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Simon Hart

Professor
Respiratory Medicin
University of Hull
United Kingdom

Biography

 Senior Lecturer in Respiratory Medicine at Hull York Medical School and the University of Hull. Graduated from Edinburgh University and trained in respiratory and general (internal) medicine in south-east Scotland. PhD on neutrophil and macrophage biology and cell surface alterations associated with apoptosis (programmed cell death) in the MRC Centre for Inflammation Research. Awarded an MRC Clinician Scientist fellowship in 2001. Honorary Consultant in Respiratory Medicine at Castle Hill Hospital. Lead clinician for the Hull interstitial lung disease service. Participates in the acute general medicine rota at Hull Royal Infirmary. Research interests include the pathogenesis of idiopathic pulmonary fibrosis and other interstitial lung diseases, immunology of pulmonary fibrosis and sarcoidosis, and lung inflammation and repair.

Research Interest

 The respiratory research group is based in the Daisy Clinical Research and Teaching Building (2nd floor), Castle Hill Hospital We use a translational biology "bench to bedside" approach to address research questions in pulmonary fibrosis and sarcoidosis.    Idiopathic pulmonary fibrosis Idiopathic pulmonary fibrosis (IPF) is a progressive scarring disease of the lungs that affects 15,000 people in the UK. We believe that development of effective therapies in the future will depend on a better understanding of what initiates and perpetuates lung scarring.   We have discovered abnormalities of platelet function in patients with IPF. We are studying how the pulmonary vascular endothelium responds to injury and how these responses contribute to pulmonary fibrosis by promoting retention and activation of platelets in the lungs. Pulmonary fibrosis commonly complicates rheumatic diseases, and a related research theme is exploring the relationship between autoimmunity and lung inflammation and fibrosis. We are developing novel imaging techniques in pulmonary fibrosis, both in the lab (in collaboration with Hull University Dept. of chemistry) and in the clinic. We have an ongoing interest in assessing and treating symptoms in pulmonary fibrosis, particularly breathlessness and cough.   Sarcoidosis Sarcoidosis is a chronic inflammatory disease of unknown cause, characterised by hyper-activation of immune cells. Whilst some cases remit spontaneously, there is no curative treatment.   We are studying immune responses in the blood and lung tissue of patients with sarcoidosis to help understand how the disease is initiated and driven. We are particularly interested in how abnormal function of regulatory (inhibitory) receptors on blood monocytes leads to an overactive immune system in sarcoidosis.

Publications

  • Williamson JD, Sadofsky LR, Hart SP. The pathogenesis of bleomycin-induced lung injury in animals and its applicability to human idiopathic pulmonary fibrosis. Experimental lung research 2015; 41(2): 57-73.

  • Crooks MG, Hart SP. Biomarkers in idiopathic pulmonary fibrosis: picking the winners for trials. The Lancet Respiratory Medicine 2015;3:421-2

  • Johnson MJ, Simpson MIG, Currow DC, Millman RE, Hart SP, Green G. Magnetoencephalography to investigate central perception of exercise-induced breathlessness in people with chronic lung disease: a feasibility pilot. BMJ Open 2015;5:6 e007535

  • Boland JW, Reigada C, Yorke J, Hart SP, Bajwah S, Ross J, Wells A, Papadopoulos A, Currow DC, Grande G, Macleod U, Johnson MJ. The Adaptation, Face, and Content Validation of a Needs Assessment Tool: Progressive Disease for People with Interstitial Lung Disease. J Palliat Med. 2016 May;19(5):549-55

  • Trawinska MA, Rupesinghe RD, Hart SP. Patient considerations and drug selection in the treatment of idiopathic pulmonary fibrosis. Ther Clin Risk Manag. 2016 Apr 8;12:563-74

  • Williamson JD, Sadofsky LR, Crooks MG, Greenman J, Hart SP. Bleomycin increases neutrophil adhesion to human vascular endothelial cells independently of upregulation of ICAM-1 and E-selectin. Exp Lung Res. 2016;42(8-10):397-407. doi: 10.1080/01902148.2016.1243742. PubMed PMID: 27797602

  • Fraser SD, Sadofsky LR, Kaye PM, Hart SP. Reduced expression of monocyte CD200R is associated with enhanced proinflammatory cytokine production in sarcoidosis. Sci Rep. 2016 Dec 8;6:38689.

  • Hart, SP. (2017). Idiopathic Pulmonary Fibrosis. [podcast] The Lancet Respiratory Medicine: January 2017. Available at: http://www.thelancet.com/lanres/audio [Accessed 3 Jan 2017]

  • Reigada C, Papadopoulos A, Boland JW, Yorke J, Ross J, Currow DC, Hart S, Bajwah S, Grande G, Wells A, Johnson MJ. Implementation of the Needs Assessment Tool for patients with interstitial lung disease (NAT:ILD): facilitators and barriers. Thorax 2017 Feb 20. doi:10.1136

  • Hayman YA, Sadofsky LR, Williamson JD, Hart SP, Morice AH. The effects of exogenous lipid on THP-1 cells: an in vitro model of airway aspiration? ERJ Open Res. 2017 Mar 20;3(1). pii: 00026-2016. doi: 10.1183/23120541.00026-2016

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