Professor Stitt was appointed to the McCauley Chair of Experimental Ophthalmology in Queen's University Belfast, in March 2001. He
is also the Director of the newly formed Centre for Vision &
Vascular Science (CVVS) which is one of the four new research centres in
the re-configured Queen's Medical School. From
a personal research perspective, he has published over 120 scientific
manuscripts in the inter-related areas of the biology of advanced
glycation, pathogenesis of diabetic retinopathy and retinal
angiogenesis. This research is supported by sustained funding from a
range of organisations such as the MRC, BBSRC, Wellcome Trust and the
JDRF. In partnership with a network of national and international
clinical and basic science collaborative partners, his programme of
research has focused on important cellular and molecular mechanisms of
retinal blood vessel dysfunction in the context of diabetes and
age-related retinal disease. A major theme in this
programme has been investigation of the role of advanced glycation
endproducts (AGEs) in diabetic retinopathy pathogenesis. In
partnership with a network of national and international collaborative
partners and using a range of complex in vitro and in vivo model
systems, Stitt's research has established that advanced glycation
has an important role in initiation and progression of diabetic
retinopathy and related disease processes in the retina. Some key
discoveries have provided proof that these AGE adducts are involved in
neuroglial and microvascular dysfunction in the diabetic retina and this
has led to development and clinical testing of several lead compounds
that have progressed to clinical trial. More recent
diabetic retinopathy research has concentrated on the pro-inflammatory
role of the receptor for AGEs (RAGE) and its importance in diabetic
retinopathy, age-related macular degeneration (AMD) and choroidal
neovascularisation (CNV). He has demonstrated that inhibition of
advanced glycation and receptor activation has potential to prevent many
of the important neurodegenerative and microvascular changes associated
with retinopathy.
A
major theme in this programme of research has been investigation of the
possibility of re-vascularising ischaemic retina thereby promoting
reversal of the stimulus for neovascularisation (proliferative diabetic
retinopathy). Using integrated model systems, this research has
described several mechanisms whereby retinal blood vessels can be
encouraged to vascularise the neural retina rather than proliferate on
the retinal surface. This is an approach that has revolutionised how we
view progressive ischaemia in diabetic retinopathy and indicates that,
counter to long-held dogma, the retina may benefit from promoting
therapeutic angiogenesis that initiates reparative processes. This
approach could effectively rescue the retina from ischaemia and the
underlying stimuli for sight-threatening pre-retinal neovascularisation
and macular oedema. Building on this approach, his current research is
seeking to harness the potential of cord and peripheral blood-derived
endothelial progenitor cells to re-vascularise the ischaemic retina. Stitt was awarded a Royal Society - Wolfson Merit Award in Dec 2010.