Research groups
Websites
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MRC Translational Immunology Discovery Unit
Research Unit
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Nuffield Department of Medicine
University Department
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Oxford Sarcoidosis Service
NHS
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Respiratory TRC
NIHR
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CAMS-Oxford Centre for Translational Immunology
Centre
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NIHR Oxford BRC Respiratory Theme
NIHR
Images from our research
Group Members
Dr Jeongmin Woo
Dr Neda Hasan
Mr Chaitanya Vuppusetty (Lab manager)
Dr Praveen Weeratunga
Dr Harry Tian Hu
Dr Vishal Nathwani
Dr Sabrina Zulfikar
Dr Leila Baghaarabani
Dr Yaron Ben-Ami
Affiliates
Prof Daisy Yuejuan Zheng
Dr Andrew Achaiah
Prof Ling-Pei Ho
DPhil FRCP MD
Professor of Respiratory Immunology
- Consultant in Respiratory Medicine
- NIHR BRC Respiratory Theme Lead
- UK NIHR Respiratory-Translational Research Collaboration
Immune mechanisms in lung fibrosis
See our Spotlight video - https://youtu.be/Dj0uNQgA1Fs
My research group studies how immunological responses impact on mechanisms of lung injury, regeneration and repair. Our projects are divided into mechanistic and translational studies. We have two aims – (1) to understand the contribution of immune cells to chronic progressive lung fibrosis and alveolar regneration (2) to use this knowledge to bring new treatment and improved management to patients with fibrotic lung diseases,focusing on idiopathic pulmonary fibrosis (IPF) and fibrotic sarcoidosis.
We focus on both the lung tissue and blood in human studies, and longitudinal murine studies. In the lungs, we have developed methods (with mathematicians) to map out the spatial organisation of immune cells using mathematical tools, single cell imaging mass cytometry and single cell transcriptomics.
DPhil available
Idiopathic Pulmonary Fibrosis (IPF) is a devastating and progressive lung disease in which normal alveolar architecture is replaced by scar tissue, leading to respiratory failure and death. While much attention has been paid to the role of fibroblasts and collagen deposition, it is increasingly clear that failed regeneration of the alveolar epithelium plays a key role in disease progression. Our group recently mapped the spatial landscape of regenerating alveolar niche in IPF (Weeratunga et al., Nature Communications, 2025), revealing a population of abnormal alveolar epithelial cells that are spatially associated with a distinct group of macrophages. Single cell transcriptomic evidence suggest that they may shape epithelial response to injury and drive disease perpetuation. This DPhil project will build on these findings and test the hypothesis that immune–epithelial crosstalk between macrophages and aberrant alveolar intermediates disrupts normal repair and promotes fibrotic progression. The project will generate alveolar organoids which recapitulate features of the regenerating niche in IPF patients and use immunological assays to test the function of interacting macrophages and epithelial cells. Other advanced techniques, including CRISPR-Cas9 gene editing to perturb key ligand–receptor pathways and single-cell RNA sequencing to map cellular responses will be used as necessary.
This project is ideal for a motivated, industrious and smart student with a background in medicine, biomedical sciences, immunology or molecular/cell biology. It offers an opportunity to make a meaningful contribution to a globally important area of disease, working in a Unit at the forefront of immune-mediated diseases and lung immune-epithelial biology. Ultimately, the work could help define new therapeutic strategies for IPF—shifting focus to improving regeneration—and provide insight into how the immune system can be harnessed to restore damaged tissues.
Training Opportunities
The student will be based within the MRC Translational Immune Discovery Unit at the Weatherall Institute of Molecular Medicine, a hub for cutting-edge research in immunology and human disease. Our group is interdisciplinary and translational, with strong links to clinical practice, computational biology, and drug discovery. You will gain hands-on experience in state-of-the-art methods including flow cytometry and mass cytometry (CyTOF), and opportunities to use single-cell RNA sequencing and spatial transcriptomics, alongside molecular biology and bioinformatics tools for high-dimensional analysis. In addition to technical training, there is a strong emphasis on critical thinking, experimental design, data analysis, presentation skills, and scientific writing—ensuring you develop as an independent and well-rounded researcher.
Contact details: Ling-pei.ho@imm.ox.ac.uk
Selected publications
Temporo-spatial cellular atlas of the regenerating alveolar niche in idiopathic pulmonary fibrosis. Weeratunga P, Hunter B, Sergeant M, Bull J, Clelland C, Denney D, Vuppusetty C, Burgoyne R, Woo JM, Hu T, Borthwick L, Shaw J, Antanavicuete A, Filby A, Byrne HM, Fisher A and Ho L.P. Nature Comm 2025; https://doi.org/10.1101/2024.04.10.24305440
Single cell spatial analysis reveals inflammatory foci of immature neutrophil and CD8 T cells in COVID-19 lungs. Weeratunga P, Denney L, Bull J, Repapi E, Sergeant M, Etherington E, Vuppussetty C, Turner G, Clelland C, Woo JM, Cross A, Issa F, de Andrea CE, Bermejo IM, Sims D, McGowan S, Zurke YX, Ahern DJ, Gamez EC, Whalley J, Richards D, Klenerman P, Monaco C, Udalova IA, Dong T, Antanaviciute A, Ogg G, Knight JC, Byrne HM, Taylor S, Ho L.P. Nature Comm 2023; 14, 7216.
Type I IFN-activated lung monocytes and macrophages as initiators and drivers of fibrosis at the alveolar barrier in IPF. Nathwani V*, Weeratunga P*, Woo JM*, Denney L, Vuppusetty C, Hu T, Zulfikar S, Achaiah A, Parker H, Chuang HW , Mazurczyk M, Fedorov A, Simmons A, Clelland C, Rehwinkel R, Antanaviciute A and Ho L.P. MedRxV 2025. doi: https://doi.org/10.1101/2025.05.09.25326523
Immune mechanisms of granuloma formation in sarcoidosis and tuberculosis. Weeratunga P, Moller DR and Ho LP. J Clin Invest 2024 134 (1):e175264
COVID-19 therapeutics: Challenges and directions for the future. Robinson PC, Liew DFL, Tanner HL, Grainger JR, Dwek RA, Reisler RB, Steinman L, Feldmann M, Ho L.P., Hussell T, Moss P, Richards D, Zitzmann N. Proc Natl Acad Sci U S A. 2022;119:e2119893119.
Multi-modal characterization of monocytes in idiopathic pulmonary fibrosis reveals a primed type I interferon immune phenotype. Fraser E, Denney L, Blirando K, Vuppusetty C, Antanviciute A, Zheng Y, Repapi E, Iotchkova V, Ashley N, St Noble V, Benamore R, Hoyles R, Clelland C, Rastick JM, Hardman CS, Alham NK, Rigby RE, Rehwinkel J, Ho L.P. Frontiers Immunology 2021;12:623430.
A blood atlas of COVID-19 defines hallmarks of disease severity and specificity. COvid-19 Multi-omics Blood ATlas (COMBAT) Consortium. Cell 2022;185(5):916-938.e58.
Safety and efficacy of inhaled nebulised interferon beta-1a (SNG001) for treatment of SARS-CoV-2 infection: a randomised, double-blind, placebo-controlled, phase 2 trial. Monk P, Marsden R, Tear V, Brookes J, Batten TTN, Mankowski M, Gabbay F, Davies D, Holgate S, Ho L.P, Clark T, Djukanovic R, and Wilkinson T. Lancet Respiratory Medicine. 2020, 12;S2213
Longitudinal immune profiling reveals key myeloid signatures associated with COVID-19. Mann E, Menon M, Knight S, Konkel J, Jagger C, Shaw T, Krishnan S, Rattray M, Ustianowski A, Bakerly ND, Dark P, Lord G, Simpson A, Felton T, Ho L.P, NIHR Respiratory TRC, Feldmann M, CIRCO, Grainger J, Hussell T. Science Immunology. 2020, 5;51
Immune mechanisms in fibrotic pulmonary sarcoidosis. Weeratunga P, Moller DR, Ho L.P. Eur Respir Rev 2023; 31 (166).
Spatial transcriptomic characterization of COVID-19 pneumonitis identifies immune circuits related to tissue injury.Cross, A. R., C. E. de Andrea, M. Villalba-Esparza, M. F. Landecho, L. Cerundolo, P. Weeratunga, R. E. Etherington, L. Denney, G. Ogg, L. P. Ho, I. S. Roberts, J. Hester, P. Klenerman, I. Melero, S. N. Sansom and F. Issa (2023). J Clin Invest Insight 2023; 8(2):e157837
Increased monocyte level is a risk factor for radiological progression in patients with early fibrotic interstitial lung abnormality. A. Achaiah, P. Lyon, E. Fraser, P. Saunders, R. Hoyles, R. Benamore, Ling-Pei Ho. Eur Resp J Open Res 2022 ;8:3
M1-like monocytes are a major immunological determinant of severity in previously healthy adults with life-threatening influenza. SL Cole, J Dunning, WL Kok, KH Benam, A Benlahrech, E Repapi, F Martinez, L Drumright, TJ Powell, M Bennett, R Elderfield, MOSAIC Investigators, T Dong, J McCauley, EFY Liew, S Taylor, W Barclay, V Cerundolo, PJ Openshaw, AJ McMichael and L.P Ho. J Clin Invest Insight 2017; 6;2:e91868
Namilumab or infliximab compared with standard of care in hospitalised patients with COVID-19 (CATALYST): a randomised, multicentre, multi-arm, multistage, open-label, adaptive, phase 2, proof-of-concept trial. Fisher BA, et al. Lancet Respir Med. 2022;10(3):255-266.
Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study. PHOSP-COVID Collaborative Group. Lancet Respir Med. 2022:S2213-2600(22)00127-8.
Genetic programs expressed in resting and IL-4 alternatively activated mouse and human macrophages: similarities and differences. F Martinez, L Helming, R Mueller, A Varin, B Melgert, C Draijer, B Thomas, M Fabbri, A Crawshaw, L.P Ho, N Ten Hacken, V Jiménez, N Kootstra, J Hamann, D Greaves, M Locati, A Mantovani and S Gordon. Blood 2013; 28;121(9):e57-69.
Gene-set Analysis of Lung Samples Provides Insight into Pathogenesis of Progressive, Fibrotic Pulmonary Sarcoidosis. HE Lockstone, Sanderson S, Kulakova N, Baban D, Leonard A, Kok WL, McGowan S, McMichael AJ, Ho LP. Am J Respir Crit Care Med. 2010;181(12):1367-75.
Recent publications
Spatial fibroblast niches define Crohn's fistulae.
Journal article
McGregor C. et al, (2026), Nature, 649, 703 - 712
Author Correction: Spatial fibroblast niches define Crohn's fistulae.
Journal article
McGregor C. et al, (2025), Nature, 648
Clinical and cost-effectiveness of diverse posthospitalisation pathways for COVID-19: a UK evaluation using the PHOSP-COVID cohort.
Journal article
Briggs AH. et al, (2025), BMJ Open Respir Res, 12
Topology across scales on heterogeneous cell data.
Journal article
Torras-Pérez M. et al, (2025), PLoS Comput Biol, 21
Temporo-spatial cellular atlas of the regenerating alveolar niche in idiopathic pulmonary fibrosis.
Journal article
Weeratunga P. et al, (2025), Nat Commun, 16
Readability and complexity of written information presented to hospitalised patients for trial consent during the COVID-19 pandemic in the UK: a retrospective document analysis.
Journal article
Gourlay E. et al, (2025), BMJ Open, 15
Idiopathic pulmonary fibrosis in the UK: findings from the British Thoracic Society UK Idiopathic Pulmonary Fibrosis Registry.
Journal article
Fahim A. et al, (2025), BMJ Open Respir Res, 12
Incidence of diabetes mellitus following hospitalisation for COVID-19 in the United Kingdom: A prospective observational study.
Journal article
Tyrer F. et al, (2025), Diabetes Obes Metab, 27, 767 - 776
Plasma steroid concentrations reflect acute disease severity and normalise during recovery in people hospitalised with COVID-19.
Journal article
Devine K. et al, (2024), Clin Endocrinol (Oxf), 100, 317 - 327
Large-scale phenotyping of patients with long COVID post-hospitalization reveals mechanistic subtypes of disease.
Journal article
Liew F. et al, (2024), Nat Immunol, 25, 607 - 621
Cohort Profile: Post-Hospitalisation COVID-19 (PHOSP-COVID) study.
Journal article
Elneima O. et al, (2024), Int J Epidemiol, 53
Immune mechanisms of granuloma formation in sarcoidosis and tuberculosis.
Journal article
Weeratunga P. et al, (2024), J Clin Invest, 134
Post-acute COVID-19 neuropsychiatric symptoms are not associated with ongoing nervous system injury.
Journal article
Taquet M. et al, (2024), Brain Commun, 6
Single cell spatial analysis reveals inflammatory foci of immature neutrophil and CD8 T cells in COVID-19 lungs.
Journal article
Weeratunga P. et al, (2023), Nat Commun, 14
Long COVID research: an update from the PHOSP-COVID Scientific Summit.
Journal article
Brightling CE. et al, (2023), Lancet Respir Med, 11, e93 - e94
Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study.
Journal article
C-MORE/PHOSP-COVID Collaborative Group ., (2023), Lancet Respir Med, 11, 1003 - 1019
Implementable Deep Learning for Multi-sequence Proton MRI Lung Segmentation: A Multi-center, Multi-vendor, and Multi-disease Study.
Journal article
Astley JR. et al, (2023), J Magn Reson Imaging, 58, 1030 - 1044
Neutrophil levels correlate with quantitative extent and progression of fibrosis in IPF: results of a single-centre cohort study.
Journal article
Achaiah A. et al, (2023), BMJ Open Respir Res, 10
Acute blood biomarker profiles predict cognitive deficits 6 and 12 months after COVID-19 hospitalization.
Journal article
Taquet M. et al, (2023), Nat Med, 29, 2498 - 2508
A randomised phase 2a study to investigate the effects of blocking interleukin-33 with tozorakimab in patients hospitalised with COVID-19: ACCORD-2.
Journal article
Wilkinson T. et al, (2023), ERJ Open Res, 9
Effects of sleep disturbance on dyspnoea and impaired lung function following hospital admission due to COVID-19 in the UK: a prospective multicentre cohort study.
Journal article
Jackson C. et al, (2023), Lancet Respir Med, 11, 673 - 684
Prevalence of swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19: the PHOSP-COVID analysis.
Journal article
Dawson C. et al, (2023), BMJ Open Respir Res, 10
Determinants of recovery from post-COVID-19 dyspnoea: analysis of UK prospective cohorts of hospitalised COVID-19 patients and community-based controls.
Journal article
Zheng B. et al, (2023), Lancet Reg Health Eur, 29
Residual Lung Abnormalities after COVID-19 Hospitalization: Interim Analysis of the UKILD Post-COVID-19 Study.
Journal article
Stewart I. et al, (2023), Am J Respir Crit Care Med, 207, 693 - 703
Prevalence of physical frailty, including risk factors, up to 1 year after hospitalisation for COVID-19 in the UK: a multicentre, longitudinal cohort study.
Journal article
McAuley HJC. et al, (2023), EClinicalMedicine, 57
Correction: The effect of COVID rehabilitation for ongoing symptoms Post HOSPitalisation with COVID-19 (PHOSP-R): protocol for a randomised parallel group controlled trial on behalf of the PHOSP consortium.
Journal article
Daynes E. et al, (2023), Trials, 24
Molnupiravir versus placebo in unvaccinated and vaccinated patients with early SARS-CoV-2 infection in the UK (AGILE CST-2): a randomised, placebo-controlled, double-blind, phase 2 trial.
Journal article
Khoo SH. et al, (2023), Lancet Infect Dis, 23, 183 - 195
The effect of COVID rehabilitation for ongoing symptoms Post HOSPitalisation with COVID-19 (PHOSP-R): protocol for a randomised parallel group controlled trial on behalf of the PHOSP consortium.
Journal article
Daynes E. et al, (2023), Trials, 24
Spatial transcriptomic characterization of COVID-19 pneumonitis identifies immune circuits related to tissue injury.
Journal article
Cross AR. et al, (2023), JCI Insight, 8
SARS-CoV-2-specific nasal IgA wanes 9 months after hospitalisation with COVID-19 and is not induced by subsequent vaccination.
Journal article
Liew F. et al, (2023), EBioMedicine, 87
Cytokine Storm in Acute Viral Respiratory Injury: Role of Qing-Fei-Pai-Du Decoction in Inhibiting the Infiltration of Neutrophils and Macrophages through TAK1/IKK/NF-[Formula: see text]B Pathway.
Journal article
Ye X-L. et al, (2023), Am J Chin Med, 51, 1153 - 1188
Characteristics and risk factors for post-COVID-19 breathlessness after hospitalisation for COVID-19.
Journal article
Daines L. et al, (2023), ERJ Open Res, 9
Genetic and geographic influence on phenotypic variation in European sarcoidosis patients.
Journal article
Freitag-Wolf S. et al, (2023), Front Med (Lausanne), 10
Immune mechanisms in fibrotic pulmonary sarcoidosis.
Journal article
Weeratunga P. et al, (2022), Eur Respir Rev, 31
Neutrophil Extracellular Traps, Local IL-8 Expression, and Cytotoxic T-Lymphocyte Response in the Lungs of Patients With Fatal COVID-19.
Journal article
Melero I. et al, (2022), Chest, 162, 1006 - 1016
Constructing custom-made radiotranscriptomic signatures of vascular inflammation from routine CT angiograms: a prospective outcomes validation study in COVID-19.
Journal article
Kotanidis CP. et al, (2022), Lancet Digit Health, 4, e705 - e716
A Phase II study of neoadjuvant axitinib for reducing the extent of venous tumour thrombus in clear cell renal cell cancer with venous invasion (NAXIVA).
Journal article
Stewart GD. et al, (2022), Br J Cancer, 127, 1051 - 1060
Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study.
Journal article
PHOSP-COVID Collaborative Group ., (2022), Lancet Respir Med, 10, 761 - 775
Device-assessed sleep and physical activity in individuals recovering from a hospital admission for COVID-19: a multicentre study.
Journal article
Plekhanova T. et al, (2022), Int J Behav Nutr Phys Act, 19
ZAKα-driven ribotoxic stress response activates the human NLRP1 inflammasome.
Journal article
Robinson KS. et al, (2022), Science, 377, 328 - 335
Joint patient and clinician priority setting to identify 10 key research questions regarding the long-term sequelae of COVID-19.
Journal article
Houchen-Wolloff L. et al, (2022), Thorax, 77, 717 - 720
Increased monocyte level is a risk factor for radiological progression in patients with early fibrotic interstitial lung abnormality.
Journal article
Achaiah A. et al, (2022), ERJ Open Res, 8
Early-phase clinical trials in a pandemic: learning from the response to COVID-19.
Journal article
Horsley A. et al, (2022), Lancet Respir Med, 10, 625 - 627
Big data and long COVID.
Journal article
The Lancet Digital Health ., (2022), Lancet Digit Health, 4
Neutrophil lymphocyte ratio as an indicator for disease progression in Idiopathic Pulmonary Fibrosis.
Journal article
Achaiah A. et al, (2022), BMJ Open Respir Res, 9
Large scale clinical trials: lessons from the COVID-19 pandemic.
Journal article
Horsley AR. et al, (2022), BMJ Open Respir Res, 9
COVID-19 therapeutics: Challenges and directions for the future.
Journal article
Robinson PC. et al, (2022), Proc Natl Acad Sci U S A, 119
Divergent trajectories of antiviral memory after SARS-CoV-2 infection.
Journal article
Tomic A. et al, (2022), Nat Commun, 13
A blood atlas of COVID-19 defines hallmarks of disease severity and specificity.
Journal article
COvid-19 Multi-omics Blood ATlas (COMBAT) Consortium. Electronic address: julian.knight@well.ox.ac.uk . and COvid-19 Multi-omics Blood ATlas (COMBAT) Consortium ., (2022), Cell, 185, 916 - 938.e58
Namilumab or infliximab compared with standard of care in hospitalised patients with COVID-19 (CATALYST): a randomised, multicentre, multi-arm, multistage, open-label, adaptive, phase 2, proof-of-concept trial.
Journal article
Fisher BA. et al, (2022), Lancet Respir Med, 10, 255 - 266
An immunodominant NP105-113-B*07:02 cytotoxic T cell response controls viral replication and is associated with less severe COVID-19 disease.
Journal article
Peng Y. et al, (2022), Nat Immunol, 23, 50 - 61
Interstitial lung damage following COVID-19 hospitalisation: an interim analysis of the UKILD Post-COVID study
Preprint
Stewart I. et al, (2022)
Unbiased single cell spatial analysis localises inflammatory clusters of immature neutrophils-CD8 T cells to alveolar progenitor cells in fatal COVID-19 lungs
Preprint
COSMIC – COVID-19 Lung Single Cell Mass Cytometry Imaging Consortium STUDY . et al, (2022)
Nasal IgA wanes 9 months after hospitalisation with COVID-19 and is not induced by subsequent vaccination
Preprint
Liew F. et al, (2022)
BLOOD NEUTROPHIL LEVELS IN IPF PATIENTS ARE SIGNIFICANTLY ASSOCIATED WITH QUANTITATIVE RADIOLOGICAL PROGRESSION OF FIBROSIS
Conference paper
Achaiah A. et al, (2022), THORAX, 77, A94 - A95
Constructing custom-made radiotranscriptomic signatures from CT angiograms: an application in COVID-19 vascular inflammation
Conference paper
Kotanidis CP. et al, (2022), EUROPEAN HEART JOURNAL, 43, 198 - 198
Blood Leukocyte Levels Are Associated with Radiological Progression of Early Fibrotic ILA Within Five Years
Conference paper
Achaiah A. et al, (2022), AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 205