Rebecca Fitzgerald
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Rebecca Clare Fitzgerald (born September 1968) is a British medical researcher (born September 1968) whose work focuses on the early detection and treatment of oesophageal cancers. She is a tenured Professor of Cancer Prevention and Program Leader at the Medical Research Council Cancer Unit of the
University of Cambridge The University of Cambridge is a public collegiate research university in Cambridge, England. Founded in 1209 and granted a royal charter by Henry III in 1231, Cambridge is the world's third oldest surviving university and one of its most pr ...
. In addition to her professorship, Fitzgerald is currently the Director of Medical Studies for
Trinity College, Cambridge Trinity College is a constituent college of the University of Cambridge. Founded in 1546 by King Henry VIII, Trinity is one of the largest Cambridge colleges, with the largest financial endowment of any college at either Cambridge or Oxford. ...
, where she is also a Fellow. She is also an Honorary Consultant in Gastroenterology and General Medicine at Cambridge's
Addenbrooke's Hospital Addenbrooke's Hospital is an internationally renowned large teaching hospital and research centre in Cambridge, England, with strong affiliations to the University of Cambridge. Addenbrooke's Hospital is based on the Cambridge Biomedical Camp ...
. She is also the co-leader of the
CRUK Cancer Research UK (CRUK) is the world's largest independent cancer research organization. It is registered as a charity in the United Kingdom and Isle of Man, and was formed on 4 February 2002 by the merger of The Cancer Research Campaign and t ...
Cambridge Institute Early Detection Programme.


Education

Fitzgerald received a MA Cantab and a MB BChir in Medicine from
Girton College, Cambridge Girton College is one of the 31 constituent colleges of the University of Cambridge. The college was established in 1869 by Emily Davies and Barbara Bodichon as the first women's college in Cambridge. In 1948, it was granted full college statu ...
in 1992. In 1997, she completed an MD at Stanford University under the guidance of George Triadafilopoulos.


Career and research

Fitzgerald's postdoctoral work took place at the Department of Adult and Paediatric Gastroenterology at
St Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by Rahere (die ...
and at The Royal London School of Medicine and Dentistry, where she was supervised by
Michael Farthing Michael J. G. Farthing (born 1948) is British emeritus professor at the University of Sussex, where he was previously its vice-chancellor (2007–2016). His early academic career was in medicine, specialising in gastroenterology. Following an ...
and funded by an MRC Clinical Scientist award. After her postdoctoral positions, Fitzgerald began her own research group at the MRC Cancer Unit in
Cambridge Cambridge ( ) is a College town, university city and the county town in Cambridgeshire, England. It is located on the River Cam approximately north of London. As of the 2021 United Kingdom census, the population of Cambridge was 145,700. Cam ...
. In 2004, Fitzgerald and her group developed Cytosponge, a novel screening test for
Barrett's oesophagus Barrett's esophagus is a condition in which there is an abnormal ( metaplastic) change in the mucosal cells lining the lower portion of the esophagus, from stratified squamous epithelium to simple columnar epithelium with interspersed goblet ce ...
, a common precursor to the often deadly cancer
oesophageal adenocarcinoma Esophageal cancer is cancer arising from the esophagus—the food pipe that runs between the throat and the stomach. Symptoms often include difficulty in swallowing and weight loss. Other symptoms may include pain when swallowing, a hoarse voi ...
. Cytosponge consists of a pill-sized capsule that contains a sponge, and is attached to a string. The capsule is swallowed, which expands into a sponge in the stomach. The sponge is then pulled out by the string, collecting cells from the oesophageal wall along the way. Subsequent biological analysis of the collected cells determines whether a patient has Barrett's. Cytosponge has been praised for its minimally invasive, economical design compared to the current standard for identifying Barrett's oesophagus, the
endoscopy An endoscopy is a procedure used in medicine to look inside the body. The endoscopy procedure uses an endoscope to examine the interior of a hollow organ or cavity of the body. Unlike many other medical imaging techniques, endoscopes are inse ...
. The procedure has completed its third clinical trial, which saw it tested on 9,000 patients in the UK. The results of the BEST3 trial were published in
The Lancet ''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, ...
in summer 2020 showing that the Cytosponge-TFF3 test can identify ten times more people with Barrett's oesophagus than current GP care. Fitzgerald has contributed to the public dialogue regarding cancer research, having appeared on broadcasts for
BBC Radio 4 BBC Radio 4 is a British national radio station owned and operated by the BBC that replaced the BBC Home Service in 1967. It broadcasts a wide variety of spoken-word programmes, including news, drama, comedy, science and history from the BBC' ...
and
ABC Radio Australia ABC Radio Australia, also known as Radio Australia, is the international broadcasting and online service operated by the Australian Broadcasting Corporation (ABC), Australia's public broadcaster. Most programming is in English, with some in Tok ...
. Fitzgerald is leading a new trial in collaboration with Owlstone Medical that will be testing the company's Breath Biopsy technology for detecting cancer. Because early cancer symptoms can be quite vague, new technologies are needed to try and pin-point the signals that will lead to a diagnosis. This pilot study will capture and examine the volatile molecules found in breath in the hopes of identifying signatures of metabolites from cancer cells. The team hopes to collect samples from 1,500 individuals by 2021 and will compare signatures from people with different types of cancer to healthy individuals.


Honours and awards

In recognition of her work on Cytosponge and the early treatment of Barrett's oesophagus, Fitzgerald was awarded the Westminster Medal in 2004. In 2008, she was the recipient of a Lister Prize Fellowship, and in 2008 she received an
NHS The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
Innovation Prize. In 2013, Fitzgerald won a Research Professorship at the
National Institute for Health Research The National Institute for Health and Care Research (NIHR) is the British government’s major funder of clinical, public health, social care and translational research. With a budget of over £1.2 billion in 2020–21, its mission is to "impr ...
(NIHR) for her work. The
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
appointed Fitzgerald as its Goulstonian Lecturer. She was also awarded the British Society of Gastroenterology's Sir Francis Avery Jones Award. In 2013, Fitzgerald was elected as a Fellow of the
Academy of Medical Sciences The Academy of Medical Sciences is an organisation established in the UK in 1998. It is one of the four UK National Academies, the others being the British Academy, the Royal Academy of Engineering and the Royal Society. Its mission is to adv ...
. Fitzgerald has also won a grant from the Evelyn Trust “as she works to develop effective screening that will benefit patients worldwide.”. In 2018, Fitzgerald was awarded the Jane Wardle Prevention and Early Diagnosis prize, which recognises individuals who have produced world-leading research in the field of prevention and early detection of cancer. Fitzgerald was appointed Officer of the Order of the British Empire (OBE) in the 2022 Birthday Honours for services to cancer research.


References

{{DEFAULTSORT:Fitzgerald, Rebecca 1968 births Living people 21st-century women scientists 20th-century British medical doctors 21st-century British medical doctors British women medical doctors NIHR Research Professors Stanford University School of Medicine alumni Fellows of Trinity College, Cambridge Officers of the Order of the British Empire British gastroenterologists British oncologists