2026 MMSF Research Grant Recipients

Developing a Nanopore-Based Bioinformatics Workflow for Cytomegalovirus (CMV) Detection and Antiviral Drug Resistance Assessment in Transplant Patients in Manitoba: A need for CURE
Dr. Ayooluwa Bolaji
Human cytomegalovirus (CMV) is a common virus that most people carry without ever getting sick. But for people with weakened immune systems, such as transplant patients, CMV can cause serious illness. Treating CMV in these cases often involves antiviral drugs, but the virus can sometimes develop resistance, making the treatment less effective and putting patients at risk.
Right now, testing for drug-resistant CMV strains is slow and complicated and can miss important changes (mutations) in the virus. To improve this, our project is developing a faster and more accurate way to detect drug resistance using a cutting-edge DNA sequencing technology called Oxford Nanopore.
This method quickly reads the entire CMV genome directly from patient samples and identifies changes that may affect treatment. We are also building a user-friendly computer program called CURE that can securely – without sending patient information online – easily analyze the data and provide doctors with detailed drug resistance reports. This novel tool will assist clinicians in choosing which drugs will work best, helping them make faster, more personalized treatment decisions. The goal is to improve outcomes for transplant patients in Manitoba and set a new standard for CMV testing in hospitals across Canada and beyond.

Effectiveness of a Psychological Body Armor(TM) Course in Building Resilience among Nurses in Manitoba
Dr. Kathryn Chachula
The aim of this project is to determine if an online, ten-module Psychological Body ArmorTM (PBA) course helps nurses develop resilience and post-traumatic growth, as well as decrease stress, depression and anxiety. Nurses will have the opportunity to provide feedback about the PBA course three to six months after completion to see how effectively the course helped manage stressful events.
In this before-and-after study, Registered Nurses (RNs), Registered Psychiatric Nurses (RPNs), Licensed Practical Nurses (LPNs) and Graduate Nurses (GNs) in Manitoba will be invited to complete the online course. The PBA course can be completed at the nurse’s own pace over a 12- to 16-week period. Valid and reliable survey tools are being used in the study to measure levels of depression, anxiety, stress, post-traumatic stress, resilience, and post-traumatic growth to assess scores before, immediately following, and three to six months after completing the course.
Completion of the PBA course is expected to improve resilience and post-traumatic growth scores, decrease post-traumatic stress indicators, and decrease psychological stress, anxiety and depression levels for nurses in the Manitoba workforce. Findings from a recent pilot study that enrolled 21 nursing and psychiatric nursing students from Brandon University showed very high levels of effectiveness of the PBA course among nursing students.
Nurses are exposed to high-stress and traumatic events that include patient deaths, violence and incivility. More is needed to help nurses recover from post-traumatic stress injuries and develop proactive resilience in Manitoba.

The ARCA Project: Examining Alternative Reasons for Children's Actions
Dr. Kristene Cheung
Prenatal alcohol exposure (PAE) is when a baby is exposed to alcohol before they are born. PAE can change how a baby’s brain and body grow, changing how they think and act. People with PAE may be diagnosed with Fetal Alcohol Spectrum Disorder (FASD) if they have significant difficulties with at least three different skills – thinking and reasoning, school skills or memory.
We want to learn about children with PAE and their caregivers and educators in Manitoba. Often, these children are described as having challenging behaviors, including trouble with lying, bullying and inattention. We plan to see whether these challenging behaviors change based on whether the child is a girl or a boy, whether they have another disorder, whether they have physical differences associated with FASD and other factors. We also want to see if caregiver factors, like the gender of the caregiver and the number of children in the home, affect the child’s behaviour.
We also want to learn whether challenging child behaviors are due to skill difficulties (e.g., memory, learning) that the children need help with.
What we learn from this study will help us at the Manitoba FASD Centre better support families and educators of children with PAE. This study will help us help adults to see children’s behaviors more positively.

Determining How Cytonemes Facilitate Notch Signaling in Spinal Cord Maintenance
Dr. Eric Hall
Our bodies are made of trillions of cells, which organize into tissues and organs. For tissues to form and repair themselves, cells must communicate with one another across both short- and long-range distances. This is carried out by the release, spread and uptake of essential proteins.
The disruption of intercellular communication is linked to a wide range of developmental disorders, degenerative conditions and cancers. The goal of our work is to understand the mechanisms of how proteins spread to control cell-to-cell communication. We are particularly focused on protein movement in the spinal cord and how this regulates maintenance of spinal cord health.
Using new microscopy techniques, we’ve identified that proteins can move between cells by specialized structures called cytonemes. Cytonemes are long, thread-like extensions coming off cells allowing them to directly touch distant cells, acting as a highway for protein transport.
Cytonemes function in both short- and long-distance communication between cells. We still know little about where and how cytonemes function in the body, but mutations in cytoneme genes cause diverse developmental defects. These mutations commonly impact the development and maintenance of the spine and brain. Here, using new microscopy approaches, we are uncovering how different cells within the spinal cord use cytonemes for protein spreading, and how loss of cytonemes can negatively impact spinal cord health.
By determining where and how cytonemes regulate cell-to-cell communication in spinal cord maintenance, we can use this knowledge to potentially target cytonemes to increase cellular repair following spinal cord injury.

Familial Associations in Childhood Mood and Anxiety Disorders and the Role of Poverty
Dr. Amani Hamad
One in five children in Canada lives with a mental disorder. Mood and anxiety disorders, such as depression and anxiety, are the most common. Both genetics and environmental factors, such as poverty, contribute to developing a mental disorder. Some genetic and environmental risk factors are shared within families, explaining why mental disorders run in families. In this large study, we will examine how mood and anxiety disorders are passed down by parents and how much poverty contributes to these risks.
We will use comprehensive health and social data collection in Manitoba, one of the few data collections worldwide that link children to both parents for almost the entire population. We will include all children born in Manitoba from 1995 to 2005 and link them to their parents. We will identify mood and anxiety disorder diagnoses from hospitalizations, physician visits and prescription records.
We will measure poverty by whether a family received income assistance from the provincial Employment and Income Assistance Program. We will estimate the likelihood of a child developing a mood and anxiety disorder if a parent had the disorder and assess how much of that risk is explained by poverty. We will also compare these risks between male and female children.
This research will untangle some of the complex relationships between genetic and environmental influences in childhood mood and anxiety disorders. It will identify opportunities for interventions to reduce children’s risks and improve their mental health outcomes.

School-based Pedagogies to Support Student Mental Health in Schools
Dr. Heather Krepski
Children and youth across Manitoba are facing growing mental health challenges, and schools are being asked to do more to support student well-being. This research project brings together a university-based research team, Manitoba school divisions, teachers and students to strengthen mental health support inside classrooms. The work directly benefits students and teachers while also supporting families, schools and communities across the province.
The project focuses on improving student mental health by helping teachers include well-being into everyday teaching. Instead of adding new programs or extra lessons, the research supports teachers in using practical teaching strategies that promote emotional health, resilience, positive relationships and a sense of belonging as part of regular classroom learning. Student well-being is strongly linked to academic success, long-term health, and future education and employment outcomes, making this work important for both schools and society.
The research will take place in two Manitoba school divisions, including both urban and rural communities. Special attention will be given to schools in communities experiencing higher levels of poverty, where students often face greater challenges and have fewer mental health supports.
Building on an existing pilot study, this research will continue over several years. Teachers will work alongside the research team to develop, use and reflect on teaching approaches that support student well-being. Early findings from the pilot show that teachers can successfully adapt their teaching practices and that students experience positive changes in their well-being.
Using an action research approach, the project is collaborative and evidence based. Teachers test strategies in their classrooms, reflect on what works and refine their approaches with support from the research team and student feedback. This process helps ensure that the strategies are practical, effective and sustainable.
By supporting teachers to address mental health across all subjects, this research aims to create long-term change in Manitoba schools. The result will be more classrooms where students feel supported, connected, and able to thrive—leading to stronger educational outcomes, healthier communities and reduced pressure on health and social systems.

Therapeutically Targeting TAZ and YAP in Dedifferentiated Liposarcoma
Dr. Joel Pearson
Liposarcoma is a rare cancer that starts in fat cells. There are different types of liposarcoma, but the two most common are called well-differentiated liposarcoma (WDLPS) and dedifferentiated liposarcoma (DDLPS). WDLPS usually grows slowly and is less aggressive. DDLPS grows faster and is more dangerous. Many patients with liposarcoma are first diagnosed with WDLPS, but over time their cancer can change and turn into DDLPS. Doctors do not fully understand why this change happens, and it makes the disease harder to treat.
Through our research at the University of Manitoba, we aim to learn what causes liposarcoma tumors to change and become more aggressive. Our research focuses on two proteins, called TAZ and YAP, which we believe play an important role in helping tumors change from WDLPS to DDLPS. By studying the role of these two proteins in liposarcoma, we hope to learn why some liposarcoma tumors change over time and become harder to treat.
This research is important because current treatment options for aggressive liposarcoma are limited. If TAZ and YAP are found to play an important role in making liposarcoma more aggressive, medicines that block these proteins could become new treatment options for patients with liposarcoma. Ultimately, this work could lead to new treatments that stop or slow liposarcoma tumors from changing to become more dangerous, which will help improve outcomes and quality of life for people living with liposarcoma.

Long-Term Care Admission Among Persons With and Without Dementia in Manitoba: A Cohort Study Over a 30-Year Timeframe
Dr. Samuel Quan
Imagine having a disease that affects your brain and slowly takes away everything you love. Your favourite memories slowly fade, and those who you once cared about become unrecognizable strangers. You have lost the ability to drive, read, cook and track your bank account. Your personality has changed, and any resemblance of your unique personal identity or accomplishments are lost forever.
This is dementia.
Dementia is an irreversible disease of the brain that impacts an individual’s cognition, functional ability and independence. As people with dementia live longer, they need more help from others. Planning is an important part of dementia care, and decisions about moving are important and often emotionally charged. A better understanding of the relationship between dementia and long-term care (LTC) within local communities is important to better inform people living with dementia (PLWD) and their caregivers. Research in this topic can be helpful, as our health system needs to accommodate an increasing number of older adults.
This study will examine the relationship between dementia and the need for LTC across Manitoba over the past 30 years. We will use health records gathered across the province and housed at the Manitoba Centre for Health Policy. We can examine the journeys of older adults in accessing LTC and how long older adults live in LTC. Findings learnt from this study will be used to better inform PLWD, their caregivers, healthcare workers and other organizations in Manitoba.

Extra-Diaphragmatic Respiratory Muscles’ Structure and Contractile Activity During Mechanical Ventilation and its Impact on Short- and Long-term Outcomes - PILOT STUDY
Dr. Mayson Sousa
Mechanical ventilation is a life-support intervention for patients who cannot breathe on their own. However, prolonged use can weaken not only the diaphragm (the main breathing muscle) but also other breathing muscles, potentially leading to complications during and after hospitalization. This study aims to understand how changes in these extra-diaphragmatic breathing muscles affect short-term recovery in the hospital and long-term health outcomes after discharge.
We will start with a small pilot study to make sure our research plan works well in real-life hospital settings. This will help us see if we can recruit enough patients, collect the needed information and perform the tests consistently. The pilot study will also help us check if we have the right number of participants planned for the full study.
We will enroll adult patients expected to need mechanical ventilation for at least 24 hours at St. Boniface Hospital. Throughout hospitalization, participants will undergo weekly, non-invasive assessments, including ultrasound imaging of their breathing muscles, respiratory function tests and clinical evaluations. After discharge, follow-ups within one month, six months and one year will assess their physical health, breathing ability and overall quality of life.
This research may help guide treatment strategies to prevent breathing muscle weakness and improve post-hospital recovery. Ultimately, this could lead to better rehabilitation programs, enhancing quality of life and reducing the burden of critical illness on patients, families and healthcare systems in Manitoba and beyond.

Intersubject Cross-Brain EEG Correlation Analysis to Advance Emotion Recognition
Dr. Camilo E. Valderrama
Our brain regulates our emotions and how we feel, and those feelings can be detected by looking into brain activity. One way to do this is through electroencephalography (EEG), a technique that records brain signals from the scalp. These signals can help develop AI models to process EEG signals to recognize how someone is feeling.
This capability has applications such as diagnosing mental health issues, evaluating student engagement and seeing how people respond to advertisements. However, EEG signals vary greatly between individuals, making it challenging to design models that work well for everyone. Until now, researchers have mainly addressed this issue through AI systems alone, while neuroscience techniques have been ignored.
A technique that can help in this regard is the inter-subject functional correlation (iSFC), which measures how similarly different people's brains respond to the same experience. By identifying these common brain activity patterns, iSFC can help train AI systems to recognize emotions in a more consistent and reliable way, even across people with very different brain activity. As a result, emotion recognition systems can become more accurate and widely applicable.
These systems can help manage conditions like anxiety and mood disorders, which affect around 23 per cent of Manitoba's population. As a result, in today's AI-driven society, our work aims to build practical tools that make emotional support more accessible for everyone.

Envisioning Recovery from Sexual Violence in Rural, Remote, and Northern Areas of Manitoba: A Photo Exploration
Dr. Candice Waddell-Henowitch
Violence against women is a serious problem that affects many people's health and well-being. In Canada, research shows that one in fourwomen has gone through sexual violence before the age of 24. Women who live in rural, remote, and northern areas are at even greater risk of being abused by a partner or killed because they are women. This is especially the case in Manitoba, which has some of the highest rates in the country.
This research project will explore what helps women in these areas heal and what gets in the way after experiencing sexual violence. To do this, we will use a method called photo elicitation, where participants take and talk about photos to tell their stories. The research will focus on women's real-life stories. Over two years, the project will follow four steps:
1. Talking with the community
2. Collecting photos and hearing people's stories
3. Sharing results with the community
4. Working together to make things better
We want to spread awareness and help improve the lives for survivors in rural, remote and northern Manitoba.

Mechanisms of Alveolar Epithelial Repair in Wood Smoke-induced Lung Damage
Dr. Xinhui Wu
Wildfires are increasing globally, creating physiological and behavioral effects on children’s health. Canada experienced a record-breaking wildland fire season in 2023. The Lac du Bonnet fire in May 2025 caused massive destruction of over 4,000 hectares of land and forced out nearly 1,000 people – killing two.
As a breathing organ, our lungs interact with the environment through a continuous epithelial layer (epithelium) with critical roles in gas exchange, defense against pathogens and maintaining lung homeostasis. Compared to adults, children often spend more time outdoors, breathe faster and take in more air relative to their body weight with their immature lungs. Their nasal passages filter relatively less and allow more environmental toxic factors, such as particulate matter (PM) – major fire smoke components – to penetrate deeper into their lungs.
The lung epithelium contains special cells that help maintain the barrier and repair damage after injury. Exposure to air pollutants can damage these cells, potentially impairing lung function and causing lung disease. However, limited studies have investigated the biological effects of wood smoke on the lung epithelium, and even fewer have examined alveolar epithelial repair.
In this study, we will establish a wood smoke exposure system and a 3D mini lung derived from the alveolar epithelial progenitor cells. We’ll investigate how wood smoke exposure affects alveolar epithelial cells, further understanding the molecular mechanisms and providing support for future research in novel preventive or repair approaches contributing to children’s health improvement.

Dr. Brenton Button
Exploring the impacts of extreme weather on children during the school day
Outdoor school recess is an important part of the school day. It gives children chances to be active, spend time outside and play with friends. These activities have been linked to improved health and well-being.
Due to school rules, approximately 30 per cent of recesses are modified to be indoors under certain weather conditions. During indoor recess, children have fewer chances to be active, play outside or play with friends.
This project aims to work with children to explore their thoughts and feelings of play in extreme weather and during indoor recess. Manitoba has some of the harshest winters in Canada. These findings can help change rules to give students chances to play and be active during indoor recess.

Dr. Catherine Card
Convergence of epidemics: The effects of methamphetamine use and concurrent STBBI on the immune system and HIV susceptibility
There is a merging between the methamphetamine (meth) and HIV epidemics. Since 2018, more than half of new HIV infections in Manitoba have been among people who inject drugs (PWID), with meth as the leading substance injected.
People who inject drugs are more likely to have multiple infections transmitted by sexual contact or blood products (referred to as STBBI), and women tend to be more affected than men. Meth use and STBBI can have dramatic impacts on the immune system, with each independently leading to inflammation and increased susceptibility to other infections, including HIV. However, the combined effects of meth use and STBBIs on inflammation and immune system function in PWID are unclear.
This study aims to address these gaps in knowledge by measuring inflammation, immune cell activation and immune function in blood samples from PWID who use meth. We’ll also try to determine whether STBBIs further aggravate these immune outcomes.
We’ll also test the extent to which cells from the study participants are readily infected with HIV in the lab, to see whether the immune outcomes are related to HIV susceptibility. We will explore how biological sex and gender impact these effects in PWID.
This study will reveal important information regarding the immune health of PWID. It’ll help guide approaches to engaging them in STBBI prevention and harm reduction strategies that address their needs.


Dr. Sabrina Lee
Travelling for Abortion Care: A Critical Qualitative Analysis of Experiences Accessing Therapeutic Abortion in Winnipeg
Despite Canada’s global leadership in reproductive rights, there remain significant barriers to accessing comprehensive abortion care due to inequitably distributed services, prohibitive costs due to loss of employment and travel, and lack of knowledge among providers and those seeking abortion services.
With the vast majority of abortion care involving a surgical procedure, comprehensive abortion services are concentrated in large cities along the southern border of Canada. The recent introduction of mifepristone (the gold standard in medication abortion) following Health Canada approval in 2015 and commercial availability in 2017 has transformed the Canadian abortion care landscape. This oral regimen offers the opportunity to improve the geographical inequities described in the literature when examining access to abortion services.
This qualitative study aims to provide insight into the experiences of those travelling to Winnipeg for both surgical and medical abortion care. We hypothesize that experiences of people travelling to Winnipeg for abortion care will similarly reflect logistical, emotional, and financial barriers associated with travelling for abortion care. Using Critical and Feminist lenses, we will conduct semi-structured interviews to achieve the following objectives:
- To explore the experiences of those travelling at least one hour by road or any travel-time by flight to Winnipeg for induced abortion services.
- To understand the process behind the choice of abortion method in those travelling at least one hour by road or by flight to Winnipeg for induced abortion services.
- To investigate perceptions and attitudes towards surgical and medical abortion among those travelling at least one hour by road or by flight to Winnipeg for induced abortion services.
- To provide insights into facilitators and barriers to accessing abortion services in those travelling at least one hour by road or any time by flight to Winnipeg for induced abortion, potentially identifying areas for improvement in abortion health policy and abortion service delivery.
This study will add unique insight to the young knowledge base in Canada of experiences in those needing to travel for their abortion care. Our results will have the potential to improve abortion services in rural and remote areas, improve our understanding of travel experiences for abortion care when necessary, and bolster provider knowledge in ways to better serve this particular population in the outlined circumstances.

Dr. Devin Lemmex
The impact of varying weightbearing restrictions on postoperative outcomes following arthroscopic surgery for femoroacetabular impingement: a randomized trial
Femoroacetabular impingement is a condition of the hip that primarily causes pain in young and active individuals. It is caused by irregularities in the shape of the bones that make up the hip joint, leading to tears in the cartilage. It can eventually lead to arthritis.
To treat this condition, patients often undergo lengthy periods of physiotherapy, use anti-inflammatory medication and undergo injections into the joint. However, if these are not effective, then surgery may be performed.
This type of surgery is done through small incisions, using a camera, and is minimally invasive. The available studies evaluating this type of surgery tell us that it is safe, reproducible and very effective.
Despite technological advances and modern techniques used inside the operating room, it is unclear on how patients should start their rehabilitation process afterwards. Specifically, should they be using crutches to protect the hip from weightbearing, or should they begin walking as soon as possible? This is a simple question but one that potentially can make a big difference in early recovery and comfort after surgery.
This study aims to help answer that question by comparing patients placed into two separate groups and following their post-operative outcomes. We will also be evaluating our physiotherapy techniques to determine when a patient is fit to return to sports after this type of hip surgery.

Dr. Paul Marcogliese
Discerning neuroregressive ataxia and autism in two novel knock-in mouse models.
Manitoba has a critical, unmet need to understand and treat developmental disorders, including autism spectrum disorder. We and others have identified different types of variants in the gene called IRF2BPL associated with both autism spectrum disorder and a highly severe neurological disorder that presents in children around the age of five years old called NEDAMSS.
Although variable, NEDAMSS patients have neurological regression including loss of speech, loss of developmental milestones, seizures, and movement abnormalities where they eventually become immobile in adolescence. Beyond being an important human disease gene, IRF2BPL is an interesting gene as it is enriched in the brain and mostly unstudied.
We and our collaborators have made models of IRF2BPL in fruit flies and zebrafish. However, there are no models in mice, which are needed for translating pre-clinical drug screening studies to patients. In this proposal, we have generated two patient-specific mouse lines associated with either autism or NEDAMSS. We will characterize both of these novel mouse models, determining if there are behavioural defects as well as pathology in the brain.
Moreover, we can use these two mouse lines to discern, mechanistically, why certain mutations lead to autism spectrum disorder and other mutations lead to a severe neurological disorder like NEDAMSS. Both models will deepen our understanding of neurodevelopment and neurodegeneration.
Neurodevelopmental disorders in Manitoba
Manitoba has some of the highest rates of neurodevelopmental disorders in Canada, having specific populations where novel gene variants have been identified. Moreover, autism spectrum disorder has seen an increased prevalence in Manitoba. Importantly, few if any of these neurodevelopmental disorders or autism spectrum disorders have approved therapies that can reverse or prevent them. Hence, there is a clear need for basic studies to both inform on pathogenic mechanisms and to develop pre-clinical models for therapeutic testing.

Dr. Leslie Redmond
Development of a Culturally Appropriate Gestational Diabetes Mellitus Prevention Program for Urban-dwelling Indigenous Individuals in Manitoba
This project will develop an intervention that will aim to decrease the risk of gestational diabetes mellitus, or GDM, in urban-dwelling Indigenous people in Manitoba.
GDM is a serious health condition that can put both the pregnant person and the baby at risk for complications, both during pregnancy and well into the future. Preventing GDM is especially important for Indigenous people, as prevalence is high and many other health disparities are also present.
Country foods (foods supplied by the land) and lifestyle activities have many health benefits, including the prevention of type 2 diabetes and GDM. However, country foods and lifestyle activities are less available and accessible to urban-dwelling Indigenous people in Canada, and those at risk for GDM may not be able to benefit from them.
This project will work with urban-dwelling Indigenous people and stakeholders committed to improving Indigenous health to develop a GDM risk-reduction intervention that focuses on country foods and lifestyle activities. We hope that this intervention will lead to improved personal health of urban-dwelling, pregnant Indigenous people and contribute to overall better population health through the prevention of health risks and complications in future generations.

Dr. Inna Rabinovich-Nikitin
Circadian Dependent Cardiometabolic Heart Failure
Shortness of breath (dyspnoea) is a common, debilitating symptom that affects patients with respiratory disease, but it also occurs in healthy adults during physical exertion. Females report greater levels of dyspnoea during exercise and activities of daily living than males, but it is unclear why. Most research has focused on how biological factors (such as lung size, airway size, and pulmonary function) influence the perception of dyspnoea in males and females; however, these biological factors fail to fully explain sex differences in dyspnoea. Gender, which encompasses several psychological, social and cultural factors, may better explain why females experience dyspnoea more than their male counterparts.
This study seeks to determine the impact of both sex and gender on the perception of dyspnoea in healthy males and females. To accomplish this goal, male and female participants will undergo detailed analysis of gender-related factors, pulmonary function testing, exercise testing, and a series of experimental trials designed to provoke sensations of dyspnoea. Throughout testing, the perception of dyspnoea will be evaluated using validated scales, while the ventilatory, cardiovascular and metabolic responses will be recorded using a cardiopulmonary testing system. We will determine, for the first time, how gender-related factors influence the perception of dyspnoea.
The results of this study will contribute to improving our understanding of causes of dyspnoea and how they may differ in men, women, boys, girls, and gender-diverse individuals. This work is important given that dyspnoea is an independent predictor of mortality, is remarkably common in older adults, and is difficult to treat effectively.

Dr. Ayesha Saleem
Uptake of fetal extracellular vesicles (EVs) across placental barrier
The process of cell-to-cell communication involves small bubbles of cellular material called extracellular vesicles (EVs), which are released from all cells.
Think of EVs as emails – just like an email can have text, video or audio files, EVs are versatile in the messages they can carry. EVs can hold different combinations of proteins, fatty acids and nucleic acids, and this cargo can change depending on the cell type of origin, physiological conditions, and the intended recipient cell.
Several studies have explored the mechanisms of EV synthesis and release and catalogued the variety of enclosed biochemical content.
Interestingly, EVs have been shown to cross physiological barriers, like the blood-brain barrier. If EVs can cross the (almost impenetrable) blood-brain barrier, it is likely that they can also cross the placental barrier. This makes them ideal candidates for mediating communication between fetus and mother.
This project will investigate whether EVs form the main biological communication link between mother and fetus. If fetal EVs can be detected in maternal blood/tissues, it will not only advance basic science knowledge, but also lead to the development of improved blood-based diagnostic markers that can be used to identify fetal abnormalities in a timely and safe manner. Early diagnosis may help prognosis and facilitate improved health outcomes for the unborn child.


Dr. Diana Sanchez-Ramierz
Effect of Pulmonary Telerehabilitation and Telemonitoring for patients with chronic respiratory diseases: a feasibility study.
Pulmonary rehabilitation (PR) has shown great benefits in patients with chronic respiratory diseases. Unfortunately, this intervention is frequently inaccessible to patients.
Remote rehabilitation and monitoring of patient’s vital signs (e.g., heart rate) are potentially valuable mechanisms to improve patient care and access, especially in rural areas. However, further research is needed to assess the effect and practicality of delivering PR programs using telerehabilitation and telemonitoring.
This study aims to evaluate the effects of a pulmonary telerehabilitation program that incorporates telemonitoring on patients with chronic lung diseases. It also aims to assess the feasibility of using videoconference and commercial wearable devices in patient treatment.
In this study, 24 patients with chronic obstructive pulmonary disease and/or pulmonary fibrosis will participate in a pulmonary telerehabilitation program involving group exercise and education sessions via videoconference.
Heart rate, blood oxygen level and physical activity will be monitored using a smart watch and a finger pulse oximeter connected to a smart phone or tablet. We anticipate that people will experience improvement in their health outcomes and be satisfied with receiving the intervention in the comfort of their home.
Additionally, results of this study will guide the planning and development of alternative formats for PR programs in Manitoba, which could improve access to this much-needed service, especially for patients with mobility difficulties and patients who live outside Winnipeg.

Dr. Rene Zahedi
Improved prediction of subclinical and early clinical kidney transplant rejection by a CXCL10 isoform specific mass spectrometry assay
More than 40,000 Canadians have end-stage kidney disease (ESKD). Approximately 60 per cent of these undergo dialysis. The cost of dialysis can reach $200,000 per patient per year in remote areas of Manitoba and amounts to over $2 billion per year in Canada.
Nevertheless, approximately 50 per cent of these patients typically die within four years. Kidney transplantation improves ESKD patient survival and quality of life and reduces costs. Unfortunately, one in three patients will experience transplant rejection within a year, leading to a considerably reduced survival rate.
Although early detection and early treatment can dramatically reduce the risk of rejection and death, current clinical testing fails to detect rejection early enough. Therefore, we are investigating whether a specific molecule in urine, the protein CXCL10, enables early detection of rejection and can predict outcomes.
CXCL10 urine levels are clearly higher in patients with transplant rejection, allowing not only early detection but also personalized treatment. However, predictions made based on the currently available testing method are often not accurate. A probable reason is that these tests cannot distinguish between different forms of the CXLC10 protein. Although these different forms are almost identical, they have very different effects – some of them may accelerate rejection, while others may slow it down.
We will develop a more specific test to clearly distinguish these different forms of urinary CXCL10 and thus improve its diagnostic value for transplant patients. Ultimately, this will enable more personalized patient treatment to yield better outcomes, higher survival rates and a better quality of life, while reducing costs.
The Manitoba Medical Service Foundation has been awarding research grants since 1971. The Foundation has granted millions of dollars to Manitobans for health research and education throughout the province.
To view a listing of past recipients, please reference our book, A Legacy of Advancing Health Research or previous MMSF brochures. Please note that brochures have been discontinued as of 2021.
The Manitoba Medical Service Foundation has been awarding research grants since 1971. The Foundation has granted millions of dollars to Manitobans for health research and education throughout the province.
To view a listing of past recipients, please reference our book, A Legacy of Advancing Health Research or previous MMSF brochures. Please note that brochures have been discontinued as of 2021.