Does the blood of Ebola virus disease survivors contain antibodies and immune cells that could help doctors fight Ebola infections in other people?
An all-star team of researchers will begin answering this question, as it applies to four patients who were treated at Emory University Hospital.
The 10-institution national team is led by Rafi Ahmed, PhD, director of the Emory Vaccine Center and a Georgia Research Alliance Eminent Scholar, and Aneesh Mehta, MD, assistant professor of medicine at Emory University School of Medicine. Initial characterization of the patients' immune responses has been performed in collaboration with the Viral Special Pathogens Branch at the Centers for Disease Control and Prevention (CDC).
The team includes laboratories from the University of Wisconsin-Madison, Rockefeller University, Aaron Diamond AIDS Research Center, Vanderbilt University, Scripps Research Institute, Stanford University, and the University of Pennsylvania. The list of institutions and research focus areas is below.
Emory has been awarded a grant through the Defense Advanced Research Projects Agency (DARPA) for up to $10.8 million over three years, including a base period award of $8 million and follow-on option years.
Any experiments involving live Ebola virus will be performed in Biosafety Level 4 laboratories at the CDC or the U.S. Army Medical Research Institute of Infectious Diseases.
In response to infection, the immune system produces a mixture of different antibodies --proteins that can grab on to viruses and sometimes neutralize them. Ahmed's lab has developed a way to quickly generate large amounts of individual human antibodies.
The team plans to isolate antibody genes from patients' white blood cells, produce the antibodies in cell culture, and test their abilities to stick to Ebola virus proteins and neutralize the virus. The samples will come from blood collected, with patients' consent, both during their stay at Emory University Hospital and after their discharge.
"Our goal is to have a panel of fully human monoclonal antibodies with activity against Ebola," Ahmed says. "Our preliminary data indicates that the immune systems of patients with Ebola virus disease were able to actively produce antibodies."
An expected outcome of the project is to develop fully human antibodies targeting the Ebola viruses to guide the development of improved therapeutics and vaccines. Researchers plan to find out whether patients' immune systems produced antibodies that are reactive across more than one strain of Ebola virus.
Ahmed and colleagues were able to perform similar research during the 2009 H1N1 flu outbreak. They learned that some people developed antibodies that are cross-reactive to a variety of flu strains, information that is guiding efforts to design a "universal flu vaccine."
Ahmed's team also plans to identify T cells responsible for reacting against Ebola virus. T cells represent an element of the immune system separate from the antibody-producing element; they kill infected cells and orchestrate the responses of other immune cells.
"This will allow us to fill a gap in our knowledge," Ahmed says. "T cells are a critical part of antiviral immune responses, but there is minimal information available about T cell responses to Ebola and about viral proteins targeted by human T cells. This information also will be useful in Ebola vaccine development."
Collaborating teams and research focus areas:
Emory University, Atlanta, Ga.
Principal Investigator: Rafi Ahmed, in collaboration with the clinical team from Emory's Serious Communicable Disease Unit: Aneesh Mehta, MD (lead), Bruce Ribner, MD, MPH, Colleen Kraft, MD, Jay Varkey, MD, Marshall Lyon III, MD, MMSc.
Research focus: Generation of human monoclonal antibodies against Ebola and characterization of T cell responses
Centers for Disease Control and Prevention (CDC):
Lead scientists: Christina Spiropoulou, PhD, and Anita McElroy, MD, Emory pediatric infectious disease physician and visiting researcher at CDC
Research focus: Initial characterization of patient responses, live virus work
University of Wisconsin, Madison, Wisc.
Principal investigator: Yoshi Kawaoka, PhD
Research focus: Virology, evaluation of anti-Ebola antibodies
The Rockefeller University, New York, NY
Principal investigator: Jeffrey Ravetch, PhD
Research focus: Mechanisms of antibody-mediated protection in mouse models
Aaron Diamond AIDS Research Center, New York, NY
Principal investigator: David Ho, PhD
Research focus: Therapeutic production of antibodies by gene therapy/DNA vaccine:
Vanderbilt University, Nashville, Tenn.
Principal investigator: James Crowe, MD
Research focus: Generation of hybridomas producing anti-Ebola antibodies
Stanford University, Palo Alto, Ca.
Principal investigator: Scott Boyd, PhD
Research focus: Deep sequencing/genomic examination of antibody responses
Scripps Research Institute, La Jolla, Ca.
Principal investigator: Erica Saphire, PhD
Research focus: Biochemical and structural characterization of virus-antibody interactions
University of Pennsylvania, Philadelphia, Penn.
Principal investigator: David Weiner, PhD
Research focus: Therapeutic production of antibodies by gene therapy/DNA vaccine
U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID)
Lead Scientist: Pamela Glass, PhD
Research Focus: Live virus work, and preclinical testing of anti-Ebola antibodies in animal models.