Norfolk experts study inflammatory bowel disease in children

They're working with scientists from Cambridge

The Paediatric Gastroenterology Team and the Children's and Women's Research Team at NNUH Sue Underhill-Smith, Marco Gasparetto, Emily Tropman, Julie Cook and Sara Callam
Author: Sian RochePublished 3rd Apr 2023
Last updated 3rd Apr 2023

Experts at the Norfolk and Norwich University Hospital are working to better understand inflammatory bowel disease (IBD) in children and young people.

Two new studies have been launched at the NNUH on the topic.

There are currently more than 100 children and 3,000 adults under the care of the hospital for IBD and three to four new cases a month are being diagnosed by the paediatric gastroenterology team.

IBD covers conditions such as ulcerative colitis and Crohn’s disease, which can be debilitating for children and young adults, and can affect their mental health and wellbeing.

The Paediatric Gastroenterology team and Children's and Women's Research team at NNUH have joined the TRIPP Research Protocol (Translational Research in Intestinal Physiology and Pathology) in Cambridge, which is funded and supported by the National Institute for Health and Care Research (NIHR).

What do the studies involve?

The study involves collecting blood samples and intestinal biopsies to understand the genetic signatures that can cause IBD. Mini-gut models can also be grown from stem cells to further understanding of the mechanisms involved in IBD and to test specific treatments.

Dr Marco Gasparetto, Consultant Paediatric Gastroenterologist, said: “Inflammatory bowel disease is a complex, multi-factorial, immune-mediated condition that is affecting increasing numbers of adults and children worldwide.

"While a single mechanism underlying the disease has not been identified and therefore a definite cure is not available, research endeavours in the past years have made remarkable progress identifying some of the pathways involved. This has led to new treatment developments for the patients affected by this long-lasting condition.

“There is increasing evidence on the role of environmental factors and their interplay with a genetic predisposition in triggering IBD and there is lots of research ongoing, but no IBD-specific triggers identified yet.”

The Paediatric Gastroenterology Team and the Children's and Women's Research team at NNUH have also joined the Paediatric Inflammatory Bowel Disease (PIBD) BioResource Network, a large UK biobank collecting blood and biopsy samples from children with IBD.

It aims to gain further insight into the complex mechanisms underlying this chronic condition, and is funded by NIHR and the UK IBD Genetics Consortium.

Dr Gasparetto added: “These are exciting times for high quality large research collaborations in support of our young patients with IBD and their families, and we are delighted to see both paediatric and adult gastroenterology at NNUH on the frontline.”

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