From Bench to Bedside,
One Breath at a Time.

Laser microscopy. Translational trials. Protocols that reshape how clinicians treat airway disease across three continents.

Scroll to breathe
0+

Peer-Reviewed Publications

0 continents

Clinical Impact Reach

0k+

Clinicians Trained

0%

Protocol Adoption Rate

Stage 01 — Discovery

Where every question
begins with oxygen.

Our investigators formulate hypotheses at the intersection of molecular biology and clinical observation — asking why some patients with IPF progress in months while others plateau for years, and what the mucociliary escalator reveals about early COPD onset.

Grant-Funded Hypothesis Formation

$42M in active NIH, Wellcome Trust, and CIHR grants spanning 18 active studies across ILD, bronchiectasis, and rare airway disorders.

Laser Confocal Microscopy Core

Sub-micron resolution imaging of live bronchial epithelium — capturing cilia beat frequency and mucus viscoelasticity in real time.

Multi-Site Cohort Enrollment

Longitudinal patient registries across Toronto, Amsterdam, and Melbourne with 4,200+ enrolled participants since 2018.

Researcher examining lung tissue sample under laser confocal microscope in a modern laboratory
Active Study

MucoFlow-3 Trial

Phase II — mucociliary clearance in post-COVID bronchiectasis. Enrollment: 312/400 participants.

78% enrolled

● Nature Medicine 2025
Stage 02 — Methodology

Spirometry Benchmarks

Cohort median vs. GOLD reference values

n = 1,847
FVC % Predicted
68%/ 80%
FEV₁/FVC Ratio
62%/ 70%
DLCO Adjusted
74%/ 85%
6MWT Distance
81%/ 90%
Cohort median
GOLD reference

Double-blind RCT

6 active trials

Adaptive Design

Bayesian endpoints

Rigorous design,
reproducible results.

Every protocol is engineered for clinical transferability. Adaptive Bayesian trial designs let us update interim analyses without inflating Type I error — so findings reach treating physicians faster without sacrificing statistical integrity.

CONSORT-compliant reporting for all interventional trials

Pre-registered on ClinicalTrials.gov and ISRCTN before first enrollment

Independent DSMB review at 25%, 50%, and 75% recruitment milestones

Open data-sharing under FAIR principles within 12 months of publication

Latest PublicationFebruary 2026

Cilia-driven mucus transport velocity as an early biomarker of irreversible airway remodelling in fibrotic ILD: a prospective multicentre cohort study

Background: Mucociliary transport velocity (MTV) measured by laser particle-tracking microscopy correlates with FVC decline at 12 months in patients with connective tissue disease–associated ILD (CTD-ILD), independent of baseline HRCT fibrosis score…

Okafor DI, van der Berg M, Krishnamurthy S, et al. Lancet Respiratory Medicine. 2026;14(2):e88–e101.

Stage 03 — Analysis

Data that speaks
at cellular resolution.

From HRCT texture analysis to single-cell RNA sequencing of bronchoalveolar lavage fluid — our analytical pipeline turns raw measurements into actionable clinical signals.

High-resolution CT scan of lung parenchyma showing ground-glass opacities in interstitial lung disease
HRCT Imaging Core

Quantitative lung texture analysis across 12,000+ HRCT scans

Ground-glass opacity mappingHoneycombing indexReticulation scoreTraction bronchiectasis

Serum Biomarker Panel

KL-6 / MUC1

ILD severity & progression

Elevated

SP-D

Alveolar epithelial integrity

Reduced

IL-8 / CXCL8

Neutrophilic airway inflammation

Elevated

CC-16

Clara cell secretory protein

Reduced

CYFRA 21-1

Cytokeratin 19 fragment

Elevated

YKL-40

Chitinase-like glycoprotein

Elevated

scRNA-seq Atlas

Single-cell transcriptomics of 340,000 BAL cells across 94 patients — identifying aberrant basaloid populations predictive of progressive fibrosis.

340k cells·GEO: GSE214745

ML Prognostic Models

Gradient-boosted ensemble models integrating spirometry, HRCT texture, and serum biomarkers achieve AUC 0.91 for 24-month mortality prediction in IPF.

Model AUC0.91

Global Analysis Network

Federated learning infrastructure connects 14 institutions across North America, Europe, and Oceania — training models on local data without patient transfer.

TorontoAmsterdamMelbourneBostonGeneva
Stage 04 — Translation

Findings that change
what happens Monday morning.

Research that never reaches the bedside is research half-finished. Every Breathe study is designed with an implementation pathway — from journal publication to CME module to updated institutional protocol within 18 months of primary results.

ILD Multidisciplinary Discussion Protocol

AJRCCM 2025

Standardised MDD framework integrating HRCT, BAL, and biopsy findings — reduces diagnostic discordance by 38%.

Adopted by 340 centres worldwide

Ventilator-Weaning Decision Support Algorithm

Critical Care Medicine 2024

Spontaneous breathing trial protocol with integrated diaphragm ultrasound thresholds, reducing reintubation by 22%.

Adopted by 580 ICUs worldwide

Mucociliary Clearance Enhancement Bundle

ERJ 2025

Oscillating PEP + hypertonic saline sequencing protocol for bronchiectasis — 31% reduction in exacerbation frequency.

Adopted by 210 RT depts worldwide
Pulmonologist reviewing clinical protocol documents at a hospital workstation with lung imaging on screen

"The ILD MDD protocol halved our diagnostic uncertainty rate in the first quarter of adoption."

Dr. Priya Venkataraman — Respiratory Lead, St. Vincent's Hospital Melbourne

CME Module Library

Accredited by ATS, ERS, and TSANZ

28

Modules

4.8

Avg rating

14k

Completions

Research Library

Join the conversation
already in progress.

Access our curated collection of white papers, trial summaries, and imaging atlases — used by clinicians across three continents to refine how they diagnose and treat airway disease.

14 White Papers

ILD, COPD, bronchiectasis

6 Trial Summaries

Phase II & III results

Imaging Atlas

2,400+ annotated HRCT scans

28 CME Modules

ATS/ERS accredited

Access the Research Library

Instant access · No payment required

We respect clinical privacy. No spam, no data resale. Unsubscribe anytime.