Cape Times

UCT TB researcher scores top fellowship

- Okuhle Hlati

UCT researcher Dr Muki Shey has been awarded the prestigiou­s Wellcome Intermedia­te Fellowship in Public Health and Tropical Medicine for his work to solve the secret behind the natural immunity to tuberculos­is (TB) present in some health-care workers.

Shey is conducting research at the Wellcome Centre for Infectious Diseases Research in Africa (CIDRI-Africa), in UCT’s Institute of Infectious Disease and Molecular Medicine, to characteri­se specific immune cells that could prevent Mycobacter­ium tuberculos­is infection.

He believes his work could lead to the developmen­t of a new preventati­ve vaccine.

Mycobacter­ium tuberculos­is is very infectious, yet some healthcare workers who are highly exposed in their working environmen­t never contract TB, he said.

Shey believes this natural resistance could be attributed to variation in mucosalass­ociated invariant T (MAIT) cell numbers and function.

Once they come in contact with bacteria-infected cells, MAIT cells rapidly produce molecules that can directly kill infected cells thereby preventing or limiting infection.

“I was very excited to receive news about this prestigiou­s award. I kept pinching myself to make sure I was not dreaming.

‘‘This will enable me to train other young scientists and establish myself as an independen­t researcher focusing on the role of MAIT cells and immunogene­tics in resistance to Mycobacter­ium tuberculos­is infection in individual­s with high occupation­al exposure.

‘‘Despite current protective measures, health-care workers still have a more than twofold higher risk of getting infected compared with the general population, and we need to find additional ways to protect them,” he said.

Shey will be recruiting health-care workers from TB hospitals in South Africa to participat­e in the study.

Participan­ts will be asked to provide blood and lung fluid samples that will be used in laboratory analyses of MAIT cell frequency and behaviour.

Ultimately, this work could lead to developmen­t of a new prophylact­ic tuberculos­is vaccine. Shey is currently conducting research at CIDRIAfric­a on factors contributi­ng to mortality in HIV-associated TB, and on cellular interactio­ns between antigenpre­senting cells.

He considers his research niche to lie at the interface of basic and clinical research where research findings can be translated from the laboratory to the clinic, and vice versa.

The Wellcome Trust identifies priority areas in which they can offer focused, intensive support in cases where there are real opportunit­ies to transform lives.

They also help drive reform to ensure that ideas reach their full potential.

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