoniae.
Understanding how CPSs are synthesized in S. pneumoniae is critical to improve our current antimicrobial and vaccine strategies. Enzyme variants isolated from this work will be valuable tools for synthetic biology and glycoengineering.
Besides studying CPS enzymes, we are interested in finding small molecules that inhibit different steps of the CPS pathway as therapeutics.

5.4 A/Prof Tan Yee Joo
mictyj@nus.edu.sg
Department of Microbiology & Immunology
Studying viral-host interactions in chronic hepatitis viral infection versus acute viral infection by newly emerged viruses.

Approximately 2 billion people have been infected by two viruses, hepatitis B virus (HBV) and hepatitis C virus (HCV), which primarily attack the liver. Although HCV and HBV are completely different viruses, both of them preferentially infect hepatocytes and are able to subvert the innate and adaptive immunity, leading to chronic infection. In contrast, acute infection happens for many newly emerged viruses, like influenza A virus and coronavirus, after zoonotic transmission. For all these viruses, the complex interplay between viral proteins and host cell machineries contributes to viral replication and/or pathogenesis. However, the exact manner by which each virus participates in this complex process is not completely understood. In this project, we will use a multidisciplinary approach to identify host factors that are regulated by different viral proteins. The functional significance of novel viral-host interactions identified will be analyzed by using cell culture systems. Identification of novel viral-host interaction therefore offers opportunities for designing new treatments and prevention strategies.

5.5-5.6 A/Prof Gan Yunn Hwen
bchganyh@nus.edu.sg
Department of Biochemistry
5.5   Dynamic gut microbiome modulations to establish colonization resistance against multidrug resistant Klebsiella pneumonia

The aim is to discover the factors that can restore a dysbiotic gut microbiome to a healthy state to effect colonization resistance against multidrug resistant opportunistic pathogens. The project will employ in vitro bioreactor setups and in vivo mouse models to examine various perturbations that can change the microbiome structure and function to establish colonization resistance.

5.6   Virulence regulation of hypervirulent Klebsiella pneumoniae during host infection
More information can be found at: https://medicine.nus.edu.sg/trp/infectious-diseases/

5.7 Dr Qu Kun
kqu@nus.edu.sg
Department of Biochemistry
Molecular mechanisms of assembly and transmission of viruses causing respiratory tract infections

The broad objective of this project is to dissect the molecular mechanisms of host-pathogen interactions of the most prevalent respiratory viruses which cause the greatest burden on human health and social economy. Past flu pandemics and the ongoing COVID-19 pandemic have sounded the alarm that cross-species pathogen transmission and disease outbreaks will become more and more frequent due to the increasing and inevitable mobility of global population and economy. More measures should be made by governments and health organisations to detect and control the spread of infectious diseases. Closer investigations in virology and microbiology are urgently needed to prepare for the next pandemic.
The proposed project will provide multifaceted information in situ of respiratory tract infections caused by SARS-CoV-2 and influenza A virus, from cellular to molecular levels by using combined methods in virology, lipid biology, cryo-electron tomography and subtomogram averaging. At the cellular level, we will expand our understanding of virus-cell interactions, which will potentially lead to discovery of novel targets for broad-spectrum antiviral treatments. At the molecular level, we will elucidate the structural basis of respiratory virus assembly, which will broadly foster new designs of vaccines or novel inhibitors to block the viral replication or maturation.

5.8 A/Prof Yassine Cherrak
yassine.cherrak@nus.edu.sg
Department of Microbiology & Immunology
Diet and antibiotic effect on Salmonella gut colonization and virulence

Salmonella Typhimurium is a Gram-negative enteric pathogen and a leading cause of food poisoning worldwide. After oral ingestion, Salmonella employs a wide range of metabolic and virulence genes to survive and colonize the gut environment. Interestingly, infection and disease symptoms do not always correlate—many individuals can carry Salmonella asymptomatically. This suggests that the pathogenicity of S. Typhimurium is influenced by host-specific factors, a relationship that remains poorly understood.

This project aims to elucidate how host factors such as diet and antibiotic intervention modulate the invasion success and pathogenicity of Salmonella in murine models. By investigating these interactions, we hope to uncover mechanisms that govern asymptomatic carriage and symptomatic infection. Ultimately, our goal is to identify targeted interventions that can reduce the global burden of salmonellosis.

The project will employ in vitro techniques (cloning, bacterial gene knock-outs, quantitative PCR, barcode sequencing), ex vivo analyses (immunofluorescence staining and pathoscoring of cecal contents), and in vivo approaches (murine infection models).

5.9 A/Prof Yassine Cherrak
yassine.cherrak@nus.edu.sg
Department of Microbiology & Immunology
Diet effect on colonization resistance and gut protection against Salmonella

Salmonella Typhimurium is a Gram-negative enteric pathogen and a leading cause of food poisoning worldwide. In healthy individuals, Salmonella colonization is strongly restricted by protective commensal strains, which prevent pathogen establishment through a process known as colonization resistance (CR). Recently, we have identified an E. coli commensal strain capable of restricting Salmonella growth in the gut, thereby providing CR. However, preliminary observations suggest that this protection is context-dependent and is significantly influenced by dietary components. The specific dietary regimes that impact CR, and the underlying mechanisms, remain poorly understood.

This project aims to elucidate how dietary habits directly affect the level of protection conferred by protective commensal strains. Understanding this phenomenon may contribute to the development of dietary interventions that enhance CR and reduce the burden of Salmonella infections.

The project will employ in vitro techniques (cloning, bacterial gene knock-outs, quantitative PCR, reporter strains), ex vivo analyses (immunofluorescence staining and pathoscoring of cecal contents), and in vivo approaches (murine infection models).

5.10 A/Prof Niranjan Nagarajan
niranjan@nus.edu.sg
Department of Biochemistry
Evolution of antimicrobial resistance in the gut microbiome in response to antibiotic therapy

In this study, we will leverage a unique cohort of patients enrolled in a clinical trial for novel antibiotics to study their impact on evolution of antimicrobial resistance (AMR) in the gut microbiome. We will use cutting-edge technologies including Oxford Nanopore, PacBio HiFi and Hi-C sequencing to reconstruct plasmids from metagenomic data and associate them to their bacterial hosts. We will use genomic comparisons and evolutionary analysis tools to characterize transmission of resistance genes, sharing across bacterial hosts and microbiomes, and evolutionary mechanisms shaping the landscape of AMR evolution. Background in Bioinformatics is essential. An understanding of Microbial Genomics and Evolutionary Analysis would be ideal.

5.11 A/Prof Catherine Ong Wei Min
catherine.ong@nus.edu.sg
Department of Medicine
Neutrophils and Fibrosis in Pulmonary Tuberculosis

Tuberculosis (TB) remains the leading infectious cause of death, and many TB survivors experience persistent lung impairment despite successful antimicrobial treatment. Excessive inflammation and dysregulated tissue repair can lead to pulmonary fibrosis. However, the mechanisms driving TB-associated fibrotic immunopathology remain poorly understood, particularly in patients with diabetes mellitus (DM), who experience more severe disease and poorer outcomes.
This project aims to determine:
(1) the mechanistic role of neutrophils in driving pulmonary fibrosis
(2) the immunophenotypic profiles associated with TB pulmonary fibrosis
(3) the therapeutic efficacy of inhibitors targeting neutrophil-derived factors in reducing pulmonary fibrosis
Using human clinical samples and murine models of pulmonary TB, single-cell transcriptomes and pro-fibrotic markers will be characterised. Additionally, the effects of DM on neutrophil function and corresponding changes in pro-fibrotic signatures shall be examined. Finally, inhibitors targeting neutrophil-derived factors, including neutrophil elastase and neutrophil extracellular traps, will be evaluated as adjunctive therapies to reduce fibrotic lung damage. This broad-based PhD project will provide comprehensive training in immunology, advanced molecular techniques, and animal models with key BSL-3 experience. The results will positively support the launch of a clinical trial to improve long-term outcomes in TB patients with pulmonary fibrosis.

6   Digital Medicine Translational Research Programme / Institute for Digital Medicine (WisDM)
S/N Principal Investigator Project Title and Abstract
6.1 Dr Le Thi Nguyet Minh
phcltnm@nus.edu.sg
Department of Pharmacology
Developing red blood cell extracellular vesicles for targeted and functional delivery of therapeutic cargos

Extracellular vesicles (EVs) are natural carriers of RNAs in intercellular communication. Recently, we have developed a strategy to harness EVs from red blood cells (RBCs) to deliver RNA drugs to cancer cells. RBCEVs are inexpensive to purify in large quantities and can mediate robust delivery of therapeutic RNAs to both leukemia and solid cancer cells for efficient oncogene inhibition. Moreover, this delivery platform is safe as RBCEVs are devoid of DNA, growth factors, and toxic substances. We have also engineered RBCEVs with peptide and antibody conjugation for targeted delivery. Our studies were published in Nature Communications and the Journal of Extracellular Vesicles, and the RBCEV technology has been licensed to Carmine Therapeutics.
Our goal is to develop RBCEVs into a versatile drug delivery platform with high efficiency, low toxicity, and high specificity. We are currently working on multiple applications of RBCEV-mediated gene therapy for cancer, COVID-19, and other diseases. We are also investigating the potential therapeutic benefits of the natural cargos of RBCEVs; in particular, we hypothesise that the endogenous hemoglobin carried by RBCEVs can protect macrophages from foam cell transformation and thus suppress atherosclerosis progression. Additionally, we seek to elucidate the mechanisms of uptake and intracellular trafficking of RBCEVs. (More information at https://lelabnus.wordpress.com/)

6.2 A/Prof Jinmiao CHEN
micchenj@nus.edu.sg
Department of Microbiology & Immunology
Single-cell large foundation model for drug discovery

In this project, we will develop a novel multi-modal foundational model and pretrain it using a large corpus of publicly available single-cell data (DISCO, CellXGene, HCA). This model aims to learn universal, biologically explainable embeddings of genes, cells, and patients, enabling the capture of interactions across molecular, cellular, and phenotypic levels for a variety of downstream clinically relevant tasks.
Next, we will adapt the foundational single-cell model using data from Asian patient cohorts (HCC and NPC) to predict responses to therapies, including immune checkpoint inhibitors, chemotherapy, and combination treatments; identify novel cell type-specific biomarkers for treatment resistance and validate them using experimental approaches.
Lastly, we will refine the foundation single-cell model to incorporate generative capabilities, allowing in-silico simulation, spanning a broad spectrum of genetic perturbations and drug treatments, which can accelerate the advancement of personalized therapeutics.

6.3 A/Prof Jinmiao CHEN
micchenj@nus.edu.sg
Department of Microbiology & Immunology
Develop large language model for subcellular resolution spatial multi-omics

Spatial technology has rapidly advanced, with innovations like CosMx, Stereo-seq, and MERSCOPE achieving sub-cellular resolution and covering thousands of genes or hundreds of proteins. These advancements, coupled with advanced image processing and computer vision techniques, enable precise cell segmentation and spatial analysis of mRNA and protein molecules. Our project will develop SpaLLM, a large language model for subcellular resolution spatial multi-omics, to reconstruct cell-cell interactions and molecule interactions (RNA-RNA, RNA-protein, protein-protein) within individual cells. We will create network graphs where nodes represent cells or molecules and edges denote their spatial adjacency. SpaLLM uses heterogeneous graph attention networks to encode spatial relationships and cross-talks among RNA, proteins, and cells. This approach will reveal latent representations and identify hubs of cells or molecules based on spatial colocalization and expression measurements. By analyzing these hubs across different phenotypic groups, we aim to uncover underlying cellular and molecular mechanisms driving biological differences.

6.4 Prof Roger Foo
roger.foo@nus.edu.sg
Department of Medicine
Advancing Precision Medicine Through Molecular Characterization of Cardiometabolic Phenogroups

The identification of lean insulin-resistant (Lean-IR) and obese insulin-sensitive (Obese-IS) phenotypes highlights important opportunities for future research aimed at improving cardiovascular disease (CVD) prevention and risk stratification. While both phenotypes exhibit a similarly elevated risk of subclinical cardiac dysfunction and future CVD, the underlying biological mechanisms appear distinct, suggesting the need for phenotype-specific approaches to disease prevention and treatment.
Future studies should adopt longitudinal designs to determine the temporal progression of these phenotypes and to evaluate whether individuals transition between phenogroups over time. Understanding the stability of Lean-IR and Obese-IS phenotypes and their trajectories toward overt cardiometabolic disease could help identify critical windows for intervention.
Further multi-omics investigations, integrating genomics, transcriptomics, metabolomics, and proteomics, are needed to elucidate the molecular pathways driving the observed inflammatory signature in Lean-IR individuals and the hepatic metabolic dysfunction observed in Obese-IS individuals. Such studies may uncover novel biomarkers and therapeutic targets that are not apparent through conventional clinical assessments.
Future research should also evaluate whether precision interventions tailored to the dominant biological pathway can reduce cardiovascular risk. For example, anti-inflammatory strategies may be particularly beneficial for Lean-IR individuals, whereas interventions targeting liver metabolism, hepatic steatosis, and metabolic dysfunction may be more effective in Obese-IS individuals. Randomized clinical trials will be essential to determine whether phenotype-guided treatment approaches provide greater benefit than current one-size-fits-all strategies.
In addition, the generalizability of these findings should be assessed across diverse ethnic, geographic, and socioeconomic populations. Broader validation will help determine whether these phenotypes are universally applicable and enhance their utility in clinical practice.
Ultimately, future studies should focus on translating molecular phenotyping into routine healthcare, enabling more accurate identification of high-risk individuals and supporting the development of personalized prevention strategies that address the biological heterogeneity of cardiometabolic disease.

7   Cancer Translational Research Programme / NUS Centre for Cancer Research (N2CR)
S/N Principal Investigator Project Title and Abstract
7.1-7.3 Dr Cheok Chit Fang
patcfc@nus.edu.sg
Department of Pathology
7.1   Developing novel therapeutics in cancer for personalized therapy
7.2   Developing new molecular detection methods in cancer
7.3   Discovering new mechanisms in genome maintenance

My lab focuses on exploiting specific molecular defects in cancer cells for targeted therapy. We are interested in translating the concepts of synthetic lethality to effective cancer treatments. In a broader sense, synthetic lethality describes functional interactions between two pathways/genes/mutations that synergistically reduce fitness and survival. We design CRISPR-based screens to identify synthetic lethal pathways and gene targets that can be manipulated to yield selective targeting of cancer cells. This work has expanded to include synthetic lethal interactions in DNA damage response pathways as part of our interests in deciphering the underlying connections between cancer initiation, progression and genomic instability. Recently, we have also identified new drug targets in metabolic pathways that paved the study for combination therapy with immune checkpoint inhibitors. In collaboration with clinicians and pathologists, our current work continues to espouse new cancer mechanisms in metabolic and DNA repair pathways for therapeutic applications.

7.4 A/Prof Deng Lih Wen
bchdlw@nus.edu.sg
Department of Biochemistry
Early prediction of radioresistance and distant metastasis through molecular signature-based surveillance strategy

Radiotherapy (RT) has an important role in the multimodality management of cancers and is employed in the neoadjuvant, definitive, or adjuvant setting. Mixed response to RT has been observed in the definitive setting and patients with poor response to RT have higher rate of recurrence and need for further salvage therapy, resulting in higher treatment morbidity. Further, distant metastasis and cancer relapse post-RT is also a major cause of treatment failure. Therefore, a pre-screening strategy to predict response to RT upfront would be valuable in identifying patients with radioresistant tumours as this would impact the treatment strategy at diagnosis. We recently identified a miRNA panel which predicts radioresistance and distant metastasis in cervical cancer through an unbiased microarray and miRNA screening approach. Analysis of public databases validated the prognostic value of the identified signature in determining outcome in cervical cancer. Given similarities in etiology and RT-based treatment strategies for cervical cancer and head and neck squamous cell carcinomas (HNSCC), we interrogated publicly available datasets for HNSCC and found that the identified miRNA signature also predicts poor outcome in HNSCC. The PhD candidate will participate in a multidiscipline research program with basic scientists and clinical scientists to (1) clinically validate the identified miRNA signature and their correlation to radioresistance and distant metastasis; (2) explore the potential of liquid biopsy-based non-invasive molecular surveillance and prediction strategies using identified molecular signatures in CC and HNSCC; (3) understand the mechanistic underpinnings of how candidate miRNAs can mediate the radioresistant and metastatic phenotypes. The work will advance efforts in the development of alternative treatment options to improve the prognosis of patients with resistant/recurrent cervical cancer and head and neck cancer.

7.5 A/Prof Deng Lih Wen
bchdlw@nus.edu.sg
Department of Biochemistry
Targeting Cysteine Metabolism in Ovarian Clear Cell Carcinoma

The PhD candidate will participate in a multidiscipline research program with basic scientists, and clinical scientists to study the potential of targeting cysteine metabolism in ovarian clear cell carcinomas (OCCC), an aggressive and chemo-resistant tumor subtype comprising approximately 12-16% of epithelial ovarian cancers. Current treatment options for OCCC are limited to combination of platinum-based and other cytotoxic agents to which patients respond poorly due to intrinsic chemoresistance. We have previously reported that OCCC has profound dependence on cysteine for survival in vitro and in vivo, and cysteine-deprived glycolytic OCCC is abolished primarily by oxidative stress-dependent necrosis and ferroptosis. This suggests targeting cysteine metabolism as a novel alternative therapeutic strategy for OCCC. Our pilot study suggests depletion of the extracellular cysteine/cystine pool via pharmacological inhibition and engineered cysteine-degrading enzyme, can re-sensitise cisplatin-resistant cells to the cytotoxic effects of cisplatin.
We propose to study the effects of cysteine deprivation and its combinatory effects with cisplatin in 2D cell culture, 3D spheroid and patient-derived organoids and xenograft mouse models. We aim to use pharmacological inhibitors and cysteinase as a mode to systematically deplete extracellular cysteine for therapeutic applications as a cisplatin sensitizer, and to investigate the potential applicability of using novel delivery vehicle to deliver inhibitors or cysteinase to tumour sites for cysteine deprivation locally in in-vitro and in-vivo models. We will also elucidate molecular mechanism underlying the synergistic anti-cancer effect of cysteine deprivation and cisplatin in OCCC. The knowledge generated from this study will provide proof-of-concept data for the potential translational applications of targeted cysteine deprivation as a cisplatin re-sensitisation strategy for ovarian carcinoma which is the most lethal gynaecological cancer with majority of patients eventually becoming platinum-resistant with subsequent relapses.
The PhD candidate will participate in a multi-discipline research program with basic scientists, and clinical scientists to study the potential of targeting cysteine metabolism in ovarian clear cell carcinomas (OCCC), an aggressive and chemo-resistant tumor subtype comprising approximately 12-16% of epithelial ovarian cancers. Current treatment options for OCCC are limited to combination of platinum-based and other cytotoxic agents to which patients respond poorly due to intrinsic chemo-resistance. We have previously reported that OCCC has profound dependence on cysteine for survival in-vitro and in-vivo, and cysteine-deprived glycolytic OCCC is abolished primarily by oxidative stress-dependent necrosis and ferroptosis. This suggests targeting cysteine metabolism as a novel alternative therapeutic strategy for OCCC. Our pilot study suggests depletion of the extracellular cysteine/cystine pool via pharmacological inhibition and engineered cysteine-degrading enzyme, can re-sensitise cisplatin-resistant cells to the cytotoxic effects of cisplatin.
We propose to study the effects of cysteine deprivation and its combinatory effects with cisplatin in 2D cell culture, 3D spheroid and patient-derived organoids and xenograft mouse models. We aim to use pharmacological inhibitors and cysteinase as a mode to systematically deplete extracellular cysteine for therapeutic applications as a cisplatin sensitizer, and to investigate the potential applicability of using novel delivery vehicle to deliver inhibitors or cysteinase to tumour sites for cysteine deprivation locally in in-vitro and in-vivo models. We will also elucidate molecular mechanism underlying the synergistic anti-cancer effect of cysteine deprivation and cisplatin in OCCC. The knowledge generated from this study will provide proof-of-concept data for the potential translational applications of targeted cysteine deprivation as a cisplatin re-sensitisation strategy for ovarian carcinoma which is the most lethal gynaecological cancer with majority of patients eventually becoming platinum-resistant with subsequent relapses.

7.6 A/Prof Deng Lih Wen
bchdlw@nus.edu.sg
Department of Biochemistry
Anti-tumor effects of electrostimulation in mice with ovarian tumors

Ovarian cancer (OC) is the most lethal gynaecologic malignancy, with a 5-year survival rate of <30%. Immunotherapy is ineffective for OC due to an immunosuppressive microenvironment lacking tumor infiltrating leukocytes. Using a syngeneic mouse model, we observe that electrostimulation can inhibits tumor growth possibly through modulation of tumor microenvironment. The study aims to elucidate the underlying the molecular mechanism in a multidisciplinary team including cancer biologist, immunologist, and neurobiologist.

7.7 A/Prof Deng Lih Wen
bchdlw@nus.edu.sg
Department of Biochemistry
Cancer/Testis Antigen in mitochondria function and potential implications on metastasis and therapy-resistance.

Emerging evidence implicates cancer/testis antigens (CTA) in cancer metabolism via their actions on the mitochondria. Our pilot study suggest CTA expression is involved in the metastatic potential of lung cancer. An increase in CTA in lung cancer brought about a more aggressive cancer phenotype, possibly through alterations in the cells’ mitochondria functions. This project aims to establish clinical association of CTA in lung cancer and study the underlying mechanism. The knowledge from this project is to better understand the role of CT antigens in cancer cell energetics and work towards using CTA in biomarker-driven clinical trials for mitochondria- or CTA-targeted therapeutics to provide more personalized treatment strategies to improve patient outcomes.

7.8 A/Prof Deng Lih Wen
bchdlw@nus.edu.sg
Department of Biochemistry
Identify molecular signatures of early prediction of therapy resistance and recurrence to develop surveillance strategies for personalized treatment

Current treatment for cervical cancer and head and neck cancer includes concurrent chemo-radiotherapy followed by brachytherapy. However, treatment failure characterized by recurrent/metastatic tumours is not uncommon. These tumours are often aggressive and resistant to current therapeutic strategies leaving these patients with little therapeutic options. In a pilot study, 43 first-biopsy samples from patients who were either disease-free (n=23) or recurrent/metastatic (n=20) after standard treatment, were subjected to an unbiased molecular screen and a recurrent/metastatic specific molecular signature was identified.
Several candidates in this signature have been suggested to have roles in maintaining the cancer stem cell (CSC) phenotype, which has been associated with disease recurrence/metastasis. However, their specific molecular functions remain to be elucidated and understanding how this signature affects the CSC population will enable the development of molecularly-targeted therapies for this subset of cells. Identification of our molecular signature from samples obtained at initial diagnosis suggests the exciting possibility of using this signature to predict possible relapse/metastatic disease at point of diagnosis. Together with molecular studies, the candidate is expected to apply this molecular signature to develop a liquid biopsy-based non-invasive molecular surveillance strategy. The long-term goal of this work aims to enable clinicians to predict recurrence/metastasis at initial diagnosis to better-tailor therapeutic regimes and prescribe them in a timelier manner to improve patient outcome. The project is part of a multidiscipline research program with basic scientists, translational researchers and clinical scientists.

7.9 A/Prof George Yip
georgeyip@nus.edu.sg
Department of Anatomy
Expression and Functional Analysis of Glycosaminoglycans and Proteoglycans in Breast Cancer

Glycosaminoglycans are highly negatively charged molecules made up of repeating disaccharide subunits consisting of an amino sugar and an uronic acid. They are covalently linked to core protein backbones to form proteoglycans. Besides structural roles, glycosaminoglycans and proteoglycans have important biological functions in regulating cell behavior through their interactions with growth factors and behavior molecules. They are also involved in microRNA- and exosome-mediated regulation of cancer. In this study, we aim to elucidate the effects of these molecules on cancer cell activities, to investigate their potential clinical use as biomarkers and prognostic indicators, and to behavior them for the development of novel therapeutic targets. A variety of cell and molecular biology techniques will be employed in this project using both in-vitro and in-vivo models.

References:
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2. Tan XF et al (2019). Methods Mol Biol;1974:21-30.
3. Lucanus AJ et al (2018). Oncogene;37:833-838.
4. Iravani O et al (2017). Exp Cell Res;350:380-389.
5. Kumar AV et al (2014). Int J Cancer;135:2579-2592.
6. Ibrahim SA et al (2012). Int J Cancer;131:E884-896.
7. Yip GW (2011). Recent Pat Anticancer Drug Discov;6:164-165.

7.10 Prof Khong Pek Lan
dnrkpl@nus.edu.sg
Department of Diagnostic Radiology
Clinical Molecular Imaging Research for Precision Oncology

Positron Emission Tomography (PET) is a molecular imaging modality that allows visualization of molecular and metabolic-functional processes by the use of organic molecules and pharmaceuticals labeled with positron-emitting radionuclides (or tracers). These probes provide valuable insights into biochemical, physiological, pathological or pharmacological process in-vivo. PET tracers as molecular imaging probes have demonstrated significant clinical utility in oncology impacting on patient management in terms of early diagnosis, identifying histopathology, directing treatment, monitoring therapy response etc. Thus, molecular imaging tools will greatly contribute to the realization of modern precision oncology.
The PI, Prof Khong is the Director of The Clinical Imaging Research Centre (CIRC) of the Yong Loo Ling School of Medicine. CIRC is a core facility that for translational molecular imaging research that provides a platform for development and translation of molecular imaging biomarkers/tracers and theranostics to clinical practice. https://medicine.nus.edu.sg/circ/
Two important novel molecular imaging tracers for oncology will be developed at CIRC; 68Ga-Pentixafor (CXCR4 chemokine receptor) and 68Ga-FAPI (Fibroblast activation protein-α type II inhibitor). Both tracers are highly promising in the evaluation of various cancers using PET imaging, and early experience has found them to be advantageous to the currently used 18F-FDG (fluorodeoxyglucose) in multiple aspects with potential in filling unmet clinical needs.
We aim to evaluate its novel role of these tracers in the management of common cancers in Singapore.

7.11 Prof Khong Pek Lan
dnrkpl@nus.edu.sg
Department of Diagnostic Radiology
Single centre prospective evaluation of 68Gallium-FAPI PET/MRI in Hepatocellular Carcinoma

To evaluate the clinical utility of a novel radiotracer, 68Ga-FAPI (Fibroblast activation protein-inhibitor) for PET imaging of Hepatocellular carcinoma (HCC); specifically, in its additional benefit to MRI alone, which is conventionally used as the imaging modality of choice for HCC, and as a combined hybrid imaging modality of PET/MRI.
We aim to study the added value of 68Ga-FAPI PET, combining it with MRI in a single hybrid modality, PET/MRI, in the context of the current diagnostic pathway in patients with or suspected to have HCC. Specifically, we aim to evaluate its role in (i) lesion detection and characterization prior to surgery (ii) systemic staging after radiological or histological confirmation of HCC (iii) characterization of indeterminate lesions on conventional MRI and (iv) work-up for the detection of HCC in patients with unexplained elevations of serum alpha-fetoprotein (AFP) concentration.

7.12 Prof Ruby Huang Yun-Ju
obgrhy@nus.edu.sg
Department of Obstetrics & Gynaecology
Know Thy Neighbour – Spatial Profiling of Intra-tumour Heterogeneity (ITH)

Personalized medicine has gained much momentum to become the mainstream practice to inform care to cancer patients. The basis of patient stratification relies on the existence of inter-tumoral heterogeneity. This has been extensively documented by The Cancer Genome Atlas (TCGA) projects identifying various molecular subtypes. These molecular subtypes have distinct clinicopathologic outcomes and hence are relevant for therapeutic intervention.
However, intra-tumoral heterogeneity (ITH) complicates this approach. Clonal diversity arising from ITH and the clonal evolution of alterations in the spatial and temporal context, results into multiple spatially separated subclones that would acquire distinct aberrations in the same gene, protein complex or signal transduction pathway. Moreover, the existence of heterogeneity is at the multi-omics levels. Therefore, leveraging on novel technologies to address the clonal diversity within ITH has become an urgent need. This project will dive into the spatial biology surrounding ITH to interrogate the tumor immune microenvironment (iTME) and the tumor epithelial-mesenchymal phenotypes (EMP). Cutting-edge technology platforms for high magnitude multiplexing signal detection with high resolution for precise spatial expression will be adopted. The multi-omics landscape from switches along the entire EMP spectrum would be associated with the remodeling of iTME in the selected cancer types and the precursors.

7.13 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
ADAR1 meets NF-kB signaling: Functional role of lncRNA in regulating immune evasion

RNA based and RNA targeting behaviorize are increasingly becoming useful in clinical applications targeting various disease. Here we are trying to explore the relevance of one such class of RNA in relation to liver cancer. P65 and ADAR1 are also very important for liver homeostasis and have been associated with liver diseases including liver cancer. The proposal addresses an important link of how and what lncRNA are controlled by these 2 important proteins in cells which can be behavior later to target these molecules to treat liver cancer.
The student will be able to get a hands on training and skills related to conducting bench work in molecular and cell biology related expirements. By the end of the training he/she will be able to conceptualise behavior projects and design expirements and analyse the results obtained. Stronger students will also be trained to write papers and present data to others.

7.14 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
Investigating the physiological roles of p52-ETS1, a new transcription factor

In this project, a high-throughput screening of small-molecule inhibitors targeting p52-ETS1 interaction will be conducted.
We will collaborate with industry partners to help us with the design and synthesis of the inhibitors, and also for further validation of our candidate inhibitors. Successful candidates can be patented and further developed for clinical trials.
The student will be able to get a hands-on training and skills related to conducting bench work in molecular and cell biology related experiments. By the end of the training he/she will be able to conceptualise research projects and design experiments and analyse the results obtained. Stronger students will also be trained to write papers and present data to others.

7.15 Dr Yvonne Tay
yvonnetay@nus.edu.sg
Department of Biochemistry
Alternative UTRs of key cancer genes: Novel regulators and therapeutic targets?

Messenger RNAs (mRNAs) comprise central protein-coding regions flanked by 5’ and 3’ untranslated regions (UTRs) that play important roles in post-transcriptional regulation. UTRs harbor many regulatory sequences and structures which control processes including mRNA stability, localization, export and translation efficiency. Intriguingly, the majority of mammalian genes generate multiple mRNA isoforms that differ in their UTRs. These alternative UTRs are produced by mechanisms including alternative promoter usage, splicing and alternative polyadenylation (APA). Critically, although independent efforts have begun to characterize each facet of UTR processing, little is known about how they converge to determine UTR heterogeneity. As UTRs are frequently subjected to multiple concurrent types of processing, a holistic approach is of key importance to understand how these processes collectively shape the cancer transcriptome and drive carcinogenesis. We anticipate that this work will lead to breakthroughs in our understanding of these diverse facets of RNA processing and their contribution to transcriptome heterogeneity and carcinogenesis, and identify novel regulators of critical cancer genes. Finally, we expect that 3’UTR variants and processing factors that are specifically dysregulated in cancer samples may represent promising new biomarkers for disease stratification, prediction of response to treatment, and/or lead to the development of novel targeted therapies.

7.16 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Machine Learning Approach to Cancer and Cardiovascular Risk Prediction

Deep learning is a subset of machine learning which uses very deep neural networks to learn complex relationship between input variables and final output in very large datasets. In a process called supervised learning, an algorithm is trained iteratively on a high-quality annotated dataset. Each iteration culminates with a hypothetical/predicted output which is compared against the real output and the error is used intelligently to adjust the weight associated with each input parameter for the next iteration and the process is continued till the predicted output matches the real output. Finally, the trained model is used to predict the outcome for a new set of inputs. Working with bioinformaticians, clinicians and large healthcare data sets, you will create novel algorithms to identify patients at risk of drug adverse effects and who will benefit from precision treatments. You will be listed as an official member of the ethics approval and work with patient data to improve medical outcomes. A robust model of immediate translational value will be created to predict adverse reactions.

7.17 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Mass spectroscopy biomarker discovery for precision medicine

Redox chemistry is involved in literally every reaction that transfers an electron. The term oxidative-stress, refers to an imbalance in reductive potential for reactions that have a relevance to human biology and clinical outcomes. Despite the near universal acceptance that oxidative stress plays a fundamental role in aging, carcinogenesis and cardiovascular disease, a clinically actionable marker of oxidative stress remains to be discovered. We use mass spectrometry of known pathways, oxidatively modified substrates and precursor – product ratios to determine personalized signatures of oxidative stress in our collected patient cohorts. The goal of the project is to discover and characterize a biomarker that can be monitored in clinical use that guides the selection and dosage of anti-oxidant therapies. With success, the impact of this project can reshape the fields of nutrition and pharmaceutical science.

7.18 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
New digital models of health information implementation

Technologies such as Blockchain, Digital Identification and Zero Knowledge Proofs are changing the possibilities for usage, study and sharing of medical information. This project is specific to those who want to make a difference in the lives of real patients thorough the application of digital mobility enablers in addition to decentralized (i.e. individually federated) analytics. In short, this project seeks to leverage on the previous work of the PI with World Health Organization, International Standards Organization (ISO) and major global healthcare networks to create a decentralized information sharing and analytics platform for real world data collection.

7.19 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Synthetic Biology of Translational Therapeutics and Large Scale Bioproduction

Can biochemical engineering fundamentally change the process of disease treatment and macromolecular creation? In this project you will use a novel form of nanoparticle invented by our lab (Nature Comms, PMID: 29129910) to study protein folding dynamics and novel cellular uptake mechanisms for drug delivery. The project is a continuation of research begun at Massachusetts Institute of Technology and will create nanometer scaled agents for the delivery of active protein substrates and for industrial manufacture of previously unproducable therapeutic solutions. Prof Drum was clinically trained at BWH, Harvard Med School and the team is composed of enthusiastic and highly talented scientists in training. Using this technology you will easily produce novel biological therapeutics and bioproduction sequences.
Expected outputs for the student will be at least one patent filing and 3-4 publications. You are invited to enquire if interested.

7.20 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Oral Delivery of Bioorthogonal Catalytic Centres for Treating Gastric Cancer: A Mice Model Study Using Ultra-Stable Thermostable Exoshells

Bioorthogonal catalysis (BC) generates chemical reactions that are absent in normal physiological processes. With in situ drug synthesis, BC holds the promise of site-specific therapy with negligible systemic exposure or side effects. Previously, our lab reported the use of self-assembling, porous thermostable exoshells (tES) to encapsulate and deliver an iron-containing reaction centre for tumor regression in breast cancer mice. When administered with the prodrug indole-3-acetic acid, a natural plant product, the bioactive metabolites produced resulted in apoptosis of cancer cells and complete regression of tumors (Sadeghi et al. ACS Nano, 2022). Given the significance of oral delivery as a preferred mode for drug administration, we improved the stability of tES through multiple inter-subunit disulfide linkages. Preliminary studies have shown that ultra-stable tES protected the encapsulated BC against the adverse gastrointestinal environment and exhibited permeabilization through intestinal epithelial cells (Sadeghi et al. IJMS, 2022). Capitalizing on these recent findings, we aim to create a cost-effective oral prodrug therapy to treat an in vivo model of gastric cancer. The therapeutic strategy will couple the oral administration of the reactive BC centre followed by a benign natural substrate for in vivo evaluation together with safety profiling and biodistribution studies.

7.21 A/Prof Sethi Gautam
phcgs@nus.edu.sg
Department of Pharmacology
Novel Role of Abemaciclib in Activating NK-cell Cytotoxicity against Nasopharyngeal Carcinoma

Nasopharyngeal carcinoma (NPC) is among top 10 cancer in males in Singapore. Locally advanced and metastatic disease have high relapse rate and poor prognosis even with best supportive care in combination with radiotherapy and chemotherapy. Attempts to identify novel targeted therapy for NPC are met with limited successes, with poor efficacy and high toxicity in clinical trials so far. From recent published data on genome wide sequencing of NPC patient samples, we identified that G1/S transition is among the top dysregulated pathways in NPC and the availability of FDA approved CDK4/6 inhibitors make this pathway an attractive molecular target in NPC. Through our preliminary data, global proteomic analysis revealed that Abemaciclib, one of CDK4/6 inhibitors, is able to modulate pathways in the innate immune system. In this project, the student will investigate the new Abemaciclib-based combination therapy to activate NK-cell mediated cytotoxicity against NPC. In addition, the precise molecular mechanism will be explored to identify novel treatment strategy in NPC.

7.22 Prof Daniel Tenen
csidgt@nus.edu.sg
Department of Medicine
Targeting transcription factor pathways in cancers

My laboratory is behavior on transcription factors and gene regulation in cancer. A major effort by my laboratory focuses is listed here: (i) zinc finger protein 143 (ZNF143) is a key regulator in maintenance of progenitor cells integrity. ZNF143 secures essential chromosomal architectures with CTCF to maintain normal liver function, and alteration of such structures leads to hepatocellular carcinoma (HCC) formation. Here we propose to use an in vivo mouse model to demonstrate the importance of ZNF143 in preventing HCC formation. (ii) SALL4 is not expressed in most normal adult tissues and expressed in approximately 30% of cancers. Currently, there are no existing small molecule drugs targeting SALL4. In our laboratory we have discovered novel molecular glues that could degrade SALL4 in cancer cells and show in vivo efficacies. Further pre-clinical studies are needed to improve these chemical modalities. (iii) The human genome comprises of abundant regions that are not translated to proteins but actively transcribe long non-coding RNAs (ncRNAs). We aimed to discover novel lncRNAs that contribute to leukemogenesis in AML and are investigating the functional roles of these lncRNAs.

7.23 A/Prof Chen Ee Sin
bchces@nus.edu.sg
Department of Biochemistry
Loss of genomic stability of repetitive sequences as an early epigenetic predictor of leukemia

Approximately half of the human genome is constituted by repetitive sequences, which were once dubbed as ‘junk DNA’. These sequences play essential roles in the maintenance of genomic stability by regulating higher order chromatin organization, silencing of viral transposable, control of faithful chromosome segregation during cell division and heterochromatin formation. How the genomic stability of these repetitive elements is maintained is still unclear but the aberrant loss of transcriptional silencing at many repeats are correlated with carcinogenesis and aggressiveness in various cancers. Inappropriate transcription of these non-coding sequences is detrimental to cell health as it can induce DNA breakage and aberrant repair activation that subsequently result in deletion and fragmentation of the repeat DNA. Fragmented DNA eventually escapes into cytoplasm and blood to activate inflammatory 84 ehavior 84. A previous work revealed the presence of nuclear JAK2 kinase in several erythroleukemic cell lines, which aberrantly phosphorylate histone H3 tyrosine 41 (H3Y41p) to ectopically derepress oncogenes. Our work on the other hand detected H3Y41p on constitutive heterochromatin to control the transmission of epigenetic silencing of the underlying repeat sequences. We hypothesize that disruption of H3Y41p?dependent maintenance of heterochromatic integrity on repetitive elements can underlie dysregulation of DNA repeats that can induce inflammation and carcinogenesis. Hence identification of repeat maintenance dysregulation and fragmented repeat DNA can constitute possible early predictor of carcinogenesis. This project will study these mechanisms in leukemic oncogenesis. We will interrogate publicly curated acute myeloid leukemic (AML) patient genome databases to uncover mutations in possible epigenetic regulators critical for ensuring repeat stability. The consequences on repetitive DNA sequences and cell behavior due to a certain mutation will be subsequently analysed employing molecular and cellular analyses including animal models. We will establish methodologies to identify circulating DNA fragments in liquid biopsies from AML patients to correlate with mutations of the epigenetic factors. This work is expected to innovate generic technologies that will be applicable to interrogate genomic instability of repetitive DNA sequences as markers to predict oncogenic onset in other cancer models.

7.24 A/Prof Celestial Yap
phsyapc@nus.edu.sg
Department of Physiology
Cytoskeletal Rearrangements and its Effect on Tumour Immune Escape in Ovarian Cancer

Ovarian cancers account for a significant proportion of gynaecological cancers worldwide, with a majority of patients presenting at advanced stages. Although initial response to treatment may be promising, relapse rates are high and 5-year survival is often poor.
Migration and invasion of cancer cells constitute fundamental processes in tumour progression and metastasis and are governed by alterations of various families of cytoskeletal proteins, such as microtubules, actin, and intermediate filaments. These cytoskeletal proteins act in a coordinated manner and mediate numerous cellular and biochemical processes that influence cell shape, structure, division, motility as well as interactions of cells with their extracellular environment. Emerging evidence indicates that cytoskeletal alterations in cancer cells derived from aggressive tumour subtypes render them resistant to killing by cytotoxic immune cells found in the tumour microenvironment.
Recent studies have shown that actin-rich structures are associated with increased migration and facilitates epithelial-to-mesenchymal transition in response to increased stiffness of the extracellular tumour microenvironment. However, mechanisms by which cancer cell cytoskeletal rearrangements and its roles in immune evasion are not fully understood.
The aim of this project is to examine the cytoskeletal mechanisms influencing ovarian tumour cell behavior, such as alterations in cell shape, cytoskeletal architecture and how these affect the interactions with the cells in the tumour microenvironment, such as immune cells. Analysis will be carried out by assessing the composition of actin fibres, cell-extracellular matrix adhesions, actin-rich migratory structures as well as cytotoxic properties of the relevant immune cells using immunofluorescent imaging, time-lapse microscopy, FACS, modulation of genetic expression of key cytoskeletal proteins, including gelsolin and other actin-binding proteins.

7.25 Prof Goh Boon Cher
csigbc@nus.edu.sg
Department of Medicine
Uncovering the role of extracellular vesicles enriched FAM3C in promoting NSCLC metastasis

Lung cancer is a leading cause of cancer-related death globally. Metastasis is responsible for as much as 90% of cancer-associated mortality, yet it remains the most poorly understood component of cancer pathogenesis. The precise mechanism of tumor metastasis is still largely unknown. This field of research has garnered renewed interest ever since the discovery of vesicle-based cell-cell communication mediated by exosomes, particularly tumor-derived exosomes. Although multiple factors are known to contribute to cancer metastasis, epithelial-mesenchymal transition (EMT) has been implicated as the critical event initiating cancer invasion, intravasation and extravasation of tumor cells of the metastatic cascade.
Therefore, it is crucial to attempt the investigation of EMT driver genes to discover new signaling pathways and druggable targets for treatment of lung cancer, one of the top issues impacting the global health care sector. Based on our preliminary results, FAM3C (ILEI) has been found as a critical driver in the metastatic cascade of advanced lung cancer.
Mechanistic experiments further revealed that tumor-derived exosomes enriched FAM3C can activate EMT through Ras pathway effector RalA signaling in NSCLC cells to initiate tumour cell invasiveness and motility. Importantly, we established that RalA, a small GTPase, is a partner protein for FAM3C. These findings imply that targeting FAM3C-RalA interaction may be a feasible strategy to suppress cancer metastasis. In this project, the student will investigate association between FAM3C and Ras pathway effector RalA in driving tumor growth and metastasis of NSCLC. Next, a large-scale drug library screening will be conducted to identify novel and potent inhibitors in treatment of NSCLC through inhibiting FAM3C-RalA interaction. Furthermore, downstream signaling pathway will be investigated to understand FAM3C driven oncogenic mechanisms. Finally, a suitable xenograft mouse model will be used to validate the antimetastatic activity of the shortlisted inhibitors.

7.26 Dr Wee-Wei Tee
phstee@nus.edu.sg
Department of Physiology
Targeting chromatin vulnerabilities in cancer

Chromatin-associated proteins are emerging as new drug targets for a variety of diseases, especially cancer. Our laboratory is interested to study how chromatin deficiencies underlie human diseases, with a strong focus on therapeutics development. We employ varied experimental approaches such as Next-Generation Sequencing, genome-editing, genetic/chemical screens as well as cancer models (PDXs, tumor organoids, etc.) to address our questions of interest. We recently conducted a systematic investigation of all chromatin regulators in cancer where we overlaid gene expression patterns with clinical data (metastasis, treatment success, and survival) followed by functional studies. This effort enabled us to prioritize candidate factors for downstream therapeutics development. The student will have opportunities to acquire strong expertise in various (epi)genomics and proteomics techniques, perform cancer assays and high-throughput screens, as well as acquire drug development knowledge.
The student will also work closely with our clinical collaborators, as well as drug development colleagues at A*STAR EDDC. For more information about the lab, please see: https://medicine.nus.edu.sg/phys/research/research-programs/cancer-programme/tee-wee-wei/

7.27 Dr Wee-Wei Tee
phstee@nus.edu.sg
Department of Physiology
Identifying epigenetic drivers of therapeutic resistance

Drug resistance, either intrinsic or acquired, represents a major bugbear in precision medicine. It is increasing clear that epigenetic reprogramming mechanisms contribute to transcriptional plasticity in cancer cells enabling lineage transformation towards a ‘drug-tolerant persister’ (DTP) state. These rare population of DTP cancer cells acquire transcriptomic and epigenetic features resembling that of early embryonic cells that are developmentally plastic.
Accordingly, they survive and adapt readily to therapeutic pressures, and over time can re-populate the tumour. Using established commercial cell line and patient-derived xenograft and organoid models of resistance (e.g. Paclitaxel in breast and 2nd/3rd generation TKIs in lung cancers), we propose to isolate and characterize the DTP cancer cells to identify the epigenetic drivers of therapeutic resistance. We intend to also use CRISPR-based genetic screens and pharmacologic approaches to identify epigenetic regulators that impede the formation or progression of DTPs, and assess for improved clinical outcomes in combination with standard-of-care treatments. To this end, we have developed epigenetic technologies that are amenable for low input material and our preliminary efforts have identified potential candidates for downstream studies.
For more information about the lab, please see: https://medicine.nus.edu.sg/phys/research/research-programs/cancer-programme/tee-wee-wei/

7.28 Dr Wee-Wei Tee
phstee@nus.edu.sg
Department of Physiology
Investigating a role of early-embryonic factor reactivation in cancer cell plasticity

Our lab has a long-standing interest in understanding the epigenetic mechanisms of lineage plasticity in early development (Hu et al., Nature Cell Biology 2020). More recently, we have broadened our investigations to study how cancer cells undergo epigenetic reprogramming to induce phenotypic plasticity. This cross-fertilization strategy has been rewarding, directing us to uncover conserved players/mechanisms implicated in epigenetic reprogramming and exposing novel cancer vulnerabilities.
Indeed cancer cells are known to exhibit certain embryonic features and may co-opt early developmental programs to drive phenotypic plasticity giving rise to disease progression and therapeutic resistance. In ongoing studies, we found that reactivation of select early-embryonic factors can indeed promote cancer cell phenotypic plasticity through epigenetic reprogramming mechanisms, similar to that occurring during early embryogenesis. In this project, the student will combine single-cell RNA sequencing (scRNA-seq), spatial profiling and genetic manipulations to systematically investigate the roles of early-embryonic factors in tumorigenesis and dissect how their heterogenous expressions may correlate to distinct cancer cell states through epigenetic mechanisms.
For more information about the lab, please see: https://medicine.nus.edu.sg/phys/research/research-programs/cancer-programme/tee-wee-wei/

7.29 Prof Yang ZHANG
zhang@nus.edu.sg
Department of Biochemistry
AI-driven Protein Design and Drug Discovery

Natural proteins have evolved over billions of years, yet evolution has explored only a small fraction of the enormous sequence, structure, and functional space available to proteins. Computational protein design seeks to go beyond nature by engineering novel protein sequences with new structures and functions. By enabling the creation of proteins and peptides with desired properties and activities, this approach holds great promise for developing next-generation therapeutics to modulate cellular pathways and treat major human diseases such as cancer and Alzheimer’s disease.

Recent advances in artificial intelligence have opened new opportunities for designing biomolecules and therapeutic compounds with desired structural and functional properties. Despite remarkable progress, major challenges remain in controlling molecular structure and interactions, achieving high affinity and specificity, optimizing multiple biochemical and biophysical properties simultaneously, and translating computational designs into experimentally validated therapeutic candidates.

In this project, we will develop next-generation computational methods for protein and peptide design and AI-driven drug discovery, exploring the integration of artificial intelligence with evolutionary information, physical modeling, molecular simulations, and experimental data.

The developed methods will be systematically evaluated using computational benchmarks and, where appropriate, experimentally validated through collaborations with biological, biomedical, and drug-discovery laboratories.

Projects can be tailored according to the student’s background, research interests, and duration of study.

7.30 Prof Yang ZHANG
zhang@nus.edu.sg
Department of Biochemistry
AI-based protein and RNA structure prediction

Proteins and RNAs are among the most essential biomolecules in life. Their biological functions are closely linked to their three-dimensional structures, making accurate structure determination critical for understanding molecular mechanisms and biomedical applications. Although hundreds of millions of protein and RNA sequences have been identified, only a small fraction have experimentally determined three-dimensional structures. Computational structure prediction is therefore essential for bridging this sequence–structure gap.

Over the past decade, the field of biomolecular structure prediction has been transformed by artificial intelligence and deep learning, with major contributions from the PI and other groups. Despite this progress, important challenges remain. These include accurate modeling of multi-domain proteins and large biomolecular complexes, RNA structure prediction, conformational flexibility and dynamics, and the effective integration of evolutionary, physical, and experimental information.

In this project, we will develop next-generation computational methods for protein and RNA structure prediction, exploring the integration of artificial intelligence with evolutionary information, physical modeling, molecular simulations, and experimental structural data.

The developed methods will be systematically benchmarked against state-of-the-art approaches using established structural datasets and international blind experiments such as CASP, which provides a rigorous assessment of protein and RNA structure prediction methods.

Projects can be tailored according to the student’s background, research interests, and duration of study.

7.31 Dr Zhou Yilong
zhou@nus.edu.sg
Department of Biochemistry
Characterising RNA Condensates in Cancer Biology

Phase separation-mediated DNA/RNA/protein condensates represents one of the most exciting and important findings in molecular and cell biology fields these years. These biomolecular condensates play crucial roles in transcription, RNA processing, translation, and signalling transduction. Their highly dynamic and heterogeneous properties in response to environmental perturbations and stress underscore their physiological significance.
We have developed and applied novel FANCI and FLASH methods to purify RNA condensates and study RNA-protein interactions. We plan to use these cutting-edge technologies to study RNA condensates in different cancer cells as well as in cancer cells subjected to different stress challenges such as chemotherapy and starvation. Next we will confirm the unique enrichment of candidate RNA and proteins in condensates from clinical samples. Genetic and biochemical tools will be applied to manipulate the abundance and localisation of promising proteins and RNAs within these condensates—a process I refer to as compartmentalised biochemistry—to explore their function in tumour survival and proliferation.
Detailed characterisation of the RNA and protein composition as well as RNA-protein interactions within RNA condensates will not only reveal the principles of RNA dynamics in biomolecular condensates but also enhance our understanding of tumour survival strategies and identify novel therapeutic targets.

7.32 Dr Alan Prem Kumar
apkumar@nus.edu.sg
Department of Pharmacology
Breaking the Mechanical Code of Ovarian Cancer: PTK6 as a Driver of Metastasis and Therapy Resistance

High-grade serous ovarian cancer (HGSOC) is the deadliest gynecologic cancer, largely due to late diagnosis, rapid dissemination, and treatment resistance. A critical but understudied factor is how cancer cells adapt to the harsh mechanical forces within the peritoneal cavity to survive, spread, and resist therapy. This PhD project will investigate PTK6 as a master regulator of mechanoadaptation, helping tumor cells migrate through confined spaces, repair DNA damage, and withstand therapeutic stress. You will employ cutting-edge approaches including CRISPR gene editing, microfluidic confinement platforms, 3D extracellular matrix models, and live-cell imaging to dissect PTK6-driven signaling in real time. The project will explore how PTK6 controls cytoskeletal remodeling, focal adhesion dynamics, YAP-mediated mechanotransduction, and DNA repair following nuclear stress. Findings will be validated using patient-derived organoids to ensure translational relevance. This is an opportunity to work at the interface of mechanobiology, cancer signaling, and precision therapeutics in collaboration with leading mechanobiology researchers. The goal is to identify actionable vulnerabilities that can halt metastasis and overcome drug resistance in ovarian cancer. You will graduate with expertise in advanced experimental systems, translational cancer biology, and therapeutic target discovery.

7.33 Dr Alan Prem Kumar
apkumar@nus.edu.sg
Department of Pharmacology
Turning DNA Damage into Immunotherapy: PTK6 as a Dual Precision Target in Ovarian Cancer

Despite advances in chemotherapy, PARP inhibitors, and immunotherapy, most ovarian cancer patients relapse due to drug resistance and an immunosuppressive tumor microenvironment. This project explores a bold concept: targeting PTK6 to simultaneously enhance therapy-induced DNA damage and activate anti-tumor immunity. You will investigate how PTK6 inhibition disrupts DNA repair, leading to cytosolic DNA accumulation and activation of the cGAS–STING pathway, an innate immune signaling axis capable of transforming “cold” tumors into immune-responsive ones. The work will integrate molecular biology, tumor immunology, and translational therapeutics. Using CRISPR models, platinum and PARP inhibitor treatments, and orthotopic immunocompetent mouse systems, you will evaluate tumor response, immune cell infiltration, interferon signaling, and therapeutic synergy with checkpoint inhibitors. Multi-omics and immunoprofiling approaches will identify biomarkers predicting response to PTK6-targeted therapy. This project is ideal for students interested in next-generation cancer therapy at the intersection of DNA damage, immune activation, and precision medicine. The outcomes may redefine how targeted therapy and immunotherapy are combined in ovarian cancer.

7.34 Dr Alan Prem Kumar
apkumar@nus.edu.sg
Department of Pharmacology
Lyn Kinase as a Therapeutic Achilles’ Heel in Cervical Cancer: From Mechanism to First-in-Class Targeted Therapy

Cervical cancer remains a major global health burden, with treatment resistance and metastasis limiting patient survival. Emerging evidence suggests that Lyn kinase, a Src family signaling node, may drive tumor progression, immune evasion, and therapy failure, yet its role in cervical cancer is largely unexplored. This PhD project will uncover how Lyn rewires oncogenic signaling and evaluate a novel Lyn-specific inhibitor as a precision therapeutic strategy. You will analyze Lyn expression in clinical datasets and models, dissect its role in proliferation, EMT, invasion, and immune interactions, and map downstream signaling networks using transcriptomics and phosphoproteomics. A major translational component will test a first-in-class Lyn kinase inhibitor in combination with chemotherapy to determine its ability to suppress tumor growth and restore treatment sensitivity. Preclinical validation in in vivo models will provide a pathway toward clinical translation. This project offers an opportunity to contribute to the development of a targeted therapy from discovery to preclinical validation. Graduates will gain deep expertise in cancer signaling, translational drug development, and precision oncology

7.35 Dr Dennis Kappei
dennis.kappei@nus.edu.sg
Department of Biochemistry
From activation of Alternative Lengthening of Telomeres (ALT) to therapeutic vulnerabilities in cancer

Alternative Lengthening of Telomeres (ALT) is a recombination-based telomere maintenance mechanism used by a subset of cancers, including many sarcomas and subsets of brain tumours. Our laboratory is interested in understanding how a normal cell acquires the molecular competence to activate ALT during malignant transformation, which cellular pathways subsequently sustain this state, and whether these features can be exploited for cancer detection or therapy.
Projects may investigate how changes in telomeric chromatin, DNA repair, transcriptional regulation and nuclear organisation contribute to the emergence and maintenance of ALT. We are particularly interested in identifying molecular events that enable ALT activation and defining vulnerabilities that distinguish ALT-positive cancer cells from normal or telomerase-positive cells. Complementary translational directions include developing biomarkers and therapeutic strategies for ALT-positive cancers using patient-derived samples and proteomic approaches.
Depending on the student’s interests and background, projects may combine molecular and cell biology, genome engineering, microscopy, functional genomics, proteomics and patient-derived models. Rather than prescribing a single fixed project, we aim to develop a focused PhD project together with the student based on their scientific interests, emerging findings in the laboratory and the most promising questions at the time.

7.36 Dr Alan Prem Kumar
apkumar@nus.edu.sg
Department of Pharmacology
Translating an In-House Lyn Kinase Inhibitor into a Next-Generation Therapy for Treatment-Resistant Neovascular Age-Related Macular Degeneration (nAMD)

Neovascular age-related macular degeneration (nAMD) is a leading cause of irreversible vision loss in older adults, driven by choroidal neovascularization, inflammation and subretinal fibrosis. Although anti-VEGF therapies such as aflibercept have transformed care, many patients develop incomplete or diminishing responses, with approximately 45% developing subretinal fibrosis within two years despite continuous treatment. This highlights an urgent need to target VEGF-independent mechanisms driving disease progression. We have developed CHL-4, a first-in-class selective Lyn kinase inhibitor with potent anti-angiogenic and anti-fibrotic activity. We hypothesize that Lyn intersects with YAP/TEAD signaling, a mechanotransduction pathway linking pathological angiogenesis, inflammation, extracellular-matrix remodeling and fibrosis. Progressive retinal stiffening may establish a self-sustaining YAP/TEAD–fibrosis circuit that persists despite VEGF suppression. This study will determine whether CHL-4 suppresses YAP/TAZ activation and TEAD-dependent transcription and whether combined Lyn–YAP/TEAD inhibition provides superior control of angiogenesis, inflammation and EMT-mediated fibrosis. Mechanistic studies will evaluate YAP/TAZ nuclear localization, TEAD activity and downstream effectors including CTGF/CCN2, CYR61/CCN1, ANKRD1 and AXL. By simultaneously targeting vascular, inflammatory and fibrotic drivers, this study could position CHL-4, alone or combined with YAP/TEAD or anti-VEGF therapy, as a next-generation treatment for anti-VEGF-resistant nAMD.

7.37 Dr Alan Prem Kumar
apkumar@nus.edu.sg
Department of Pharmacology
Development of a First-in-Class Degrader–Antibody Conjugate

Triple-negative breast cancer (TNBC) remains an aggressive disease with high rates of metastatic recurrence and treatment resistance, underscoring the urgent need for biomarker-guided therapies that eliminate tumor-driving vulnerabilities. We have identified DP103/DDX20 as a clinically relevant driver of TNBC progression, cancer stemness, metastasis and therapeutic resistance. However, its intracellular and multifunctional nature makes DP103 difficult to target using conventional therapeutic antibodies or small-molecule inhibitors.
This PhD project will develop a first-in-class tumor-targeted degrader–antibody conjugate (DP103-DAC) that combines the precision of antibody-mediated tumor recognition with PROTAC-mediated degradation of intracellular DP103. A DP103-selective PROTAC will first be developed and optimized for potent, sustained and selective target degradation. The degrader will subsequently be conjugated to an internalizing TNBC-targeting antibody, prioritizing TROP2, to selectively deliver the therapeutic payload into tumor cells. Lead candidates will be evaluated for suppression of cancer stemness, metastatic potential and treatment resistance using TNBC cell lines, patient-derived organoids and in vivo tumor models. By integrating tumor-surface antigen expression with DP103 dependency, this project aims to establish a dual-biomarker precision-treatment strategy with an improved therapeutic index and provide preclinical evidence for translating targeted DP103 degradation into a new treatment for patients with aggressive TNBC.

7.38 Dr Alan Prem Kumar
apkumar@nus.edu.sg
Department of Pharmacology
From Exposure to Disease: An AI-Guided Precision Toxicology Framework to Uncover the Human Health Effects of Emerging Contaminants

Emerging contaminants, including PFAS, organophosphate esters, plastic additives, pharmaceuticals, and environmental transformation products represent a growing but poorly defined threat to human health. The rapid expansion of chemical exposures has outpaced conventional toxicological testing, leaving many contaminants insufficiently characterized and their disease-causing mechanisms unknown. This PhD project will establish an AI-guided precision toxicology platform that transforms how emerging environmental contaminants are prioritized, mechanistically investigated, and evaluated for human-health risk. Interpretable machine-learning models will integrate chemical structure, environmental occurrence, human exposure, toxicity, molecular targets, biological pathways, and disease associations to identify high-priority contaminants and generate experimentally testable mechanistic hypotheses. Predictions will be validated using disease- and tissue-relevant human cell systems, followed by targeted molecular perturbation to establish causal pathways linking chemical exposure to toxicological and disease-relevant phenotypes. Only the strongest hypotheses will progress to higher-tier human organoid, three-dimensional culture, Drosophila, or focused in vivo models, providing a rigorous and ethically responsible evidence framework. By integrating AI prediction, human-relevant experimentation, mechanistic pharmacology, and cross-model validation, this research aims to move environmental toxicology from descriptive hazard identification toward mechanism-informed prediction of human disease risk, enabling earlier identification of hazardous chemicals and more effective prioritization for public-health intervention and regulatory assessment.

7.39 Prof Yang ZHANG
zhang@nus.edu.sg
Department of Biochemistry
AI for Molecular Recognition and Biomolecular Interactions

How do biomolecules recognize the correct partners among the enormous number of molecules in a cell? Molecular recognition underlies protein interactions, immune recognition, signaling, and therapeutic targeting, yet accurately predicting interaction geometry, affinity, and specificity remains a major challenge. Recent advances in protein and RNA language models and structural AI provide new opportunities to move beyond pairwise interaction prediction toward a general framework for molecular recognition.

In this project, we will develop new AI methods that integrate sequence, three-dimensional structure, evolutionary information, physical interactions, and biological context to predict and understand biomolecular recognition. Applications may include protein–protein, protein–RNA, antibody–antigen, and TCR–pMHC interactions. A central goal is to connect atomic-level interaction interfaces and binding specificity with large-scale interaction networks, enabling mechanistic understanding of molecular recognition and applications in immunology and therapeutic discovery.

The developed methods will be systematically evaluated on benchmark datasets for interaction geometry, affinity, and specificity and, where appropriate, experimentally validated through collaborations with biological and biomedical laboratories.

Projects can be tailored according to the student's background, research interests, and duration of study.

7.40 Prof Yang ZHANG
zhang@nus.edu.sg
Department of Biochemistry
AI for Context-Aware Protein Function and Biological Mechanisms

Knowing the molecular function of a protein is not sufficient to explain its biological role. The same protein may participate in different interactions, pathways, and cellular processes depending on cell type, tissue environment, disease state, and molecular context. Most existing protein-function models, however, predict static annotations from sequence or structure and largely ignore this context dependence.

In this project, we will develop new AI methods that move beyond conventional function prediction toward context-aware modeling of protein function and biological mechanisms. By integrating protein sequence and structure with molecular interactions, biomedical knowledge, transcriptomic and spatial data, the models will seek to connect molecular properties to pathways, cellular states, tissues, and disease phenotypes. Applications may include protein and enzyme function, pathway and mechanism discovery, spatial transcriptomics, and tumor microenvironment analysis. The long-term goal is to explain not only what a protein can do, but when, where, and through which mechanism it performs a biological role.

The developed methods will be systematically evaluated using established functional benchmarks and independent biological datasets, with particular emphasis on their ability to generalize across proteins, cellular contexts, and disease conditions.

Projects can be tailored according to the student’s background, research interests, and duration of study.

7.41 Prof Yang ZHANG
zhang@nus.edu.sg
Department of Biochemistry
Multimodal Foundation Models for Biomolecular Intelligence

Biological information is distributed across multiple interconnected levels: sequence determines structural possibilities, structure shapes molecular interactions, interactions contribute to function, and function depends on cellular and disease context. Yet most current AI models learn only one molecular type, data modality, or prediction task, leaving these levels fragmented across separate representations and limiting our ability to reason across biological scales.

This project asks whether a unified AI model can learn the principles connecting sequence, structure, interaction, function, and biological context across proteins, RNAs, and small molecules. We will develop multimodal foundation models that integrate molecular sequences, three-dimensional structures, physical interactions, biological annotations, and other relevant data within shared representations. Rather than building separate models for individual tasks, the goal is to develop transferable models capable of reasoning across molecular types and scales. Such models could provide a common foundation for structure prediction, molecular interaction modeling, functional understanding, and molecular design.

The developed models will be systematically evaluated across diverse downstream tasks, with particular emphasis on cross-modal transfer, generalization to unseen molecular systems, and data-efficient adaptation to new biological problems.

Projects can be tailored according to the student's background, research interests, and duration of study.

7.42 Prof Chng Wee Joo
weejoo.chng@nus.edu.sg
Department of Medicine
Spatial Architecture of Immune Suppression in the Acute Myeloid Leukemia Bone Marrow Microenvironment

Acute myeloid leukemia (AML) is an aggressive hematologic malignancy driven by clonal expansion of immature myeloid cells in the bone marrow (BM). Remodeling of the BM immune microenvironment contributes to disease progression and therapeutic resistance. However, the cellular composition, functional states, and spatial organization of the human AML BM immune landscape remain poorly defined.

We propose to use ultra-high-plex spatial imaging on FFPE BM specimens from AML patients and healthy controls. A multiplex antibody panel will simultaneously profile major immune and hematopoietic populations along with markers of activation, proliferation, exhaustion, and checkpoint signaling. Single-cell spatial analyses will quantify differences in abundance and phenotype, and evaluate cell–cell proximity, neighborhood composition, clustering, and interactions to identify immunosuppressive niches and preferential localization of dysfunctional effectors near leukemic or regulatory cells.

This study will generate a high-dimensional spatial atlas of the AML immune microenvironment and identify candidate interactions and pathways as biomarkers or targets for immune-based therapies.

7.43 Prof Chng Wee Joo
weejoo.chng@nus.edu.sg
Department of Medicine
Identification of novel immunotherapeutic targets in Extramedullary Multiple Myeloma (EMM)

Extramedullary multiple myeloma (EMM) is an aggressive and clinically challenging manifestation of multiple myeloma characterized by the dissemination of malignant plasma cells to tissues outside the bone marrow. EMM is associated with poor prognosis, increased treatment resistance, and limited therapeutic options, highlighting the urgent need for novel and effective treatment strategies. This project aims to identify cell surface proteins that represent potential immunotherapeutic targets for EMM using plasma membrane profiling (PMP), a quantitative proteomic approach for comprehensive characterization of the cell surface landscape. PMP will be employed to systematically profile and compare the plasma membrane proteomes of EMM and conventional bone marrow-derived multiple myeloma models. Differentially expressed cell-surface proteins will be identified and prioritized based on their tumour specificity, abundance, and suitability for therapeutic targeting. Candidate targets will subsequently be validated in relevant EMM models and patient samples. The identified targets will provide insights into the molecular characteristics of EMM and may facilitate the development of novel antibody-based, antibody-drug conjugate, or adoptive cellular immunotherapies. Ultimately, this project seeks to identify clinically relevant surface antigens for therapeutic intervention in EMM patients.

7.44 Prof Chng Wee Joo
weejoo.chng@nus.edu.sg
Department of Medicine
Investigating targets identified via plasma membrane profiling for Natural Killer/T-Cell Lymphoma (NKTL)

Natural Killer/T-cell lymphoma (NKTL) is an aggressive hematological malignancy with limited treatment options and poor outcomes in patients with advanced or relapsed disease. Previous plasma membrane profiling identified a panel of differentially expressed cell surface proteins that may represent potential therapeutic targets in NKTL. This project aims to investigate the biological significance and therapeutic potential of these candidate targets in NKTL. Selected targets will be systematically characterized across NKTL cell lines and patient-derived samples to determine their expression profiles and association with disease characteristics. Functional studies will be performed to investigate the role of these targets in key malignant phenotypes, including cell proliferation, survival and treatment response. Target validation will be conducted before subsequent evaluation of the therapeutic potential of promising candidates using therapeutic antibodies, antibody-based approaches, including antibody-drug conjugates where appropriate and adoptive cellular therapies. These studies will establish whether the identified surface proteins are functionally relevant to NKTL biology and represent actionable therapeutic vulnerabilities. Ultimately, this project aims to translate surfaceome based discoveries into novel therapeutic strategies for NKTL and improve the treatment landscape for patients with this aggressive disease.

7.45 Prof Chng Wee Joo
weejoo.chng@nus.edu.sg
Department of Medicine
Defining the Expression and Function of Circulating microRNAs in Multiple Myeloma

Multiple myeloma is a blood cancer caused by the abnormal growth of plasma cells in the bone marrow. MicroRNAs (miRNAs) are small non-coding RNA molecules that regulate gene expression and may influence cancer-cell growth, survival and treatment response. Because miRNAs can also be detected in serum, they have potential as minimally invasive biomarkers for cancer diagnosis and monitoring. Our preliminary profiling of serum samples from patients with multiple myeloma and healthy controls identified a panel of candidate miRNAs with altered circulating levels. However, circulating miRNAs may originate from myeloma cells, blood cells or other components of the bone-marrow microenvironment. Their biological functions in multiple myeloma also remain unclear.
This project will help determine whether serum miRNA changes observed in patients are related to miRNA expression or release by myeloma cells. It will also identify candidate miRNAs that may regulate myeloma-cell proliferation or survival. Promising miRNAs may be investigated further through target-gene analysis, reporter assays and rescue experiments. The results will contribute to our understanding of circulating miRNAs as biomarkers and functional regulators in multiple myeloma.

7.46 Dr Ni Qianqian
qqian.ni@nus.edu.sg
Department of Diagnostic Radiology
Development of functional lipid nanoparticles for messenger RNA delivery

Lipid nanoparticle (LNP) is a well-developed drug delivery system for mRNA delivery which has been widely used in vaccine development during Covid-19 pandemic. However, delivery efficiency remains a challenge for clinical applications of mRNA. In our project, we developed a series of functional lipid nanoparticles (LNPs) to enhance biological stability of mRNA and its lysosome escape, and thus yielding high translational capacity of mRNA.

7.47 Dr Ni Qianqian
qqian.ni@nus.edu.sg
Department of Diagnostic Radiology
Invention of “3D” messenger RNA to improve intracellular delivery

In this project, we developed a novel approach for the construction of “3D” mRNA. Controlled interaction between “3D” mRNA and lipid components could induce polyhedral morphology and adjustable rigidness of delivery vehicle, and finally improve the intracellular delivery of mRNA. We propose to test this mRNA delivery platform technology in multiple diseases models, including mRNA vaccine for cancer immunotherapy, crispr/cas9 mRNA system mediated metabolic disease treatment as well as cardiovascular diseases.

7.48 Dr Ni Qianqian
qqian.ni@nus.edu.sg
Department of Diagnostic Radiology
Multifunctional nanomaterials to amplify T cell based cancer immunotherapy

Successful T cell immunotherapy for solid tumors requires that T cell can access tumor tissues effectively, which is difficult to achieve. We developed janus-structured nanoparticles modified with targeting ligands which could guide therapeutic T cells to inflammatory tumor microenvironment. We anticipate that this homing system would robustly improve the infiltration of therapeutic Car-T cells to antigen specific solid tumors. Besides, we propose to develop novel mRNA delivery systems based on our proprietary LNP techniques for in-vivo T cell genetic engineering and cancer immunotherapy.

7.49 Dr Ni Qianqian
qqian.ni@nus.edu.sg
Department of Diagnostic Radiology
Harnessing artificial intelligence for precision drug delivery

When equipped with wireless technology and image recognition system, deep learning models have been applied in clinic endoscopy examination which allows fast and accurate assistant diagnosis of gastrointestinal diseases. We propose to use a multidisciplinary design principle coupling artificial intelligence techniques and robotic drug delivery system to create a technological interface that allows remote regulation of precision drug delivery. By developing a multitask deep learning algorithm, the endoscopic image information could be analyzed and translated to wireless signal, which will then trigger the ejection of biologic scaffold designed for drug loading to regulate the localization and timing of drug release. We will test this artificial intelligence drug delivery system in multiple gastrointestinal diseases models including bleeding and inflammatory bowel disease.

7.50 Dr Tang Wei
wei.tang@nus.edu.sg
Department of Diagnostic Radiology
Development of immune modulator delivery nanomedicne for cancer immunotherapy

Cancer is the second leading cause of death in the world. Cancer immunotherapy has brought great hope to cancer patients in recent years, especially with the success in immune checkpoint blockade (ICB) therapy and chimeric antigen receptor (CAR) T-cell therapy. However, their efficacy in solid tumours remains to be improved, which is mainly due to the immunosuppressive tumour microenvironment (TME) that inhibits the infiltration, proliferation, and persistence of cytotoxic T cells. By leveraging advanced nanotechnologies on the delivery of immunomodulators, immunomodulating nanoparticles provide great opportunities to overcome these challenges by switching “cold” tumours to “hot” tumours.
Therefore, we seek to integrate chemistry, biomaterials science, nanomedicine, molecular imaging, immuno-engineering, and oncology fundamentals (1) to design novel nanomedicine-based technologies for effective delivery of immunomodulators; (2) to study the cellular interactions in the cancer-immunity cycle; and (3) to develop new therapies for the treatment of solid tumours.

8   Synthetic Biology for Clinical & Technological Innovation for Synthetic Biology (SynCTI)
S/N Principal Investigator Project Title and Abstract
8.1 A/Prof Yew Wen Shan
wenshanyew@nus.edu.sg
Department of Biochemistry
Sustainable Living through Synthetic Biology: Therapeutics, Wellness and Planetary Health

Therapeutics – Many cyclic organic compounds derived naturally from plants, such as cannabinoids and alkaloids, have proven to be of great value for medical use. However, their sophisticated chemical structures often make total chemical synthesis uneconomical or impossible, whereas the mixed nature of plant extracts poses formidable obstacles for downstream enrichment of low-abundance compounds and removal of harmful contaminants. We offer projects that actively address these issues by harnessing cutting-edge synthetic enzymology and genetic engineering techniques. So far, we have successfully reconstructed synthetic pathways for several such compounds in model eukaryotic organisms amenable to large-scale bioproduction.
Wellness and Planetary Health – Rapid population growth and urbanization has exacerbated demand for materials and require smart cities to produce new products and recycle used ones in a highly efficient and environmentally friendly manner. Meanwhile, modern cities are pressurized to keep pace with the “Digital Revolution” that generates digital data with unprecedented speed and quantity, urging for ever-escalating data storage capacities. We present projects to provide innovative solutions to these challenges. Our current foci are on the development of sustainable processes for biomanufacturing, electronic and plastic waste bioremediation, and de novo enzymatic DNA synthesis.

8.2 Dr Jiahai SHI
Jh.shi@nus.edu.sg
Department of Biochemistry
Red Blood Cell Terminal Development

Red blood cells (RBCs) account for more than 80% cells in the body. Lack of RBCs lead to anemia affecting one third of world population. RBCs are differentiated from hematopoistic stem cells, followed by colony-forming unit cells (CFU-Es).
CFU-Es differentiate into RBCs following a step-wise 4-5 synchonized cell divisions with cell shrinkage, hemoglobinization, nuclear condensation and enucleation, which is called terminal erythropoiesis. Our lab focuses on the mechanistic study of terminal erythropoiesis. The result of our research will pave the road to treat anemia and for large scale RBC production in-vitro.

8.3 Dr Jiahai SHI
Jh.shi@nus.edu.sg
Department of Biochemistry
Synthetic Red Blood Cells for RBC Cell Therapy

RBCs possess many advantages to be an ideal platform to simulate other cells for therapy development. We invented the first generation RBC therapy, leading the NASDAQ listed company, Rubius Therapeutics. After being independent, we invented a second generation RBC therapy, resulting in a spin-off Carcell Biopharma with more than US$ 16 million venture investment.

8.4 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Synthetic Biology of Chemically Synthesized Macromolecules

Can biochemical engineering fundamentally change the process of disease treatment and macromolecular creation? In this project you will use a novel form of nanoparticle invented by our lab (Nature Comms, PMID: 29129910) to create chemically synthetic functional proteins (Nature Comms, PMID: 34588451). The project is a continuation of research begun at Massachusetts Institute of Technology and has the ability to revolutionize the field of protein engineering. Macromolecular structure prediction will use predictive artificial intelligence from Google AlphaFold in addition to traditional protein engineering principles in our lab. An immediate application will be the world's first chemically synthesized antibody fragment. An interest in deep-tech commercialization and big-idea, blue sky thinking is recommended for applicants to this project. It is fully funded and partnered with ASTAR in addition to a talented NUS team in the lab.

8.5 Dr Jungjoon Kempthorne Lee
jjk.lee@nus.edu.sg
Department of Biochemistry
Advancing Genome-Wide Off-Target Detection and AI-Driven Analysis for Safe and Precise CRISPR Therapeutics

Unlike conventional therapeutics, CRISPR-based therapies involve irreversible genetic modifications which makes off-targeting a critical safety concern for clinical and commercial use. USFDA guidelines mandate stringent and rigorous safety testing by using methods to predict potential off-targets. Our research focuses on advancing genome-wide off-target detection techniques and strives to develop comprehensive tools for the analysis and validation of CRISPR-based therapeutics. Recent innovations, such as Extru-seq, combine the strengths of both cell-based and in-vitro methods, resulting in high validation accuracy. Another technique, TAPE-seq, utilizes Prime-editor technology to provide superior detection capabilities compared to traditional CRISPR tools. Altogether, these advancements enable a more reliable prognostic evaluation of genome editing.
Our lab emphasizes the further development of genome-wide off-target detection techniques, including the integration of high-throughput sequencing technologies and novel molecular assays. We collaborate closely with AI research groups to leverage advanced machine learning models for predicting and prioritizing off-target effects across diverse genomic landscapes. This interdisciplinary approach enhances our ability to design safer and more precise genome-editing tools, with the ultimate goal of translating these technologies into clinically viable solutions.

8.6 Dr Jungjoon Kempthorne Lee
jjk.lee@nus.edu.sg
Department of Biochemistry
Optimizing Genome Editing Tools through Directed Evolution and Advanced Screening Techniques

The refinement of genome editing tools is essential to ensuring they evolve into best-in-class technologies. To enhance the specificity and efficiency of these tools, directed evolution techniques are employed to identify variants with optimal activity. Our research focuses on the further optimization of genome editing tools by applying advanced screening and molecular techniques. One notable development is the use of Sniper-screen, a tailored screening system used to overcome the usual trade-offs between efficiency and accuracy observed in high-throughput screening systems. This has led to the discovery of Sniper2L, a high fidelity CRISPR-Cas9 variant designed with enhanced specificity and activity. Single-molecule Förster Resonance Energy Transfer (FRET) experiments have confirmed the superior performance of these new variants, paving the way for more precise applications in therapeutic contexts.
Beyond variant discovery, our research also aims to expand the functional capabilities of genome editing tools through protein engineering and structure-guided design. Collaborating with experts in computational modeling, we utilize AI-driven simulations to predict mutational effects, further accelerating the evolution of these tools. By integrating experimental and computational approaches, our work seeks to deliver next-generation genome editing technologies tailored for clinical precision and safety.

8.7 A/Prof Niranjan Nagarajan
niranjan@nus.edu.sg
Department of Biochemistry
Engineering microbial communities for human and environmental health

In this project, we will use high-throughput single-cell dispensing techniques to characterize diverse microbiomes and isolate microbes with unique functions. Co-culture studies will be used to understand microbial interactions and rules of microbiome assembly. We will develop machine learning models based on this data to engineer microbial consortiums with specific applications to human and environmental health. Background in Microbiology is essential. An understanding of Microbial Ecology and familiarity with Bioinformatics would be ideal.

8.8 Dr Gavin Kuziel
kuziel@nus.edu.sg
Department of Microbiology & Immunology
Deciphering the chemical interplay of complex botanical formulations in health and disease

Centuries of empirical evidence support the use of botanical decoctions to modulate human physiology toward homeostasis. However, a lack of material standardization and a dearth of systematically characterized medicinal plants have hindered efforts to understand the precise biochemical mechanisms underlying botanical-mediated effects on health and disease. This knowledge gap has prevented the widespread application of botanicals as precision solutions for diverse human conditions. In this project, we will utilize next-generation sequencing, bioinformatic analyses of complex bacterial communities, and diverse disease models to systematically deconstruct botanical formulation function and decipher the chemical and biological mechanisms underlying their pro-health effects. Through this work, students will gain mastery in bioinformatics, in vivo models of health and disease, and natural products biochemistry.

8.9 Dr Gavin Kuziel
kuziel@nus.edu.sg
Department of Microbiology & Immunology
Mapping strain-level mechanism of botanicals across diverse microbe-host ecosystems

Modulating the fitness of host-associated microorganisms, both symbiotic and pathogenic, represents a promising strategy for treating dysbiosis in host and environmental contexts. Because many natural products evolved specifically to influence the growth of environment-associated microbes, these molecules offer a powerful means of manipulating broader microbial communities. However, there remains a significant dearth of mechanistic information regarding the effects of plant-derived products on diverse, health- and environment-associated microorganisms. In this project, we will utilize high-throughput bacterial cultivation, microbial genetics, and natural products chemistry to identify novel chemical matter that modulates microbial fitness as a tool for precision microbiome manipulation. Through this work, students will gain mastery in molecular microbiology and genetics (both in vitro and in vivo) as well as natural products biochemistry.

8.10 Dr Gavin Kuziel
kuziel@nus.edu.sg
Department of Microbiology & Immunology
Engineering plant natural product biosynthesis towards novel medicinal phytochemicals

Despite the therapeutic value of plant-derived natural products in treating cancer, infection, and inflammatory disorders, the clinical utility of many phytochemicals is limited by poor potency and sub-optimal drug-like properties. Furthermore, bottlenecks in traditional natural product isolation and constraints in synthetic chemistry methodology frequently hinder medicinal chemistry campaigns from fully unlocking the therapeutic potential of these compounds. In this project, we will integrate techniques in plant synthetic biology, natural products chemistry, and microbiology to rapidly generate novel medicinal phytochemicals via in planta biosynthetic engineering and ultimately characterize the bioactivity of these compounds in both in vitro and in vivo disease models. Through this work, students will gain mastery in molecular biology, natural products biochemistry, and comprehensive microbiological techniques.

8.11 Dr Ronghui Li
ronghui.li@nus.edu.sg
Department of Biochemistry
Engineering Synthetic Circuits for Robust Therapeutic Cell and Organoid Generation

This project aims to develop synthetic gene circuits that enable precise and robust control over the generation of therapeutic cells and organoids from human pluripotent stem cells. By combining synthetic biology with stem cell engineering, the work focuses on programming when, where, and how key genes are activated to guide cell fate decisions and improve functional outcomes.
Students involved in this project will design and test genetic control systems, such as inducible switches and feedback circuits, to improve the consistency, scalability, and reliability of cell and organoid production. These engineered systems will be evaluated in stem cell–derived models to address common challenges such as variability, incomplete maturation, and loss of function.
The project offers training in synthetic biology, stem cell culture, genetic engineering, and advanced cell models, with applications in regenerative medicine, disease modeling, and future therapeutic development.

8.12 Dr Ronghui Li
ronghui.li@nus.edu.sg
Department of Biochemistry
Understanding Epigenetic Changes During Aging and Developing Partial Reprogramming–Based Interventions

Aging is accompanied by widespread epigenetic changes that alter gene regulation, cellular identity, and functional potential. This project aims to understand how epigenetic regulation shifts during aging and to explore strategies to restore youthful cellular states without complete reprogramming.
The research will focus on characterizing age-associated changes in chromatin organization, DNA methylation, and transcriptional regulation using stem cell–derived models and relevant cell types. Building on this understanding, the project will develop and test partial reprogramming or epigenetic intervention strategies designed to reverse or stabilize aging-associated epigenetic drift while preserving cell identity.
The goal is to identify principles and approaches that enable rejuvenation at the epigenetic level with improved safety and precision. This project offers training in aging biology, epigenetics, stem cell engineering, and emerging reprogramming technologies, with implications for regenerative medicine and age-related disease research.

8.13 Dr Ronghui Li
ronghui.li@nus.edu.sg
Department of Biochemistry
Using Stem Cells and Organoid Models to Understand Human Development

This project leverages human stem cells and organoid systems as experimental models to study key principles of human development. By recapitulating aspects of tissue organization, lineage specification, and spatial patterning in vitro, these models provide a powerful platform for investigating developmental processes that are otherwise difficult to access in humans.
The research will focus on using stem cell–derived organoids and engineered multicellular systems to examine how gene regulation, cell signaling, and microenvironmental cues coordinate cell fate decisions and tissue formation. Students involved in this project will apply molecular, genetic, and imaging approaches to characterize developmental trajectories and regulatory mechanisms across different stages of differentiation.
This project offers hands-on training in stem cell biology, organoid culture, and developmental biology, with broad relevance to understanding human development, congenital disorders, and the foundations of regenerative and translational biology.

8.14 Dr Julius Fredens
jfredens@nus.edu.sg
Department of Biochemistry
Accelerated, continuous evolution of large Gene Clusters Of Interest (GCOI)

A plethora of methods allow directed evolution of one or more genes, but existing strategies are limited to small payloads or suffer from co-evolution of the host to bypass selection.
By engineering and repurposing a bacteriophage, we have developed Lytic Selection and Evolution (LySE), a platform that allows evolution of large GCOI for bioproduction or biological function without the usual pitfalls. We are now developing novel methods for contiuous mutagenesis and selection.

8.15 Dr Julius Fredens
jfredens@nus.edu.sg
Department of Biochemistry
Retargeting phages to new hosts

Bacteriophages are small, yet complex micromachines that infect one bacterial strain with very high efficiency and specificity. Thus, phages have been studied intensely to understand molecular structure-function relationships, and more recently, they have emerged as potential treatments against Multidrug-Resistant (MDR) bacteria.
Through a combination of engineering and targeted evolution, we work to reprogramme and adapt phages to infect new hosts, for the sake of fundamental understanding and improved treatment.

8.16 Dr Julius Fredens
jfredens@nus.edu.sg
Department of Biochemistry
Carbon-negative bioproduction for a sustainable future

Bioproduction promises green manufacturing of various compounds while reducing the reliance on petrochemicals.
We are developing techniques for precise genome engineering and targeted evolution to improve bioproduction in several strains of cyanobacteria.

9   Precision Medicine Translational Research Programme
S/N Principal Investigator Project Title and Abstract
9.1 Prof Yap Hui Kim
A/Prof Ng Kar Hui
paenkh@nus.edu.sg
Department of Paediatrics
Next Generation Sequencing of Genetic Kidney Diseases in Singapore and Asia

Glomerular disease is common cause of chronic kidney disease. About 20-30% of children with SRNS have genetic causes. Genetic testing in glomerular diseases have many clinical impacts, including treatment decisions. However, genetic testing is not routinely performed in Asia due to various reasons. We have set up the first multicenter consortium “Deciphering Diversities: Renal Asian Genetics Network (DRAGoN)” which now includes 53 investigators from 23 centres in 8 countries and 651 families. In our first analysis involving 183 samples, we found a genetic diagnosis in 14%. We had also created a bedside predictive clinical scoring tool that allows clinicians to predict which patients are more likely to have a genetic diagnosis. Addition of samples will allow us to create a validation cohort to further validate the predictive score in Asians. This predictive score is particularly relevant to clinicians in budget-conscious countries.

We also will perform generic testing for kidney diseases in Singapore under the Renal Alliance for PrecIsion Diagnosis in Singapore.

Project’s overall aims are to:
(1) Analyse the variants detected in DRAGON and RAPIDS,
(2) Identify reliable clinical predictors of genetic diagnosis in Asians so that clinicians can perform genetic testing in selected patients.

9.2 Dr Teo Kee Keong Adrian
bchtkka@nus.edu.sg
ateo@imcb.a-star.edu.sg
Department of Biochemistry
Using human in vitro models for studying diabetes disease mechanisms

Diabetes is a debilitating chronic disease that has spiraled out of control, affecting >400 million people in the world. Often, people with diabetes develop severe complications, leading to an astronomical healthcare burden. In Asia, it is increasingly recognized that the failure in human pancreatic beta cells is the primary culprit for the development of diabetes. Despite so, mechanisms underlying human beta cell failure during the development of diabetes remain unclear. Therefore, we at the Stem Cells and Diabetes Laboratory seek to use human pluripotent stem cells (hPSCs), human islets and human beta cell line to investigate diabetes disease mechanisms.
Ph.D. students can expect to be very well-trained in our young and vibrant laboratory (http://www.adrianteolab.com/), be very well-versed in Stem Cells/Diabetes, and be very well-connected with Diabetes Clinicians and Surgeons whom we interact with extensively in the landscape. We seek to place our staff/students in an exciting position of working on translational research that is highly relevant to both our clinician collaborators and our patients.
The student is expected to be highly motivated, read the literature extensively, gain in-depth knowledge on the research topic, and master the art of performing research with close guidance and mentorship. Overtime, the student is expected to gain confidence and mature into an independent scientist with excellent knowledge and skills in the areas of Stem Cells and Diabetes.

9.3 Dr Su Xinyi
ophsux@nus.edu.sg
Department of Ophthalmology
Integrated gene editing platform for inherited retinal diseases

Many inherited retinal diseases arise from mutations in genes which are too large to be addressed via the traditional gene-replacement therapy approach. Gene editing is a novel approach to treat such diseases. There are current many approaches to create DNA or RNA editing therapeutics. The aim is to create gene editing platforms and use relevant biological models including patient-derived iPSC cells to assess the safety and efficacy of such therapeutics.

9.4 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Computational Deep Phenotyping for Clinical Risk Prediction

Deep phenotyping technologies such as genetic sequencing, RNAseq and mass spectrometry are creating ultra-dense datasets that describe the full biology of our patients. Yet, with this resource comes a problem: the mass of information requires novel computational techniques to match multidimensional datasets to real-world clinical questions and outcomes. Working with bioinformaticians, clinicians and large healthcare data sets, you will create novel algorithms to identify at-risk patients across multiple disease types and identify those who will benefit from precision treatments. You will be listed as an official member of the ethics approval and work with patient data to improve medical outcomes. Valuable skills will be a basic understanding of either scripting languages (R, python) or coding skills (Java, etc) and biostatistics.
Clinical findings can be validated via access to the UK Biobank, a resource of over 400,000 clinical records and the MOH National Disease Registry, which covers national outcomes in Singapore. This project is fully funded and open for enrolment.

9.5 Dr Chester Lee Drum
mdccld@nus.edu.sg
Department of Medicine
Machine Learning Approach to Cancer and Cardiovascular Risk Prediction

Deep learning is a subset of machine learning which uses very deep neural networks to learn complex relationship between input variables and final output in very large datasets. In a process called supervised learning, an algorithm is trained iteratively on a high-quality annotated dataset. Each iteration culminates with a hypothetical/predicted output which is compared against the real output and the error is used intelligently to adjust the weight associated with each input parameter for the next iteration and the process is continued till the predicted output matches the real output. Finally, the trained model is used to predict the outcome for a new set of inputs. Working with bioinformaticians, clinicians and large healthcare data sets, you will create novel algorithms to identify patients at risk of drug adverse effects and who will benefit from precision treatments. You will be listed as an official member of the ethics approval and work with patient data to improve medical outcomes. A robust model of immediate translational value will be created to predict adverse reactions.
Clinical findings can be validated via access to the UK Biobank, a resource of over 400,000 clinical records and the MOH National Disease Registry, which covers national outcomes in Singapore in addition to the NUH medical record. This project is fully funded and open for enrolment.

9.6 Dr Haojie Yu
bchhaoy@nus.edu.sg
Department of Biochemistry
From Human Genetics to New Therapies: Decoding Coronary Artery Disease through Functional Genomics

Atherosclerotic coronary artery disease (CAD) remains the leading cause of death worldwide. Although large-scale human genetic studies have identified hundreds of CAD-associated loci, translating these discoveries into disease mechanisms and effective therapies remains a major challenge.
This project will establish an integrated genetics-to-therapeutics pipeline combining human genetics, multi-omics, computational biology, CRISPR-based high-throughput screening, advanced cellular systems, and animal models. We aim to: (1) identify and functionally validate causal genes and regulatory variants underlying CAD; (2) uncover previously unknown mechanisms controlling macrophage function and atherosclerotic plaque progression or regression; and (3) translate the most promising discoveries into drug targets and therapeutic programs.
Working closely with biotechnology and pharmaceutical industry partners, we will advance selected targets through mechanistic validation, druggability assessment, compound screening, and preclinical development. PhD students will receive multidisciplinary training across human genetics, functional genomics, disease biology, and translational drug discovery-providing a unique opportunity to transform human genetic insights into first-in-class therapeutic opportunities for cardiovascular disease.

9.7 Dr Haojie Yu
bchhaoy@nus.edu.sg
Department of Biochemistry
Decoding and Targeting Fibrotic Niches in MASH through Spatial and Functional Genomics

Metabolic dysfunction-associated steatohepatitis (MASH) is a progressive liver disease that can lead to cirrhosis, liver cancer, and transplantation, yet the cellular interactions driving fibrosis remain incompletely understood. This PhD project will integrate cutting-edge spatial biology with functional genomics to discover causal regulators of MASH progression.
Using the 10x Genomics Atera platform, we will generate whole-transcriptome, single-cell-resolution spatial maps of human liver specimens across different stages of MASH fibrosis. These maps will reveal pathogenic cellular states and multicellular niches, with particular emphasis on interactions among hepatocytes, macrophages, hepatic stellate cells, and vascular cells. Candidate genes and signalling pathways emerging from spatial and computational analyses will then be tested through CRISPR knockout and activation screens in physiologically relevant cellular models. High-content imaging, co-culture systems, organoids, and in vivo MASH models will establish how prioritized genes regulate stellate-cell activation, extracellular-matrix deposition, inflammation, and hepatocyte injury.
The strongest targets will be advanced with biotechnology and pharmaceutical partners for druggability assessment, therapeutic screening, and preclinical validation. Students will gain interdisciplinary training in human tissue profiling, spatial transcriptomics, computational biology, CRISPR screening, and translational drug discovery—providing a unique opportunity to transform human disease maps into potential anti-fibrotic therapies.

9.8 Dr Haojie Yu
bchhaoy@nus.edu.sg
Department of Biochemistry
Precision ADC Therapeutics for Chronic Inflammation in Cardiometabolic Disease and Ageing

Chronic, unresolved inflammation is a major driver of cardiometabolic diseases and age-related tissue dysfunction, yet conventional anti-inflammatory therapies often suppress protective immune functions throughout the body. This PhD project aims to develop precision antibody–drug conjugates (ADCs) that selectively target pathogenic inflammatory cells while preserving healthy immune populations.
By integrating single-cell and spatial transcriptomics, proteomics, and human disease genetics, we will identify cell-surface targets uniquely enriched in disease-driving immune-cell states across atherosclerosis, metabolic liver disease, obesity, and ageing. The most promising targets will be validated in human tissues and preclinical disease models, followed by antibody generation, payload selection, and ADC optimization.
Working closely with biotechnology and pharmaceutical industry partners, we will evaluate target specificity, therapeutic efficacy, and safety, with the goal of developing a new generation of targeted immunotherapies that eliminate or reprogram harmful inflammatory cells and promote inflammation resolution. Students will gain multidisciplinary training in multi-omics, immunology, antibody engineering, drug delivery, and translational therapeutic development.

9.9 A/Prof Ng Kar Hui
paenkh@nus.edu.sg
Department of Paediatrics
Resolving Unsolved Genetic Kidney Diseases Through Transcriptome and Functional VUS Studies

Since 2020, the multi-institutional Renal Alliance for PrecIsion Diagnosis in Singapore (RAPIDS) has advanced genetic diagnosis for kidney disease. Preliminary data show that 22% of tested patients have a monogenic diagnosis, with Alport syndrome comprising 80% of solved monogenic cases. However, approximately 70% remain undiagnosed after conventional short-read sequencing, limiting access to precision therapies, targeted surveillance, reproductive counselling, and guided transplant donor selection.

A key barrier is the unresolved classification of variants of uncertain significance (VUS), particularly deep intronic, non-canonical splice-site, promoter, untranslated region, and other non-coding variants. These often lack functional molecular evidence to confirm effects on splicing or gene expression. This project aims to improve RAPIDS diagnostic yield by establishing a clinical pathway to resolve VUS through functional studies.

Aim 1: Perform long-read genomic DNA sequencing and epigenome analysis on blood samples from patients unsolved after conventional short-read sequencing.
Aim 2: Develop protocols for culturing relevant patient-derived tissues and cells, including urine-derived podocytes, tubuloids, kidney organoids, skin fibroblasts, and kidney samples; and use long-read mRNA/cDNA sequencing to assess VUS predicted to affect splicing.
Aim 3: Analyse gene-expression and transcriptomic signatures to evaluate VUS predicted to alter gene regulation, including promoter, enhancer, UTR, and transcription factor-related variants.

9.10 Dr Anand D Jeyasekharan
csiadj@nus.edu.sg
Department of Medicine
Spatial multi-omics to characterise the tumour immune microenvironment and its association with treatment response in lymphoma

Lymphoma remains a major challenge in oncology, with a substantial proportion of patients experiencing relapse or refractory disease. Although immunotherapies, including bispecific antibodies and chimeric antigen receptor T-cell (CAR-T) therapies, have expanded treatment options, clinically available biomarkers remain insufficient to guide treatment selection. The tumour immune microenvironment may influence treatment response through the composition, functional states, and spatial organisation of immune and malignant cells.
This project will use spatial multi-omics to address the central question: Which cellular and spatial features of the lymphoma immune microenvironment are associated with response or resistance to chemotherapy and immunotherapy?
Specifically, we will investigate:
1. Which immune cell populations, functional states, and tumour–immune spatial relationships distinguish treatment responders from patients with refractory or relapsed disease?
2. Are these features shared across treatment modalities, or are they associated with response to specific therapies?
3. Do spatial multi-omic signatures provide additional predictive value beyond established clinical and molecular factors?
By integrating spatial profiles with clinical outcomes, this study aims to identify candidate biomarkers of treatment response and generate hypotheses about mechanisms of resistance. These findings could support the development and validation of tools for more personalised treatment selection in lymphoma.

10   Others
S/N Principal Investigator Project Title and Abstract
10.1 Prof James Hoi Po Hui
doshuij@nus.edu.sg
Department Orthopaedic Surgery
Engineering and characterisation of stem cell extracellular vesicles for improved therapeutic efficacy

A large part of the regenerative value of mesenchymal stem cells (MSCs) is attributed to their paracrine secretion of trophic factors, packaged in extracellular vesicles (EVs), that can elicit biological responses in recipient cells such as the regulation of metabolic and inflammatory status. Distinct subpopulations of EVs with unique biophysical properties, proteomic and RNA repertoires, were demonstrated to elicit differential effects on recipient cells, adding to the complexity to the EV biology. Despite the increasing reports on the regenerative efficacy of MSC EV, the mechanism of paracrine action has yet to be fully studied.
Increasing evident has shown that MSC paracrine activities can be modulated and enhanced by a wide range of extracellular cues and biophysical treatments. Our group has identified various pre-conditioned and stimulation that are capable of modulating the paracrine function of MSCs for the enhancement of EVs’ therapeutic efficacy in cartilage regeneration. Given the distinct biogenesis pathway of EVs’ subpopulations, different cellular activation would alter distinct membranous, cytoskeletal and intracellular molecular pathways in MSC. This provides the opportunity for additive engineering of the culture environment to harness MSC paracrine activities from different EV subpopulations for more efficacious MSC paracrine effect. The objective of the study is to:
(i) investigate the effect of additive enhancement of MSC paracrine activity with combinative treatment/pre-conditioned;
(ii) perform in depth characterisation of the MSC EVs for the selected combinative treatment to gain insight to the mechanism of action; and
(iii) perform in vivo proof-of-concept study to validate the efficacy of engineered MSC EVs for cartilage regeneration.
This project will enable the student to acquire experiences in translational research that involves stem cell and EVs biology, transcriptome, proteomic analysis, and in vivo experiments.

10.2 Dr Su Xinyi
ophsux@nus.edu.sg
Department of Ophthalmology
Developing novel cell therapies against inherited retinal diseases

Inherited retinal diseases (IRDs) are a group of rare blinding conditions caused by one of more than 250 different genes. Some people living with IRDs experience a gradual loss of vision, eventually leading to complete blindness. Others may be born with or experience vision loss in infancy or early childhood. To better understand the disease pathogenesis, retinal organoids have been generated in the hopes of modeling the human retina featuring very similar cellular composition, layering and functionality. While the organoid technology is a powerful tool in modelling development and diseases, several challenges hinder the further development of the technology for downstream applications. This includes an extensive variability in differentiation efficiency leading to low reproducibility, inferior morphological and/or functional maturity of tissues, thereby limiting their potential for exploring biological complexities.
We aim to test synthetic and defined hydrogels to improve the morphological and functional maturation of the retinal organoids. This will be done by studying the effects of the properties of the microenvironment provided by the hydrogel such as stiffness, viscosity, degradability, porosity, protease cleavage sites, ligand type, and ligand density. This information is crucial to generate better models and for enhancing our understanding of retinal tissue development in health and disease conditions, such as IRD.

10.3 Dr Su Xinyi
ophsux@nus.edu.sg
Department of Ophthalmology
Investigating retinal pigment epithelium in the context of age-related retinal degenerative diseases.

Age-related macular degeneration (AMD) is one of the leading causes of blindness worldwide. There are existing therapies for early stage ‘wet AMD’, but once significant cell death and degeneration has occurred, the disease is untreatable. The root cause of AMD is dysfunction of the retinal pigment epithelium (RPE). To develop therapies against RPE dysfunction, we need to gain a deeper understanding of how RPE cells age and become dysregulated in the context of disease. This project will interrogate the dynamics of sub-cellular and molecular changes that occur in aged and diseased RPE, with the aim of identifying novel therapeutic targets.

10.4 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
Study an interesting gene in the development and progression of colorectal cancer via regulating ferroptosis

Colorectal cancer (CRC) is the third most prevalent cancer and the second leading cause of cancer mortality. Although patients have more treatment options for CRC patients, the prognosis is poor for metastatic CRC patients. Ferroptosis, a newly discovered form of regulated cell death driven by iron-dependent excessive lipid peroxidation, has been implicated in the development and therapeutic responses of various types of tumors. In our project, we mainly focus on elucidating the mechanism of ferroptosis in the development and progression of CRC to explore potential therapeutic targets for CRC patients.

10.5 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
Creating isogenic reporter lines to identify regulators of cancer specific promoters

The project will involve cloning and cell culture methods that will help to find specific regulatory gene candidates that the involved in cancer progression.

10.6 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
Development of gene therapy for pediatric liver diseases

We aim to develop a proof-of-concept for a novel delivery system using an all-in-one vector for genome editing of primary biliary cells. We would then apply for a ground patent for engagement of external stakeholders to level up testing in higher mammals.
Because liver transplant is currently the only therapeutic approach for pediatric biliary disorders, our gene therapy may lead to development, transfer and application of new technologies promoting the commercialization of high-value added biotechnology products.
We will equip the student with the required skill set to design, conduct and implement pre-clinical research. The overreaching aim of the training is to provide students with an exceptional translational perspective so that at the end of the internship they can clearly detect common needs in healthcare in society and develop the maturity to resolve these issues with the design of products with high commercial value.

10.7 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
Characterizing hepatocellular carcinoma at spatial resolution

In this project, we will utilise clinical samples to perform cutting edge single cell and spatial transcriptomic to reconstruct the ecosystem that make up hepatocellular carcinoma.

10.8 Prof Vinay Tergaonkar
bchvt@nus.edu.sg
vinayt@imcb.a-star.edu.sg
Department of Pathology and Department of Biochemistry
Identification of SATB2 as biomarker for drug response in CRC

The mitogen-activated protein kinase (MAPK) signalling pathway plays a fundamental role in the carcinogenesis of colorectal and numerous other neoplasms. The development of targeted agents that inhibit MEK 1/2 has created the potential for downstream blockade of the MAPK pathway.
Though MEK inhibition has demonstrated clinically significant efficacy in several tumor types, therapeutic success has been limited in colorectal cancer (CRC). Thus, potential rational combination strategies and the investigation into potential predictive biomarkers of response will be in urgent need. In this project, we have identified SATB2, a nuclear matrix-associated transcription factor and epigenetic regulator, which could serve as a promising diagnostic biomarker to predict drug response especially for MEK1/2 inhibitors. Next, we will:
a) understand the mechanism by which SATB2 regulates drug response in vitro and in vivo
b) explore the role of SATB2 in vivo using genetic engineered CRC mouse model.

10.9 A/Prof Samuel Chong
paecs@nus.edu.sg
Department of Paediatrics
Single-cell strategies for simultaneous diagnosis of monogenic disorders and screening of chromosomal abnormalities in IVF preimplantation embryos to achieve healthy pregnancies and unaffected livebirths

Preimplantation genetic testing involves the genetic diagnosis of IVF-derived embryos to identify embryos free of specific monogenic disorders or chromosomal abnormalities for subsequent uterine transfer. This procedure ensures that the ensuing pregnancy is unaffected with the monogenic disorder or is chromosomally balanced. Current technology, however, cannot reliably and reproducibly test for both monogenic disorders and chromosomal abnormalities from the limiting genetic material of a preimplantation embryo due to differences in whole genome amplification (WGA) requirements. The ability to identify embryos that are both unaffected with the monogenic disease and chromosomally balanced is crucial to improving implantation and pregnancy rates, and ensuring healthy and unaffected live births. This project aims to develop a generalizable strategy for combined mutation diagnosis (to avoid monogenic disease) and chromosome screening (to exclude chromosomal abnormality) of preimplantation embryos. This aim will be realized through:
(1) development of a robust, reliable, and reproducible single-cell WGA that is compatible with both monogenic disease diagnostics and chromosomal screening,
(2) development of mutation detection and linkage-based diagnostic assays compatible with the WGA protocol, and (3) development of a chromosomal screening strategy compatible with the WGA protocol, and agnostic to the next-generation sequencing platform.

10.10 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Heart-Brain Connection: Cognitive Impairment in Heart Failure

The heart and brain are so closely connected that when one is diseased, the other one is also at risk. This is the case for patients with heart failure whose hearts are underperforming, starving the body, especially the brain, of oxygen- and nutrient-rich blood and consequently leading to cognitive problems. However, problems with the brain such as cognition tend to be overlooked.
The 2016 European Society of Cardiology guidelines have highlighted the importance of customized management for cognitively-impaired heart failure patients. But data among Asian heart failure populations is scant. Hence we are developing a translational clinical research program on heart-brain connection from mechanistic discovery to interventional trial to address cognitive impairment in HF. Deep machine learning will be applied for risk stratification and precision care.
We have shown that undiagnosed CI in Asian HF patients is high (44%). HF patients with high levels of N-terminal pro-brain natriuretic peptide (NT-proBNP), a diagnostic HF marker, may be at risk of developing CI.
These has been published in a top journal:
Dong Y*, et al. (2019). Prevalence, biomarker, and clinical correlates of cognitive impairment and outcomes in Asian patients with heart failure. European Journal of Heart Failure. 21(5): 688-690. (IF: 15.5).

10.11 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Feasibility study to explore heart-brain biomarker correlates of cognitive impairment in atrial fibrillation

Atrial fibrillation (AF) is highly prevalent dysrhythmia, associated with a higher risk of cognitive impairment and dementia, with or without a history of clinical stroke. Mild cognitive impairment is common (65%) in high-risk patients hospitalized with chronic AF in the West and leading to poor health outcomes such as poor self-care and treatment compliance, while the prevalence of cognitive impairment in Singaporean and Asia region is unknown. Both AF and dementia share many common risk factors such as older age, vascular risk factors (diabetes, hypertension), vascular disease like heart failure. Many of these shared risk factors are modifiable through early intervention. Greater risk of mortality has been reported in patients with AF and dementia. Therefore, understanding the mechanisms of the association between AF and cognitive impairment is important. However, the mechanism between AF and cognitive impairment is not well established.
Therefore, we will explore biomarker correlates of cognitive impairment in AF to unravel aspects of mechanisms accounting for cognitive impairment. To achieve this, we will recruit high-risk AF patients with mild-moderate HF and cardioembolic stroke patients and examine the association between biomarkers such as cardiac, inflammatory and circulating biomarkers, perfusion/hemodynamics and cerebrovascular lesions, and cognitive performance.

10.12 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Developing a Digital Solution for Salutogenic Brain Health

The rising ageing population in Singapore demands for a scalable solution such as a digital intervention to address brain health problems upstream, i.e., health promotion and early intervention for the middle-age population at-risk for cognitive decline. However, such digital solution is lacking. We aim to develop a digital solution for salutogenic brain health (DiSaB) and assess the effectiveness of its implementation at primary care setting.
We will recruit adults aged 40-55 with chronic conditions e.g., hypertension, hyperlipidemia and diabetes from National University Polyclinics. They are the at-risk population for cognitive decline, as metabolic changes can precede cognitive change, sometimes by as much as a decade.
Hence, they are well suited for our DiSaB intervention which is an upstream approach for early detection and intervention. A Micro-randomized controlled trial (RCT) will be conducted to evaluate the feasibility and efficacy of the DiSaB digital intervention. Cognitive tests will be used to evaluate changes in patients at baseline and 6 months. Mixed method design will be employed to identify enablers and barriers using COM-B model for implementation. The Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework will be applied to measure implementation effectiveness.
Machine learning and micro-randomization will be applied to motivate behavioural changes.

10.13 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Independent Living and Future Care for Stroke Patients and Their Caregivers

We are working closely with community service partners in bridging the current service gap in the landscape of stroke care and building a holistic and sustainable translational research in the community. Our innovative service program seeks to improve the brain health of stroke survivors as well as the psychological and emotional well-being of their family members/caregivers.
Moreover, we aim to establish a community-based cognitive test to evaluate returning to work, and empower stroke survivors in improving their cognition to maintain functional independence and prevent decline. Similarly, we will empower family caregivers through health education to better support stroke patients in their recovery.
Stroke survivors and caregivers will explore the sense of living well and develop future care plan. Early intervention using group-based brain training program will be delivered to provide life skills training for stroke survivors and their caregivers to optimise recovery and promote quality of life for independent living. The efficacy of such intervention will be evaluated via the randomised controlled trial.
To scale up this brain health program both in Singapore and overseas, we intend to develop a digital solution and apply deep machine learning to optimise stroke recovery.

10.14 Dr Catherine Dong Yanhong
nurdy@nus.edu.sg; mdcdy@nus.edu.sg
Department of Medicine
Addressing Heart-Brain Health Disparities in Women: Music Intervention and Reflective Wisdom for Self-Care

Women are undertreated and disadvantaged in terms of cardiovascular (CVD) care. Our proposed project aims to address heart-brain health disparities through better self-care practice in women with heart failure (HF) and atrial fibrillation (AF).
We aim to recruit a total of adults with HF and comorbid AF consisting of women to men with 1:1 ratio.
A mixed method study consisting 2 phases will be adopted. First, we will conduct a qualitative study over individual interviews or 4-5 focus group interviews (3-4 participants/group) music to establish suitable music intervention and reflective self-care practice. Second, a randomised controlled trial to implement the music intervention beneficial for cardiovascular health with reflective self-care practice for patients with HF and AF. The follow-up focus group interviews will be conducted after intervention.
The physical, psychological, and cognitive outcomes will be measured at baseline and follow-up.
In collaboration with physicists and musicians, we plan to apply basic science (physics and mathematics) to decompose music (sound waveform) of intervention and study the corresponding changes of outcome measures after the intervention. We hope to establish a creative and highly scalable music solution customized to Asian patients, impacting on both heart and brain health through empowering patients’ self-care.

10.15 Prof Jose M Valderas
jmvalderas@nus.edu.sg
Department of Medicine
Prevalence and predictors of chronic treatment guideline adherence among patients attending National University Polyclinics: a Big Data study

National University Polyclinics (NUP), a public primary care organisation provides health services to patients in the Western part of Singapore and plays a key role in chronic disease prevention and management. The provision of this care is hypothesized to have been impacted by COVID-19 pandemic. Management that is not consistent with treatment guidelines has been found to be associated with poorer patient clinical outcomes, higher healthcare costs and utilisation. By exploring NUP Datamart and EPIC records, we aim to discover associations and better understand patterns and trends within the data, providing insights for planning interventions to target non-adherence to treatment guidelines in future research. We hypothesize that older people of lower socioeconomic status (rental blocks), having at least one of diabetes, chronic kidney disease, hypertension or hyperlipidemia, and poorer clinical outcomes based on local guidelines are more likely to have management not consistent with treatment guidelines. We hypothesize that patients seen in NUP during COVID-19 pandemic are more likely to have management not consistent with treatment guidelines than those seen before COVID-19 pandemic.
Students can expect to acquire experience and skills in data management, analysis and interpretation of primary care data and scientific writing.

10.16 Dr Daniel Teh Boon Loong
danielteh@nus.edu.sg
Department of Ophthalmology
BRAIN-EYE-HEALTH AXIS RESEARCH (REALISE)

REALISE explores the relationship between the eye and the brain. The eye is an extension of the Central Nervous System (CNS), having nerve endings on the retina, and is an important photoreception sensor. The eye is a window into the brain and shares common ageing pathways, immunological and vascular functions. Light-sensing, is a key regulator of the sleep-wake cycle which in turns is vital to brain function and well-being. We explore the REALISE work in acute and chronic studies to understand how the conditions of the eye affects brain ageing. In local and international collaboration, we will utilize optogenetics and chemogenetics to regulate functions of the eyes and part of the brain in translational pre-clinical mice model and try to elucidate this link to eye-brain health axis. Students will take up a 3-year project to elucidate the effects of eye condition to brain ageing.

10.17 Dr Daniel Teh Boon Loong
danielteh@nus.edu.sg
Department of Ophthalmology
Inter-disciplinary Nanotechnology in Biomedical Application

Nanotechnology offers great versatility and modalities for various biomedical application. It can be used as a delivery tools for genetic and nutrient cargo, at the same time allows live imaging of physiological process. Owings to its versatility to surface modification, we can mix and match the appropriate functional groups to the nanoparticle to change its property and function. This is an inter-disciplinary study applying an array of nanotechnology for its application in biomedical research. We are exploring a wide range of nanoparticle from organic to inorganic to be deployed as:
(1) Precision tool for targeted load delivery into organs
(2) Photonics role for wireless photodynamic therapy in solid cancer
(3) Direct visualization of molecular and cellular processes.

10.18 A/Prof Anselm Mak
mdcam@nus.edu.sg
Department of Medicine
In-depth mechanistic study of neurocognitive dysfunction in patients with systemic lupus erythematosus using multi-modal neuroimaging

Neurocognitive dysfunction (NCD) is prevalent in patients with systemic lupus erythematosus (SLE), impacting physical and psychosocial well-being. The absence of pathology-based NCD assessment has contributed to the rudimentary understanding of the neuropathology of SLE-related NCD, hindering development of cutting-edge diagnostic and therapeutic strategies of SLE-related NCD.
Aim 1: To investigate how longitudinal changes of brain structure and function are related to NCD in SLE patients. Hypothesis 1: Brain structural and functional integrity, including grey matter volume, white matter microstructure, functional connectivity and structural-functional alignment, would be compromised and declining longitudinally in SLE patients.
Aim 2: To address how blood-brain-barrier (BBB) integrity influences longitudinal structural and functional brain changes, and their relationships with SLE-related NCD. Hypothesis 2: BBB integrity is measured using state-of-the-art dynamic contrast-enhanced magnetic resonance imaging (MRI) and diffusion MRI-based free-water imaging method. Disrupted BBB at baseline would relate to longitudinal decline of structural and functional integrity.
Aim 3: To evaluate the relationships between blood biomarkers that indicate BBB disruption, brain structural and functional integrity, and SLE-related NCD.
Hypothesis 3: BBB integrity would be compromised by neutrophil extracellular traps, imbalance between matrix metalloproteinase 9 and tissue inhibitor of metalloproteinase1, and C5a, enhancing CNS entry of extrathecally-produced neurotoxic autoantibodies.

10.19 Dr Matthew Edward Cove
mdcmec@nus.edu.sg
Department of Medicine
Physiology study of electrolyte changes, CO2 kinetics and their effect on plasma pH under extreme conditions such as during bicarbonate dialysis

This project will focus on an in-depth physiology study of electrolyte changes, acid-base changes, and CO2 kinetics to build on existing knowledge of this field. The student will learn how to measure important data such as cardiac output and indirect calorimetry in live animal experiments. Working on this project will train students to understand the and interpret plasma acid base using principle of electroneutrality. The application of this work to provide a better understand of optimal ventilation and dialysis settings and accurately predict the efficacy of a bicarbonate dialysis in first-in-man studies.
This work could be performed stand alone, or as part of a sports or metabolic physiology study.

10.20 Dr Raymond P. Najjar
rpnajjar@nus.edu.sg
Department of Ophthalmology
Beyond Sight - Elucidating the Non-visual Consequences of Ocular Diseases:

The eye is not just an extension of the brain. It’s a window to neurological health and a complex organ that, through intrinsically photosensitive retinal ganglion cells (ipRGCs), drives and modulates many non-visual cerebral functions such as circadian entrainment, cognition, alertness, sleep and mood. Beyond vision, ocular diseases like glaucoma and diabetic retinopathy can alter the non-visual signalling between the eye and the brain, leading to various impairments in non-visual functions and reducing the patient’s quality of life.
The successful candidate will have the opportunity to work within a multidisciplinary team of local and international visual-neuroscientists and ophthalmologists, to objectively investigate non-visual (e.g., cognition, alertness, sleep, circadian entrainment, etc.) alterations in different severities of ocular diseases affecting ipRGCs and the outer retina. In this project, the team will also leverage on contemporary findings in non-visual photoreception to improve cognitive performance, alertness, wellbeing, and sleep in patients with ocular diseases, bringing forth a more holistic approach to treating vision impairment.

10.21 Dr Raymond P. Najjar
rpnajjar@nus.edu.sg
Department of Ophthalmology
Handheld Pupillometry for a Fast Detection and Diagnosis of Ocular Diseases:

The evaluation of the pupillary light response using pupillometry allows for an objective assessment of photoreceptor health in retinal and optic nerve conditions. Our team at SERI has recently developed an affordable and easy-to-use handheld chromatic pupillometer (HCP) that relies on contemporary findings in retinal photoreception and artificial intelligence, to allow a fast (1 min), affordable, and accurate detection of ocular diseases. The HCP has recently shown excellent performances for the detection of glaucoma and diabetic retinopathy in a clinical setting.
The objectives of this research project are 1/ to improve the diagnostic performance of the HCP prototype by comparing pupillometric signatures across predominant ocular diseases using advanced machine learning strategies and 2/ to evaluate the performance characteristics of the HCP for ocular disease detection in non-ophthalmic settings (polyclinics, community).
Through AI-powered, affordable, and easy-to-use handheld devices like the HCP, our team aims to improve the accuracy of eye disease detection in non-clinical settings and in countries where access to ophthalmic care is limited.

Reading material:
Najjar et al. 2021: https://bjo.bmj.com/content/early/2021/11/30/bjophthalmol-2021-319938
Tan et al. 2022: https://onlinelibrary.wiley.com/doi/abs/10.1111/ceo.14116

10.22 Dr Raymond P. Najjar
rpnajjar@nus.edu.sg
Department of Ophthalmology
The Spectral Tuning of Light for MyOPia-control (STOP):

Myopia is a highly prevalent refractive error characterized by the blurred vision of objects when viewed at a distance. Myopia is projected to affect 50% of the world population by 2050 and is commonly due to excessive ocular axial growth leading to images being focused in front of the retina.
Epidemiological studies have shown that time spent outdoors is protective against myopia. This can be due to the high intensity and peculiar spectral composition of sunlight. My team is conducting research in animal models and humans to better understand the impact of light on ocular growth and identify optimal features (i.e., intensity, pattern and spectrum) of light for better myopia-control.
In this project, the candidate will have the opportunity to develop and utilize novel light stimulation, imaging and molecular techniques (e.g., optogenetics), and work within a multidisciplinary local and international team of visual-neuroscientists, ophthalmologists and molecular biologists to elucidate ocular photoreceptoral involvement in the development and prevention of myopia in mammalian models. A better understanding of the impact of light on eye growth would allow the development of effective, passive or active, light-therapy strategies to prevent or delay the onset of myopia in children.

10.23 Dr Raymond P. Najjar
rpnajjar@nus.edu.sg
Department of Ophthalmology
Understanding the Mechanisms and Refining the use of Bright Light for Myopia-control

Myopia is more than an inconvenience, it’s a highly prevalent sight-threatening disease that is projected to affect 50% of the world population by 2050, becoming the leading cause of irreversible blindness. Epidemiological studies have shown that time spent outdoors is protective against myopia. The protective impact of time outdoors can be due to the high intensity and peculiar spectrum of sunlight. My team is conducting research in animal models and humans to better understand the impact of light on ocular growth and identify optimal features (i.e., intensity, pattern and spectrum) of light for better myopia-control. Our findings highlight a high efficiency of intermittent bright light exposure for myopia-control in chickens and non-human primates.

ARVO 2022:
https://iovs.arvojournals.org/article.aspx?articleid=2782752

In this research project, the candidate will have the opportunity to learn and utilize novel light stimulation, imaging and molecular techniques (e.g., ophthalmic examinations in large animal models, imaging, ultrasonography, omics, etc.) and work within a multidisciplinary team of visual-neuroscientists, ophthalmologists and molecular biologists to optimize intermittent bright light exposure for myopia-control and elucidate the mechanisms behind its higher efficacy compared to continuous bright light.

10.24 Dr Raymond P. Najjar
rpnajjar@nus.edu.sg
Department of Ophthalmology
Identifying novel eye movement and pupillometric biomarkers for ocular and neurological diseases

Pupil control and eye movements are subserved by complex neuronal networks, involving a multitude of cortical and sub-cortical brain areas. Dysfunction of these networks may result in abnormalities of pupil-control, ocular movements or ocular fixation. At a motor level, measurements of eye movements allow a direct and simple evaluation of ocular motor dysfunction (e.g. cranial nerve palsies). Conversely, the analysis of eye movements and pupil size allows insight into more complex aspects of human behaviour, such as attention, cognition or consciousness. Neuro-degenerative diseases of the brain or the eye, such as Alzheimer's disease (AD), Parkinson's disease (PD) and glaucoma, may be associated with subtle abnormalities of eye movements and pupil-control. These can be detected only with precise electro-oculography and advanced data processing.
The candidate will benefit from a research lab equipped with state-of-the-art pupil and eye trackers, and collaborate with visual neuroscientists, computer scientists, neurologists and neuro-ophthalmologists to investigate gaze and pupillometric alterations in ocular (e.g., glaucoma) and neurological conditions (PD). The ultimate goal of this project is to develop data-driven, AI-powered eye/pupil tracking paradigms for the detection and prediction of ocular and cerebral neurodegeneration.

10.25 Prof David Leslie Paterson
uqdpate1@nus.edu.sg
Department of Medicine
EaRly impAct theraPy with ceftazidime-avibactam via rapID diagnostics versus standard of care antibiotics and diagnostics in patients with bloodstream infection, hospital-acquired pneumonia or ventilator-associated pneumonia due to Pseudomonas aeruginosa or carbapenem non-susceptible Enterobacterales (RAPID)

The ADVANcing Clinical Evidence in Infectious Diseases (ADVANCE-ID) Network is established to conduct rapid, cost-effective randomised controlled trials (RCT) to deliver relevant and high-quality evidence to guide clinical practice.
ADVANCE-ID is led by Prof David Paterson and Dr Mo Yin, who are experienced in regional and global infectious disease studies, particularly in multidrug-resistant infections. RAPID is the second multinational clinical trial that is being initiated by ADVANCE-ID, targeting to recruit 1600 patients from 20 hospitals all over the globe. In this trial we hope to integrate rapid diagnostics with early impact antibiotics to determine if this improves patient outcomes.
We would like to invite prospective PhD students with ADVANCE-ID, based in National University of Singapore. The programme can be offered full-time or part-time to train keen individuals with innovative multi-disciplinary skills with an aim to support and conduct large-scale randomised controlled trials. The candidate will enjoy opportunities in trial design, implementation and analysis. Highly transferrable skills such as computer programming, Bayesian statistics, in-silico trial simulations, implementation and behavioural science, will be taught.
Requirements for applicants include:
(1) Basic understanding in clinical applications of statistics
(2) Experience in clinical research
(3) Work as a productive member of a team
Minimum undergraduate or Master’s degree

10.26 A/Prof Toh Wei Seong
tohws@nus.edu.sg
Department of Orthopaedic Surgery
Extracellular vesicle (EV) and EV-mimetic therapies for musculoskeletal disorders

Musculoskeletal disorders are the leading contributor to disability worldwide and place an enormous burden on the health care system in an aging population. Our research program is focused on understanding the mechanisms for degeneration, and developing strategies for regeneration, of tissues of the musculoskeletal system. Our laboratory has set up various animal models for major musculoskeletal disorders including osteoarthritis, intervertebral disc degeneration, and sarcopenia, as well as a broad range of extracellular vesicles (EVs) and EV-mimetics for targeted drug delivery and therapy. We aim 1) to identify novel therapeutic targets using our animal models and cutting-edge technologies such as proteomics, metabolomics, and single cell RNA sequencing; and 2) to design and develop EVs and EV-mimetics based on stem cells and immune cells (e.g., macrophages) for targeted delivery of small molecules, protein/peptides, and RNAs (e.g. miRNA, mRNA).

10.27 A/Prof Elizabeth Teh
entejt@nus.edu.sg
Department of Otolaryngology
Development of Social Communication and Emotional Regulation Skills in Children with Autism Spectrum Disorders

Individuals with ASD often display characteristic persistent challenges in social interaction and social communication, while an estimated 60% of children with ASD experience emotion regulation difficulties linked to symptom severity. In neurotypical development, a significant shift in emotional regulation occurs around age 18 months alongside advancements in self-awareness, social skills, communication skills, cognitive skills, executive function, and motor skills. However, children with ASD reportedly rely more on co-regulation support from caregivers to manage their emotions and use more delayed or maladaptive strategies than their neurotypical peers. Many challenges persist into adulthood and may be associated with a higher prevalence of mental health disorders, including anxiety, depression, mood and conduct disorders in ASD.
Currently, research has not yet investigated the dynamic relationships among self-awareness, social engagement and social communication skills, and emotion regulation skills in children with ASD, within a longitudinal developmental framework.
Our goal is to examine these interconnections in children with and without ASD. The findings will enhance theoretical understanding of social development and inform the timing and nature of interventions to promote social functioning in ASD.
This research is part of ongoing projects exploring social cognition, emotional processing and language processing in neurotypical and clinical populations.

10.28 A/Prof Toh Wei Seong
tohws@nus.edu.sg
Department of Orthopaedic Surgery
Biomanufacturing an allogeneic-hMSCs-derived Cartilage membrane for therapy

With Singapore’s ageing population, cartilage-related conditions such as osteoarthritis are becoming increasingly common, leading to significant pain and reduced quality of life. The current leading treatment, autologous chondrocyte implantation (ACI), is only suitable for patients below 55 years, as older individuals often lack healthy cartilage. This research focuses on developing ChondroMesh, a cartilage implant that uses donor-derived stem cells to expand the reach of cell therapy. ChondroMesh is produced by culturing stem cells, typically obtained from young adult bone marrow, under controlled laboratory conditions. Our proprietary membrane technology promotes the growth of these cells into a cartilage-like tissue that closely mimics natural cartilage. The culture process will be optimised through advanced methods, such as genetic and protein analysis, to ensure high-quality implants comparable to native cartilage. We will also validate ChondroMesh’s effectiveness using clinically relevant animal models. This approach could make cartilage repair more accessible, offering a cost-effective and reliable solution to a wider range of patients.
The student will optimise the biological and mechanical stimulation conditions to achieve optimal hyaline cartilage formation through stem cell differentiation. Additionally, the student will contribute to developing a prototype bioreactor designed for medium perfusion and mechanical stimulation, essential for the maturation of cartilage tissue. The cartilage samples will be thoroughly characterised using conventional methods and advanced techniques such as proteomics (mass spectrometry) and transcriptomics (RNA sequencing). The student will also be trained, participate in animal experiments, and perform a detailed analysis of the resulting samples.

10.29 Prof Jose M Valderas
jmvalderas@nus.edu.sg
Department of Medicine
Development of a Health Systems Performance Ranking

Health systems performance is a critical indicator of a nation's ability to provide high-quality healthcare services to its population. A robust health systems performance ranking can inform policy decisions, guide resource allocation, address inequalities in populations and encourage continuous improvement in healthcare delivery. Measuring and comparing health systems performance are important to reflect current challenges and priorities faced by many countries, especially with the aging population globally. This research programme aims to develop a novel, more robust ranking metrics and assessments to capture the critical aspects of health system performance by applying method that integrates existing frameworks, incorporates underrepresented elements, and ensures methodological rigor. The proposed research comprises of several interrelated projects, ranging from a systematic review to quantitative and qualitative studies. This research programme will contribute to the advancement of health systems research by addressing gaps in current ranking methodologies and providing a more holistic tool for evaluating health system performance worldwide.

10.30 Prof Jose M Valderas
jmvalderas@nus.edu.sg
Department of Medicine
Patient Voice in Singapore

This PhD project will be part of DIPEx Singapore, which documents and publicly shares patient experiences as part of an internationally-recognized, state-of-the-art qualitative methodology and research collaborative. This PhD project will include involvement in qualitative research on the patient experience of colorectal cancer and recurrent urinary tract infections (rUTI) and the DIPEx methodology for public dissemination of research results through websites sharing approximately 250 video, audio, and textual clips from research interviews about patient illness experiences. This PhD student will also be working with patient research partners, positioning this student as one of the early adopters of patient research partners in Singapore. A key aspect of this doctoral project will be documenting the state of patient voice research and patient and public involvement (PPI) in research in Singapore and researcher and policy maker reactions to such research. Outputs of this PhD project can include single-disease analysis of colorectal cancer and rUTI; cross-analysis of the bodily experiences of colorectal cancer and rUTI; and analysis of the state of and future prospects for patient voice research and PPI in Singapore. This PhD project will be co-supervised by Prof Jose Valderas and Dr Laurie Goldsmith, the co-leads of DIPEx Singapore.

10.31 A/Prof Elizabeth Tham
elizabeth_tham@nus.edu.sg
Department of Paediatrics
An Evaluation of the Mechanisms of Allergy to Galacto-oligosacharide, a Supplemental Prebiotic in Food and Beverage

Galactooligosaccharides (GOS) are enzymatically produced prebiotics, comprising over 100 different structures. Allergy to GOS has only been reported in the Asian region. Our previous work has provided detailed clinical description of acute allergy and anaphylaxis after consumption of milk formula supplemented with GOS. We have also demonstrated that the dust mite, Blomia tropicalis, is a putative sensitizer. GOS are unique allergens as they are carbohydrates of low molecular weight. The IgE epitopes for GOS and the mechanism of IgE sensitization to GOS remain unresolved. We hypothesize that IgE epitopes of GOS belong to a new class of common carbohydrate determinants (CCD), and IgE sensitization to these allergens occurs through glycans from a putative dust mite primary sensitizer. The aims of this study are: 1) To evaluate the molecular mechanisms behind IgE-mediated GOS allergy by: (a) Identifying the IgE epitope(s) of GOS allergen(s) and the natural glycan in the environment showing cross-reactivity with GOS. (b) Identifying the glycan structure(s) of the putative primary sensitizer. (c) Studying how GOS cross-links IgE to determine if carrier proteins are required. 2) To validate the mechanistic pathways of GOS allergy through in vivo animal studies.

10.32 Dr Jingjing Zhang
j.zhang@nus.edu.sg
Department of Diagnostic Radiology
Radioligang Therapy (RLT)

Radioligand therapy (RLT) is an emerging drug class uniquely promising for personalized cancer therapy, as both the radionuclides and the carrier molecules (targeting ligands) can be tailored to the individual patient, depending on tumor size and tumor type respectively. The ligand delivers primarily β or α radiation derived from nuclear decay, which damages cancer cells in the immediate proximity; the radiation emitted by the radioactive decay causes irreversible ionization of the cells’ DNA, inducing apoptosis. The interest for RLT is rapidly growing, as is the number of experimental and approved drug complexes available for different targets. In parallel to RLT, immune checkpoint blockage (ICB) is recognized as a breakthrough therapy, though with limited efficacy so far due to resistance to immunotherapy often associated with complicated tumor-host-microenvironment interactions. We will take advantage of the immunomodulatory potential of RLT to rationalize the combination of RLT and ICB to improve overall response rate and duration of response.

10.33 Dr Kong Chee Hoe
chee_hoe_kong@nuhs.edu.sg
Department of Orthopaedic Surgery
With Mentor: Dr Dennis Hey
Optimizing Tendon Healing with Functionalized Sutures and Modified Fibrin Gels

Tendon and ligament injuries make up over 50% of all musculoskeletal injuries. Healthcare cost incurred from tendon injuries has been estimated to be valued at 30 billion US dollars per year in USA, and over 115 billion Euros per year in Europe. Surgical repairs are considered for patients with complete ruptures of rotator cuff tendons. However, over 50% of these repairs were reported to fail. In addition, re-tear rates of commercially available graft-augmented repairs have been reported to be as high as 90%. In view of these clinical limitations, research in this field is targeted at a combination of factors that influence tendon healing and regeneration.
Firstly, the use of non-absorbable sutures are areas of high stress with a higher re-tear rate and can compromise vascular supply by strangulation of tendon tissue that is already known to be relatively avascular. Secondly, most non-absorbable sutures have low bioactivity. The aim of this project is to engineer enhanced suture construct that is functionalized to elute bioactive molecules in a controlled and sustained manner with nanoparticles as a delivery vehicle. The use of fibrin gel as a delivery vehicle for controlled, predictable and sustained release of bioactive molecules will also be investigated.

10.34 A/Prof Citra NZ Mattar
citramattar@nus.edu.sg
Department of Obstetrics & Gynaecology
In vivo Gene Modification of Beta Thalassaemia Mutations in Human Haemopoietic Stem Cells in Humanized Mice

We will design and produce Base and Prime editors targeting the 4 most common Asian Beta Globin mutations, that cause transfusion-dependent thalassaemia, and produce optimised viral and non-viral vectors to efficiently correct these mutations in vivo, in a humanized mouse model produced from patient-derived cells. This is a proof-of-concept platform for in vivo genome editing that can be applied across the lifespan of the patient with transfusion-dependent Beta Thalassaemia major / severe intermedia, and will generate valuable data for first-in-human trials.

Top

Walter C. Willett

  • Professor of Epidemiology and Nutrition, Department of Nutrition, Harvard T.H. Chan School of Public Health
  • Co-Chair, EAT-Lancet Commission
  • Director, Thich Nhat Hanh Center for Mindfulness in Public Health, Harvard T.H. Chan School of Public Health
  • Faculty Affiliate, Department of Epidemiology, Harvard T.H. Chan School of Public Health
  • Former Chair, Department of Nutrition, Harvard T.H. Chan School of Public Health
  • Elected Member, National Academy of Medicine, United States
  • Author, Nutritional Epidemiology
  • Member, MSc NLM Programme Curriculum Committee

Walter C. Willett, a Professor of Epidemiology and Nutrition at Harvard T.H. Chan School of Public Health and a Director of the Thich Nhat Hanh Center for Mindfulness in Public Health. He served as Chair of the Department of Nutrition for 25 years. A globally recognised expert in nutritional epidemiology, his research on diet and chronic disease prevention has shaped public health policies worldwide. An elected member of the National Academy of Medicine, he has published over 2,000 scientific articles and authored influential books, including Nutritional Epidemiology.

Adj Prof Joanne Yoong Su Yin

  • Adjunct Professor, NUS Yong Loo Lin School of Medicine
  • Founder and Chief Executive, Research for Impact, Singapore
  • Honorary Senior Lecturer, London School of Hygiene and Tropical Medicine
  • Adjunct Faculty, Department of Economics, Singapore Management University

A/Prof Kenneth Ban

Programme Director, National Supercomputing Cluster Singapore (NSCC)
Assoc Prof, Dept of Biochemistry, NUS Yong Loo Lin School of Medicine

Prof Kenneth Ban graduated from NUS Yong Loo Lin School of Medicine and completed his PhD in Stanford University, As a medical educator and Phase I Director at the Yong Loo Lin School of Medicine, Kenneth is leading the development of a Health Informatics track aiming to build foundational competencies in data science for medical students.

A/Prof Caroline Lee

Vice Dean, NUS Graduate School, NUS Yong Loo Lin School of Medicine
Assoc Prof, Dept of Biochemistry, NUS Yong Loo Lin School of Medicine

Prof Caroline Lee graduated with PhD from Baylor College of Medicine and did her post-doctoral training with Dr. Michael Gottesman at the National Cancer Institute, National Institutes of Health. She has ~100 peer reviewed publications focused on the functional genomics of hepatocellular carcinoma (HCC) and pharmacogenetics.

Aaron Chua

• Principal Lecturer and Consultant, Digital Strategy & Leadership Practice, NUS-ISS

His research interests comprise health-related quality-of-life studies, clinical trials, and modelling transmission of infectious disease. He has also worked with projects in various therapeutic areas including oncology, stroke, ophthalmology and orthopaedics.

A/Prof Jason Yap

• Associate Professor, NUS Saw Swee Hock School of Public Health
• Director, Public Health Translation, NUS Saw Swee Hock School of Public Health

Prof Seth Gilbert

• Dean’s Chair Associate Professor, NUS School of Computing
• Head, Department of Computer Science, NUS School of Computing

Adj. Prof Ngiam Kee Yuan

• Head, Department of Biomedical Informatics, NUS Yong Loo Lin School of Medicine
• Head, Artificial Intelligence Office, NUHS
• Head & Senior Consultant, Division of General Surgery (Endocrine & Thyroid Surgery), Department of Surgery, NUH

Dr Aoife Keohane

• Programme Director, MSc in Behavioural and Implementation Sciences
in Health (MSc BIS)
• Senior Lecturer, Centre for Behavioural and Implementation
Science Interventions (BISI) NUS Yong Loo Lin School of Medicine

Prof Nick Sevdalis

  • Academic Director, Centre for Behavioural and Implementation Science Interventions (BISI)
  • Visiting Professor, Department of Psychological Medicine, NUS Yong Loo Lin School of Medicine
  • Academic Director (Joint), Quality Improvement & Implementation Science Clinical Academic Group, King’s Health Partners, London, UK

Dr Volker Patzel

• Biomedical Innovation & Enterprise Course Coordinator, MSc in Applied Biomedicine
• Senior Lecturer, Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine

Dr Volker Patzel is a Senior Lecturer at NUS Yong Loo Lin School of Medicine and holds a PhD from the Ruprecht Karls University in Heidelberg. With more than 20 years of teaching experience, he coordinates six modules at NUS Yong Loo Lin School of Medicine and leads research on RNA technologies for therapeutic and diagnostic applications. Dr Patzel has published over 50 papers, filed 15 patent families, and founded AVECRIS Pte Ltd in Singapore.

A/Prof Gautam Sethi

• Drug Discovery and Development Specialisation Coordinator
• Capstone Project Co-Coordinator, MSc in Applied Biomedicine
• Associate Professor, Department of Pharmacology, NUS Yong Loo Lin School of Medicine

A/Prof Gautam Sethi is a tenured Associate Professor at NUS Yong Loo Lin School of Medicine, focusing on oncogenic transcription factor activation and cancer therapy. His work has led to over 400 scientific publications in high-impact journals. A/Prof Sethi is an editorial board member for numerous international journals and has been recognized as one of the world’s most highly cited researchers in 2020 and 2021 by Clarivate.

A/Prof Sham Lok-To (Chris)

• Capstone Project Coordinator, MSc in Applied Biomedicine
• Associate Professor, Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine

A/Prof Chris Sham is an Associate Professor at the Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine, where he teaches multiple microbiology-related courses, including Microbiology and Infection and Immunity He also serves as the Undergraduate Research Opportunities Programme coordinator and the Deputy Research Director of the Infectious Diseases Translational Research Programme. His research focuses on bacterial cell envelope synthesis, and in 2019, he received the prestigious National Research Foundation Fellowship.

Dr Png Chin Wen

• Deputy Programme Director
• Vaccinology and Immunotherapy Specialisation Coordinator, MSc in Applied Biomedicine
• Senior Lecturer, Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine

Dr Png Chin Wen earned his PhD from the University of Queensland and is a Senior Lecturer at NUS Yong Loo Lin School of Medicine, where he teaches topics such as immunology, cellular signaling, and vaccine development. His research focuses on gut microbiome and mucosal inflammation related to gastrointestinal cancers. Dr Png collaborates with clinicians to explore the role of gut bacteria in disease progression and serves as course coordinator for the MSc in Applied Biomedicine’s Vaccinology and Immunotherapy specialisation.

Dr Jaishree Tripathi

• Infectious Diseases Management Specialisation Coordinator, MSc in Applied Biomedicine
• Lecturer, Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine

Dr Jaishree Tripathi is a Lecturer at the NUS Yong Loo Lin School of Medicine, where she leads the Infectious Diseases Management track for the MSc in Applied Biomedicine programme. She has over 11 years of research experience in malaria parasite biology, including drug resistance and host-parasite interactions. Dr Tripathi holds a PhD in Biological Sciences from the University of Cambridge and has made significant contributions to malaria research using stem-cell-based models and single-cell transcriptomics.

A/Prof Zhang Yongliang

• Co-Programme Director, MSc in Applied Biomedicine
• Associate Professor, Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine

A/Prof Zhang Yongliang is a tenured Associate Professor and Deputy Research Director of the Translational Immunology Programme at NUS Yong Loo Lin School of Medicine. With over 15 years of teaching experience, he has created several programmes focused on infection and cancer. A/Prof Zhang’s contributions to immunology research have earned him recognition, including the Graduate Mentor of the Year award in 2019.

A/Prof Kevin Tan Shyong Wei

• Programme Director, MSc in Applied Biomedicine
• Associate Professor and Head, Department of Microbiology & Immunology, NUS Yong Loo Lin School of Medicine

A/Prof Kevin Tan is the Head of the Department of Microbiology & Immunology at NUS and Vice-Dean (Graduate Studies) at the Yong Loo Lin School of Medicine. He has 20 years of teaching experience and played a key role in developing the world’s first online course on the biomedical aspects of COVID-19. A/Prof Tan has received numerous teaching awards, including the Faculty Teaching Excellence Award and Graduate Mentor of the Year.

Dr Lee Chun Fan

• Assistant Professor, Centre for Quantitative Medicine, Duke-NUS Medical School

Dr Lee Chun Fan is an assistant professor at the Centre for Quantitative Medicine at the Duke-NUS Medical School. Prior to this, he was also affiliated with the Division of Epidemiology and Biostatistics in the School of Public Health at The University of Hong Kong and the Singapore Clinical Research Institute.
His research interests comprise health-related quality-of-life studies, clinical trials, and modelling transmission of infectious disease. He has also worked with projects in various therapeutic areas including oncology, stroke, ophthalmology and orthopaedics.

Dr Cindy Lin Xinyi

• Assistant Professor, Centre for Quantitative Medicine, Duke-NUS Medical School

Dr. Xinyi (Cindy) Lin is an Assistant Professor at the Centre for Quantitative Medicine, Duke- NUS Medical School. She serves as the course coordinator for two modular courses in in the MCI programme: MCI5001 (Design and Planning of Clinical Studies) and MCI5006 (Design and Planning of Epidemiological Studies). Dr. Lin has extensive experience utilising advanced statistical methods in clinical research studies and genetic epidemiology investigations. She has taught biostatistics coursework to a diverse audience, including PhD students and clinical researchers.

Mihir Gandhi

• Assistant Professor, Centre for Quantitative Medicine, Duke-NUS Medical School

Mihir Gandhi is an Assistant Professor in the Signature Program in Health Services & Systems Research, Lien Centre for Palliative Care, as well as the Head of Biostatistics Core team at the Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore. He is also affiliated with the Singapore Clinical Research Institute, Singapore as the Head of Biostatistics Department and the Global Health Group at the Center for Child Health Research, Tampere University, Finland as a Visiting Researcher.
He is primarily working on planning, analysis and reporting of clinical trials. He has experience in wide range of therapeutic areas such as oncology, paediatrics, and hypertension for drug and health services interventional trials. In addition to clinical trials, he has research interest in applied statistics, health-related quality of life, quality of healthcare and health state valuation.

A/Prof Edwin Chan

• Associate Professor, Centre for Quantitative Medicine
• Office of Clinical Sciences, Duke-NUS Medical School

A/Prof Chan is a clinical epidemiologist with over twenty years of experience in clinical research and evidence synthesis as the Chief Scientific Officer of the Singapore Clinical Research Institute (SCRI). He has been the Director of Cochrane Singapore since its establishment and is currently the Senior Scientific Advisor to SCRI. He teaches research literature critical appraisal skills and mentors students in clinical research (MCI programme, NUS). He has taught many research methodology courses on clinical trials, biostatistics, epidemiology, clinical practice guidelines (CPG) development, meta-analysis & evidence- based medicine (EBM). His interests are in the teaching of critical appraisal skills, epidemiology, health technology assessment and evidence synthesis.

Prof Cheung Yin Bun

• Professor, Centre for Quantitative Medicine
• Deputy Director, Centre for Quantitative Medicine, Duke-NUS Medical School

CHEUNG Yin Bun is Professor at Duke-NUS Medical School, Singapore, and Adjunct Professor at Tampere University, Finland. Prior to joining Duke-NUS, he was a Senior Lecturer at the London School of Hygiene & Tropical Medicine and Chief Scientific Officer at the Singapore Clinical Research Institute.
He received his degrees in social science, medical demography, statistics and paediatric epidemiology from institutions in Hong Kong, Singapore, and the United Kingdom. He has broad interest in the studies of global child health, statistical methodology, and quality of life in palliative care setting. He has been the principal investigator of multiple research grants on statistical methodology and quality of life research. He is the author of Statistical Analysis of Human Growth and Development (CRC Press, 2014) and co-author of Survival Analysis: A Practical Approach (Wiley, 2006). He is the developer of the Singapore Caregiver Quality of Life Scale.

Makoto Yawata, M.D., Ph.D.

• Programme Director, Master of Clinical Investigation
• Clinical-Scientist Mentor, Master of Clinical Investigation
• Research Assistant Professor
• Department of Pediatrics, NUS Yong Loo Lin School of Medicine
• Principal Investigator, Immunology Programme, Life Sciences Institute, National University of Singapore
• Principal Investigator, NUS Medicine Immunology Translational Research Programme, National University of Singapore

Makoto YAWATA is the Director of the MCI Programme, where he also serves as a clinician-scientist mentor guiding the students in designing and planning their clinical studies and as coordinator of the MCI wet lab experiential research workshop. He is affiliated with the Department of Paediatrics at the NUS Yong Loo Lin School of Medicine and a Principal Investigator in the Immunology Programme in the NUS Life Sciences Institute and the NUS Medicine Immunology Translational Research Programme. 

His clinical background is autoimmune diseases; however, the research he conducted as postdoctoral fellow in the Department of Structural Biology in Stanford University School of Medicine has led him to become more involved in hematology and transplantation. His laboratory has been investigating the mechanisms of human natural killer cell responses against particular types of virus infections and cancer, and also in transplantation immunology.

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