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CF AMR Syndicate Research into AMR
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General

Why has the Biorepository been initiated?

The UK CF infection Biorepository was launched in September 2021 to address a key challenge in CF antimicrobial discovery and development: the difficulty researchers face in accessing all the sample types they need for preclinical testing.

What is the Biorepository and which labs are in the network

The Biorepository runs as a coordinated national network of UK labs, each with existing biobank collections and capability. Laboratories in the network are distributed across the University of Belfast, University of Cambridge, University of Cardiff, University of Exeter, University of Liverpool, Imperial College London, Nottingham University Hospitals NHS Trust and Public Health Wales.

How is the Biorepository governed?

A management team governs the UK CF infection Biorepository and receives ongoing strategic advice from an independent advisory committee.

Who can access samples?

The biorepository supplies samples and runs collaborative projects with academic and industry researchers in the UK and abroad.

How is the Biorepository funded?

The Biorepository received funding for its pilot year from the CF Trust and Antabio and has secured onward funding from the CF Trust and CF Foundation.

What are your future plans for the Biorepository?

Over the course of this project, activities will focus on:

  1. increasing communication and engaging new researchers
  2. working across the network to develop standard methods and procedures
  3. identifying opportunities for new sample and data collections.

Available samples, data and capabilities

What samples/data/capability are available?
  • Non-CF and CF-reference strains and strain panels for common pathogens of the CF lung including Pseudomonas aeruginosa, Burkholderia cepacia complex and non tuberculous mycobacteria (NTM). Strain panels are associated with published data including genome sequence;
  • Bacterial and fungal strains isolated from the lungs of people with CF in the UK; P.aeruginosa, Achromobacter xylosoxidans, M.abscessus, B. Cepacia, Stenotrophomonas maltophilia, S. aureus, Streptococcus spp, Aspergillus species, Exophila, Rasomsonia. Many are genome sequenced with associated patient metadata and include recent isolates, collections from longitudinal studies and multiple isolates from single sputum samples.
  • Sputum (frozen, whole) with associated patient metadata;
  • Signposting to centres to support prospective collection of sputum;
  • Antimicrobial susceptibility testing including combination testing in different formats and models.
How are isolates and reference strains stored?

Pure isolates are typically stored long-term in tryptic soya broth with 8% DMSO or using microbeads both at -80ºC.

Frozen sputum is cut and stored frozen at -80 ºC, some spun supernatant also stored at -80 ºC is also available (most utility for investigation of inflammatory markers).

BAL spun supernatant is stored at -80 (most utility for investigation of inflammatory markers).

What ethical consent is associated with the samples?

Each biobank and collection centre in the network has in place their own ethical consent governed by local biobank ethical review committees.

What patient metadata is associated with the samples?

This depends on the sample but can include; patient characteristics, Spirometry (FEV1), medication including long-term antibiotics, sample type, clinical state and microbiological status.

Are the pathogens whole genome sequenced?

In many cases, yes.

Is there expertise across the Biorepository network to help with screening compounds and tests?

Yes, a number of centres in the network have expertise in antimicrobial susceptibility testing including combination testing in different formats and models and depending on the centre this might be available on a fee for service, or collaborative basis.

Are you able to offer guidance on the most appropriate strains and panels to use for our research?

Yes, we would be delighted to put you in touch with the relevant expertise.

Are there other sample collections that could be relevant outside the UK?

The Cystic Fibrosis Foundation has links to a number of antimicrobial tools and resources including clinical isolates from people with CF living in the US.

The Canadian Burkholderia cepacian Complex Research and Referral Laboratory also holds a number of isolates from people with CF living in Canada.

Strains from published reference panels are available from the Belgium Coordinated Collection of Microorganisms/Laboratory for Microbiology

For general antibiotic resistance isolates the AR Isolate Bank and the Public Health England National Collection of Type Cultures (NCTC), the National Collection of Pathogenic Fungi (NCPF) and the National Collection of Pathogenic Viruses (NCPV). The human microbiome project repository also makes organisms and DNA available to the community.

Processes

How do researchers access samples?

All-access requests are centrally managed by Medicines Discovery Catapult, which coordinates the UK network of participating laboratories. Requests for samples, data and capability are reviewed, approved and fulfilled by the relevant laboratory in the network with terms dependent upon the nature of the request.

I hold relevant sample collections and would be interested in joining the network. Is this possible?

Yes, please make an enquiry through the website and a member of the team will discuss with you.

I’m a person living with CF and would like to know more about the Biorepository and how I could donate samples?

If you are interested in donating your samples for research, please discuss this with your CF centre. Unfortunately, the UK CF infection Biorepository does not accept individual donations.

Is there a set of costs for samples in the Biorepository?

Standard terms or costs set for different sample/data and capability types are currently under review. Requests for samples, data and capability are reviewed, approved and fulfilled by the relevant laboratory in the network with terms dependent upon the nature of the request and specific to that institution.