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  • Research Theme Beyond the Neuron

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    Dr Emanuele Osimo MD, PhD, MRCPsych

    (he/him/his)
    University Position
    Clinical Lecturer
    Dr Emanuele Osimo is pleased to consider applications from prospective PhD students.

    Interests

    I am Joint Lead of the Cambridge Mental Health Mission Mood Disorders Research Clinic; Deputy Lead of the Early Psychosis Workstream, Mental Health Translational Research Collaboration; Cambridge PI of the Early Psychosis Workstream, Mental Health Mission; Deputy Lead of Clinical Academic Training in Psychiatry, University of Cambridge; and an Early Psychosis Multi-arm, Multi-stage Platform Trial (PUMA) clinician. As a Clinical Lecturer in Psychiatry at the University of Cambridge, I investigate the landscape of early psychosis, schizophrenia, and mood disorders. My research focus centers on unraveling the psychiatric, immune, and cardio-metabolic dimensions of these mental illnesses. My approach combines psychiatric clinical informatics and data science. Through analysis of large datasets, I have constructed longitudinal “virtual cohorts” of psychiatric patients. These cohorts serve as powerful tools for characterising immune and metabolic markers across various stages of illness. The culmination of this work lies in the development of risk prediction models for health outcomes in psychosis. In particular, I’ve created a clinical risk prediction tool named MOZART, aimed at calculating the risk of treatment-resistant schizophrenia at the time of a first episode of psychosis. This work earned recognition, including the Schizophrenia International Research Society Early Career Award. My academic journey also includes a PhD in bioinformatics at Imperial College London, which focussed on the genetics of schizophrenia. Additionally, I have harnessed clinical research methods such as Magnetic Resonance Imaging and biomarker analysis to investigate cardiac and adipose tissue changes in schizophrenia. These investigations have led to a novel hypothesis regarding the potential etiology of cardiac alterations in this condition. Beyond research, I am deeply committed to medical education. I actively engage in teaching medical students and supervising research projects. Furthermore, I have introduced a resident doctor mentoring programme within the Cambridgeshire NHS mental health Trust. Looking ahead, my goal is to refine and validate MOZART further, leveraging larger datasets and industry collaborations. Ultimately, I aspire to integrate this valuable tool into clinical practice. As an academic clinician in psychiatry, I remain dedicated to advancing our understanding of mental illness and contributing to effective treatments.

    MOZART: a risk prediction tool for treatment resistant schizophrenia

    Commonly recorded clinical information at psychosis onset including blood markers can help predict whether a person will develop treatment resistant schizophrenia.

    Key Publications

    Predicting treatment resistance from first-episode psychosis using routinely collected clinical information.

    DOI: http://doi.org/10.1038/s44220-022-00001-z
    Journal: Nat Ment Health
    E-pub date: 19 Jan 2023
    Authors: EF Osimo, BI Perry, P Mallikarjun, M Pritchard, J Lewis, A Katunda, GK Murray, J Perez, PB Jones, RN Cardinal, OD Howes, R Upthegrove, GM Khandaker

    Adipose tissue dysfunction, inflammation, and insulin resistance: alternative pathways to cardiac remodelling in schizophrenia. A multimodal, case-control study.

    DOI: http://doi.org/10.1038/s41398-021-01741-9
    Journal: Transl Psychiatry
    E-pub date: 6 Dec 2021
    Authors: EF Osimo, M Sweeney, A de Marvao, A Berry, B Statton, BI Perry, T Pillinger, T Whitehurst, SA Cook, DP O'Regan, EL Thomas, OD Howes

    Development and external validation of the Psychosis Metabolic Risk Calculator (PsyMetRiC): a cardiometabolic risk prediction algorithm for young people with psychosis.

    DOI: http://doi.org/10.1016/S2215-0366(21)00114-0
    Journal: Lancet Psychiatry
    E-pub date: 1 Jul 2021
    Authors: BI Perry, EF Osimo, R Upthegrove, PK Mallikarjun, J Yorke, J Stochl, J Perez, S Zammit, O Howes, PB Jones, GM Khandaker

    Cardiac structure and function in schizophrenia: cardiac magnetic resonance imaging study.

    DOI: http://doi.org/10.1192/bjp.2019.268
    Journal: Br J Psychiatry
    E-pub date: 31 Aug 2020
    Authors: EF Osimo, SP Brugger, A de Marvao, T Pillinger, T Whitehurst, B Statton, M Quinlan, A Berry, SA Cook, DP O'Regan, OD Howes

    Publications

    Contribution of severe mental disorders to fatally harmful effects of physical disorders: national cohort study.

    DOI: http://doi.org/10.1192/bjp.2024.110
    Journal: Br J Psychiatry
    E-pub date: 1 Oct 2024
    Authors: T Formánek, D Krupchanka, BI Perry, K Mladá, EF Osimo, J Masopust, PB Jones, O Plana-Ripoll

    USING ELECTRONIC HEALTH RECORDS TO FACILITATE PRECISION PSYCHIATRY.

    DOI: http://doi.org/10.1016/j.biopsych.2024.02.1006
    Journal: Biol Psychiatry
    E-pub date: 1 Oct 2024
    Authors: D Oliver, M Arribas, BI Perry, D Whiting, G Blackman, K Krakowski, A Seyedsalehi, EF Osimo, SL Griffiths, D Stahl, A Cipriani, S Fazel, P Fusar-Poli, P McGuire

    Associations of 2,922 genetically predicted plasma protein levels with mental illness and response to treatment

    DOI: http://doi.org/10.21203/rs.3.rs-4313341/v1
    Journal:
    E-pub date: 1 Aug 2024
    Authors: K Zhang, B Chidiac, V Zhao, S Noordeen, V Warrier, A Butterworth, BI Perry, GK Murray, EF Osimo

    Assessing the generalisability of the psychosis metabolic risk calculator (PsyMetRiC) for young people with first-episode psychosis with validation in a Hong Kong Chinese Han population: a 4-year follow-up study.

    DOI: http://doi.org/10.1016/j.lanwpc.2024.101089
    Journal: Lancet Reg Health West Pac
    E-pub date: 1 Jun 2024
    Authors: W Tse, GM Khandaker, H Zhou, H Luo, WC Yan, MW Siu, LT Poon, EHM Lee, Q Zhang, R Upthegrove, EF Osimo, BI Perry, SKW Chan

    More must be done to reduce cardiovascular risk for patients on antipsychotic medications.

    DOI: http://doi.org/10.1097/YIC.0000000000000464
    Journal: Int Clin Psychopharmacol
    E-pub date: 1 May 2023
    Authors: EF Osimo, BI Perry, GK Murray

    Effect of polygenic risk for schizophrenia on cardiac structure and function: a UK Biobank observational study.

    DOI: http://doi.org/10.1016/S2215-0366(22)00403-5
    Journal: Lancet Psychiatry
    E-pub date: 1 Feb 2023
    Authors: T Pillinger, EF Osimo, A de Marvao, M Shah, C Francis, J Huang, E D'Ambrosio, J Firth, MM Nour, RA McCutcheon, AF Pardiñas, PM Matthews, DP O'Regan, OD Howes

    The psychosis metabolic risk calculator (PsyMetRiC) for young people with psychosis: International external validation and site-specific recalibration in two independent European samples.

    DOI: http://doi.org/10.1016/j.lanepe.2022.100493
    Journal: Lancet Reg Health Eur
    E-pub date: 1 Nov 2022
    Authors: BI Perry, F Vandenberghe, N Garrido-Torres, EF Osimo, M Piras, J Vazquez-Bourgon, R Upthegrove, C Grosu, VO-G De La Foz, PB Jones, N Laaboub, M Ruiz-Veguilla, J Stochl, C Dubath, M Canal-Rivero, P Mallikarjun, A Delacrétaz, N Ansermot, E Fernandez-Egea, S Crettol, F Gamma, KJ Plessen, P Conus, GM Khandaker, GK Murray, CB Eap, B Crespo-Facorro

    Clozapine treatment and risk of COVID-19.

    DOI: http://doi.org/10.1192/bjo.2022.537
    Journal: BJPsych Open
    E-pub date: 11 Jul 2022
    Authors: EF Osimo, J Lewis, RN Cardinal, GM Khandaker

    A cross-sectional MR study of body fat volumes and distribution in chronic schizophrenia.

    DOI: http://doi.org/10.1038/s41537-022-00233-z
    Journal: Schizophrenia (Heidelb)
    E-pub date: 18 Mar 2022
    Authors: EF Osimo, SP Brugger, EL Thomas, OD Howes

    Risk Prediction in Psychosis: Progress Made and Challenges Ahead.

    DOI: http://doi.org/10.1016/j.biopsych.2021.08.015
    Journal: Biol Psychiatry
    E-pub date: 1 Nov 2021
    Authors: BI Perry, EF Osimo, GM Khandaker

    Longitudinal association between CRP levels and risk of psychosis: a meta-analysis of population-based cohort studies.

    DOI: http://doi.org/10.1038/s41537-021-00161-4
    Journal: NPJ Schizophr
    E-pub date: 28 May 2021
    Authors: EF Osimo, L Baxter, J Stochl, BI Perry, SA Metcalf, SK Kunutsor, JA Laukkanen, MK Wium-Andersen, PB Jones, GM Khandaker

    Inflammatory and cardiometabolic markers at presentation with first episode psychosis and long-term clinical outcomes: A longitudinal study using electronic health records.

    DOI: http://doi.org/10.1016/j.bbi.2020.09.011
    Journal: Brain Behav Immun
    E-pub date: 1 Jan 2021
    Authors: EF Osimo, BI Perry, RN Cardinal, M-E Lynall, J Lewis, A Kudchadkar, GK Murray, J Perez, PB Jones, GM Khandaker

    The early impact of COVID-19 on mental health and community physical health services and their patients’ mortality in Cambridgeshire and Peterborough, UK.

    DOI: http://doi.org/10.1016/j.jpsychires.2020.09.020
    Journal: J Psychiatr Res
    E-pub date: 1 Dec 2020
    Authors: S Chen, PB Jones, BR Underwood, A Moore, ET Bullmore, S Banerjee, EF Osimo, JB Deakin, CF Hatfield, FJ Thompson, JD Artingstall, MP Slann, JR Lewis, RN Cardinal

    Inflammatory markers in depression: A meta-analysis of mean differences and variability in 5,166 patients and 5,083 controls.

    DOI: http://doi.org/10.1016/j.bbi.2020.02.010
    Journal: Brain Behav Immun
    E-pub date: 1 Jul 2020
    Authors: EF Osimo, T Pillinger, IM Rodriguez, GM Khandaker, CM Pariante, OD Howes

    Longitudinal population subgroups of CRP and risk of depression in the ALSPAC birth cohort.

    DOI: http://doi.org/10.1016/j.comppsych.2019.152143
    Journal: Compr Psychiatry
    E-pub date: 1 Jan 2020
    Authors: EF Osimo, J Stochl, S Zammit, G Lewis, PB Jones, GM Khandaker

    A Meta-analysis of Immune Parameters, Variability, and Assessment of Modal Distribution in Psychosis and Test of the Immune Subgroup Hypothesis.

    DOI: http://doi.org/10.1093/schbul/sby160
    Journal: Schizophr Bull
    E-pub date: 11 Sep 2019
    Authors: T Pillinger, EF Osimo, S Brugger, V Mondelli, RA McCutcheon, OD Howes

    Prevalence of low-grade inflammation in depression: a systematic review and meta-analysis of CRP levels.

    DOI: http://doi.org/10.1017/S0033291719001454
    Journal: Psychol Med
    E-pub date: 1 Sep 2019
    Authors: EF Osimo, LJ Baxter, G Lewis, PB Jones, GM Khandaker

    Longitudinal C-reactive protein (CRP) population sub-groups as predictors of depression: Findings from the ALSPAC birth cohort

    DOI: http://doi.org/10.1016/j.euroneuro.2018.11.286
    Journal: EUROPEAN NEUROPSYCHOPHARMACOLOGY
    E-pub date: 1 Aug 2019
    Authors: EF Osimo, J Stochl, GM Khandaker

    Cardiac structure and function in patients with schizophrenia taking antipsychotic drugs: an MRI study.

    DOI: http://doi.org/10.1038/s41398-019-0502-x
    Journal: Transl Psychiatry
    E-pub date: 7 Jun 2019
    Authors: T Pillinger, EF Osimo, A de Marvao, MA Berry, T Whitehurst, B Statton, M Quinlan, S Brugger, A Vazir, SA Cook, DP O'Regan, OD Howes

    Synaptic loss in schizophrenia: a meta-analysis and systematic review of synaptic protein and mRNA measures.

    DOI: http://doi.org/10.1038/s41380-018-0041-5
    Journal: Mol Psychiatry
    E-pub date: 1 Apr 2019
    Authors: EF Osimo, K Beck, T Reis Marques, OD Howes

    Prevalence and correlates of low-grade systemic inflammation in adult psychiatric inpatients: An electronic health record-based study.

    DOI: http://doi.org/10.1016/j.psyneuen.2018.02.031
    Journal: Psychoneuroendocrinology
    E-pub date: 1 May 2018
    Authors: EF Osimo, RN Cardinal, PB Jones, GM Khandaker