Dr Vicky Tsai

Dr Vicky Tsai

Conjoint Senior Lecturer
Medicine & Health
School of Clinical Medicine

Dr Vicky Tsai received her PhD from the University of Queensland, followed by postdoctoral training at Academia Sinica in Taiwan, where she led a study identifying a key neuroinflammatory mechanism driving amyloid plaque accumulation. She later joined Prof. Sam Breit’s team in the Inflammation and Cytokine Biology Program at St Vincent’s Centre for Applied Medical Research, where her research focus shifted to neuronal circuitry underlying appetite regulation and metabolism.

Dr Tsai played a central role in the NHMRC-recognised studies on GDF15/MIC-1 (Project Grant 1057910; NHMRC Ten of the Best Projects 2011), where she defined its signalling pathways and demonstrated its central role in cachexia, appetite control, and metabolic regulation. Her work has significantly contributed to the development of therapeutic strategies targeting GDF15 inhibition for the treatment of cachexia, now validated in Phase II clinical trials.

 

Phone
02 8382 4920
Location
St Vincen'ts Centre for Applied Medical Research (AMR) Level 8, Lowy Packer Building 405 Liverpool Street, Darlinghurst NSW 2010
  • Journal articles | 2025
    Breit SN; Tsai VW, 2025, 'Metabolic Messenger: growth differentiation factor 15', Nature Metabolism, 7, pp. 1732 - 1744, http://dx.doi.org/10.1038/s42255-025-01353-3
    Journal articles | 2024
    Isik FI; Thomson S; Cueto JF; Spathos J; Breit SN; Tsai VWW; Brown DA; Finney CA, 2024, 'A systematic review of the neuroprotective role and biomarker potential of GDF15 in neurodegeneration', Frontiers in Immunology, 15, http://dx.doi.org/10.3389/fimmu.2024.1514518
    Journal articles | 2023
    Breit SN; Brown DA; Tsai VWW, 2023, 'GDF15 analogs as obesity therapeutics', Cell Metabolism, 35, pp. 227 - 228, http://dx.doi.org/10.1016/j.cmet.2023.01.002
    Journal articles | 2023
    Breit SN; Manandhar R; Zhang HP; Lee-Ng M; Brown DA; Tsai VWW, 2023, 'GDF15 enhances body weight and adiposity reduction in obese mice by leveraging the leptin pathway', Cell Metabolism, 35, pp. 1341 - 1355.e3, http://dx.doi.org/10.1016/j.cmet.2023.06.009
    Journal articles | 2023
    Thai LM; O'Reilly L; Reibe-Pal S; Sue N; Holliday H; Small L; Schmitz-Peiffer C; Dhenni R; Wang-Wei Tsai V; Norris N; Yau B; Zhang X; Lee K; Yan C; Shi YC; Kebede MA; Brink R; Cooney GJ; Irvine KM; Breit SN; Phan TG; Swarbrick A; Biden TJ, 2023, 'β-cell function is regulated by metabolic and epigenetic programming of islet-associated macrophages, involving Axl, Mertk, and TGFβ receptor signaling', Iscience, 26, http://dx.doi.org/10.1016/j.isci.2023.106477
    Journal articles | 2021
    Breit SN; Brown DA; Tsai VWW, 2021, 'The GDF15-GFRAL Pathway in Health and Metabolic Disease: Friend or Foe?', Annual Review of Physiology, 83, pp. 127 - 151, http://dx.doi.org/10.1146/annurev-physiol-022020-045449
    Journal articles | 2020
    Husaini Y; Tsai VWW; Manandhar R; Zhang HP; Lee-Ng KKM; Lebhar H; Marquis CP; Brown DA; Breit SN, 2020, 'Growth differentiation factor-15 slows the growth of murine prostate cancer by stimulating tumor immunity', Plos One, 15, http://dx.doi.org/10.1371/journal.pone.0233846
    Journal articles | 2019
    Tsai VWW; Zhang HP; Manandhar R; Schofield P; Christ D; Lee-Ng KKM; Lebhar H; Marquis CP; Husaini Y; Brown DA; Breit SN, 2019, 'GDF15 mediates adiposity resistance through actions on GFRAL neurons in the hindbrain AP/NTS', International Journal of Obesity, 43, pp. 2370 - 2380, http://dx.doi.org/10.1038/s41366-019-0365-5
    Journal articles | 2018
    Tsai VW; Zhang HP; Manandhar R; Lee-Ng KKM; Lebhar H; Marquis CP; Husaini Y; Sainsbury A; Brown DA; Breit SN, 2018, 'Treatment with the TGF-b superfamily cytokine MIC-1/GDF15 reduces the adiposity and corrects the metabolic dysfunction of mice with diet-induced obesity', International Journal of Obesity, 42, pp. 561 - 571, http://dx.doi.org/10.1038/ijo.2017.258
    Journal articles | 2018
    Tsai VWW; Brown DA; Breit SN, 2018, 'Targeting the divergent TGFb superfamily cytokine MIC-1/GDF15 for therapy of anorexia/ cachexia syndromes', Current Opinion in Supportive and Palliative Care, 12, pp. 404 - 409, http://dx.doi.org/10.1097/SPC.0000000000000384
    Journal articles | 2018
    Tsai VWW; Husaini Y; Sainsbury A; Brown DA; Breit SN, 2018, 'The MIC-1/GDF15-GFRAL Pathway in Energy Homeostasis: Implications for Obesity, Cachexia, and Other Associated Diseases', Cell Metabolism, 28, pp. 353 - 368, http://dx.doi.org/10.1016/j.cmet.2018.07.018
    Journal articles | 2017
    Breit SN; Tsai VWW; Brown DA, 2017, 'Targeting Obesity and Cachexia: Identification of the GFRAL Receptor–MIC-1/GDF15 Pathway', Trends in Molecular Medicine, 23, pp. 1065 - 1067, http://dx.doi.org/10.1016/j.molmed.2017.10.005
    Journal articles | 2017
    Danta M; Barber DA; Zhang HP; Lee-Ng M; Baumgart SWL; Tsai VWW; Husaini Y; Saxena M; Marquis CP; Errington W; Kerr S; Breit SN; Brown DA, 2017, 'Macrophage inhibitory cytokine-1/growth differentiation factor-15 as a predictor of colonic neoplasia', Alimentary Pharmacology and Therapeutics, 46, pp. 347 - 354, http://dx.doi.org/10.1111/apt.14156
    Journal articles | 2017
    Low JK; Ambikairajah A; Shang K; Brown DA; Tsai VWW; Breit SN; Karl T, 2017, 'First behavioural characterisation of a knockout mouse model for the transforming growth factor (TGF)-β superfamily cytokine, MIC-1/GDF15', Plos One, 12, pp. e0168416, http://dx.doi.org/10.1371/journal.pone.0168416
    Journal articles | 2016
    Salao K; Jiang L; Li H; Tsai VWW; Husaini Y; Curmi PMG; Brown LJ; Brown DA; Breit SN, 2016, 'CLIC1 regulates dendritic cell antigen processing and presentation by modulating phagosome acidification and proteolysis', Biology Open, 5, pp. 620 - 630, http://dx.doi.org/10.1242/bio.018119
    Journal articles | 2016
    Tsai VWW; Lin S; Brown DA; Salis A; Breit SN, 2016, 'Anorexia-cachexia and obesity treatment may be two sides of the same coin: Role of the TGF-b superfamily cytokine MIC-1/GDF15', International Journal of Obesity, 40, pp. 193 - 197, http://dx.doi.org/10.1038/ijo.2015.242
    Journal articles | 2015
    , 2015, 'Abstracts of the 2(nd) Cancer Cachexia Conference, Montreal, Canada, 26-28 September 2014.', J Cachexia Sarcopenia Muscle, 6, pp. 2 - 31, http://dx.doi.org/10.1002/jcsm.12004
    Journal articles | 2015
    Husaini Y; Lockwood GP; Nguyen TV; Tsai VWW; Mohammad MG; Russell PJ; Brown DA; Breit SN, 2015, 'Macrophage inhibitory cytokine-1 (MIC-1/GDF15) gene deletion promotes cancer growth in TRAMP prostate cancer prone mice', Plos One, 10, pp. e0115189, http://dx.doi.org/10.1371/journal.pone.0115189
    Journal articles | 2015
    Tsai VWW; Macia L; Feinle-Bisset C; Manandhar R; Astrup A; Raben A; Lorenzen JK; Schmidt PT; Wiklund F; Pedersen NL; Campbell L; Kriketos A; Xu A; Pengcheng Z; Jia W; Curmi PMG; Angstmann CN; Lee-Ng KKM; Zhang HP; Marquis CP; Husaini Y; Beglinger C; Lin S; Herzog H; Brown DA; Sainsbury A; Breit SN; Lee-Ng M, 2015, 'Serum levels of human MIC-1/GDF15 vary in a diurnal pattern, do not display a profile suggestive of a satiety factor and are related to BMI', Plos One, 10, pp. e0133362, http://dx.doi.org/10.1371/journal.pone.0133362
    Journal articles | 2014
    Mohammad MG; Tsai VWW; Ruitenberg MJ; Hassanpour M; Li H; Hart PH; Breit SN; Sawchenko PE; Brown DA; Hassanpour Golakani M, 2014, 'Immune cell trafficking from the brain maintains CNS immune tolerance', Journal of Clinical Investigation, 124, pp. 1228 - 1241, http://dx.doi.org/10.1172/JCI71544
    Journal articles | 2014
    Mohammad MG; Tsai VWW; Ruitenberg MJ; Hassanpour M; Li H; Hart PH; Breit SN; Sawchenko PE; Brown DA, 2014, 'A forebrain-immune cell pathway for the maintenance of CNS immune tolerance', Neurology, Psychiatry and Brain Research, 20, pp. 8 - 9, http://dx.doi.org/10.1016/j.npbr.2014.01.144
    Journal articles | 2014
    Tsai VW-W; Macia L; Manandhar R; Wiklund F; Grönberg H; Pedersen N; Lee-Ng M; Zhang HP; Brown D; Herzog H; Sainsbury A; Breit SN, 2014, 'Macrophage inhibitory cytokine 1 (MIC-1/GDF15), a novel regulator of body weight and appetite and a potential therapeutic for obesity', Obesity Research & Clinical Practice, 8, pp. 105 - 105, http://dx.doi.org/10.1016/j.orcp.2014.10.191
    Journal articles | 2014
    Tsai VWW; Manandhar R; Jrøgensen SB; Lee-Ng KKM; Zhang HP; Marquis CP; Jiang L; Husaini Y; Lin S; Sainsbury A; Sawchenko PE; Brown DA; Breit SN; Lee-Ng M, 2014, 'The anorectic actions of the TGFβ cytokine MIC-1/GDF15 require an intact brainstem area postrema and nucleus of the solitary tract', Plos One, 9, pp. e100370, http://dx.doi.org/10.1371/journal.pone.0100370
    Journal articles | 2013
    Mohammad MG; Hassanpour M; Tsai VW-W; Li H; Ruitenberg MJ; Booth D; Serrats J; Hart PH; Symonds GP; Sawchenko P; Breit SN; Brown DA; Hassanpour Golakani M, 2013, 'Dendritic cells and multiple sclerosis: Disease, tolerance and therapy', International Journal of Molecular Sciences, 14, pp. 547 - 562, http://dx.doi.org/10.3390/ijms14010547
    Journal articles | 2012
    Breit SN; Carrero JJ; Tsai VWW; Yagoutifam N; Luo XW; Kuffner T; Bauskin AR; Wu L; Jiang L; Baranyi P; Heimburer O; Murikami M; Apple F; Marquis C; Macia L; Lin S; Sainsbury-Salis A; Herzog H; Law MG; Stenvinkel P; Brown DA; Han A, 2012, 'Macrophage inhibitory cytokine-1 (MIC-1/GDF15) and mortality in end-stage renal disease', Nephrology Dialysis Transplantation, 27, pp. 70 - 75, http://dx.doi.org/10.1093/ndt/gfr575
    Journal articles | 2012
    Husaini Y; Qiu MR; Lockwood G; Luo X; Shang P; Kuffner T; Tsai VW-W; Lele J; Russell PJ; Brown DA; Breit SN; Jiang L; Qiu M-R, 2012, 'Macrophage inhibitory cytokine-1 (MIC-1/GDF15) slows cancer development but increases metastases in TRAMP prostate cancer prone mice', PLoS One, 7, pp. e43833, http://dx.doi.org/10.1371/journal.pone.0043833
    Journal articles | 2012
    Macia L; Tsai VWW; Nguyen AD; Johnen H; Kuffner T; Shi Y; Lin S; Herzog H; Brown DA; Breit SN; Sainsbury-Salis A, 2012, 'Macrophage inhibitory cytokine 1 (MIC-1/GDF15) decreases food intake, body weight and improves glucose tolerance in mice on normal & obesogenic diets', PLoS One, 7, pp. e34868, http://dx.doi.org/10.1371/journal.pone.0034868
    Journal articles | 2011
    Breit SN; Johnen H; Cook AD; Tsai VWW; Mohammad MG; Tamara K; Hong PZ; Marquis C; Lele J; Lockwood G; Lee-Ng M; Husaini Y; Wu L; Hamilton JA; Brown DA, 2011, 'The TGF-β superfamily cytokine, MIC-1/GDF15: A pleotrophic cytokine with roles in inflammation, cancer and metabolism', Growth Factors, 29, pp. 187 - 195, http://dx.doi.org/10.3109/08977194.2011.607137
    Journal articles | 2011
    Brown DA; Tsai VWW; Mohammad MG; Tolhurst O; Breit SN; Sawchenko PE, 2011, 'CCAAT/enhancer binding protein-delta (C/EBPdelta) regulates Th17/Treg balance via an antigen presenting cell - interleukin-10 dependent mechanism in neuroinflammation', MULTIPLE SCLEROSIS JOURNAL, 17, pp. S344 - S344, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000209137301142&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1
    Journal articles | 2008
    Kuo L-H; Hu M-K; Hsu W-M; Tung Y-T; Wang B-J; Tsai W-W; Yen C-T; Liao Y-F, 2008, 'Tumor necrosis factor-alpha-elicited stimulation of gamma-secretase is mediated by c-Jun N-terminal kinase-dependent phosphorylation of presenilin and nicastrin.', Mol Biol Cell, 19, pp. 4201 - 4212, http://dx.doi.org/10.1091/mbc.e07-09-0987
    Journal articles | 2007
    Johnen H; Lin S; Kuffner T; Brown DA; Tsai V; Bauskin AR; Wu L; Pankhurst G; Jiang L; Junankar S; Hunter M; Fairlie WD; Lee NJ; Enriquez R; Baldock P; Corey E; Apple F; Murakami M; Lin E; Wang CC; During M; Sainsbury A; Herzog H; Breit SN, 2007, 'Tumor-induced anorexia and weight loss are mediated by the TGF-beta superfamily cytokine MIC-1', Nature Medicine, 13, pp. 1333 - 1340
    Journal articles | 2005
    Tsai VWW; Dodd PR; Lewis RJ, 2005, 'The effects of alanine-substituted conantokin-G and ifenprodil on the human spermine-activated N-methyl-D-aspartate receptor', Neuroscience, 130, pp. 457 - 464, http://dx.doi.org/10.1016/j.neuroscience.2004.09.039
    Journal articles | 2005
    Tsai VWW; Scott HL; Lewis RJ; Dodd PR, 2005, 'The role of group I metabotropic glutamate receptors in neuronal excitotoxicity in alzheimer's disease', Neurotoxicity Research, 7, pp. 125 - 141, http://dx.doi.org/10.1007/BF03033782
    Journal articles | 2002
    Andersen DL; Eckert AL; Tsai VWW; Burke CJ; Tannenberg AEG; Dodd PR, 2002, 'GABAA receptor sites in the developing human foetus', Developmental Brain Research, 139, pp. 107 - 119, http://dx.doi.org/10.1016/S0165-3806(02)00534-5
  • Conference Abstracts | 2016
    Mohammad MG; Tsai V; Li H; Hassanpour M; Hart P; Breit S; Sawchenko P; Brown D, 2016, 'A choroid-forebrain-lymphatic pathway for the maintenance of CNS immune tolerance', in EUROPEAN JOURNAL OF IMMUNOLOGY, WILEY-BLACKWELL, AUSTRALIA, Melbourne, Vol. 46, pp. 166 - 166, presented at International Congress of Immunology (ICI), AUSTRALIA, Melbourne, 21 August 2016 - 26 August 2016, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000383610400332&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1
    Conference Papers | 2014
    Mohammad M; Tsai VWW; Ruitenberg M; Hassanpour M; Li H; Hart P; Breit S; Sawchenko P; Brown D, 2014, 'CNS DCs modulate peripheral anti-CNS immunity', in JOURNAL OF NEUROIMMUNOLOGY, ELSEVIER SCIENCE BV, GERMANY, Mainz, pp. 82 - 82, presented at 12th International Congress of Neuroimmunology (ISNI), GERMANY, Mainz, 09 November 2014 - 13 November 2014, http://dx.doi.org/10.1016/j.jneuroim.2014.08.218
    Conference Papers | 2012
    Mohammad MG; Tsai VWW; Hassanpour M; Li H; Breit SN; Hart PH; Sawchenko PE; Brown DA, 2012, 'A Forebrain Immune Cellular Pathway for the Prevention of CNS Autoimmunity', in JOURNAL OF NEUROIMMUNOLOGY, ELSEVIER SCIENCE BV, Boston, MA, pp. 124 - 124, presented at 11th International Congress of Neuroimmunology (ISNI), Boston, MA, 04 November 2012 - 08 November 2012, http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000312764800334&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1
    Conference Papers | 2011
    Breit SN; Husaini Y; Lockwood G; Kuffner T; Tsai V; Luo XW; Jiang L; Lee-Ng M; Zhang HP; Wu L; Brown DA, 2011, 'The role of the TGF-beta superfamily cytokine MIC-1/GDF15 in biology and medicine', in CYTOKINE, ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD, ITALY, Florence, pp. 40 - 40, presented at 9th Joint Meeting of the International-Cytokine-Society/International-Society-for-Interferon-and-Cytokine-Research, ITALY, Florence, 09 October 2011 - 12 October 2011, http://dx.doi.org/10.1016/j.cyto.2011.07.122
    Conference Papers | 2008
    Breit SN; Johnen H; Lin S; Kuffner T; Brown DA; Tsai V; Bauskin AR; Corey L; Sainsbury A; Herzog H, 2008, 'The TGF-beta superfamily cytokine MIC-1 causes tumour-induced anorexia/cachexia by modulating appetite control centres in the hypothalamus', in Cytokine, Academic Press Ltd Elsevier Science Ltd, London, England, pp. 323 - 323, presented at Cytokine, -

 

 

 

Major Publications:

1.      Breit, S. N. & Tsai, V. W. Metabolic Messenger: growth differentiation factor 15. Nat Metab (2025).

2.      Breit, S. N., Brown, D. A. & Tsai, V. W. W. GDF15 research from bench to bedside. Cancer Cell S1535-6108(24)00365 (2024).

3.      Breit, S. N. et al. GDF15 enhances body weight and adiposity reduction in obese mice by leveraging the leptin pathway. Cell Metab 35, 1341-1355.e3 (2023).

4.      Breit, S. N., Brown, D. A. & Tsai, V. W. W. GDF15 analogs as obesity therapeutics. Cell Metab 35, 227-228 (2023).

5.      Tsai, V. W. et al. GDF15 mediates adiposity resistance through actions on GFRAL neurons in the hindbrain AP/NTS. Int J Obes (Lond) 43, 2370-2380 (2019).

6.      Tsai, V. W. et al. Treatment with the TGF-b superfamily cytokine MIC-1/GDF15 reduces the adiposity and corrects the metabolic dysfunction of mice with diet-induced obesity. Int J Obes (Lond) 42, 561-571 (2018).

7.      Tsai, V. W. W., Husaini, Y., Sainsbury, A., Brown, D. A. & Breit, S. N. The MIC-1/GDF15-GFRAL Pathway in Energy Homeostasis: Implications for Obesity, Cachexia, and Other Associated Diseases. Cell Metab 28, 353-368 (2018).