Imperial College London


Faculty of MedicineSchool of Public Health

Honorary Clinical Senior Lecturer







Fulham RoadRoyal Brompton Campus





I am a Consultant Respiratory Physician at the Royal Brompton and Harefield NHS Foundation Trust and Horonary Clinical Senior Lecturer at Imperial College London.

Following completion of my medical training at Imperial College London alongside an intercalated BSc, I trained as a respiratory doctor within North West London and spent time working within the lung transplant unit at Harefield Hospital and the Host Defence Unit at the Royal Brompton hospital. It was during this time that I encountered numerous individuals with fungal lung infection and developed my academic interest to try and better understand host susceptibility to fungal infection and develop translational research strategies to improve outcome.

This interest led to a MRC clinical PhD research fellowship in 2012-2015 in the Armstrong-James laboratory at Imperial College London analysing the effects of calcineurin inhibition on the human macrophage response to Aspergillus fumigatus using a combination of high-resolution time-lapse confocal microscopy alongside an 'omics' based approach. This work was published in the American Journal of Critical Care Medicine and presented at numerous national and international presentations.

Following completion of my PhD and clinical training, I took up a Consultant position at the Royal Brompton and Harefield NHS Foundation Trust in October 2016, working in the adult Cystic Fibrosis and Host Defence departments. I have continued and expanded my academic interests and research during this time, receiving numerous research awards and funding.


  • MRC Clinical Academic Research Partnership award - 2019
  • CF Trust Venture Innovation award - 2019
  • Vertex Research Innovation award - 2018
  • Gilead Invasive Fungal Infection fellowship award - 2018
  • CF Trust Clinical Excellance and Innovation award - 2017
  • Darzi Fellowship in Clinical Leadership (Sponsor) - 2017 and 2018
  • MRC Clinical PhD Research Fellowship - 2012


Fungal Resistance Evolution and Acquisition in chronic Lung disease (FREAL) study. Primary Investigator in MRC funded multicentre prospective longitudinal study using whole genome sequencing to understand fungal resistance evolution and acquisition in chronic lung disease and validating a novel point-of-care loop-mediated isothermal amplification (LAMP)-based detection assay of Aspergillus fumigatus resistance. Collaborators - Professor Matthew Fisher, Dr Pantelis Georgiou, Dr Darius Armstrong-James, Imperial College London and Professor James Chalmers, University Of Dundee.

TrIFIC: Targeting Immunotherapy for Fungal Infections in Cystic Fibrosis. Co-Investigator in CF Trust Strategic Research Centre grant to immunophenotype fungal disease in Cystic Fibrosis and assess targeted immunotherapeutics to improve outcome in CF fungal disease.

Using an iPSC-derived macrophage model of Aspergillus fumigatus infection to determine CFTR-dependent effects on fungal killing. Primary investigator in collaborative research programme developing iPSC-derived macrophage models of pulmonary fungal infection.

Use of minimally supervised machine learning to analyse computed tomography imaging of chronic pulmonary fungal disease. Co-Investigator with Dr Elsa Angelini, Imperial College London.

Tablet and web-based audiometry as screening tools to detect hearing loss in adults with Cystic Fibrosis. Lead investigator in prospective multicentre cross-sectional study. Academic Collaborators - Dr Lorenzo Picinali, Dr Melody Zhifang Ni, Dr Deborah Morris-Rosendahl, Imperial College London.

  • Human macrophage phagocytosing Aspergillus fumigatus conidia
  • Metaforosis of Aspergillus fumigatus between human macrophages within actin polymerase (VASP) tunnel.
  • Coronal CT image of patient with chronic pulmonary aspergillosis



Shah A, Armstrong-James D, Chotirmall SH, 2021, Respiratory mycoses: a call to action to recognize, educate and invest., Mycopathologia, ISSN:0301-486X

Di Paolo M, Hewitt L, Nwankwo E, et al., 2021, Erratum to: A retrospective 'real-world' cohort study of azole therapeutic drug monitoring and evolution of antifungal resistance in cystic fibrosis., Jac Antimicrob Resist, Vol:3

Prendecki M, Clarke C, Edwards H, et al., 2021, Humoral and T-cell responses to SARS-CoV-2 vaccination in patients receiving immunosuppression., Annals of the Rheumatic Diseases, Vol:80, ISSN:0003-4967, Pages:1322-1329

Aldossary S, Shah A, 2021, Healthcare Utilization and Impact of Antifungal Stewardships Within Respiratory Care Settings: A Systematic Literature Review, Mycopathologia, ISSN:0301-486X

Ge Y, Bartlett EC, Semple T, et al., 2021, The curious incident of the cast in the airway., Thorax

More Publications