Rob Heuschkel

Rob Heuschkel

Consultant Paediatric Gastroenterologist and Clinical Director for Cambridge Children’s Hospital Project

Biography: Rob completed his specialist training at the Royal Free Hospital in London and Boston Children’s Hospital, US. This included 2 years as CICRA Research Fellow in paediatric IBD. He was appointed at Addenbrookes Hospital, Cambridge in 2008 to establish a regional specialty service for Paediatric Gastroenterology, Hepatology & Nutrition. As Clinical Lead for the service, Rob has supported the expansion of the clinical department and the development of the active integrated translational research program led by Matt Zilbauer. Since 2012, Rob divides his week equally between clinical care, predominantly of children with IBD, and management responsibilities. He completed 7 years as Divisional Director for Women & Children’s Services and now leads efforts to build a regional specialist hospital for children - Cambridge Children’s - on the biomedical campus.

Research & Service Development: Rob contributes actively to the ongoing translational research program and continues to take part in clinical trial activity for children with IBD. Other priorities include promoting patient engagement to improve and develop services offered to children and families.


Cambridge Children’s Hospital Project

Key publications

  1. APOBEC mutagenesis is a common process in normal human small intestine.
    Wang Y, Robinson PS, Coorens THH, Moore L, Lee-Six H, Noorani A, Sanders MA, Jung H, Katainen R, Heuschkel R, Brunton-Sim R, Weston R, Read D, Nobbs B, Fitzgerald RC, Saeb-Parsy K, Martincorena I, Campbell PJ, Rushbrook S, Zilbauer M, Buczacki SJA, Stratton MR
    Nat Genet. 2023 Feb;55(2):246-254.
  2. Culture-Associated DNA Methylation Changes Impact on Cellular Function of Human Intestinal Organoids.
    Edgar RD, Perrone F, Foster AR, Payne F, Lewis S, Nayak KM, Kraiczy J, Cenier A, Torrente F, Salvestrini C, Heuschkel R, Hensel KO, Harris R, Jones DL, Zerbino DR, Zilbauer M.
    Cell Mol Gastroenterol Hepatol. 2022;14(6):1295-1310. doi: 10.1016/j.jcmgh.2022.08.008. Epub 2022 Aug 28.
  3. Disease Prognostic Biomarkers in Inflammatory Bowel Diseases-A Reality Check
    Zilbauer M, Heuschkel R
    J Crohns Colitis. 2022 Jan 28;16(1):162-165.
  4. Sclerosing Cholangitis in Pediatric Inflammatory Bowel Disease: Early Diagnosis and Management Affect Clinical Outcome.
    Hensel KO, Kyrana E, Hadzic N, Mann J, Mieli-Vergani G, Gasparetto M, Heuschkel R, Noble-Jamieson G, Samyn M
    J Pediatr. 2021 Nov;238:50-56.
  5. Guidance on the interpretation of faecal calprotectin levels in children.
    Orfei M, Gasparetto M, Hensel KO, Zellweger F, Heuschkel RB, Zilbauer M
    PLoS One. 2021 Feb 11;16(2):e0246091.
  6. Single-Cell Sequencing of Developing Human Gut Reveals Transcriptional Links to Childhood Crohn's Disease.
    Elmentaite R, Ross ADB, Roberts K, James KR, Ortmann D, Gomes T, Nayak K, Tuck L, Pritchard S, Bayraktar OA, Heuschkel R, Vallier L, Teichmann SA, Zilbauer M.
    Dev Cell. 2020 Dec 21;55(6):771-783.e5. doi: 10.1016/j.devcel.2020.11.010. Epub 2020 Dec 7.
  7. The growing gap between demand and availability of clinical psychology in Paediatric Gastroenterology: a retrospective analysis of clinical routine care.
    Wong E, Heuschkel R, Lindsay C, Benson S, Zilbauer M
    Eur J Pediatr. 2021 Apr;180(4):1307-1312.
  8. Transcription and DNA Methylation Patterns of Blood-Derived CD8+ T Cells Are Associated With Age and Inflammatory Bowel Disease But Do Not Predict Prognosis.
    Gasparetto M, Payne F, Nayak K, Kraiczy J, Glemas C, Philip-McKenzie Y, Ross A, Edgar RD, Zerbino DR, Salvestrini C, Torrente F, Ventham NT, Kalla R, Satsangi J, Sarkies P, Heuschkel R, Zilbauer M.
    Gastroenterology. 2021 Jan;160(1):232-244.e7. doi: 10.1053/j.gastro.2020.08.017. Epub 2020 Aug 16.
  9. Somatic mosaicism and common genetic variation contribute to the risk of very-early-onset inflammatory bowel disease.
    Serra EG, Schwerd T, Moutsianas L, Cavounidis A, Fachal L, Pandey S, Kammermeier J, Croft NM, Posovszky C, Rodrigues A, Russell RK, Barakat F, Auth MKH, Heuschkel R, Zilbauer M, Fyderek K, Braegger C, Travis SP, Satsangi J, Parkes M, Thapar N, Ferry H, Matte JC, Gilmour KC, Wedrychowicz A, Sullivan P, Moore C, Sambrook J, Ouwehand W, Roberts D, Danesh J, Baeumler TA, Fulga TA, Carrami EM, Ahmed A, Wilson R, Barrett JC, Elkadri A, Griffiths AM; COLORS in IBD group investigators; Oxford IBD cohort study investigators; INTERVAL Study; Swiss IBD cohort investigators; UK IBD Genetics Consortium; NIDDK IBD Genetics Consortium; Snapper SB, Shah N, Muise AM, Wilson DC, Uhlig HH, Anderson CA.
    Nat Commun. 2020 Feb 21;11(1):995.
  10. Early Treatment Response Predicts Outcome in Paediatric Ulcerative Colitis: GASTROENTEROLOGY: INFLAMMATORY BOWEL DISEASE.
    Gasparetto M, Wong-Spracklen V, Torrente F, Howell K, Brennan M, Noble-Jamieson G, Heuschkel R, Zilbauer M.
    J Pediatr Gastroenterol Nutr. 2018 Aug;67(2):217-220.
  11. DNA methylation defines regional identity of human intestinal epithelial organoids and undergoes dynamic changes during development.
    Kraiczy J, Nayak KM, Howell KJ, Ross A, Forbester J, Salvestrini C, Mustata R, Perkins S, Andersson-Rolf A, Leenen E, Liebert A, Vallier L, Rosenstiel PC, Stegle O, Dougan G, Heuschkel R, Koo BK, Zilbauer M
    Gut. 2019 Jan;68(1):49-61. doi: 10.1136/gutjnl-2017-314817. Epub 2017 Nov 15.
  12. DNA Methylation and Transcription Patterns in Intestinal Epithelial Cells From Pediatric Patients With Inflammatory Bowel Diseases Differentiate Disease Subtypes and Associate With Outcome.
    Howell KJ, Kraiczy J, Nayak KM, Gasparetto M, Ross A, Lee C, Mak TN, Koo BK, Kumar N, Lawley T, Sinha A, Rosenstiel P, Heuschkel R, Stegle O, Zilbauer M
    Gastroenterology. 2018 Feb;154(3):585-598. doi: 10.1053/j.gastro.2017.10.007. Epub 2017 Oct
  13. Epigenetics in Paediatric Gastroenterology, Hepatology, and Nutrition: Present Trends and Future Perspectives.
    Zilbauer M, Zellos A, Heuschkel R, Gasparetto M, Kraiczy J, Postberg J, Greco L, Auricchio R, Galatola M, Embleton N, Wirth S, Jenke A
    J Pediatr Gastroenterol Nutr. 2016 Apr;62(4):521-9
  14. Clinical course and outcomes of diagnosing Inflammatory Bowel Disease in children 10 years and under: retrospective cohort study from two tertiary centres in the United Kingdom and in Italy.
    Gasparetto M, Guariso G, Pozza LV, Ross A, Heuschkel R, Zilbauer M
    BMC Gastroenterol. 2016 Mar 15;16:35.
  15. Paediatric gastrointestinal endoscopy: a qualitative study.
    Wahid AM, Devarajan K, Ross A, Zilbauer M, Heuschkel R
    Eur J Gastroenterol Hepatol. 2016 Jan;28(1):25-9.
  16. Assessing DNA methylation in the developing human intestinal epithelium: potential link to inflammatory bowel disease.
    Kraiczy J, Nayak K, Ross A, Raine T, Mak TN, Gasparetto M, Cario E, Rakyan V, Heuschkel R, Zilbauer M
    Mucosal Immunol. 2016 May;9(3):647-58
  17. ESPGHAN position paper on management of percutaneous endoscopic gastrostomy in children and adolescents.
    Heuschkel RB, Gottrand F, Devarajan K, Poole H, Callan J, Dias JA, Karkelis S, Papadopoulou A, Husby S, Ruemmele F, Schäppi MG, Wilschanski M, Lionetti P, Orel R, Tovar J, Thapar N, Vandenplas Y; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition
    J Pediatr Gastroenterol Nutr. 2015 Jan;60(1):131-41.
  18. Differential expression of mucosal trefoil factors and mucins in pediatric inflammatory bowel diseases.
    Hensel KO, Boland V, Postberg J, Zilbauer M, Heuschkel R, Vogel S, Gödde D, Wirth S, Jenke AC
    Sci Rep. 2014 Dec 5;4:7343.
  19. Assessing quality of care in paediatric inflammatory bowel disease: focusing on self-reported outcomes.
    Gatti S, Brennan M, Heuschkel R, Zilbauer M
    Dig Liver Dis. 2015 Apr;47(4):347-8.
  20. Coeliac disease in children with type 1 diabetes: are current guidelines proving difficult to implement in practice?
    Atherton R, Ross A, Jessop F, Williams R, Heuschkel R, Zilbauer M
    J Pediatr Gastroenterol Nutr. 2014 Nov;59(5):600-3.
  21. A comparison of outcomes for adults and children undergoing resection for inflammatory bowel disease: is there a difference?
    Mcmullin CM, Morton J, Vickramarajah S, Cameron E, Parkes M, Torrente F, Heuschkel R, Carroll N, Davies RJ
    ISRN Gastroenterol. 2014 Mar 27;2014:410753.
  22. Management guidelines of eosinophilic esophagitis in childhood.
    Papadopoulou A, Koletzko S, Heuschkel R, Dias JA, Allen KJ, Murch SH, Chong S, Gottrand F, Husby S, Lionetti P, Mearin ML, Ruemmele FM, Schäppi MG, Staiano A, Wilschanski M, Vandenplas Y; ESPGHAN Eosinophilic Esophagitis Working Group and the Gastroenterology Committee.
    J Pediatr Gastroenterol Nutr. 2014 Jan;58(1):107-18.
  23. Assessing quality outcome measures in children with coeliac disease--experience from two UK centres
    Ross A, Shelley H, Novell K, Ingham E, Callan J, Heuschkel R, Morris MA, Zilbauer M
    Nutrients. 2013 Nov 19;5(11):4605-13.
  24. A practical guide for the diagnosis of primary enteric nervous system disorders.
    Schäppi MG, Staiano A, Milla PJ, Smith VV, Dias JA, Heuschkel R, Husby S, Mearin ML, Papadopoulou A, Ruemmele FM, Vandenplas Y, Koletzko S
    J Pediatr Gastroenterol Nutr. 2013 Nov;57(5):677-86.
  25. Colitis-associated sclerosing cholangitis in children: a single centre experience.
    Noble-Jamieson G, Heuschkel RB, Torrente F, Hadzic N, Zilbauer M
    J Crohns Colitis. 2013 Nov;7(10): 414-8.
  26. Tissue transglutaminase antibody levels predict IgA deficiency.
    Shahnaz A, Maguire G, Parker R, Heuschkel RB, Zilbauer M
    Arch Dis Child. 2013 Nov;98(11):873-6.
  27. DNA methylation analysis in the intestinal epithelium-effect of cell separation on gene expression and methylation profile.
    Jenke AC, Postberg J, Raine T, Nayak KM, Molitor M, Wirth S, Kaser A, Parkes M, Heuschkel RB, Orth V, Zilbauer M
    PLoS One. 2013;8(2):e55636
  28. Boerhaave's syndrome: a differential diagnosis of acute chest pain following a vomiting illness.
    Sanka S, Gomez A, Heuschkel R, Krishnamurthy K
    West Indian Med J. 2013 Feb;62(2):152-3.
  29. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines.
    Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S, Mearin ML, Papadopoulou A, Ruemmele FM, Staiano A, Schäppi MG, Vandenplas Y; European Society of Pediatric Gastroenterology, Hepatology, and Nutrition
    J Pediatr Gastroenterol Nutr. 2012 Aug;55(2):221-9
  30. Single port laparoscopic subtotal colectomy and ileostomy in an adolescent with ulcerative colitis.
    Chatzizacharias NA, Torrente F, Brennan M, Heuschkel R, Davies R
    J Crohns Colitis. 2012 Dec;6(10):1031-3.
  31. Use of small bowel MRI enteroclysis in the management of paediatric IBD.
    Sanka S, Gomez A, Set P, Rimareva N, Davies RJ, Rolfe P, Noble-Jamieson G, Torrente F, Heuschkel R, Zilbauer M
    J Crohns Colitis. 2012 Jun;6(5):550-6
  32. A British Society of Paediatric Gastroenterology, Hepatology and Nutrition survey of the effectiveness and safety of adalimumab in children with inflammatory bowel disease.
    Russell RK, Wilson ML, Loganathan S, Bourke B, Kiparissi F, Mahdi G, Torrente F, Rodrigues A, Davies I, Thomas A, Akobeng AK, Fagbemi A, Hyer W, Spray C, Vaish S, Rogers P, McGrogan P, Heuschkel RB, Ayub N, Fell JM, Afzal NA, Green M, Murphy MS, Rao P, Shah N, Ho GT, Naik S, Wilson DC
    Aliment Pharmacol Ther. 2011 Apr;33(8):946-53
  33. Intestinal alpha-defensin expression in pediatric inflammatory bowel disease.
    Zilbauer M, Jenke A, Wenzel G, Goedde D, Postberg J, Phillips AD, Lucas M, Noble-Jamieson G, Torrente F, Salvestrini C, Heuschkel R, Wirth S
    Inflamm Bowel Dis. 2011 Oct;17(10):2076-86.
  34. Expression of human beta-defensins in children with chronic inflammatory bowel disease.
    Zilbauer M, Jenke A, Wenzel G, Postberg J, Heusch A, Phillips AD, Noble-Jamieson G, Torrente F, Salvestrini C, Heuschkel R, Wirth S
    PLoS One. 2010 Oct 22;5(10):e15389.
  35. Laparoscopic adult colorectal surgeon and adolescents with inflammatory bowel disease: a safe combination?
    Courtney ED, Brennan M, Noble-Jamieson G, Heuschkel R, Davies RJ
    Int J Colorectal Dis. 2011 Mar;26(3):357-60.