Ebola solved?

mbo

Membership Revoked
Researchers Develop Effective Ebola Vaccine
http://abcnews.go.com/wire/US/reuters20030806_350.html
Aug. 6
— By Maggie Fox, Health and Science Correspondent

WASHINGTON (Reuters) - U.S. government researchers said on Wednesday they had developed a vaccine that protected monkeys against Ebola virus with a single dose -- offering a new way to stop an outbreak of the deadly disease.

The vaccine was made using a new approach that should work against a range of other viruses, as well, the researchers said. And the new technology might offer a quick way to develop an instant vaccine against new infections, such as SARS, or even a biological weapon.

Dr. Gary Nabel, the top vaccine expert at the U.S. Institute of Allergy and Infectious Diseases and leader of the study, said he was surprised a single shot worked.

"If we can do this for Ebola virus, I am hopeful we can apply it to other infectious outbreaks," Nabel said in a telephone interview.

Ebola, a new and frightening virus that kills anywhere between 50 percent and 90 percent of victims though massive internal bleeding, has resisted vaccine efforts so far.

Nabel and colleagues started with a common virus called an adenovirus -- the culprit behind many cases of the common cold and some more serious infections as well. They added one piece of DNA from the Ebola virus -- the glycoprotein.

Traditional vaccines use a whole virus, live, killed or

weakened, to help the immune system recognize the invader. The DNA vaccine relies on a strong immune response to the adenovirus, and the immune system recognizes the Ebola virus simply by recognizing the glycoprotein.

To the researchers' surprise, monkeys given a single jab with this vaccine were 100 percent protected from what should have been a deadly dose of Ebola, they report in this week's issue of the journal Nature.

PROTECTING MORE THAN MICE

"After years of developing candidate Ebola vaccines that protected rodents but failed in primates, it is gratifying to have a vaccine that holds great promise for protection of humans," Peter Jahrling, a senior research scientist at the U.S. Army Research Institute of Infectious Diseases, who also worked on the study, said in a statement.

In April, an outbreak of Ebola killed more than 120 people in the Congo Republic and also killed many gorillas living in a nearby wildlife preserve. A vaccine would be used to control such outbreaks in both people and animals, Nabel said.

"Ring vaccination might be used to stop the spread of the Ebola virus during acute outbreaks, just as this strategy was used to contain smallpox in the past," Nabel said.

With ring vaccination, everyone who has been in contact with a patient, as well as all members of the patient's household, are vaccinated. It is also safer than the smallpox vaccine, which uses a live virus related to smallpox.

"This begins to change our minds about how vaccines can be used," Nabel said. Instead of vaccinating large populations against diseases just in case, such a vaccine could be used tactically, when an outbreak starts, to control it quickly.

Nabel said the approach may be used in the development of vaccine against SARS.

Severe Acute Respiratory Syndrome, which sickened more than 8,000 people around the world and killed more than 800, seems under control now but experts expect it could reemerge in the autumn. NIAID is working with Maryland-based GenVec on vaccines against both SARS and the AIDS virus.

For the Ebola virus, NIAID is working with Dutch biotechnology company Crucell NV. They hope to test it in humans soon.

NIAID is still pursuing an older approach to an Ebola vaccine that it has been working on with Merck and Co. Inc. called a DNA prime-boost, which may offer longer-term protection against the virus.


Copyright 2003 Reuters News Service. All rights reserved
 

CanadaSue

Membership Revoked
Here's ProMed with more details...

THis is worth reading as it gives better detail as how this works - my comments after...


***EBOLA HEMORRHAGIC FEVER, FAST-ACTING VACCINE
********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>


Date: Wed 6 Aug 2003
From: Lorraine Gunzerath <lgunzera@willco.niaaa.nih.gov>
Source: National Institutes of Heath, Press release, Wed 6 Aug 2003 [edited]
<http://www.nih.gov/news/pr/aug2003/niaid-06.htm>


Fast-acting Ebola Vaccine Protects Monkeys
------------------------------------------
A single shot of a fast-acting, experimental Ebola vaccine successfully protects monkeys from the deadly virus after only one month. If this vaccine proves similarly effective in humans, it may one day allow scientists to quickly contain Ebola outbreaks with ring vaccination -- the same strategy successfully used in the past against smallpox, according to a study published in this week's issue of Nature.

This finding is the result of collaboration between scientists at the Dale and Betty Bumpers Vaccine Research Center (VRC), part of the National Institute of Allergy and Infectious Diseases (NIAID), and scientists at the United States Army Medical Research Institute of Infectious Diseases (USAMRIID) at Fort Detrick, MD. "This research has enormous public health implications not only because it might be used to limit the spread of Ebola virus, which continues to emerge in central Africa, but also because this
vaccine strategy may be applied to other highly lethal viruses, such as Marburg virus, Lassa fever virus, and the SARS coronavirus, that cause acute disease outbreaks and require a rapid response," says NIAID Director Anthony S. Fauci, M.D.

Under the directorship of Gary Nabel, M.D., Ph.D., scientists at the VRC have been pursuing the so-called "prime-boost" vaccine strategy against a variety of infectious diseases. Prime-boost is a 2-part process: First, an injection of non-infectious genetic material from the disease-causing microbe primes the immune system to respond. Second, several weeks later, an injection of attenuated carrier viruses containing key genes from the microbe substantially boosts the immune response.

The VRC scientists found that the boost alone produces a quicker but weaker immune response as compared with the prime-boost strategy. Knowing that time is critical when fighting Ebola, the scientists decided to test whether the boost's fast response was strong enough on its own to protect against the disease. To perform this test, they collaborated with colleagues at USAMRIID, who had the necessary facilities and expertise and who had developed good animal models for the experiment.

The VRC scientists immunized 8 monkeys with a single boost injection, consisting of attenuated carrier viruses containing genes for important Ebola antigens. The monkeys were then delivered to USAMRIID, where they were injected with an Ebola virus strain obtained from a fatally infected person from the former Zaire in 1995. The single vaccine injection completely protected all 8 animals against Ebola infection, even those who
received high doses of the virus.

"I am proud that our research team at USAMRIID was able to form an effective partnership with our colleagues at NIAID to develop and evaluate this Ebola vaccine," comments Peter B. Jahrling, Ph.D., senior research scientist at USAMRIID. "After years of developing candidate Ebola vaccines that protected rodents but failed in primates, it is gratifying to have a vaccine that holds great promise for protection of humans. Eventually, this vaccine may reduce the hazard of working with Ebola virus in the laboratory, as well as provide protection to populations at risk of natural exposure."

Ebola virus spreads easily from person to person, causes illness quickly, and kills a significant number of the people it infects. There is no treatment for the disease, so preventing the spread of the virus is key to containing outbreaks. If the results of this animal study hold true for humans, the new vaccine may be just the Ebola-fighting tool that public health officials need during epidemic outbreaks, Dr. Nabel explains.

"Ring vaccination might be used to stop the spread of the Ebola virus during acute outbreaks, just as this strategy was used to contain smallpox in the past," Dr. Nabel says. With ring vaccination, everyone who has been in contact with a patient, as well as all members of the patient's household, are vaccinated. The ring strategy, which requires a fast-acting vaccine, not only protects people who may have been exposed to the virus but also creates an added barrier of immunity around them, thereby
protecting the entire community.

Even though the boost alone appears to be effective, the prime-boost strategy, which requires 4 shots over 6 months, will still be important to pursue as well, Dr. Nabel says. "The prime-boost strategy elicits a stronger immune response," he explains, "and it may be useful for preventive vaccines intended for hospital workers at high risk of exposure to the virus, for example."

--
Lorraine Gunzerath (NIH/NIAAA)
<lgunzera@willco.niaaa.nih.gov>

[In the experiments described above, the vector employed for the delivery of the Ebola virus glycoprotein gene was a modified adenovirus.

The reference for the Nature paper is the following: Nature
424(6949):681-84 (2003). Accelerated Vaccination For Ebola Virus
Haemorrhagic Fever In Non-human Primates, by Nancy J. Sullivan, Thomas W. Geisbert, Joan B. Geisbert, Ling Xu, Zhi-yong Yang, Mario Roederer, Richard A. Koup, Peter B. Jahrling & Gary J. Nabel
<http://info.nature.com/cgibin24/DM/y/eLa60Bfvsv0Ch0DCU0AO>.

The abstract of the paper reads as follows:

"Containment of highly lethal Ebola virus outbreaks poses a serious public health challenge. Although an experimental vaccine has successfully protected non-human primates against disease, more than 6 months was required to complete the immunizations, making it impractical to limit an acute epidemic. Here, we report the development of accelerated vaccination against Ebola virus in non-human primates. The antibody response to immunization with an adenoviral (ADV) vector encoding the Ebola glycoprotein (GP) was induced more rapidly than with DNA priming and ADV
boosting, but it was of lower magnitude. To determine whether this earlier immune response could nonetheless protect against disease, cynomolgus macaques were challenged with Ebola virus after vaccination with ADVGP and nucleoprotein (NP) vectors. Protection was highly effective and correlated with the generation of Ebola-specific CD8+ T-cell and antibody responses.
Even when animals were immunized once with ADVGP/NP and challenged 28 days later, they remained resistant to challenge with either low or high doses of virus. This accelerated vaccine provides an intervention that may help to limit the epidemic spread of Ebola, and is applicable to other viruses."
- Mod.CP]***


This is very promising indeed. First, I'd humbly & for free sweep the floors of any of these researchers labs just for the privilege of watching work & listening to them discuss all this stuff. They've been there & done that - in the field - with Ebola.

Secondly - 8 monkeys is a small sample but the results are great. Several challenges remain - have to test larger groups of primate, including more species. Then small scale human tests to see if they develop the antibodies & if the vaccine is SAFE. You can't 'challenge' a human with a biosafety level 4 disease - field testing will have to come in a furute outbreak. If it's shown to be able to halt an outbreak & proves safe - we may be talking turkey.
 

Reasonable Rascal

Veteran Member
It is true the initial sample group was small and hopefully this trial will be followed with a larger group representing various primate species. It is worthwhile to note, though, that previous tests of vaccines and treatments have all lead to virtually a 100% mortality rate amongst test subjects. This is very encouraging news and hopefully does not represent some sort of reasearch fluke and a hasty decision to release results that later turn out to be flawed.

RR
 
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