Research

Our lab investigates and develops solutions addressing unmet needs in gastrointestinal health particularly inflammatory bowel disease. Leveraging our work in gastroenterology, we also work to find common solutions addressing broad, challenging systemic health problems. There are two primary and overlapping emphases of our group’s research, both of which are driven and united by needs-based innovation and translational potential:

1. Deciphering the interactions between the host immune system and the regional intestinal ecosystem—including the microbiome and metabolome—with particular emphasis on how nutrition shapes these relationships.

We have identified specific microbial and diet-influenced metabolites, namely certain secondary bile acids (SBAs), that are dramatically decreased in the inflamed intestine. Our investigations also include determining the influence and interactions of pharmacologic and dietary interventions on gut microbiome/metabolomic changes and the host immune response. Our lab has conducted the largest randomized, controlled trial of a solid, non-exclusion diet in adults with Crohn’s disease with positive outcomes. We are also engaged in profiling the intestinal ecosystem under physiologic conditions using a novel sampling technology, which we believe will lead to improved biomarkers of disease and better treatment options.

2. Applying novel approaches and technologies (including developing natural language processing, large language models, and other computational tools) to address pervasive clinical challenges.

In this area, my group validates and develops technical solutions to pressing clinical needs. With multidisciplinary teams, we have led various high risk innovations addressing longstanding medical needs, ranging from AI-based systems to improve clinical efficiency to new drug delivery technologies that have shown strong potential in ongoing real-world implementation and human clinical trials.

Areas of interest

Identifying dietary interventions that can serve as personalized therapies for inflammatory bowel disease (IBD)

Secondary bile acids as modulators of intestinal inflammation

Chi EA, Chi G, Tsui CT, et al. Development and Validation of an Artificial Intelligence System to Optimize Clinician Review of Patient Records. JAMA Network Open. 2021

Optimizing the review of patient medical records to improve care and reduce burnout

Obtaining insights of the local intestinal ecosystems using a novel sampling technology

Identifying potential treatments for diseases which do not have any therapy, such as primary sclerosing cholangitis (PSC). We are currently testing statins as a potential way to treat and potentially prevent PSC

Deciphering the source causes of abdominal pain in patients with IBD, particularly pain disproportionate to disease burden

Targeting metabolism to ameliorate inflammation

Exploring novel, non-invasive biomarkers, such as in exhaled breath condensate

Determining disease mechanisms and identifying promising treatments through multi-disciplinary collaborations