Alison Care

Alison Care

Adelaide Medical School

Faculty of Health and Medical Sciences

Eligible to supervise Masters and PhD - email supervisor to discuss availability.

Dr. Alison Care is a National Heart Foundation Future Leader Fellow in the Discipline of Obstetrics and Gynaecology, the Pregnancy and Birth Theme Leader and a Research Leader with the Robinson Research Institute, and she is head of the Vascular Immunology in Pregnancy research group.

She completed a Bachelor of Medical and Pharmaceutical Biotechnology with Honours at the University of South Australia in 2004. She subsequently completed her PhD with Professor Sarah Robertson at the University of Adelaide, where she investigated the role of the macrophage in early pregnancy success.

Dr Care subsequently moved to Edmonton in Canada for a period of 5 years. As a postdoctoral fellow at the University of Alberta, she was funded by competitive Canadian fellowships from The Heart and Stroke Foundation of Canada and Alberta Innovates Health Solutions. Dr Care developed high-level techniques and expertise in vascular function research. She began to investigate the cause of pregnancy complications and the long term health impact these complications can have for the mother and her offspring.

Dr Care was awarded a prestigious CJ Martin Postdoctoral Fellowship from the National Health and Medical Research Council of Australia. Since returning to Adelaide, she is investigates the pathophysiological mechanisms underpinning pregnancy complications, combining her expertise in both immunology and vascular physiology of pregnancy.

My Research

My research in Vascular Physiology and Immunology of pregnancy investigates maternal immune regulation of vascular adaptations during pregnancy, with a particular focus on uterine artery function and placental development; and the effects of a complicated pregnancy on the long-term cardiovascular health of offspring (Developmental Origins of Health and Disease), as well as the impact on maternal health postpartum.

We have a particular interest in the pregnancy complication preeclampsia, which affects 4 million women each year and leads to significant morbidity and mortality for the women and their infants. Women and their offspring have an increased risk of developing cardiovascular disease following a preeclamptic pregnancy.

Preeclampsia arises when the maternal cardiovascular system does not adapt appropriately to pregnancy. Our research is focused on the role of the maternal immune system in driving maternal vascular adaptations to pregnancy. We have identified a maternal immune, the regulatory T cell, that is important for vascular function in pregnancy, and we are assessing whether enhancing regulatory T cells can overcome the vascular dysfunction associated with preeclampsia, in order to treat the condition or reduce its severity. Furthermore, we are investigating whether enhancing maternal regulatory T cells can reduce the susceptibility to cardiovascular disease for offspring and postpartum mothers. 

Vascular Immunology in Pregnancy Research Group - Current Student Projects

The research projects in the Vascular Immunology in Pregnancy research group are run collaboratively with the Reproductive Immunology group, headed by Professor Sarah Robertson.

Project 1 

Title: Regulatory T cells drive vascular adaptations in early pregnancy to facilitate placental development

Supervisors: Dr. Alison Care, Prof. Sarah Robertson

Description: Preeclampsia is a complication that affects 5-8% of pregnancies worldwide, and poses a significant risk to maternal and infant health. There is currently no treatment for preeclampsia, and therefore up to 12% of infants are born small for gestational age and 20% are born preterm. As such, preeclampsia contributes to long-term health complications in offspring as well as postpartum women. The syndrome is characterised by impaired placental development, which reduces the supply of oxygen and nutrients to the fetus. The anti-inflammatory immune cell, regulatory T cells (Treg), are essential for maternal immune tolerance to the developing fetus and placenta. We have also shown that Treg cells have an integral role in driving the vascular changes that occur during a healthy pregnancy. Accumulating evidence implicates dysregulation of maternal Treg cells in abnormal placental development and the development of preeclampsia. In this project, we will use tissue from a mouse model of preeclampsia to assess placental development. We will investigate how the maternal immune cells assist in the development of the placenta, and their role in facilitating vascular changes required to enable sufficient blood flow to the fetus.

Skills learned during this project: Flow cytometry, immunohistochemistry, tissue collection, ultrasound biomicroscopy, data collection, analysis and interpretation.

Project available for: Honours and HDR

Location: Adelaide Health and Medical Sciences Building, North Terrace

Research project start: Semester 1 and 2

Project 2

Title: Regulatory T cell boosting strategies to improve outcomes in complicated pregnancies

Supervisors: Dr. Alison Care, Prof. Sarah Robertson

Description: Extensive immune adaptations are required in a healthy pregnancy. In preeclampsia, the adaptive immune response and T cell balance are disrupted, favouring a pro-inflammatory environment. Regulatory T cells (Treg) are a specialised T cell subset that suppress inflammation and prevent maternal immunity (i.e. immune rejection) towards the fetus. Tregs are key regulators of vascular function, notably in atherosclerosis and cardiovascular disease, where infusion of Tregs can reverse hypertension. Tregs are also implicated as regulators of vascular function in pregnancy. There are fewer Tregs with reduced anti-inflammatory function in the circulation, decidua and placenta of PE women and in rodent models of PE. In this study, we will determine whether bolstering Treg cell number and function may be a rational therapeutic strategy for the underlying condition of PE. This project will form the groundwork for future development of novel Treg cell-based diagnostic tests for PE.

Skills learned during this project: Flow cytometry, immunohistochemistry, tissue collection, ultrasound biomicroscopy, data collection, analysis and interpretation.

Project available for: Honours and HDR

Location: Adelaide Health and Medical Sciences Building, North Terrace

Research project start: Semester 1 and 2

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  • Appointments
    Date Position Institution name
    2019 - 2022 Heart Foundation of Australia Future Leader Fellow University of Adelaide
    2015 - 2018 NHMRC CJ Martin Fellow University of Adelaide
    2012 - 2016 Postdoctoral Research Fellow University of Alberta

  • Awards and Achievements
    Date Type Title Institution Name Country Amount
    2018 Award Newcastle Emerging Research Leader Award Society for Reproductive Biology Australia —
    2017 Award International Best Abstract Trainee Travel Award Australia/New Zealand at the Society for the Study of Reproduction Reproduction, Fertility and Development and the Society for the Study of Reproduction United States AUD $800
    2017 Nomination Nomination for the University of Alberta Award for Outstanding Mentorship in Undergraduate Research University of Alberta Canada —
    2016 Award MedStar Award for best research publication in the Faculty of Medicine and Dentistry University of Alberta Canada CAD $1000
    2014 Award Best Poster Presentation Society for Gynecologic Investigation Italy USD $100
    2014 Award Women and Children’s Health Research Institute Travel Award The University of Alberta Canada CAD $1000
    2014 Award Institute of Human Development, Child and Youth Health, Travel Award, National Competition Canadian Institutes of Health Research (CIHR) Canada CAD $1000
    2013 Award 1st Place Oral Presentation, Postdoctoral Fellow category Women and Children’s Research Institute Research Day Canada CAD $100
    2013 Award Best Poster Presentation Western Perinatal Research Meeting Canada CAD $100

  • Education
    Date Institution name Country Title
    2007 - 2012 University of Adelaide Australia Doctor of Philosophy
    2001 - 2004 University of South Australia Australia Bachelor of Medical and Pharmaceutical Biotechnology with Honours

  • Postgraduate Training
    Date Title Institution Country
    2005 - 2006 Graduate Certificate in Science and Technology Commercialisation University of Adelaide Australia

  • Research Interests
    Cardiovascular System & Hematology Immunology Maternal Health Medical and Health Sciences Cardiac, Respiratory and Vascular Health Early Origins of Health Immunology and Infection Pregnancy and Birth

Grants and Funding

2019-2022

Immune cells in preeclampsia – a target for cardiovascular disease?

CI-A Care AS

Heart Foundation Future Leader Fellowship

$520,000

2018

Vevo 3100 Ultrasound Biomicroscope for the Adelaide Biomed City Precinct

CI-A Gatford K, CI-B Care AS

Ian Potter Foundation Medical Research Grant

$200,000

2018-2019

The utility of resveratrol in improving fetal growth in complicated pregnancies

CI-A Care AS; AIs Robertson SA, Davidge ST, Moldenhauer LM, O'Leary S

Channel 7 Children's Research Foundation

$74,260

2015-2017

Inflammatory cytokines as causal agents in peri-conception programming of offspring health/ APP1079150

CI-A Robertson SA, CI-B Thompson JG, CI-C Brown H, AI Care AS

NHMRC

$585,276

2013-2017

Effects of Advanced Maternal Age on Vascular Adaptations in Pregnancy and Subsequent Maternal and Offspring Cardiovascular Health

Care AS is a co-investigator with CI-A Davidge ST.

Canadian Institutes of Health and Research (CIHR)

CAD $563,708

2015-2018

Impaired cardiovascular-immune interactions in preeclampsia                                               

CI-A Care AS

NHMRC CJ Martin Early Career Fellowship

$330,948

2013-2014

Postdoctoral Fellowship  

CI-A Care AS

Heart and Stroke Foundation Canada (HSFC)

CAD $83,000  

2013- 2014

Postdoctoral Fellowship

CI-A Care AS

Alberta Innovates Health Solutions (AIHS)

CAD $165,000

2007- 2010

Postgraduate Scholarship    

Care AS

NHMRC Dora Lush Biomedical Scholarship

$79,209

2011

Frontiers in Reproduction Scholar – 6 week training course at MLB, USA.                     

Care AS

Marine Biological Laboratory, Burroughs Wellcome Fund 

USD $6,500
             

                         

 

 

Postgraduate Teaching
2017-present Assessor, Honours Research Projects, Adelaide Medical School
2017-present Assessor, Honours Research Projects, School of Agriculture, Food and Wine
Undergraduate Teaching

Teaching Assistant, University of South Australia, Australia

Teaching and laboratory demonstrations for undergraduate 1st year Physiology 100 students.

Thesis Examination

University of Auckland (2019)

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  • Current Higher Degree by Research Supervision (University of Adelaide)
    Date Role Research Topic Program Degree Type Student Load Student Name
    2020 Co-Supervisor Immune cell regulation of vascular function in fetal and placental development Doctor of Philosophy Doctorate Full Time Miss Shanna Leah Hosking
    2019 Co-Supervisor The role of macrophages in the development of placental vasculature Doctor of Philosophy Doctorate Full Time Miss Holly Michelle Groome

  • Other Supervision Activities
    Date Role Research Topic Location Program Supervision Type Student Load Student Name
    2019 - ongoing Principal Supervisor The utility of resveratrol in expanding regulatory T cell populations to improve pregnancy outcome University of Adelaide — Honours Full Time Shanna Hosking
    2018 - ongoing Principal Supervisor The effect of regulatory T cell deficiency on fetal growth and uterine artery remodelling University of Adelaide — Honours Full Time Jacqueline Humphries
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  • Committee Memberships
    Date Role Committee Institution Country
    2019 - ongoing Member Government Affairs Committee Society for Reproductive Investigation United States
    2018 - ongoing Co-Chair In-Training Membership Committee Society for Reproductive Investigation United States
    2017 - 2018 Co-Chair Local Organising Committee Society for Reproductive Biology Australia
    2017 - ongoing Council In-Training Membership Committee Society for Reproductive Investigation United States
    2014 - 2016 Vice-President Postdoctoral Fellows Association, VP Communication University of Alberta Canada

  • Memberships
    Date Role Membership Country
    2017 - ongoing Member Healthy Development Adelaide Australia
    2012 - ongoing Member Women and Children’s Health Research Institute Canada
    2012 - ongoing Member Society for Reproductive Investigation United States
    2011 - ongoing Member Society for the Study of Reproduction United States
    2007 - ongoing Member Society for Reproductive Biology Australia

  • Editorial Boards
    Date Role Editorial Board Name Institution Country
    2019 - ongoing Board Member Journal of Developmental Origins of Health and Disease Cambridge University Press Australia
Connect With Me
External Profiles