Profile

Dr Chloe Rackham
Lecturer in Diabetes
RILD Building
University of Exeter Medical School, RILD Building, RD&E Hospital Wonford, Barrack Road, Exeter, EX2 5DW, UK
Overview
Dr Chloe Rackham graduated with a BSc (Hons) in Human Sciences from King’s College London (KCL), before completing her PhD with Dr Aileen King and Prof Peter Jones, KCL. Doctoral studies focused on strategies to improve the outcomes of islet transplantation, as a therapy for type 1 diabetes (T1D). During her PhD, Chloe was awarded the Nick Hales Young Investigator Award by Diabetes UK as recognition of her work focused on using Mesenchymal Stromal Cells (MSCs) to improve islet transplantation outcomes.
Dr Rackham was awarded the Diabetes Research and Wellness Foundation Professor David Matthews Fellowship in 2018. This research focuses on defining the mechanisms through which MSCs and their “secretome” can be used therapeutically to improve islet graft function and survival. Dr Rackham aims to define MSC-derived secretory products which mimic the therapeutic effects of MSCs to improve donor islet function and host immune responses to transplanted islets.
Dr Rackham has 14 years’ experience (2020) in the field of diabetes and islet transplantation, with a diverse range of experimental techniques applicable to studying islet/beta cell function and survival in vitro and in vivo. Dr Rackham is passionate within her mentorship of students and committed to ensuring a broad knowledge and skills set, within a supportive environment. Dr Rackham is a dedicated researcher with the long term goal of ensuring that beta cell replacement therapies can be offered to the greatest possible number of individuals living with diabetes.
Qualifications
2008 - 2012: PhD in Physiology entitled, “Strategies for improving islet transplantation outcome.” Division of Diabetes and Nutritional Sciences, King’s College London.
2003 - 2006: BSc (Hons) Human Sciences (First Class). King’s College London.
Research group links
Research
Research interests
Improving islet transplantation outcomes using Mesenchymal Stromal Cells (MSCs)
Allogeneic islet transplantation offers the possibility to treat selected patients with Type 1 Diabetes (T1D). However, limited availability of donor human islet material limits the widespread application of this therapy. Furthermore, the shortage of donor islets is exacerbated by the extensive loss of valuable islet material during pre-transplant culture and during the post-transplantation period. Dr Rackham is interested in a group of adult stem cells called Mesenchymal Stromal Cells (MSCs), as they have multiple roles to enhance islet graft function and survival. Investigating the mechanisms through which MSCs influence donor islet and host immune cells is a key area of Dr Rackham’s research interest. Dr Rackham is interested in harnessing the therapeutic potential of MSCs to improve the efficiency of clinical islet transplantation, so that it can be offered as a therapeutic option to the greatest possible number of individuals living with T1D.
Harnessing the MSC secretome to improve islet transplantation outcomes
The beneficial effects of MSCs can be largely attributed to soluble MSC-derived trophic factors that influence host immune cells to dampen down adverse immune responses. Preculturing islets with MSC-derived soluble mediators can directly affect islet cells to improve their functional quality in vitro, prior to transplantation. Dr Rackham’s research is focused on defining a “cocktail” of MSC-derived secretory products that can be used to recapitulate the beneficial effects of MSCs in transplantation protocols, and to better understand the mechanisms through which MSCs improve islet function and survival.
Optimizing islet beta cell function through MSC-mediated mitochondrial transfer
It is well established that the generation of ATP and other metabolic coupling factors by mitochondrial metabolism is essential for nutrient-induced insulin secretion, and that impaired mitochondrial function, and thus reduced OCR, results in defective insulin secretion and reduced β-cell survival. Dr Rackham is interested in the mechanisms through which MSCs improve islet mitochondrial bioenergetics and islet insulin secretory function, with her recent studies identifying MSC-mediated mitochondrial transfer as a key mechanism.
ORCID Profile: https://orcid.org/0000-0003-4314-6109
External Engagement and Impact
- Diabetes Research and Wellness Foundation – World Diabetes Day talk and discussion, virtual event, 2020
- United Through Diabetes Research Filming, Diabetes Research and Wellness Foundation, London, 100 years of Diabetes Research, Past Present and Future, participation on expert panel, 2021, https://www.drwf.org.uk/news-and-events/news/drwf-events-united-through-diabetes-virtual-event/
- JDRF Lab Visit: The patron’s club day - theme Type 1 diabetes - the journey and Exeter's strategies to help, 14th November 2022, Presentation of research, titled “MSCs as a strategy to protect beta cells” and discussion
- Diabetes UK – Inside the lab – preparation of website article about Diabetes UK-funded studentship, 2023 (https://www.diabetes.org.uk/about_us/news/inside-lab-shape-shifting-cells-and-beta-cell-transplants),
- Diabetes UK/JDRF Steven Morgan Foundation Lab tour and Discussion, March 2023
- JDRF Accelerator Programme CEO Evening Reception, 14th June 2023, Oxford and Cambridge Club, London
-May 2023 – Pint of Science, Diabetes UK sponsored event, “Diabetes, blood, sweat and new frontiers”, talk entitled “Shape-shifting Stem Cells – hope on the horizon to treat and prevent type 1 diabetes” https://pintofscience.co.uk/event/diabetes-blood-sweat-and-new-frontiers
Research projects
- Improving islet transplantation outcomes by harnessing the mesenchymal stromal cell (MSC) secretome to target the donor islet graft
- Harnessing the MSC secretome to target host immune cells, to reduce innate inflammatory reactions and adaptive T cell responses to the islet graft
- Optimizing beta cell function through MSC-mediated mitochondrial transfer
- Exploring an islet-protective role for native pancreatic mesenchymal stromal cells in health and in type 1 diabetes
Grants/Funding
2019-2022: Diabetes Research and Wellness Foundation Professor David Matthews Non-Clinical Research Fellowship awarded to Dr Chloe Rackham, “Improving islet transplantation outcomes by harnessing the mesenchymal stromal secretome to target the donor islet graft and host environment”, £194, 934
2017-2018: Society for Endocrinology, Early Career Grant awarded to Dr Chloe Rackham, “Mitochondrial transfer from Mesenchymal Stromal Cells to islets as a novel mechanism to enhance insulin secretory function”, £10,000
2019-2021: King’s Health Partners Research and Develop fund, “Using Mesenchymal Stem Cell secretory products to improve the outcomes of human islet transplantation”. Role Co-I, PI Prof Peter Jones, King’s College London (KCL), Co-Is Dr Aileen King and Dr Pratik Choudhary (KCL), £78, 999
2016-2019: Diabetes UK project grant, “Using the MSC secretome to improve the outcomes of islet transplantation”, awarded to Prof Peter Jones and Dr Chloe Rackham, £237,642.
Research grants
- 2022 Diabetes UK
Diabetes UK funded PhD studentship (Principal Investigator/Primary Supervisor), £97,869, “Harnessing the capacity of MSCs to rescue islet cells from the inflammatory demise after transplantation and during the pathogenesis of diabetes” - 2022 Juvenile Diabetes Research Foundation
JDRF Strategic Research Agreement (SRA) - Project Concepts FY23 awarded to Chloe Rackham (Principal Investigator), Sarah Richardson and Noel Morgan, 375,000 USD, Exploring an islet-protective role for native pancreatic mesenchymal stromal cells in health and in type 1 diabetes - 2021 Medical Research Council
Medical Research Council project grant awarded to Peter Jones, Chloe Rackham (Co-Investigator) and Aileen King, £351,315, “Improving beta cell function by mesenchymal stromal cells: novel mechanisms and cell-free translational potential
Publications
Key publications | Publications by category | Publications by year
Key publications
Publications by category
Journal articles
Chapters
Conferences
Publications by year
2023
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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2009
2008
Chloe_Rackham Details from cache as at 2023-10-01 05:26:31
Teaching
Supervision / Group
Postdoctoral researchers
- Rebecca Dewhurst-Trigg
- Katie Partridge
Postgraduate researchers
- Joss Atkins