nasty viruses and institutional review boards

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Nasty viruses and Institutional Review Boards

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Nasty viruses and Institutional Review Boards. WHO: 50 million cases/yr. Problem: Increased disease severity with sequential infections may be due to antibody dependent enhancement. - PowerPoint PPT Presentation

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Page 1: Nasty viruses   and Institutional Review Boards

Nasty viruses

and Institutional Review Boards

Page 2: Nasty viruses   and Institutional Review Boards

WHO: 50 million cases/yr

Page 3: Nasty viruses   and Institutional Review Boards
Page 4: Nasty viruses   and Institutional Review Boards

Problem: Increased disease severity with sequential infections may be due to antibody dependent enhancement.

Macrophages do not have the normal dengue virus receptor. However, incomplete neutralization of virus can target virions to macrophage Fc receptors.

Page 5: Nasty viruses   and Institutional Review Boards
Page 6: Nasty viruses   and Institutional Review Boards

Jardetzky and Lamb, Nature 427:307-308 (2004)

Page 7: Nasty viruses   and Institutional Review Boards

Zhang, et al. Nature Structural Biology 10:907 (2003)

Page 8: Nasty viruses   and Institutional Review Boards

Zhang, et al. Nature Structural Biology 10:907 (2003)

Page 9: Nasty viruses   and Institutional Review Boards
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Q: How can we find out where neutralizing antibodies target the viral envelope protein, so we can use just these areas in a vaccine?

A: Characterize the binding targets (epitopes) for individual human antibodies. (subquestion 1: how in the world do you get individual human antibodies???)

Page 11: Nasty viruses   and Institutional Review Boards
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Immortalize B-cells with EBV and clone by serial dilution.

Screen for binding to DENV.

Characterize binding, neutralization, enhancement, and epitope mapping.

We’re going to need IRB approval…

Page 15: Nasty viruses   and Institutional Review Boards

Ethical questions:

Will people be hurt by this procedure?

How can we minimize this risk?

What will the fate of the cells be?

Page 16: Nasty viruses   and Institutional Review Boards

Different collaborating institutions:

FGCU

Tulane University

Tan Tock Seng Hospital

University of the West Indies

Page 17: Nasty viruses   and Institutional Review Boards

Different procedures.

Different approval process.

Different regulations.

Different consent forms.

Who even approves first?

Page 18: Nasty viruses   and Institutional Review Boards

Two full FGCU IRB applications with one amendment.

All samples blinded and coded.

Samples from Florida, Jamaica, and Singapore.

No adverse incidences.

Project ongoing, multiple HuMAbs isolated and characterized.

First description of HuMAbs against dengue virus.

Page 19: Nasty viruses   and Institutional Review Boards

Neutralization Assays

0 1:5000 1:1000 1:500 1:100 1:50-20.0

0.0

20.0

40.0

60.0

80.0

100.0

7B serum

DENV1DENV2DENV3DENV4

7B serum dilution

% In

hibi

tion

0 0.22 ug/ml

1.1 ug/ml

2.2 ug/ml

11 ug/ml

22 ug/ml-20.0

0.0

20.0

40.0

60.0

80.0

100.0

2.3D mAb

DENV1DENV2DENV3DENV4

% In

hibi

tion

0 0.4 ug/ml

2.0 ug/ml

4.0 ug/ml

20 ug/ml

40 ug/ml-20

0

20

40

60

80

100

3.6D mAb

DENV1DENV2DENV3DENV4

% In

hibi

tion

0 0.4 ug/ml

2.0 ug/ml

4.0 ug/ml

20 ug/ml

40 ug/ml-20

0

20

40

60

80

100

4.8A mAb

DENV1DENV2DENV3DENV4

% In

hibi

tion

Page 20: Nasty viruses   and Institutional Review Boards

Neutralizing and non-neutralizing monoclonal antibodies against dengue virus Eprotein derived from a naturally infected patient

Virology Journal 2010, 7:28 doi:10.1186/1743-422X-7-28

John S Schieffelin ([email protected])Joshua M Costin ([email protected])Cindo O Nicholson ([email protected])Nicole M Orgeron ([email protected])Krystal A Fontaine ([email protected])Sharon Isern ([email protected])Scott F Michael ([email protected])James E Robinson ([email protected])

Page 21: Nasty viruses   and Institutional Review Boards

FGCUSharon Isern, PhD

Joshua Costin, PhDKelli Barr, PhD

Yancey Hrobowski, PhDKrystal FontaineCindo Nicholson

Craig ReesTom Everts

Nadiya Joseph

CollaboratorsLi Lin, MD - Tan Tock Seng

John Lindo, MD - UWI MonaJames Robinson, MD - TulaneJohn Schefflein, MD - Tulane

FundingUS National Institutes of Health

US Department of Defense

Acknowledgements