© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
HEALTHCARE FOR SOCIETY
From the clinic to the lab and back: an interview with Professor Eric Wai-choi Tse
Nicholas Lam1, Ophelia Wong2
1 Year 3, The Chinese University of Hong Kong, Hong Kong SAR, China
2 Year 3, The University of Hong Kong, Hong Kong SAR, China
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Professor Eric Wai-choi Tse is a distinguished
physician-scientist specialising in clinical
haematology and experimental oncology at The
University of Hong Kong (HKU). Renowned for
his exemplary and unwavering dedication both to
community service and scientific research, Prof
Tse has built a remarkable career marked by both
excellence and compassion.
Prof Tse discovered his interests in haematology
and oncology early on during medical school. He took
a year out of the then 5-year medical curriculum at
HKU to pursue an intercalated bachelor’s degree in
biomedical sciences in the Department of Pathology.
Under the mentorship of the late Prof LC Chan, he
studied the clonality of haematological malignancies
using molecular biology techniques. This year was
pivotal in solidifying his passion for research and
inspired him to pursue a career in academia. Fuelled
by an insatiable quest for knowledge and guided by
the late Sir David Todd, he embarked on his doctoral
studies under Prof Terry Rabbitts at the prestigious
MRC Laboratory of Molecular Biology at the
University of Cambridge following the completion
of his medical degree at HKU. During this time, he
honed and expanded his repertoire of molecular
biology techniques, laying a robust foundation that
would later prove invaluable in his career. He then
returned to Hong Kong to complete his postgraduate
medical training and rejoined HKU as an assistant
professor. Prof Tse remains deeply grateful to his
mentors, including Sir David Todd and Professors
LC Chan, Terry Rabbitts, TK Chan, Raymond Liang, and YL Kwong for their unwavering support and guidance.
When discussing his current research
interests, Prof Tse radiates an infectious enthusiasm
for his work. He has a particular interest in
PIN1 (peptidylprolyl cis/trans isomerase), an
intracellular enzyme, and its role in the pathogenesis
of hepatocellular carcinoma. Throughout the
interview, he maintains the importance of being
open-minded and being receptive to new ideas. He
believes one can uncover fresh perspectives and
applications from exploring beyond one’s own area
of expertise. For instance, he co-authored an original
research article exploring the connections between
PIN1 and neurodegeneration alongside other
PIN1 researchers whom he met at a neuroscience
conference—an exciting and rewarding experience
that would have been impossible had he confined
himself to his own areas of expertise. Prof Tse is also
investigating the use of arsenic trioxide in treating
acute promyelocytic leukaemia, a highly treatable
form of blood cancer. His work is shedding light on
the different mechanisms through which arsenic
trioxide potentially combats other cancers and its
synergistic effects when combined with all-trans
retinoic acid, another drug often used for treating
promyelocytic leukaemia.
Prof Tse’s approach to patient care is rooted
in honesty, empathy, and clear communication.
He emphasises the importance of being frank with
patients about their conditions, explaining the nature
of the disease and its treatment in simple, relatable terms, often using analogies to aid understanding.
Prof Tse believes in empowering patients to make
decisions about their own treatment, tailoring
his communication to their concerns and level of
understanding. He recognises his role as a team
player and the importance of collaboration in
achieving better outcomes for his patients. Despite
being a leading physician in his field, Prof Tse
deeply values the insights and experiences he gains
from working with his junior colleagues and views
learning as a two-way process. Many of his juniors
share novel approaches to patient care acquired from
their training at other institutions, thereby fostering
a collaborative environment where everyone works
together towards a common goal of improving
patient care. His humility and openness to new ideas
serve as testaments to his open-mindedness and
commitment to continuous growth.
Being a physician-scientist, Prof Tse occupies
a unique place in the healthcare system. He believes
that his roles as both a doctor and a researcher
complement each other in many ways. His training
in basic science has provided him with the skills
needed to approach problems methodically and ‘get
to the bottom of the question’. On the other hand,
his work in clinical trials has offered him firsthand
experience with using new drugs, thereby equipping
him with the expertise to use them effectively in his
own practice. However, the combination of clinical
demand and maintaining research output requires
endless time, effort, and dedication. When asked
how he manages such a hectic schedule, Prof Tse
talks about the heartfelt experiences he has had in
clinical practice and the appreciation expressed by
both patients and their family members, some of whom still send him Christmas cards many years
later. Prof Tse is also passionate about his research
and views it more as a hobby, in the same way that
some people might play tennis or golf. As a hobby,
his research is both something that he actively enjoys
and also an indulgence, which means that the long
hours spent both as a clinician and a scientist do not
feel tiresome.
As a highly successful researcher, Prof Tse
also shared some of the challenges he faced to
get where he is today. Reflecting on his career,
he believes that budding researchers must have
the mental preparation and fortitude to deal with
frustration at times. He believes that when one is
faced with negative feedback, this should be viewed
as constructive criticism and used as an opportunity
to improve one’s work.
Looking ahead, Prof Tse has a positive outlook
on the advancements of haemato-oncological
research. He is a firm believer that ongoing research
in the field will continue to greatly benefit blood
cancer patients, citing the adoption of oral drugs
such as tyrosine kinase inhibitors over the use of
haematopoietic stem cell transplantation in the
treatment of chronic myeloid leukaemia to show the
translational impacts of haematological research. He
also mentions how modern laboratory techniques,
coupled with the advent of gene and cell therapy,
will remove previous barriers to research in the field
and revolutionise blood cancer treatments. Prof Tse
also predicts that in the coming decade haematooncological
research will lead to safer drugs that
avoid the ‘toxic’ chemotherapy approach, allowing
patients to recover from malignancies without the
massive toll on their own health.
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Prof Tse (left) briefed the President and Vice-President of HKU during a visit to the HKUMed Laboratory of Cellular Therapeutics