Peter Barnes | |
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Born | Peter John Barnes 1946 (age 77–78) Birmingham, West Midlands |
Nationality | British |
Alma mater | University of Cambridge University of Oxford Medical School |
Known for | translational research in asthma and COPD |
Awards | Founding Fellow of the Academy of Medical Sciences 1998, Fellow of the Royal Society 2007, Member of the Academia Europaea 2012 |
Scientific career | |
Fields | Respiratory scientist and clinician |
Institutions | National Heart & Lung Institute Imperial College London Royal Brompton Hospital, London |
Website | imperial |
Sir Peter John Barnes, FRCP, FCCP, FMedSci, FRS (born 29 October 1946) is a British respiratory scientist and clinician, a specialist in the mechanisms and treatment of asthma and chronic obstructive pulmonary disease (COPD). [1] He was Margaret Turner-Warwick Professor of Thoracic Medicine at the National Heart & Lung Institute, [2] previous head of respiratory medicine at Imperial College and honorary consultant physician at the Royal Brompton Hospital London. [3] He is one of the most highly cited scientists in the world. [4]
Barnes was born in Birmingham and went to school at Leamington College. He won an open scholarship to St Catharine's College, Cambridge, where he graduated with a Bachelor of Arts in natural sciences (first-class honours) in 1969. He moved to the Clinical School University of Oxford, where he was a scholar and graduated BM, BCh in 1972.
After qualifying in medicine, he undertook clinical training at the Radcliffe Infirmary Oxford, followed by posts in London at Brompton Hospital, Queen Square and UCH. In 1978 he moved to the Royal Postgraduate Medical School to undertake research in respiratory pharmacology and was awarded the degree of Doctor of Medicine(DM) from the University of Oxford. In 1981 he spent a year at the Cardiovascular Research Institute UCSF Medical Center. Returning to London, he worked as a senior registrar at Hammersmith Hospital and in 1982 was appointed consultant physician and clinical senior lecturer at RPMS. He then took up the newly created chair of clinical pharmacology at the NHLI in 1985, which was subsequently incorporated as a postgraduate institute into Imperial College and became an honorary consultant physician at Royal Brompton Hospital where he directed the National Heart and Lung Institute. [5]
In 1987 he was appointed to the established chair of thoracic medicine at NHLI and was head of respiratory medicine at Imperial College until 2017. [6]
Barnes was knighted in the 2023 Birthday Honours for services to respiratory science. [7]
His research initially focussed on adrenergic regulation of the airways, the role of endogenous catecholamines (particularly epinephrine), adrenergic receptors and the role of cholinergic neural mechanisms in asthma. He was the first to map the distribution of receptors in the lung using radioligand autoradiography. [8] His group investigated the role of neuropeptides in asthma and he proposed the axon reflex mechanism of asthma [9] Their investigation into the role of inflammatory mechanisms in asthma and the role of inflammatory mediators, lead to an understanding of how transcription factors, such as NF-κB, regulate the expression of multiple inflammatory genes in the airways and how glucocorticosteroids suppress inflammation by switching off these transcriptional mechanisms. [10] His research explored mechanisms of severe asthma and in particular steroid-resistance in asthma, identifying several molecular mechanisms. He also investigated how β2-agonists and corticosteroids interact as these are the most commonly used drug therapies for asthma. His research group has also investigated inflammatory mechanisms in COPD, using the same approaches that had been used in asthma. [11] An important achievement was to elucidate the molecular mechanism for the anti-inflammatory effects of glucocorticosteroids in asthma through the recruitment of histone deacetylase 2(HDAC2) to activated inflammatory genes, thereby reversing the histone acetylation that is involved in inflammatory gene activation. [12] His research also investigated why glucocorticosteroids are ineffective in suppressing inflammation in COPD, demonstrating that this is due to decreased activity and expression of HDAC2 [13] as a result of oxidative stress through tyrosine nitration and phosphorylation via PI3K-δ. He also showed that theophylline was able to restore HDAC2 and reverse steroid resistance in COPD by selectively inhibiting oxidant-activated PI3Kδ. [14] He also pioneered the use of non-invasive markers to monitor inflammation in the airways and particularly exhaled nitric oxide, which is increased in asthma and reduced by steroid therapy. [15] His research has had a major impact on current understanding of asthma and COPD mechanisms and how current therapies for these diseases work. This has identified several novel targets for therapy.
As a result of his research on steroid-resistance he co-founded (together with Garth Rapeport and Kazuhiro Ito) a spin-out company within Imperial College called RespiVert in 2007, [16] which has discovered novel inhaled therapies that are now in clinical development for treatment of severe asthma and COPD since the company was acquired by Johnson & Johnson in 2010. [17]
Barnes is the author of over 1,500 publications in peer-reviewed journals [18] and is one of the most highly cited scientists in the world. [19] He has edited or co-edited over 50 books on asthma, COPD and respiratory pharmacology. His Web of Science h-index is over 200 with over 150,000 citations.
He married Olivia Harvard-Watts, a psychotherapist, in 1976 and they have three sons: Adam (born 1978), Toby (born 1983) and Julian (born 1988). [20]
Alpha-1 antitrypsin deficiency is a genetic disorder that may result in lung disease or liver disease. Onset of lung problems is typically between 20 and 50 years of age. This may result in shortness of breath, wheezing, or an increased risk of lung infections. Complications may include chronic obstructive pulmonary disease (COPD), cirrhosis, neonatal jaundice, or panniculitis.
Spirometry is the most common of the pulmonary function tests (PFTs). It measures lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled. Spirometry is helpful in assessing breathing patterns that identify conditions such as asthma, pulmonary fibrosis, cystic fibrosis, and COPD. It is also helpful as part of a system of health surveillance, in which breathing patterns are measured over time.
Azithromycin, sold under the brand names Zithromax and Azasite, is an antibiotic medication used for the treatment of several bacterial infections. This includes middle ear infections, strep throat, pneumonia, traveler's diarrhea, and certain other intestinal infections. Along with other medications, it may also be used for malaria. It is administered by mouth, into a vein, or into the eye.
Anti-inflammatory or antiphlogistic is the property of a substance or treatment that reduces inflammation or swelling. Anti-inflammatory drugs, also called anti-inflammatories, make up about half of analgesics. These drugs remedy pain by reducing inflammation as opposed to opioids, which affect the central nervous system to block pain signaling to the brain.
An inhaler is a medical device used for delivering medicines into the lungs through the work of a person's breathing. This allows medicines to be delivered to and absorbed in the lungs, which provides the ability for targeted medical treatment to this specific region of the body, as well as a reduction in the side effects of oral medications. There are a wide variety of inhalers, and they are commonly used to treat numerous medical conditions with asthma and chronic obstructive pulmonary disease (COPD) being among the most notable.
Bronchoconstriction is the constriction of the airways in the lungs due to the tightening of surrounding smooth muscle, with consequent coughing, wheezing, and shortness of breath.
Acute severe asthma, also known as status asthmaticus, is an acute exacerbation of asthma that does not respond to standard treatments of bronchodilators (inhalers) and corticosteroids. Asthma is caused by multiple genes, some having protective effect, with each gene having its own tendency to be influenced by the environment although a genetic link leading to acute severe asthma is still unknown. Symptoms include chest tightness, rapidly progressive dyspnea, dry cough, use of accessory respiratory muscles, fast and/or labored breathing, and extreme wheezing. It is a life-threatening episode of airway obstruction and is considered a medical emergency. Complications include cardiac and/or respiratory arrest. The increasing prevalence of atopy and asthma remains unexplained but may be due to infection with respiratory viruses.
Bronchitis is inflammation of the bronchi in the lungs that causes coughing. Bronchitis usually begins as an infection in the nose, ears, throat, or sinuses. The infection then makes its way down to the bronchi. Symptoms include coughing up sputum, wheezing, shortness of breath, and chest pain. Bronchitis can be acute or chronic.
Obstructive lung disease is a category of respiratory disease characterized by airway obstruction. Many obstructive diseases of the lung result from narrowing (obstruction) of the smaller bronchi and larger bronchioles, often because of excessive contraction of the smooth muscle itself. It is generally characterized by inflamed and easily collapsible airways, obstruction to airflow, problems exhaling, and frequent medical clinic visits and hospitalizations. Types of obstructive lung disease include asthma, bronchiectasis, bronchitis and chronic obstructive pulmonary disease (COPD). Although COPD shares similar characteristics with all other obstructive lung diseases, such as the signs of coughing and wheezing, they are distinct conditions in terms of disease onset, frequency of symptoms, and reversibility of airway obstruction. Cystic fibrosis is also sometimes included in obstructive pulmonary disease.
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Dame Margaret Elizabeth Turner-Warwick was a British medical doctor and thoracic specialist. She was the first woman president of the Royal College of Physicians (1989–1992) and, later, chairman of the Royal Devon and Exeter Health Care NHS Trust (1992–1995).
Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by chronic respiratory symptoms and airflow limitation. GOLD 2024 defined COPD as a heterogeneous lung condition characterized by chronic respiratory symptoms due to abnormalities of the airways and/or alveoli (emphysema) that cause persistent, often progressive, airflow obstruction.
Ravi Kalhan is the director of the Asthma and COPD Program at Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital.
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Sir Stephen Townley Holgate is a British physician who specializes in immunopharmacology, respiratory medicine and allergies, and asthma and air pollution, based at the University of Southampton and University Hospital Southampton NHS Foundation Trust, UK.
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George Ian TownFRACP is a New Zealand respiratory scientist and health official. He was appointed the Chief Science Advisor to the New Zealand Ministry of Health in 2019.
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