The Phenome Centre Birmingham
What is the Phenome Centre-Birmingham?
Phenome Centre-Birmingham is an £8million MRC and University of Birmingham funded facility for large-scale metabolic phenotyping in the clinical sciences. The centre is based at the University of Birmingham in the UK and operates in association with Birmingham Health Partners. The centre will open in early 2016 and will operate 11 liquid chromatography-mass spectrometry (LC-MS) instruments and 2 nuclear magnetic resonance (NMR) instruments. This number of instruments will allow us to complete greater than 30,000 assays each year. We collaborate with the first international phenome centre for metabolic profiling, the MRC-NIHR National Phenome Centre in London, which opened in 2013 and is directed by Professor Jeremy Nicholson. The objective of Phenome Centre-Birmingham is to apply metabolic profiling to large clinical studies to analyse many thousands of samples for each study. The phenotypic diversity in the human population is immense and to obtain statistically robust and valid biological conclusions we need to sample the population in a representative manner, here thousands of samples are required.
What type of studies will be applied in the Phenome Centre-Birmingham
We will analyse blood and urine samples collected from either the general population in a random approach or from a specific subset of the general population to study human diseases and ageing. Hundreds or thousands of samples will be collected. The earliest developments of applying mass spectrometry for studying large sample sets of blood was the Husermet project which collected and analysed greater than 3000 samples applying gas chromatography-mass spectrometry (GC-MS) and LC-MS and the results have been recently published. The centre will focus on projects to enhance our capabilities to perform stratified medicine.
What is the future impact of metabolomics in stratified medicine
Currently, the human population is commonly viewed as the same from a clinical point of view. For example, it is assumed we will all respond to the same treatment to cure a disease in the same way whereas different people will or will not respond to a single treatment. Stratified medicine has the approach to group (or stratify) patients in to classes of similar phenotypes, with multiple classes defining different phenotypes. For example, there may be two classes, those who respond to drug X and those who do not respond to drug X. For the latter set of patients prescribing drug X would not alleviate the symptoms and therefore drug Y may be more appropriate.
We will apply metabolic profiling to (1) stratify patients in to groups based on risk of developing a specific disease; (2) identify patients with a disease early via screening which allows early treatment and improved clinical outcomes and (3) identify which drug will provide the greatest efficacy and fewest side effects and which drugs a patient will not respond to. The outcomes of these studies will improve patient outcome and reduce costs to healthcare providers.
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