Professor Tony Pickering
B.Sc., Ph.D., MB ChB (Birm), F.R.C.A.
Expertise
Exiled Geordie, Anaesthetist, Pain Management doctor, Neuroscientist, Electrophysiologist and clinical trialist. Researching pain, neuromodulation & brainstem function.
Current positions
Professor of Neuroscience and Anaesthesia
School of Physiology, Pharmacology & Neuroscience
Contact
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Biography
Tony graduated in Medicine at the University of Birmingham in 1995. After intercalating BSc in Physiology (1st class) he was awarded a Wellcome Prize studentship for a PhD (1988-1991) studying "The integrative properties of sympathetic preganglionic neurones in vitro." in the laboratory of Steve Logan. This training in cellular electrophysiology developed his longstanding interest in autonomic neuroscience and spinal cord function.
After undergraduate medical training, he chose Anaesthetics which integrated his background in Physiology/Pharmacology in clinical practice. He has pursued an academic path, initially as a clinical lecturer, subsequently as a Wellcome Trust funded research fellow for a decade and now as a research group leader.
His research group pursues integrative systems neuroscience research into pain and autonomic control territories with parallel proof of concept studies in man. They have been able to develop and deploy innovative strategies to investigate the roles of pain and autonomic homeostatic circuits with a focus on brainstem-spinal cord regulation.
He has supervised 14 PhD students to completion, obtained research grant funding from Wellcome Trust, BHF, MRC, NIHR, NIH and industry, initiated national and international collaborations whilst maintaining a clinical practice as a pain clinician and anaesthetist (at University Hospitals Bristol and Weston).
Research interests
As an anaesthetist and pain clinician I am naturally interested in sensory and autonomic neuroscience. The nervous system has evolved sophisticated means to monitor and respond to changes in both the internal and external environment and these homeostatic processes are critical for health and survival of the organism. My research group studies the central control mechanisms regulating the responses to natural stimuli.
We focus on how the sensory and autonomic systems exhibit plastic changes in pathological conditions such as in chronic pain states (control of central sensitisation) and hypertension (altered autonomic rhythmogenesis). For these conditions to persist there is a failure or limitation in the normal central neural compensatory mechanisms, many of which share overlapping circuitry within the brainstem.
The current focus of much of our work is upon central neuromodulator systems that regulate pain perception including noradrenaline and opioids. Our group uses both cellular and systems neuroscience approaches (patch clamp recording, viral vectors, optogenetics, in vivo/in situ electrophysiology and behavioural testing) along with complementary clinical investigations (clinical trials involving drug studies, quantitative sensory testing and human imaging).
The overall goal of our work is to provide a better understanding of these neural dysfunctions, which may be either primary or permissive factors in diseases, with a view to identifying novel treatment targets.
Projects and supervisions
Research projects
Targeting torpor circuits across species: towards translation
Principal Investigator
Managing organisational unit
School of Physiology, Pharmacology & NeuroscienceDates
03/10/2022 to 02/10/2025
Chilling time with synthetic torpor
Principal Investigator
Managing organisational unit
School of Physiology, Pharmacology & NeuroscienceDates
15/08/2022 to 14/08/2025
SenseCheQ: Community-based sensory testing for early identification of Chemotherapy Induced Painful Neuropathy.
Principal Investigator
Managing organisational unit
School of Physiology, Pharmacology & NeuroscienceDates
14/05/2022 to 13/04/2025
Advanced Pain Discovery Platform: Bristol costs
Principal Investigator
Managing organisational unit
School of Physiology, Pharmacology & NeuroscienceDates
01/07/2021 to 30/06/2025
TBA - Anna Sales BBSRC FTMA call
Principal Investigator
Managing organisational unit
School of Physiology, Pharmacology & NeuroscienceDates
01/08/2019 to 30/04/2020
Thesis supervisions
Glucose sensing and autonomic projections in Corticotrophin releasing neurons of the paraventricular hypothalamus
Supervisors
Theoretical, electrophysiological and optogenetic interrogation of Locus Coeruleus contributions to cognition
Supervisors
Noradrenergic modulation of hippocampal CA1 and CA3 networks
Supervisors
Mechanistic Dissection of The Attentional Modulation of Pain
Supervisors
Investigating local network interactions within the Locus Coeruleus, in the context of anatomical and functional modularity
Supervisors
Aerosols, Airways, Attitudes and the Anaesthetist
Supervisors
Life on hold
Supervisors
Opioidergic neurotransmission in the nucleus of the solitary tract brainstem circuitry
Supervisors
Publications
Selected publications
01/02/2021Parallel cortical-brainstem pathways to attentional analgesia
NeuroImage
A quantitative evaluation of aerosol generation during tracheal intubation and extubation
Anaesthesia
Loss of cortical control over the descending pain modulatory system determines the development of the neuropathic pain state in rats
eLife
Probabilistic, spinally-gated control of bladder pressure and autonomous micturition by Barrington’s nucleus CRH neurons
eLife
Early childhood general anesthesia and neurodevelopmental outcomes in the ALSPAC birth cohort
Anesthesiology
Recent publications
15/03/2024Anterior cingulate cross-hemispheric inhibition via the claustrum resolves painful sensory conflict
Communications Biology
A quantitative evaluation of aerosol generation during cardiopulmonary resuscitation
Anaesthesia
Does intermittent nutrition enterally normalise hormonal and metabolic responses to feeding in critically ill adults?
BMJ Open
Early Intravenous Beta-Blockade with Esmolol in Adults with Severe Traumatic Brain Injury
neurocritical care
Early Intravenous Beta-Blockade with Esmolol in Adults with Severe Traumatic Brain Injury (EBB-TBI)
neurocritical care
Teaching
Teaching undergraduate Neuroscientists and Medics on pain and sensory neuroscience. Also postgraduate teaching to medical trainees and leads academic foundation training program for junior doctors.