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Biting back at dengue: How Duke-NUS is building a united research front

At Duke-NUS, a close-knit team of dengue researchers is proving that fighting a global health threat takes more than expertise—it takes trust, passion, and a shared story.

By Daryl Li, editor

The DENgue Virology and Immunology (DENVI) Group brings together three labs, a computational biology and two clinical trial teams from Duke-NUS Medical School and Singapore General Hospital.

Chan Kuan Rong is a happy man. You can hear it in the lift of his voice and see it in the smile he carries into conversation. It does not take long to sense that he genuinely enjoys what he does.


DENVI faculty member Dr Chan Kuan Rong is Senior Principal Research Scientist in the Signature Research Programme in Emerging Infectious Diseases at Duke-NUS

As Senior Principal Research Scientist at Duke-NUS Medical School, Chan is one of six faculty members in DENVI, the School’s Dengue Virology & Immunology group, alongside about 25 other members. Together, they bring an unusually broad mix of expertise to one of the world’s most stubborn infectious diseases: basic science, experimental medicine and clinical trials, and computational biology, all working along the same translational pipeline.

That breadth matters, because dengue is not a problem that yields easily.

 

The weight of the problem

As DENVI’s bioinformatics lead, Chan describes a major part of his work as trying to discern the signal from the noise.  He is building up a data pipeline that allows the group to make sense of a multifaceted problem through many streams of information, from viral genomes and host transcriptomics to diagnostic biomarkers and population data. In a way, the work mirrors dengue itself: vast, layered and too complex to pin down.  

When speaking about dengue, DENVI faculty member Dr Eugenia Ong, Principal Research Scientist at ViREMiCS (the ISO-accredited Viral Research and Experimental Medicine Centre at the SingHealth Duke-NUS Academic Medical Centre), returns to one word: “burden”. With up to 400 million new infections each year, dengue affects an enormous number of people worldwide, with outcomes ranging from the asymptomatic to the severe.


Dr Eugenia Ong, Principal Research Scientist, Signature Research Programme in Emerging Infectious Diseases, is one of DENVI's six faculty members

Its complexity goes well beyond scale. Dengue is commonly described as having four serotypes, but that shorthand can obscure how different they really are. As Professor Ooi Eng Eong of Duke-NUS explains, “We didn't have that kind of sequencing tools that we have today, but now that we know the sequences, we know that these are genetically four different viruses.”

That matters not just biologically, but clinically and immunologically too. The body responds differently to infection for each dengue virus, and vaccine design becomes far more complicated when one vaccine has to target what is effectively four distinct viral threats.

Even that is only part of the challenge. Climate change is expanding dengue’s geographic reach into more temperate and high-altitude regions across the world. At the same time, the demographics of the disease are also shifting. While typically affecting young adults and adolescents disproportionately, the incidence of dengue in older age groups has also increased, leading to complications from severe dengue in elderly patients.

Speak to enough members of DENVI and a simple truth becomes obvious: no single person has the tools, time or the resources to tackle dengue in its entirety. Explaining the group’s efforts in the greater context of dengue, Ong remarks: “When we think about vaccines and antivirals—a lot of it converges on understanding how immune responses work, understanding how inflammation works. These are all intricately interdependent concepts. When we think about vaccination, we think about allowing the body to generate a good immune response and so on. The group is trying to work out how all these mechanisms interact.”

 

Why DENVI matters

Big healthcare issues demand big solutions, and DENVI has the full package: basic virology, molecular biology, clinical trials, vaccine research, therapeutic possibilities, and bioinformatics. As faculty member Shirin Kalimuddin, Assistant Professor in the SingHealth Duke-NUS Medicine Academic Clinical Programme, describes: “We have the breadth of expertise within the group to potentially bring something from the bench all the way into the clinic.” Not only does this ensure the right combination of scientific knowhow, it also creates translational pathways for the research to reach the real world. DENVI also includes senior consultant infectious diseases physicians Professor Jenny Low and Dr Candice Chan from the Singapore General Hospital, who match the basic science with their clinical understanding.

Training clinician-scientists is one of the defining features of education at Duke-NUS, and collectively, the DENVI group builds on the same mindset. Ooi explains that while they might work in the same broad field of medicine, scientists and clinicians in fact are crucially dissimilar, with different priorities and different approaches to understanding the same data or medical issues—almost as if they were speaking two languages. Bridging this divide is one of the core strengths of this group.

Such collaboration is at the heart of DENVI. Members of the group describe it as coming together organically—they have worked together for many years, after all. It begs the question of what the purpose of formalising the group is. As Kalimuddin explains, one of the primary reasons for doing so is to have an outward-facing identity and make it easier for potential external collaborators to explore partnerships.

Furthermore, while a very young group formally speaking—with their first retreat taking place in February 2026 and the website launched in March 2026—their many years of working together has allowed them to work on research across long threads.

This has also meant a familiarity with each other stretching back for—in some cases—two decades. To be able to tap this familiarity and mutual understanding of each other’s area of expertise and working style lends the group a crucial agility. As Chan Kuan Rong describes, DENVI can respond quickly to new information and adapt to evolving circumstances. In the field of infectious diseases, the ability to respond rapidly to an outbreak is invaluable.

 

Telling the story

As he elaborates on both the origins of the group and its purpose, Ooi talks about science in the terms of journeys. He mentions how he could not have predicted the directions his scientific research would have taken 10 years ago, explaining how he could not have foreseen his early work on immunology in Japanese encephalitis and yellow fever leading him to research on dengue immunity.

"Having this group allows us to tell this story that cannot be told by just one person."

Prof Ooi Eng Eong

Similarly, it is the work of Professor Antonio Bertoletti’s lab at Duke-NUS in understanding the role of T-cells in the body’s immune response that paved the way for faculty members such as Kalimuddin in understanding the human body’s immune response to dengue.

It is their individual and collective journeys that have led them to this moment, placing them in a position to tackle such pressing questions in healthcare. It is also their shared journey that they are embarking on now to grapple with dengue in its various complexities.

In this sense, another compelling reason for formalising the group is that it makes this story of medical research and scientific inquiry legible. As Ooi says: “Having this group allows us to tell this story that cannot be told by just one person. At the end of the day, we want to be able to take all these things together and assemble it into a more cohesive picture.”

DENVI group

 

The human element

If DENVI is a scientific story, it is also unmistakably a human one.

What continues to amaze me through the conversations is how everyone seems ready to be called upon, eager to contribute and unified in their purpose. These are people who clearly share a willingness to pull together in the same direction.

Chan Kuan Rong understands not every team works out. Simply putting together people with complementary skillsets or knowledge bases does not guarantee that they will succeed. He cites open communication as a key factor in team cohesion, but also the elements of passion and trust.

In a similar vein, Ng Wy Ching, Senior Research Fellow at Duke-NUS and a DENVI group member, notes: “They respect each other’s expertise, so everybody comes from a different background, different perspective, but they all respect each other’s expertise.”

Ng also talks about how apart from the weekly group meetings, the group has regular opportunities for socialisation, including a recent retreat that they are hoping to make an annual fixture. These social occasions matter as a disruption to familiar spaces, Ooi explains, allowing ideas to thrive and connections to be made outside of the more rigid structures of work. Yet, I think they also allow such relationships to take shape and grow.


The 2026 DENVI Group Retreat

“Relationships matter,” explains Ooi. DENVI is a group that is built on long-standing working relationships, and continues to develop them.

DENVI operates with an open structure, doing away with conventional boundaries between areas of expertise. Should junior researchers in the group want to explore outside of their main research approaches and learn from DENVI’s faculty members, they are encouraged to do so. This spirit of openness helps to nurture the next generation of clinician-scientists, for whom such diverse academic interests can only be an advantage. Perhaps more crucially, it brings people together, building a strong and supportive research community.

Kalimuddin stresses the importance of community frequently in our conversation, emphasising the role of people in sustaining the research. The arc of research is long and unpredictable, and immediate results are rare—if they ever occur at all. For a researcher, it is necessary to have sustained collegiate support, the research and professional community that enables the individual to pursue these difficult paths.

This is a team built on conversations, competency and camaraderie. Without the human element, I struggle to imagine this push towards these lofty medical pursuits succeeding.

 

A bigger picture, still coming into focus


The work continues for the DENVI group as they put together the picture of dengue one conversation at a time

By the end of these conversations, Chan Kuan Rong’s good cheer makes perfect sense.

DENVI’s other members are contributing to science that could reshape how dengue is understood and, eventually how it is tackled. Is an approach to dengue immunology focusing purely on antibodies too limited for effective vaccines? Does it also have implications for how we our bodies respond to infection? Can effective therapeutics be on the horizon? Does reframing the disease as being caused by four different viruses offer new pathways to effective treatments?

No single lab can answer all of those questions. No single scientist can. That is precisely the point.

What DENVI offers is not a single breakthrough narrative but something more convincing: a coordinated effort to chip away at a major global health problem from multiple directions at once. With mutual respect, complementary expertise and a translational mindset, the group is beginning to redraw the picture of dengue, one question, one collaboration and one dataset at a time.

And perhaps that is the real source of the energy one senses in Chan and, indeed, across the rest of the team. It is not just that the work is scientifically interesting. It is that it matters. 


 

Duke-NUS: A dengue research powerhouse

Prof Lok Sheemei
Prof Lok Sheemei
Fighting a massive and complex healthcare issue like dengue clearly demands a multipronged approach. Beyond the work of the DENVI group, Duke-NUS Medical School hosts other key investigators tackling dengue from different angles. 

Professor Sheemei Lok, Interim Vice-Dean at the Office of Research at the School, is a structural biologist whose research has illuminated dengue virus structures using cryo-electron microscopy. Her team targets pathways through which dengue viruses invade cells and the proteins that can cause severe disease, advancing the possibility of effective therapeutics. Their work also extends to other mosquito-borne viruses such as the Zika virus. 

Another faculty member who has contributed to this field is Professor Subhash Vasudevan from the Signature Research Programme in Emerging Infectious Diseases, whose research has targeted the proteins and replication processes of the dengue virus. He also led Singapore's first Phase 1b clinical trial to test an antiviral drug in dengue patients. Meanwhile, part of the work of Associate Professor Ashley St John from the Programme focuses on understanding mast cells—a type of white blood cell that alerts other immune cells and coordinates immune responses to pathogens—in immune responses to dengue. 

Beyond the labs, Duke-NUS offers another key asset. The Insectary Facility is a high-containment space breeding colonies of Aedes aegypti, Ae. albopictus and Ae. Malayensis for research, allowing for the testing of vector control tools and host-pathogen interactions under controlled conditions. 

With this array of leading expertise, scientific endeavour, and technical resources, Duke-NUS is connecting the different threads of research to tackle the global problem of dengue. The School is thus positioned as a dengue research hub that can effectively bridge bench to bedside, bringing the science into practical applications in Singapore and beyond. 

 

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