Clinical & translational research

The Wong Laboratory (Website Currently Under Construction)

Research Program in Perianal Fistulizing Crohn's Disease

Perianal fistulas are abnormal tunnels that form between the anorectal canal and the skin, affecting approximately 20% of people with Crohn's disease. They can cause pain and persistent drainage and often fail to heal, with profound effects on physical and mental health and substantial healthcare costs. More effective treatments are urgently needed.

Our program spans clinical investigation and laboratory research, with insights from patients driving mechanistic studies in the laboratory and discoveries from the laboratory informing new approaches to patient care. We ask fundamental questions: How do perianal fistulas form? Why do they persist? And what enables them to heal? To answer these questions, we have built multidisciplinary collaborations spanning surgery, radiology, and dermatology on the clinical side, and microbiology, stem cell biology, and immunology on the scientific side. Our goal is to uncover the biological mechanisms that drive fistula formation and failed healing and translate these discoveries into new approaches to treatment.

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Research

We combine patient-facing clinical research with laboratory science to understand how inflammation begins in Crohn's disease and why perianal fistulas form, persist, and fail to heal.

01

Clinical

Patient-facing research in the multidisciplinary perianal Crohn's clinic: disease course, outcomes, imaging, quality of life, and clinical trials.

02

Translational

Tissue and biospecimen studies that connect the clinical course of perianal fistulizing Crohn's disease to what we see in patient tissue.

03

Basic Science

Laboratory work on how microbes interact with intestinal tissue and the immune system, including NOD2, MyD88, and goblet cell biology.

04

Other

Collaborative and emerging projects, consensus and education efforts, and new directions from clinic and bench.

From the clinic to the bench and back again

  1. Step 1

    Patients

    Adults with Crohn's disease and perianal fistulizing disease seen in a multidisciplinary clinic.

  2. Step 2

    Clinical phenotyping

    Disease course, imaging, examination under anesthesia, outcomes, and quality of life.

  3. Step 3

    Biospecimens

    Tissue and samples collected through translational studies.

  4. Step 4

    Microbes & cells

    Microbial communities, epithelial cells, immune cells, and stromal tissue.

  5. Step 5

    Molecular analysis

    Sequencing, spatial and transcriptomic profiling, histology, and imaging.

  6. Step 6

    Better understanding of disease

    Findings returned to classification, management, and trial design.