Pandemic Preparedness Preclinical Research

Pathogen Biology, Pathogenesis, and Host Immunity

Developing products that can protect against pathogens of concern is an integrated process that requires basic and applied research. Fundamental knowledge of pathogen biology; structural properties; mechanisms of transmission, including identification of viral vectors; viral lifecycle; viral entry mechanisms and host receptors; tissue tropism; and host immune responses is critical to efforts informing the development of MCMs against new, emerging, or remerging pathogens.

Pandemic Preparedness Research Approach

The NIAID Pandemic Preparedness Plan builds on a foundation of pathogen-specific research that include advancing research on priority pathogens known to or having the potential for emerging as public health threats. Continuing to build a robust basic research portfolio and advancing translational science on these pathogens is essential for biomedical preparedness. In addition to known threats, effective preparedness must also account for unexpected emerging disease threats, commonly referred to as Pathogen(s) X.

African Centers of Excellence in Bioinformatics and Data-Intensive Science (ACE)

The African Centers of Excellence in Bioinformatics and Data-Intensive Science (ACE) are a consortium of research and training centers facilitated by the National Institute of Allergy and Infectious Diseases (NIAID) in collaboration with African research institutions, private sector companies, and the Foundation for the NIH. ACE delivers high performance computing infrastructure and training through a public-private partnership based on in-kind contributions. ACE also provide researchers with mentoring, training, technical and scientific support, computer resources, and the bioinformatics tools necessary for advanced data analysis. Finally, ACE provides a platform for sharing skills, knowledge, and best practices between members of the global biomedical research community.

Main Areas of Focus

  • Provide high performance computing infrastructure & training to researchers across Africa
  • Empower researchers and their students to utilize computing resources for advanced biomedical data analysis
  • Build better technical capacity for research and foster data sharing to improve the quality of infectious disease science within the African continent
  • Partner with other sponsors to build a network of self-sustaining centers that can tap into other sources of funding

Senior Program Management

  • Michael Tartakovsky
  • Maria Y. Giovanni
Content Coordinator
Content Manager
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SARS-CoV-2 Assessment of Viral Evolution (SAVE) Program

The SARS-CoV-2 Interagency Group (SIG), established by the U.S. Department of Health and Human Services (HHS), works to rapidly characterize emerging variants and actively monitors their potential impact on SARS-CoV-2 vaccines, therapeutics, and diagnostics. The SIG is responsible for variant classifications in the United States and meets regularly to evaluate the risk posed by SARS-CoV-2 variants circulating in the United States and globally to make recommendations about the variants. NIAID is a member of the SIG and supports research and surveillance activities to help inform decisions made by the SIG.

To support the generation of data for the SIG, NIAID has created the SARS-CoV-2 Assessment of Viral Evolution (SAVE) risk-assessment pipeline for SARS-CoV-2 variant viruses. SAVE provides a comprehensive real-time risk assessment of emerging mutations in SARS-CoV-2 that could impact transmissibility, virulence, and susceptibility to infection- or vaccine-induced immunity. The goals of the SAVE program are to understand emerging changes in the virus that could impact transmissibility, virulence, susceptibility to convalescent and vaccine-induced immunity and diagnostic testing. SAVE is one of the data streams that provides important information for variant characterization and complements other USG and NIH efforts like the ACTIV Tracking Resistance and Coronavirus Evolution (TRACE) initiative.   

The NIAID SAVE program is composed of an international team of scientists with expertise in virology, immunology, vaccinology, structural biology, bioinformatics, viral genetics, and evolution. Researchers from NIAID Intramural, the NIAID Vaccine Research Center, other HHS and Department of Defense laboratories, and the extramural academic community work collaboratively within and across multiple sub-groups to accelerate the pace of variant research and discovery through rapid and open sharing. Researchers are developing high quality data sets that are then vetted by SIG working groups comprised of various experts. These data help inform public health recommendations.

More information on the SAVE program can be found in the publication, "Defining the risk of SARS-CoV-2 variants on immune protection" (Nature, 2022).

A diagram showing the Variant Testing Pipeline (SAVE): variants of concern enter early detection analysis, then in vitro characterization, on to in vivo characterization. Final analysis is given to the SARS-CoV-2 Interagency Group. See the description of each step in the text below.
Credit: NIAID

NIAID’s activities are divided into the following data-generating components:

Early Detection and Variant Analysis

Lead: Elodie Ghedin, Ph.D., NIAID and Derek Smith, Ph.D., Cambridge University

This team is evaluating surveillance/epidemiological data, information from observational studies on the efficacy of COVID-19 vaccines, variant information from documented vaccine breakthrough cases and accompanying sequence data from these efforts to identify variants that should be evaluated further in vitro and in vivo. They will also perform antibody escape mapping in the lab using monoclonal antibodies and polyclonal sera in pseudoviral assays to identify proactively substitutions of concern.

In vitro Characterization

Lead: Florian Krammer, Ph.D., Icahn School of Medicine at Mount Sinai and Mehul Suthar, Ph. D., Emory University

This team characterizes variants identified by the early detection group comprehensively in vitro to determine how they may differ from the original SARS-CoV-2 virus. Variant viruses, pseudoviruses and various convalescent and vaccinee sera samples are used to determine if variants are able to evade infection- or vaccine-induced immunity. Groups are also performing antigenic landscape analyses to determine the relatedness of each emerging variant to the original strain to which vaccines were made. Researchers also analyze characteristics such as in vitro replication kinetics to determine how variant viruses may have different characteristics that affect their ability to replicate or transmit between humans. Groups are also exploring if any variants can evade cellular immune responses generated by memory B-cells and T-cells. The data generated by this groups helps determine which variants are of most concern for our existing countermeasures.

In vivo Characterization

Lead: Michael Diamond, M.D., Ph.D., and Jacco Boon, Ph.D., Washington University in St. Louis

This team is using animal models to estimate virulence changes in circulating SARS-CoV-2 viruses and evaluate vaccine efficacy against variant viruses. Researchers use various animal models to examine if any variants cause different levels of disease in models. Researchers also vaccinate or infect animals to determine if animals remain protected from infection with variant viruses over different periods of time.  Finally, researchers are working to study ability of countermeasures such as vaccines to prevent transmission in animal models.

Research Resources

SAVE is generating and characterizing reagents to be used across the USG and the global scientific community, including sera panels, viruses and protein.  SAVE-generated and other available resources can be found at BEI Resource Repository.

Selected Publications

SAVE has been involved in the research published in a variety of scientific journals focusing recently on the Omicron and Delta variants. 

Collaborating Institutions

Federal agencies and laboratories, academic institutions, and corporations collaborate to make SAVE possible.

Content Coordinator

Natural History, Epidemiology and Pathogenesis of Severe HPV-Related Diseases (NEPTUNE)

We are asking you to join this study because you have had multiple outbreaks of warts and/or lesions caused by human papillomavirus (HPV). Medicine and surgery are not always effective to treat these outbreaks. We want to follow your HPV outbreaks over a long period of time to better understand how HPV infects the body and causes disease. 

Contact Information

Office:  NIH Office of Patient Recruitment
Phone:  (800) 411-1222
TTY:  (866) 411-1010
Email:  ccopr@nih.gov

Jessica R. Durkee-Shock, M.D., MHSc

Assistant Research Physician, Medical Virology Section
Staff Clinician

Major Areas of Research

  • Severe viral infections in patients with inborn errors of immunity, with particular focus on herpes family and norovirus infections
  • Characterization of genetic determinants of severe viral infections
  • Therapeutics for severe viral infections in immunocompromised patients including viral specific T-cell therapies
  • Clinical trials of human herpesvirus vaccines

Program Description

The clinical program within the Medical Virology Section has 2 main foci: the natural history of viral infections and their intersection with immune defects and early phase therapeutics and vaccines for herpesvirus infections.

Our natural history protocols allow for the clinical, laboratory and genetic assessment of patients with viral infections with particular emphasis on unusual or severe viral infections. Patients are enrolled and then followed longitudinally to investigate clinical course. In addition, the NIH clinical team collaborates with referring physicians to manage underlying immunodeficiency and refractory viral infections.

Our early clinical trials include phase I Epstein-Barr virus (EBV) vaccines as well as upcoming monoclonal antibodies targeting EBV assessing the safety and immunogenicity of novel antiviral therapeutics.

Biography

Dr. Durkee-Shock graduated magna cum laude from the University of Maryland School of Medicine in 2012. She then completed her combined internal medicine and pediatrics residency at the University of Maryland Medical Center / Baltimore Veterans Affairs Hospital prior to joining NIAID for her fellowship in allergy and clinical immunology. In addition, she is currently a master’s degree candidate for the Duke University Clinical Research Training Program, which is a joint program between the NIH and Duke University providing formal training in clinical research, clinical trials, and statistics. 

During her fellowship, she joined the Cell Enhancement and Technologies for Immunotherapy Program (CETI) at Children’s National Medical Center (CNMC) under the mentorship of Dr. Catherine Bollard and Dr. Michael Keller with an emphasis on adoptive T cell therapy for viral infections in immunocompromised hosts including SARS-CoV-2 and chronic Norovirus. During this time, she actively collaborated with the Calicivirus and Medical Virology Sections within the Laboratory of Infectious Disease at NIAID, fostering joint translational projects and clinical protocols. She is passionate about her work in the clinic caring for patients with primary immunodeficiencies, as well as seeking new therapies and vaccines against viral diseases.

Research Group

Jeffrey Cohen, M.D., Chief, Medical Virology Section 
Kelly Liepshutz PA, MPAS, Clinical Research Directorate  
Krista Gangler RN, Protocol Nurse Coordinator 
Kayla Morgan, RN BSN, Clinical Trials Research Nurse 

Publications

Delmonte OM, Bergerson JRE, Burbelo PD, Durkee-Shock JR, Dobbs K, Bosticardo M, Keller MD, McDermott DH, Rao VK, Dimitrova D, Quiros-Roldan E, Imberti L, Ferrè EMN, Schmitt M, Lafeer C, Pfister J, Shaw D, Draper D, Truong M, Ulrick J, DiMaggio T, Urban A, Holland SM, Lionakis MS, Cohen JI, Ricotta EE, Notarangelo LD, Freeman AF. Antibody responses to the SARS-CoV-2 vaccine in individuals with various inborn errors of immunity. J Allergy Clin Immunol. 2021 Nov;148(5):1192-1197.

Kinoshita H, Durkee-Shock J, Jensen-Wachspress M, Kankate VV, Lang H, Lazarski CA, Keswani A, Webber KC, Montgomery-Recht K, Walkiewicz M, Notarangelo LD, Burbelo PD, Fuss I, Cohen JI, Bollard CM, Keller MD. Robust Antibody and T Cell Responses to SARS-CoV-2 in Patients with Antibody Deficiency. J Clin Immunol. 2021 Aug;41(6):1146-1153.

Durkee-Shock JR, Kuehn HS, Stoddard J, Niemela JE, Sun G, Keller MD, Rosenzweig S, Milner JD. Recurrent lymphadenitis in a female XIAP/BIRC4 mutation carrier with normal lyonization. J Allergy Clin Immunol Pract. 2021 Feb;9(2):1002-1005.e2.

Keller MD, Harris KM, Jensen-Wachspress MA, Kankate VV, Lang H, Lazarski CA, Durkee-Shock J, Lee PH, Chaudhry K, Webber K, Datar A, Terpilowski M, Reynolds EK, Stevenson EM, Val S, Shancer Z, Zhang N, Ulrey R, Ekanem U, Stanojevic M, Geiger A, Liang H, Hoq F, Abraham AA, Hanley PJ, Cruz CR, Ferrer K, Dropulic L, Gangler K, Burbelo PD, Jones RB, Cohen JI, Bollard CM. SARS-CoV-2-specific T cells are rapidly expanded for therapeutic use and target conserved regions of the membrane protein. Blood. 2020 Dec 17;136(25):2905-2917.

Visit PubMed for a complete publication listing.

Section or Unit Name
Medical Virology Section
First Name
Jessica
Last Name
Durkee-Shock
Middle Name
R.
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M.D.
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Program Description

The clinical program within the Medical Virology Section has 2 main foci: the natural history of viral infections and their intersection with immune defects and early phase therapeutics and vaccines for herpesvirus infections.

Our natural history protocols allow for the clinical, laboratory and genetic assessment of patients with viral infections with particular emphasis on unusual or severe viral infections. Patients are enrolled and then followed longitudinally to investigate clinical course. In addition, the MVS clinical team collaborates with referring physicians to manage underlying immunodeficiency and/or refractory viral infections.

Our current and planned early clinical trials include phase I Epstein-Barr virus (EBV) vaccines and monoclonal antibodies, as well as collaborations with CNH CETI for viral-specific T cell therapies for the treatment and prevention of chronic norovirus infection and COVID-19.

Selected Publications

Durkee-Shock J, Lazarski CA, Jensen-Wachspress MA, Zhang A, Son A, Kankate VV, Field NE, Webber K, Lang H, Conway SR, Hanley PJ, Bollard CM, Keller MD, Schwartz DM. Transcriptomic analysis reveals optimal cytokine combinations for SARS-CoV-2-specific T cell therapy products. Mol Ther Methods Clin Dev. 2022 Jun 9;25:439-447.

Durkee-Shock J, Zhang A, Liang H, Wright H, Magnusson J, Garabedian E, Marsh RA, Sullivan KE, Keller MD; USIDNET Consortium. Morbidity, Mortality, and Therapeutics in Combined Immunodeficiency: Data From the USIDNET Registry. J Allergy Clin Immunol Pract. 2022 May;10(5):1334-1341.e6.

Delmonte OM, Bergerson JRE, Burbelo PD, Durkee-Shock JR, Dobbs K, Bosticardo M, Keller MD, McDermott DH, Rao VK, Dimitrova D, Quiros-Roldan E, Imberti L, Ferrè EMN, Schmitt M, Lafeer C, Pfister J, Shaw D, Draper D, Truong M, Ulrick J, DiMaggio T, Urban A, Holland SM, Lionakis MS, Cohen JI, Ricotta EE, Notarangelo LD, Freeman AF. Antibody responses to the SARS-CoV-2 vaccine in individuals with various inborn errors of immunity. J Allergy Clin Immunol. 2021 Nov;148(5):1192-1197.

Kinoshita H, Durkee-Shock J, Jensen-Wachspress M, Kankate VV, Lang H, Lazarski CA, Keswani A, Webber KC, Montgomery-Recht K, Walkiewicz M, Notarangelo LD, Burbelo PD, Fuss I, Cohen JI, Bollard CM, Keller MD. Robust Antibody and T Cell Responses to SARS-CoV-2 in Patients with Antibody Deficiency. J Clin Immunol. 2021 Aug;41(6):1146-1153.

Durkee-Shock JR, Kuehn HS, Stoddard J, Niemela JE, Sun G, Keller MD, Rosenzweig S, Milner JD. Recurrent lymphadenitis in a female XIAP/BIRC4 mutation carrier with normal lyonization. J Allergy Clin Immunol Pract. 2021 Feb;9(2):1002-1005.e2.

Keller MD, Harris KM, Jensen-Wachspress MA, Kankate VV, Lang H, Lazarski CA, Durkee-Shock J, Lee PH, Chaudhry K, Webber K, Datar A, Terpilowski M, Reynolds EK, Stevenson EM, Val S, Shancer Z, Zhang N, Ulrey R, Ekanem U, Stanojevic M, Geiger A, Liang H, Hoq F, Abraham AA, Hanley PJ, Cruz CR, Ferrer K, Dropulic L, Gangler K, Burbelo PD, Jones RB, Cohen JI, Bollard CM. SARS-CoV-2-specific T cells are rapidly expanded for therapeutic use and target conserved regions of the membrane protein. Blood. 2020 Dec 17;136(25):2905-2917.

Visit PubMed for a complete publication listing.

Additional Information

Research Group

Jeffrey Cohen, M.D., Chief, Medical Virology Section 
Kelly Liepshutz PA, MPAS, Clinical Research Directorate  
Krista Gangler RN, Protocol Nurse Coordinator 
Kayla Morgan, RN BSN, Clinical Trials Research Nurse 

Training Program

NIAID Allergy and Immunology Fellowship Program

Major Areas of Research
  • Severe viral infections in patients with inborn errors of immunity, with particular focus on herpes family and norovirus infections
  • Characterization of genetic determinants of severe viral infections
  • Therapeutics for severe viral infections in immunocompromised patients including viral specific T-cell therapies
  • Clinical trials of human herpesvirus vaccines

Laser Scanning Confocal Systems

The Twinbrook Imaging Facility has two state-of-the-art laser scanning confocal systems to image live cell specimens. The Zeiss LSM 780 is a multiplatform system capable of spectral imaging, intravital imaging, fluorescence lifetime measurements and fluorescence correlation spectroscopy. The LSM 880 is equipped with the super-resolution Airyscan detector and the FAST system, allowing it to achieve close to video rate recording speeds with a single color.

Zeiss LSM 880 Airyscan with FAST

Located in Fishers, room 4S06A.

Spinning Disk Confocal Microscope

Spinning disk confocal microscopy is a fast, wide-field technique that enables users to capture images at 30 frames per second or more.  Located in Fishers 5625, room 4S06B, the facility has a Yokogawa CSU-X1 attached to a motorized Nikon Eclipse Ti2.

General SCORE FAQ

Can cell phones be used as synchronized clocks when recording times for time-critical processes or study procedures?

Yes, as cell phones are usually synchronized through A-GPS (Assisted Global Positioning System) via cellular and wireless connections, they can be used for this purpose.

Vaccine Adjuvant Compendium (VAC)

The Vaccine Adjuvant Compendium (VAC) was launched in 2021 by the NIAID Division of Allergy, Immunology, and Transplantation (DAIT) to foster collaborations between NIAID-supported adjuvant researchers and the broader scientific community.