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AFD - Pandemic Funding

sharon sanders

Editor-in-Chief & President
Saturday, August 30, 2008

Wellcome Trust To Fund Research Into `Pandemic' Mutations



# 2265

http://afludiary.blogspot.com/2008/08/wellcome-trust-to-fund-research-into.html




Wellcome Trust bills themselves as `an independent charity funding research to improve human and animal health. Established in 1936 and with an endowment of around ?15 billion, it is the UK's largest non-governmental source of funds for biomedical research.'

Today they've released a lengthy, but interesting, press release outlining their plan to fund research into why the H5N1 virus has not reached it's assumed pandemic potential. To find out why it has not become efficiently transmitted from human-to-human.

This research will delve primarily into how the virus attaches itself to receptor cells. It currently favors the a2,3 cells found in avian hosts and deep in the lungs of humans, eschewing the a2,6 cells found in the upper airways of humans.

The type that seasonal influenza binds to.

A couple of past essays on receptor binding you may find of interest are RBD: Looking For The Sweet Spot and Study: Human Adaptation Of The H5N1 Virus.

This from the Wellcome Trust website.




Scientists examine bird flu infections to monitor for 'pandemic' mutations

1 September 2008
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Scientists funded by the Wellcome Trust are to examine what is preventing the H5N1 avian influenza virus from causing a human pandemic and what mutations are required to realise its deadly potential. The research could hold the key to early identification of a potential influenza pandemic, and to developing drugs and a vaccine.

Since its reappearance in 1997, the H5N1 influenza virus has caused disease and death in millions of birds around the globe. The number of infections in humans is still relatively small, however: from 2003 to the end of June 2008 there had been 385 known cases in humans, 243 of them fatal (see note 1 below). So far, there appear to have been very few cases of human-to-human transmission.

Professor Ten Feizi at Imperial College London believes one reason why H5N1 has not yet evolved into an effective pathogen capable of widespread transmission between humans lies in how the virus attaches itself to the respiratory tract. She is leading an international research project, which has received over ?720 000 from the Wellcome Trust, to identify the receptor molecules in the human respiratory tract to which viruses attach and to look at how changes in the binding protein on the surface of the virus might increase its ability to attach to the tract and cause infection.

Professor Feizi will work with Professors Menno de Jong and Jeremy Farrar from the Wellcome Trust's South-east Asia Programme in Vietnam, Dr Alan Hay and Dr Steve Gamblin at the Medical Research Council National Institute for Medical Research, London, and Dr Mikhail Matrosovich at the Philipps University of Marburg, Germany.

"Over the last few years, particularly in Asia, we have seen just how deadly the H5N1 virus can be," says Professor Farrar from the Oxford University Clinical Research Unit in Ho Chi Minh City, Vietnam, where a number of people have been treated for infection by the virus. "So far, we have been relatively fortunate and there has been only limited evidence of the virus transmitting from human to human. The more we understand about the virus, how it interacts with the body, the better we will be prepared for any serious mutations that may arise."

In humans, influenza infection occurs via the respiratory tract, or airway. In order to cause disease, the virus must enter the body's cells where it can replicate and spread, but it must first find a site to which it can attach, known as a receptor. The virus can only attach to and enter the cells if the receptor fits into the binding proteins, or haemagglutinins (the "H" in H5N1), on the surface of the virus.

Previous research has shown that the haemagglutinin on H5N1 favours a particular form of receptor known as a "2,3 receptor". These are abundant on cells of birds, but in humans are found mostly on cells of the lower respiratory tract (the lungs). Professor Feizi and colleagues have shown that mucus in the upper airway in humans also contains 2,3 receptors, but here the mucus acts as a defence mechanism to which the virus binds, blocking its progress and enabling the body to "sweep out" the virus. Both factors suggest that huge doses of the virus are required in order to infect humans, a theory supported by evidence that those who have become infected have spent large amounts of time in close proximity to infected fowl.

As with all viruses, H5N1 is continually mutating, and it is changes that allow the virus to attach to ?2,6 receptors? in the human upper airway that may enable the virus to become more infectious to humans.

"If the bird flu virus evolves to favour the receptors in our nose and throat like normal flu, the results could be devastating," says Professor Feizi from the Division of Medicine at Imperial College London. "We could have a virus which is not only highly infectious but is easily transmissible by coughing and sneezing."

Dr Hay and Dr Gamblin will isolate haemagglutinin from samples of the virus taken from the patients in Vietnam, and Dr Matrosovich will grow cultures of human airway cells and isolate cell-membrane receptors and secreted mucus. Then, using a technique known as neoglycolipid (NGL) microarray analysis developed by Professor Feizi and her colleagues, the team at Imperial College will identify which of the various receptor structures the haemagglutinins bind most strongly to. Dr Gamblin?s team will then use X-ray crystallography to probe, at the molecular level, how mutations might cause the bird virus to change into a human virus.

"If we can find out which mutations of haemagglutinin prefer which receptors, we may be able to identify quickly or even predict which mutations give the virus pandemic potential," says Professor Feizi.

Current antiviral treatments for influenza, such as Tamiflu, target neuraminidase (the "N" in H5N1), which is responsible for allowing the virus to jump off receptors on one cell and bind to those on another cell, and to replicate and spread once inside the body.

"Targeting the virus's ability to bind to the receptors - which until now has proved far more difficult - may provide an alternative, more effective way of preventing infection," says Professor Feizi. "We hope that our work will make this process simpler and faster."
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Re: AFD - Pandemic Funding

CDC Awards $24 Million For Pandemic Preparedness Projects



# 2329


A pity there wasn't a civilian blogging category (I work cheap), but eligibility was limited to 62 state, local, and territorial public health departments that receive funding through PHEP cooperative agreements.


Still, even if I wasn't eligible, it is good to see local health departments encouraged (and funded) to set up pandemic preparedness projects.





Press Release

CDC Awards $24 Million for Pandemic Influenza Preparedness Projects

For Immediate Release: September 24, 2008
Contact:
CDC Division of Media Relations, Phone: (404) 639-3286

The Centers for Disease Control and Prevention (CDC) has awarded $24 million to fund 55 projects in 29 state and local public health departments that could serve as innovative approaches for influenza pandemic preparedness.

?What is learned from these projects can benefit everyone because it could improve national, regional and local public health detection and response to a pandemic involving influenza,? said Richard Besser, MD, Director of CDC′s Coordinating Center for Terrorism Preparedness and Emergency Response. CDC intends for the recipients to implement promising practices or to develop effective approaches and models that can be replicated nationally, Dr. Besser said.

A total of 184 funding applications were submitted by state and local health departments in a competitive application process. Eligible applicants for the awards were limited to the 62 state, local and territorial public health departments that currently receive federal funding through CDC′s Public Health Emergency Preparedness (PHEP) Cooperative Agreement.

The 29 award recipients have one year to complete the projects, which begin on September 30, 2008. The projects focus on seven key areas and include:


  1. Use of public engagement as part of the public health decision-making process
  2. Electronic laboratory data exchange to support influenza pandemic monitoring
  3. Integration of state-based immunization information systems to track distribution of influenza pandemic countermeasures.
  4. Development of statewide electronic death reporting systems compliant with Public Health Information Network (PHIN) requirements
  5. Collaborative planning among healthcare providers to ensure the delivery of essential services during an influenza pandemic
  6. Development of interventions that promote preparedness for pandemic disease among identified vulnerable populations
  7. Distribution and dispensing of antiviral drugs to self-isolated or self-quarantined persons in an influenza pandemic event

A list of the 29 award recipients and their projects can be found at http://emergency.cdc.gov/cotper/coopagreement/07/funding-schedule-pan-flu.asp.

The $24 million for the new projects are part of $600 million in PHEP supplemental funding appropriated by Congress to accelerate state and local influenza pandemic planning efforts. The focus of the funding, which was distributed in three phases beginning in 2006, was on practical, community-based procedures that could prevent or delay the spread of an influenza pandemic.
 
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