1 00:00:01,291 --> 00:00:03,958 (gentle music) 2 00:00:12,610 --> 00:00:15,600 - Imagine if you didn't have control of your bowels, 3 00:00:15,600 --> 00:00:19,010 you'd no doubt rethink playing your favourite sport. 4 00:00:19,010 --> 00:00:21,210 - Crohn's disease is one of two major forms 5 00:00:21,210 --> 00:00:22,900 of inflammatory bowel disease, 6 00:00:22,900 --> 00:00:25,490 and it can affect any part of the gastrointestinal tract, 7 00:00:25,490 --> 00:00:27,440 from the tongue to the bum. 8 00:00:27,440 --> 00:00:29,380 There is no cure. 9 00:00:29,380 --> 00:00:31,410 We currently think that Crohn's disease results 10 00:00:31,410 --> 00:00:34,470 from abnormal immune responses to bacteria 11 00:00:34,470 --> 00:00:37,090 in genetically susceptible individuals. 12 00:00:37,090 --> 00:00:40,210 Yet nothing is known about the precise mechanisms 13 00:00:40,210 --> 00:00:42,420 that cause this disease. 14 00:00:42,420 --> 00:00:44,750 Now gut macrophages are immune cells 15 00:00:44,750 --> 00:00:46,840 that protect against bacterial invasion 16 00:00:46,840 --> 00:00:49,570 in the gut by gobbling up bacteria, 17 00:00:49,570 --> 00:00:52,380 but without causing inflammation. 18 00:00:52,380 --> 00:00:56,221 They're derived from monocytes in the bone marrow. 19 00:00:56,221 --> 00:00:58,710 These cells turn on inflammation, 20 00:00:58,710 --> 00:01:02,460 but when they arrive at the gut and become gut macrophages, 21 00:01:02,460 --> 00:01:04,880 they turn the inflammation off. 22 00:01:04,880 --> 00:01:07,270 Now, I suspect that Crohn's disease results 23 00:01:07,270 --> 00:01:09,910 when these cells don't turn off inflammation 24 00:01:09,910 --> 00:01:12,990 in response to gut bacteria. 25 00:01:12,990 --> 00:01:14,340 So, my research aims 26 00:01:14,340 --> 00:01:17,450 at identifying specific regulatory abnormalities 27 00:01:17,450 --> 00:01:21,570 in gut macrophages in Crohn's disease patients. 28 00:01:21,570 --> 00:01:23,420 This has far reaching potential 29 00:01:23,420 --> 00:01:25,700 for the development of novel tests, 30 00:01:25,700 --> 00:01:29,973 therapeutics and may ultimately result in a cure. 31 00:01:29,973 --> 00:01:32,640 (gentle music)