Dr Thomas Tu
People_

Dr Thomas Tu

Ph.D.
Adjunct Associate Professor
Westmead Institute for Medical Research(WIMR)
Faculty of Medicine and Health(FMH)
Dr Thomas Tu

A/Prof Thomas Tu’s research is focused on the Hepatitis B virus - an incurable disease that infects 300 million people, killing 887,000 annually through liver cancer and cirrhosis. He is particularly passionate about understanding the virus as he himself lives with chronic Hepatitis B.

Given his personal understanding of what it means to experience Hepatitis B, he is committed to research that is directed towards translatable, effective, and practical outcomes to the affected community. He believes that it is not enough that research be published; it must have an impact on society.

A/Prof Tu has been involved in liver cancer and Hepatitis B virus research for his entire career starting from honours. He is now considered the world-leader in the sensitive and specific detection of Hepatitis B virus forms (down to single copies). He currently leads a research group at the Westmead Institute for Medical Research in the Storr Liver Centre (2019-present). Here, he links molecular biology expertise with cell culture models and patient samples from the adjoining Westmead Hospital to answer clinically-relevant aspects of Hepatitis B pathogenesis.

In addition to his growing list of publications, A/Prof Tu has been an investigator on multiple nationally-competitive grants (totalling >$1.5M). He has been an invited speaker at multiple international conferences and institutional symposia . He currently serves as a Review Editor for Frontiers in Microbiology, and a Guest Editor for Viruses, a high-ranking virology journal. He has also reviewed >100 manuscripts as a field expert for high-impact journals, including: Cell; Nature Communications; Gastroenterology; Hepatology; Journal of Hepatology; and Current Opinion in Virology.

He also serves as President of the Australian Centre for Hepatitis Virology, the premier society for basic viral hepatitis research in Australia. He is also the founder and director of HepBcommunity.org, an online support network for people living with HBV to connect with each another and with medical/scientific experts in the field.

Molecular mechanisms of hepatitis B virus (HBV) infection persistence and HBV DNA integration.

Host-virus evolution in chronic HBV infection and liver disease progression.

Pre-cancerous changes in liver cancer to develop novel diagnostics and prognostics.

The broader impacts of chronic hepatitis B from the perspective of the affected community

A/Prof Tu’s group pursues two major themes: understanding how chronic Hepatitis B causes cancer and defining exactly how the virus persists in the liver to drive liver disease.

Hepatitis B infection is the major cause of liver cancer worldwide. Liver cancers only become detectable decades after the initial infection. Our group aims to characterise what occurs during this long pre-cancerous phase to detect risk-factors before cancer forms, and so reduce mortality rates using early interventions.

Cancer risk can be lessened (but not eliminated) with current antiviral therapies. We have developed novel assays to sensitively detect the drug-resistant forms of the virus. We are now designing therapeutic approaches to disrupt these forms, cure an infection, and eliminate the risk of cancer progression.

  • President of Australian Centre for Hepatitis Virology (ACHV)
  • Founder and Director of HepBcommunity (HepBcommunity.org), an online support network for people living with HBV to connect with each another and with medical/scientific experts in the field (2020-Present)
  • Member of the Board of Directors for Hepatitis Australia (2020-Present)

  • Committee member of International Coalition to Eliminate HBV (ICE-HBV) Stakeholder Consulting Group (2020-Present)
  • Member of the Western Sydney Local Health District Institutional Biosafety Committee (2020-Present)
  • Consumer advocate for the Observational, Population-based Registry in Australia of Cancer of the Liver Epidemiology and Survival (HCC ORACLES) study, a national liver cancer screening program (2021-Present)
  • Invited Advisory Committee member for Gilead Science’s Virtual Medical Affairs Advisory Program (2020-Present)
  • Member of Westmead Institute of Medical Research Early and Mid-Career Researcher committee
  • Member of Westmead Institute of Medical Research Operations committee
  • Member of Westmead Institute of Medical Research Cell Culture Users committee

  • Member of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM)
  • Member of Marie Bashir Institute
  • Member of Hepatitis NSW
  • Member of Australasian Virology Society (AVS)
  • Member of Australian Centre for Hepatitis and HIV Virology (ACH2)
  • Member of German Association for the Study of the Liver (GASL)
  • Member of The Australian Society for Medical Research (ASMR)
  • Member of Sydney Triple I Clinical Academic Group
  • Member of American Society for Microbiology (ASM)
  • Member of the Gastroenterological Society of Australia (GESA)
  • 2022 NSW Young Tall Poppy Science Awardee
  • CIB– ACH2 Project Grant “Development of a diagnostic assay to measure hepatitis B virus cccDNA” 2021, AUD $88,000
  • CIB– NHMRC Ideas Grant “Inhibiting host TM6SF2 to cure Hepatitis B” (Grant: GNT2002565) 2021-2023, AUD $684,841
  • CIA– ACH2 Project Grant “‘Quantifying integrated and episomal HBV DNA in fine needle aspirate liver biopsies’” 2019, AUD $130,500
  • CIB– ACH2 Project Grant “Transcription of integrated HBV DNA as a marker of chronic HBV treatment outcome” 2018, AUD $88,000
  • Named investigator– 2016 DZIF grant TTU05.704 “Sequencing integrated Hepatitis B virus (HBV) DNA in in vitro infection models”, €49,000
  • CIA– ACH2 Project Grant “Developing a humanised mouse model for testing HBV cccDNA-targeting therapies” 2015-2016, AUD $170,000 over 1.5 years
  • CIA– Sydney Medical School, Early Career Researcher Ph.D. Supervisor Award 2015-2018, AUD $92,547 over 3 years (Granted, but declined due to Ph.D. applicant postponing her studies)
  • CIA– 2014 Young Centenary Foundation Postdoctoral Grant, AUD $5,000

  • Best Poster at German Centre for Infectious Disease Research (DZIF) Annual Meeting 2018
  • Yvonne Cossart HBV Travel Award, 2018 and 2015 Australian Centre for HIV and Hepatitis Virology Workshop
  • Young Investigator Travel Grant Award, 2018, 2017, 2016 and 2013 International Meeting for Molecular Biology of HBV
  • Centenary Institute 2015 Prize for Team Excellence (CI Gender Equity Program)
  • Sydney Catalyst travel award for Sydney Cancer Conference 2014
  • Centenary Institute 2014 Prize for Team Excellence (CI Social Committee)
  • Centenary Institute 2014 International Conference Travel Award
  • Senior author on top-scoring abstract, 2014 International Liver Cancer Association Annual Conference
  • Invited Guest Speaker Honorarium from 14th International Symposium on Viral Hepatitis and Liver Disease 2012
  • Integrated Science Young Achievement award at Australian Centre for HIV and Hepatitis Virology Workshop 2011
  • 2009, 2010 and 2011 University of Adelaide School Postgraduate Student Travel Award
  • Student Travel Grant Award, 2009 and 2010 International Meeting for Molecular Biology of HBV
Cancer, Infection and Immunological Conditions
Project titleResearch student
Targeting and Monitoring Hepatitis B Surface Antigen: The Path Towards a Chronic Hepatitis B CureHarout AJOYAN
Development of Diagnostic Assays to Measure Hepatitis B Virus Covalently Closed Circular (ccc)DNADelgerbat BOLDBAATAR
Understanding the persistence of Hepatitis B virus covalently closed circular DNAHenrik ZHANG

Publications

Book Chapters

  • Tu, T., Jilbert, A. (2017). Detection of hepatocyte clones containing integrated hepatitis B virus DNA using inverse nested PCR. In Haitao Guo and Andrea Cuconati (Eds.), Methods and Protocols: Methods and Protocols, (pp. 97-118). New York: Springer. [More Information]

Journals

  • Choi, Y., Iturriaga, M., Nekouei, O., Tu, T., Van Brussel, K., Barrs, V., Beatty, J. (2024). Domestic Cat Hepadnavirus and Pathogenic Retroviruses; A Sero-Molecular Survey of Cats in Santiago, Chile. Viruses, 16(1). [More Information]
  • Hbv, U., Allweiss, L., Cohen, C., Dias, J., Fumagalli, V., Guo, H., Harris, J., Hu, J., Iannacone, M., Isogawa, M., Tu, T., et al (2024). Highlights from the 2023 International Meeting on the Molecular Biology of Hepatitis B virus. Journal of General Virology, 105(5). [More Information]
  • Tu, T., Eslam, M., Berg, T., Chan, H., George, J., Douglas, M., Ajoyan, H., Nur Umami, R., Veeraraghavan, V., Boldbaatar, D., et al (2024). Inhibition of Cellular Factor TM6SF2 Suppresses Secretion Pathways of Hepatitis B, Hepatitis C, and Hepatitis D Viruses. The Journal of Infectious Diseases, 230(4), 970-981. [More Information]

2024

  • Choi, Y., Iturriaga, M., Nekouei, O., Tu, T., Van Brussel, K., Barrs, V., Beatty, J. (2024). Domestic Cat Hepadnavirus and Pathogenic Retroviruses; A Sero-Molecular Survey of Cats in Santiago, Chile. Viruses, 16(1). [More Information]
  • Hbv, U., Allweiss, L., Cohen, C., Dias, J., Fumagalli, V., Guo, H., Harris, J., Hu, J., Iannacone, M., Isogawa, M., Tu, T., et al (2024). Highlights from the 2023 International Meeting on the Molecular Biology of Hepatitis B virus. Journal of General Virology, 105(5). [More Information]
  • Tu, T., Eslam, M., Berg, T., Chan, H., George, J., Douglas, M., Ajoyan, H., Nur Umami, R., Veeraraghavan, V., Boldbaatar, D., et al (2024). Inhibition of Cellular Factor TM6SF2 Suppresses Secretion Pathways of Hepatitis B, Hepatitis C, and Hepatitis D Viruses. The Journal of Infectious Diseases, 230(4), 970-981. [More Information]

2023

  • Capozza, P., Carrai, M., Choi, Y., Tu, T., Nekouei, O., Lanave, G., Martella, V., Beatty, J., Barrs, V. (2023). Domestic Cat Hepadnavirus: Molecular Epidemiology and Phylogeny in Cats in Hong Kong. Viruses, 15(1). [More Information]
  • Howell, J., Feld, J., Gane, E., Lacombe, K., Lesi, O., Mohamed, R., Silva, M., Tu, T., Revill, P., Hellard, M., et al (2023). Pathway to global elimination of hepatitis B: HBV cure is just the first step. Hepatology, 78(3), 976-990. [More Information]
  • Speck, P., Mackenzie, J., Bull, R., Slobedman, B., Abendroth, A., Harman, A., Tu, T., Ashley, C., Petrone, M., Samer, C., Cunningham, A., Mahar, J., Newsome, T., Nasr, N., et al (2023). Statement in Support of: "Virology under the Microscope - a Call for Rational Discourse". mSphere, 8(3). [More Information]

2022

  • Zhang, H., Tu, T. (2022). Approaches to quantifying hepatitis B virus covalently closed circular DNA. Clinical and Molecular Hepatology, 28(2), 135-149. [More Information]
  • Biswas, S., Rust, L., Wettengel, J., Yusova, S., Fischer, M., Carson, J., Johnson, J., Wei, L., Thode, T., Kaadige, M., Tu, T., et al (2022). Long-term hepatitis B virus infection of rhesus macaques requires suppression of host immunity. Nature Communications, 13(1), 2995. [More Information]
  • Tu, T., Zehnder, B., Wettengel, J., Zhang, H., Coulter, S., Ho, V., Douglas, M., Protzer, U., George, J., Urban, S. (2022). Mitosis of hepatitis B virus-infected cells in vitro results in uninfected daughter cells. JHEP Reports, 4(9). [More Information]

2021

  • Zhang, H., Tu, T. (2021). A River From the Liver: Detecting Hepatocyte Genomic DNA in Urine. Hepatology Communications, 5(10), 1629-1631. [More Information]
  • Zehnder, B., Urban, S., Tu, T. (2021). A Sensitive and Specific PCR-based Assay to Quantify Hepatitis B Virus Covalently Closed Circular (ccc) DNA while Preserving Cellular DNA. Bio-protocol, 11(8), e3986. [More Information]
  • Tu, T., Zehnder, B., Qu, B., Urban, S. (2021). De novo synthesis of hepatitis B virus nucleocapsids is dispensable for the maintenance and transcriptional regulation of cccDNA. JHEP Reports, 3(1), 100195-1-100195-10. [More Information]

2020

  • Tu, T., Zehnder, B., Qu, B., Ni, Y., Main, N., Allweiss, L., Dandri, M., Shackel, N., George, J., Urban, S. (2020). A novel method to precisely quantify hepatitis B virus covalently closed circular (ccc)DNA formation and maintenance. Antiviral Research, 181, 104865. [More Information]
  • Tu, T., Douglas, M. (2020). Hepatitis B Virus Infection: From Diagnostics to Treatments. Viruses, 12(12), 1366. [More Information]
  • Revill, P., Tu, T., Netter, H., Yuen, L., Locarnini, S., Littlejohn, M. (2020). The evolution and clinical impact of hepatitis B virus genome diversity. Nature Reviews. Gastroenterology & Hepatology, 17(10), 618-634. [More Information]

2019

  • D'Avigdor, W., Budzinska, M., Lee, M., Lam, R., Kench, J., Stapelberg, M., McLennan, S., Farrell, G., George, J., McCaughan, G., Shackel, N., et al (2019). Virus Genotype-Dependent Transcriptional Alterations in Lipid Metabolism and Inflammation Pathways in the Hepatitis C Virus-infected Liver. Scientific Reports, 9(1), 1-12. [More Information]

2017

  • Tu, T., Jilbert, A. (2017). Detection of hepatocyte clones containing integrated hepatitis B virus DNA using inverse nested PCR. In Haitao Guo and Andrea Cuconati (Eds.), Methods and Protocols: Methods and Protocols, (pp. 97-118). New York: Springer. [More Information]

2016

  • Budzinska, M., Tu, T., D'Avigdor, W., McCaughan, G., Luciani, F., Shackel, N. (2016). Accumulation of deleterious passenger mutations is associated with the progression of hepatocellular carcinoma. PloS One, 11(9), 1-16. [More Information]

2015

  • Rahman, W., Tu, T., Budzinska, M., Huang, P., Belov, L., Chrisp, J., Christopherson, R., Warner, F., Bowden, D., Thomspon, A., Bowen, D., Strasser, S., Sharland, A., Yang, J., McCaughan, G., Shackel, N., et al (2015). Analysis of Post-Liver Transplant Hepatitis C Virus Recurrence Using Serial Cluster of differentiation Antibody Microarrays. Transplantation, 99(9), e120-e126. [More Information]
  • Tu, T., Mason, W., Clouston, A., Shackel, N., McCaughan, G., Yeh, M., Schiff, E., Ruszkiewicz, A., Chen, J., Harley, H., et al (2015). Clonal expansion of hepatocytes with a selective advantage occurs during all stages of chronic hepatitis B virus infection. Journal of Viral Hepatitis, 22(9), 737-753. [More Information]
  • Tu, T., Budzinska, M., Shackel, N., Jilbert, A. (2015). Conceptual Models for the Initiation of Hepatitis B Virus-Associated Hepatocellular Carcinoma. Liver International, 35(7), 1786-1800. [More Information]

2014

  • Cheng, R., Tu, T., Shackel, N., McCaughan, G. (2014). Advances in and the future of treatments for hepatitis C. Expert Review of Gastroenterology and Hepatology, 8(6), 633-647. [More Information]
  • Calabro, S., Maczurek, A., Morgan, A., Tu, T., Wen, V., Yee, C., Mridha, A., Lee, M., D'Avigdor, W., Locarnini, S., McCaughan, G., Warner, F., McLennan, S., Shackel, N. (2014). Hepatocyte Produced Matrix Metalloproteinases Are Regulated by CD147 in Liver Fibrogenesis. PloS One, 9(7), 1-15. [More Information]
  • Tu, T., Budzinska, M., Maczurek, A., Cheng, R., Di Bartolomeo, A., Warner, F., McCaughan, G., McLennan, S., Shackel, N. (2014). Novel aspects of the liver microenvironment in hepatocellular carcinoma pathogenesis and development. International Journal of Molecular Sciences, 15(6), 9422-9458. [More Information]

2013

  • Tu, T., Shackel, N., McCaughan, G. (2013). "Testing your methyl": DNA methylation profiling of serum DNA of HCC patients. Hepatology International, 7(3), 785-787. [More Information]

Selected Grants

2024

  • Novel curative therapies targeting cells that maintain HBVcovalently closed circular DNA, Tu T, Department of Health and Aged Care (Federal)/Australian Centre for Hepatitis and HIV Virology Research

2022

  • Investigating Treatment Engagement and Monitoring in Hep B-affected communities (ITEM-B study), Tu T, Gilead Sciences Ptd Ltd/Research Support
  • Building active surveillance systems to track hepatitis C virusepidemiology and antiviral resistance, Douglas M, Kok J, Eden J, Tu T, Cunningham A, George J, Australian Centre for HIV and Hepatitis Virology Research (ACH2)/Research Support

In the media