Research

We adopt a convergence science framework that brings together expertise across disciplines to address complex challenges in neurodegenerative disease research. Our work integrates pathology, neuroscience, data science, bioengineering, clinical medicine, and population health to generate comprehensive insights into disease biology and patient care.

Gregory Lab Major Research Themes

  1. Early Detection and Prevention
  2. Biomarkers and Clinical Translation
  3. Digital Pathology & Pathomics
  4. Precision Medicine and Disease Stratification

1. Early Detection & Precision-Prevention

We are advancing a precision-prevention paradigm for neurodegenerative diseases, shifting the focus from late-stage diagnosis to identifying disease risk and pathology years before clinical symptoms emerge. Our work investigates early molecular and cellular changes across the life course, including peripheral tissue pathology, non-motor symptoms, and systemic disease manifestations that may precede neurological decline.

By integrating clinical pathology, biomarker discovery, and longitudinal patient data, our long-term aim is to develop screening and surveillance strategies capable of detecting disease at the earliest possible stage. This approach supports proactive intervention, risk stratification, and improved patient outcomes, aligning with a broader vision of preventive neurology comparable to advances seen in oncology screening programmes.

Ultimately, our goal is to transform neurodegenerative disease management from reactive treatment to anticipatory prevention, enabling timely interventions that preserve function, extend quality of life, and reduce disease burden across populations..

Text can be inserted here

2. Biomarkers & Clinical Translation

Our research focuses on the discovery, validation, and clinical implementation of biomarkers that enable earlier diagnosis, disease monitoring, and therapeutic decision-making in neurodegenerative disorders. We investigate molecular, cellular, and tissue-based signatures of disease using advanced histopathological, genomic, and proteomic technologies, with particular emphasis on detecting pathological protein aggregation and inflammatory processes.

A central priority of our research is translating biomarker discoveries into clinically deployable tools, including minimally invasive diagnostics, point-of-care assays, and digital health technologies. These innovations support patient stratification, clinical trial readiness, and personalised treatment pathways.

We are particularly interested in aptamer technologies, and in collaboration with others, we are developing and testing aptamers for diagnostics and therapeutics in neurodegenerative diseases.

Text can be inserted here

3. Digital Pathology & Pathomics

We are advancing the emerging field of pathomics, the quantitative and computational analysis of histopathological data to uncover novel disease mechanisms and diagnostic signatures. Our work leverages digital pathology, genomics, transcriptomics, spatial transcriptomics, artificial intelligence, and high-dimensional image analysis to transform tissue samples into rich datasets that capture morphological, molecular, and spatial information at unprecedented resolution.

By combining traditional pathology expertise with data science and machine learning, we aim to identify previously unrecognised patterns of disease progression, tissue vulnerability, and cellular resilience. These insights support the development of objective diagnostic criteria, reproducible research pipelines, and scalable tools for clinical decision-making.

By integrating -omics and pathology, we hope to uncover new insights into disease biology, serves, enabling the systematic integration of tissue-based evidence into translational and clinical research.

Text can be inserted here

4. Precision Medicine & Disease Stratification

Neurodegenerative diseases are highly heterogeneous, with substantial variability in disease onset, progression, symptoms, and treatment response. Our research seeks to understand this heterogeneity by identifying biological and clinical factors that distinguish disease subtypes and predict patient trajectories.

We integrate molecular pathology, genetics, clinical phenotyping, and computational modelling to define biologically meaningful patient groups and uncover mechanisms driving disease variability. This work enables more accurate disease-state characterisation, better targeted therapies, and improved clinical trial design by ensuring that interventions are matched to the right patients at the right time.

Through precision medicine approaches, we aim to move beyond one-size-fits-all treatment strategies toward personalised care pathways that optimise outcomes and resource allocation in healthcare systems.

Text can be inserted here

Here is a list of some of our collaborators, past and present:

Prof. Neil Shneider (Director, Eleanor and Lou Gehrig ALS Center, Columbia University)

Prof. Gian Gaetano Tartaglia (Italian Institute of Technology, Genoa)

Dr. Elsa Zacco (Italian Institute of Technology, Genoa)

Prof. Luc Dupuis (Research Director, French National Institute of Health and Medical Research (Inserm) |  University of Strasbourg)

Prof. Christine Vande Velde (Scientific Director of Packard Center for ALS Research at Johns Hopkins University | University of Montréal)

Prof. Éric Lécuyer (Director of RNA Biology Research Unit, University of Montréal)

Prof. Eran Hornstein (Chair of the Department of Molecular Neuroscience, Weizmann Institute of Science)

Dr. Marta Vallejo (Heriot-Watt University)

Prof. Angus Watson OBE (University of Aberdeen)

Prof. Sharon Abrahams (University of Edinburgh)

Prof. Pietro Fratta (University College London)

Prof. Phil Wong (Johns Hopkins University)

Dr. Jonathan Ling (Johns Hopkins University)

Dr. Hemali Phatnani (Director of the Center for Genomics of Neurodegenerative Disease (CGND) at the New York Genome Center)

Prof. Cord Langner (Medical University of Graz, Institute of Pathology)

Dr. Sergio Dall’Angelo (University of Aberdeen)

Dr. Frank Ward (University of Aberdeen)

Prof. Michael Benatar (Executive Director, The ALS Center & Vice Chair, Clinical and Translational Research, Neurology | University of Miami)

Prof. Liam Holt (New York University)

Prof. Mark Wilson (University of Wollongong)

Dr. James Longden (e-therapeutics PLC, Edinburgh)

Prof. Rickie Patani (Director of Neurobiology Programme, National University of Singapore)

Dr. Valeria Gerbino (Fondazione Santa Lucia, Rome)

Prof. Tom Maniatis (Columbia University)

Dr. Dezerae Cox (University of Wollongong)

Prof. Sir David Klenerman (University of Cambridge)

Dr. András Lakatos (University of Cambridge)

Prof. Mathew Horrocks (University of Edinburgh)