>> WELL, LET ME WELCOME YOU TO TODAY'S DIRECTORS LECTURE FROM JESUS VALENZUELA, WHO IS CHIEF OF BACTERIAL AND MOLECULAR INFECTION AT THE VECTOR INSTITUTE. HE GOT HIS Ph.D. FROM THE UNIVERSITY OF ARIZONA AND DID POST DOCTORAL WORK AT NIAID IN THE LABORATORY OF PARASITIC DISEASES AND BECAME A RESEARCH FELLOW AND FINALLY IN 2002, BECAME AN INVESTIGATOR IN THE LABORATORY OF MALARIA AND VECTOR AND WERE WAS TENURED A COUPLE YEARS AGO BY THE NIH CENTRAL TENURE COMMITTEE. HE'S BEEN INTERESTED IN PARASITIC DISEASES INCLUDING MALARIA, AND MONASIS, AND HAS BEEN ROLL IN THE INSECT VECTORS AND SAIL--SALIVARY GRAND AND GUT AND TRANSMISSION PART OF THIS DISEASE. HIS TITLE IS: BASIC AND TRANSLATIONAL RESEARCH FROM SAN FRANCISCO LIVA FROM INSECT TECT--VECTORS FROM PHARMACOLOGY AND BY O VACCINES. JESUS? >> THANK YOU DR. GOTTESMAN FOR THE GREAT INTRODUCTION AND THANK YOU FOR COMING AND I THINK THE ROCKY MOUNTAIN LABS ALSO MIGHT BE WATCHING THIS TALK, HELLO? AND TODAYED I'LL TALK ABOUT AS THE DOCTOR WAS SAYING ABOUT SAN FRANCISCO SALIVA--SALIVA OF INSECT. I'LL TRY TO CONVEY A MESSAGE ABOUT WHY I'M INTERESTED IN THE SALIVA AND VICT VECTOR BORN INSECT DISEASES AND I WILL TRY TO GIVE A BIT OF HISTORY ABOUT MY RESEARCH AND TO WHAT WE'RE CURRENTLY DOING WHICH IS BIOMARKER AND BIOVACCINES BUT SCIENCE IS QUITE INTERESTING BECAUSE I CAN GO BACK TO SOME OF THE PHARMACOLOGY COMPONENTS TO DO THE REST OF THE MOLECULE, OF THE ADVANCES IN THE LAB. OOPS, LET'S SEE IF WE CAN CHANGE THIS. WHEN WE TALK ABOUT VECTOR BORN DISEASES IN WHICH WE WILL BE DISCUSSING TODAY, WE THINK ABOUT THE INTERACTION BETWEEN THE PATHOGEN AND THE HOST AND ACTUALLY MOST OF RESEARCH HAS BEEN DONE IN THIS AREA, PATHOGENS AND HOST, AND HOUSE RESPONSE TO PATHOGENS. THERE'S MORE WORK DONE BY DIFFERENT LABS INCLUDING OURS INCLUDING INTERACTIONS OF THE PATHOGEN IN THE VECTOR BUT MUCH LESS IN THE INTERACTIONS BETWEEN THE VECTOR AND THE HOST AND THIS IS WHAT I'M GOING TO EMPHASIZE TO THIS INTERACTION OF HOW THIS INTERACTIONS FROM THE VECTOR SALIVA CAN AFFECT THE HOST, CAN AFFECT THE PARASITE, AND ULTIMATELY AFFECTED THE DISEASE THAT IS TRANSMITTED BY THIS VECTOR. DRNCHL AND 1 POINT, I WANT TO MAKE, WE'RE ALSO VERY MUCH INTERESTED IN EMPHASIZING GLOBAL HEALTH AND PARTICULARLY NEGLECTED DISEASES AND THIS IS SOMETHING WE SRO MENTIONED IN THE LAB, PARTICULARLY WHERE THEY ARE WORKING ON AND THE COLLABORATORS WHERE WE HAVE ENCOULD YOU WANTER INNED THE LAST FEW YEARS AND JUST TO GIVE YOU A NUMBER, 50% OF NEGLECTED TROPICAL DISEASES ARE VECTOR BORN. THAT'S WHY VECTORS ARE ALSO VERY RELEVANT FOR THE DISEASES, THAT WE NEED TO TARGET AND TALK ABOUT NEGLECTED VECTOR DISEASE, I AM EMPHASIZE 1, WHICH IS THE 1 WE ARE TODAYING IN THE LAB WHICH IS IS THE LIESHMANNIA AND THIS IS IMPORTANT DUE TO THE RECENT NUMBERS OF B-SELMANIA SIS IN SUDAN AND ALSO INDIA AND THE„i THE--CAUSED BY DIFFERENT PARASITES, THE FORMS WE HAVE THE SUBCUTANEOUS FORM OF LEASH MAN ICEIS DRNCHL--LEISHMANIASES AND THIS IS A VERY SMALL PICTURE OF THE LIFE CYCLE BUT I WANT TO STRESS SOMETHING VERY IMPORTANT HERE, WHEN WE TALK ABOUT LEISHMANIASES, THERE ARE 2 HOSTS, WE HAVE THE VECTOR IN WHICH THE PARASITE USES THE SITE TO GO OUT TO THE FORM TOED METACYCLIC FORM, THE VECTOR IS ANi1 INFECTIVE FORMS OF THE PARASITE AND THEN THERE'S THE PARASITE THAT GOES INTO THE MAMMALIAN HOST AND GOES INTO MACROFAGSS AND GET THE--MAKE ROW FASHIONS AGAIN AND THEY GET INFECTIONS. NOW THIS IS THE POINT, THE MESSAGE TODAY, HOW IMPORTANT IN THIS CYCLE SALIVA IS AND HOW WE'RE USING SALIVA NOT ONLY FOR--I WILL GIVE OTHER EXAMPLES OF THE PHARMACOLOGY AND ALL THE BIOLOGICAL MARKERS AND ALSO POTENTIAL VACCINES TO PREVENT THIS PARTICULAR DISEASE. I JUST REALIZE YESTERDAY WHEN I WAS LOOKING AT THE QUIRES AND HOW MANY YEARS I'VE BEEN IN SALIVA WORK, IT'S 18 YEARS. I WAS LIKE, OH MY GOSH, ALMOST THE SAME TIME I'VE BEEN MARRIED TO MY WIFE. DANA'S LIKE SO FAR SO GOOD IN BOTH FIELDS. AND WHAT AMAZED ME IS LIKE, WHY AM I SO INTERESTED WITH SALIVA AFTER 18 YEARS IN AND THE ANSWER THAT MANY, AT THE END OF THE TALK YOU WILL SEE WHY ACCIDENT BUT WHY I'M ALWAYS IMPRESS WIDE THE SALIVA IS IT COMES IN THIS SLIDE, IT'S NOT VERY COMPLEX. THERE ARE ONLY FEW PROBLEMS, THERE ARE ABOUT 20 TO 30 PROBLEMS WITH THE SALIVA AT LEAST WITH SAND FLIES, THE TOTAL AMOUNT OF PROTEIN IN 1 GRAM AND 1 MICROGRAM. NOW EVERY TIME THAT A SAND FLY TAKES A MEAL TRELEASES ONLY A PROPORTION OF IS 1 FIFTH OR--I DON'T KNOW THE NUMBER BUT IT IS A PROPORTION. WHICH MEANS THAT EVERY TIME IT'S IN FLIGHT IT INGESTS THESE PROTEINS AND IF WE CALCULATE THESE NANO GRAMS, DIVIDED BY SOME 30 PROTEINS, WE'RE TALKING ABOUT INJECTION OF FEW NANO GRAMS TO HIGH PICO GRAMS, THAT AMOUNT OF PROTEIN IS ENOUGH TO CHANGE OUR PHYSIOLOGY. I'M GOING TO SHOW YOU, FIRST LOCALIZED AND RELATED SYSTEMICALLY. AND HOW IMPORTANT THIS, IS DRIVING THE PART OF THE RESEARCH, HOW IMPORTANT THESE ARE, HOW DIFFERENT THEY ARE TO OTHER PROTEINS AND THE TYPE OF KNOWLEDGE WE CAN GAIN OUT OF THAT--OUT OF THIS MOLECULES. WHY INSECT VS THIS TYPE¨> WE'LL BE MOVING MORE FOR THE STUDIES IN THE MOUSE MODELS, WE'LL GO INTO LARGER ANIMAL MODELS, WE UNDERTOOK WITH THE CRATE AND DOING VACCINES FOR DOGGINGS. DOGS ARE LEISHMANIASES BUT I CAN TELL YOU IT'S WORKING DOGS, AND WE HAVE A COLLABORATION WITH THIS COMPANY. IN BRAZIL, WE'RE FOLLOWING THE SAME APPROACH. BUT FOR OUR CLINICAL STUDIES WE WANT TO KNOW MORE ABOUT HUMANS, I MEAN HOW RESPOND TO SALIVA, HOW HUMANS RESPOND TO SALIVA, NUMBER 1 IN FIELD CONDITIONS, I HAD TO MAKE A POLICY BECAUSE I THINK SOMEBODY'S GOING TO ASK ME THIS QUESTION AT THE END ANYWAY BECAUSE WE'VE BEEN ASKING THIS QUESTION, MANY TIMES. OKAY, IF SALIVA IMMUNITY PROTECTS, HOW COME THERE'S PEOPLE WITH LEISHMANIASES IN THE FIELD? GOOD QUESTION. WELL, IF SALIVA IS--LIKE MOSQUITOES PRODUCE IMMUNE RESPONSE, YOU MAY LOSE THAT ABILITY PRODUCE SIMILAR RESPONSE OR IMMUNITY TO THESE AFTER MANY BITES, VERY VALID QUESTION AND I THINK THAT'S--IT MOVES MORE INTO THE FIELD, TO UNDERSTAND REAL SITUATIONS. WE HAVE 2 STUDIES, 1 IN FIELD CONDITIONS IN MALI, THIS IS DR. WATTS, WHICH INSPIRES FORCES TO GO TO MALI. HE SAID THERE IS GREAT OPPORTUNITY AT THAT TIME, WE'RE TALKING ABOUT 2002, 2003, I DIDN'T UNDERSTAND ALL THE LOGISTICS IN THE PROCESS BUT I THINK IT WAS 1 OF THE--FOR ME GOING INTO THAT AREA AND DO THANKSGIVING RESEARCH IT'S BEEN 1 OF THE MOST REWARDING EXPERIENCES, NOT ONLY IN THE SENSE OF THE SIGNS BUT ALSO TO SEE THE DISEASE IN THE AREA, TO SEE THE PEOPLE THAT ARE--THAT CAN PARTICIPATE, THAT [INDISCERNIBLE] OF THIS EXPERIENCE AND I'M REALLY FORTUNATE TO HAVE EXPERIENCED THIS. AND THEN WE SELECT THE VILLAGE IN MALI, WHICH IS ABOUT--MANY HOURS I DON'T REMEMBER THE HOURS, IT LOOKS FOREVER WHEN YOU DRIVE FROM BAMAKA, TO THE AREA [INDISCERNIBLE]. AND THIS VILLAGE IS ABOUT 1600 INDIVIDUALS WITHIN THE 2. WE ALSO DIDDENT O MODEL CITIZEN LOGICAL STUDIES THERE, AND [INDISCERNIBLE] HAS A VECTOR AND WE FOUND MANY OTHER SAND FLYS AND BUT THIS IS THE MAIN VECTOR THERE, WHICH MAKES THE STUDY MUCH SIMPLER IN THAT AREA. WE ASK THE QUESTION: CAN PEOPLE PRODUCE IMMUNE RESPONSES TO THE SALIVA? AND I DON'T HAVE--THERE WAS SOME BLOOD HERE, BUT YES, ANTIBODIES THEY HAVE. AND I THINK THAT'S' A GIVEN, BUT HOW ABOUT CELLULAR IMMUNE RESPONSES IN CAN PEOPLE LIVE IN THESE AREA WITH IMMUNE RESPONSES AND WE'RE TALKING ABOUT PEOPLE WHO HAVE LIVED THYROID CARCINOMA FOR MANY YEARS AND THIS STUDY WENT--THIS IS FROM ADULTS 18 TO 65 AND THE ANSWER IS YES, IF YOU THINK THE PBMCs OF THE INDIVIDUAL, [INDISCERNIBLE] AND STIMULATE WITH THE SALIVA--SALIVAIVEARY----SAN FRANCISCO„i LIVEARY GLAND--SALIVERY GLAND, [INDISCERNIBLE] IL13, 14, AND 5, THIS IS RESPONSE TO ANYTHING BUT MUST HAVE BEEN RESPONSE TO SOMETHING. BUT STILL, THAT DOESN'T ANSWER THE QUESTION OF WHY IF THERE IS, IF THEY'RE BITTEN, WHY WE BELIEVE THAT SALIVA WILL HYPOTHESIZE THAT SAN FRANCISCO LIVA IS IMPORTANT--SALIVA--SALIVA I'VEA IMPORTANT FOR PROTECTION, WHY THE INDIVIDUAL HAS THE DISEASE? WELL WE FOUND SOMETHING INTERESTING WITHIN THIS GROUP. WE FOUND A SUBGROUP OF THAT WE CALL TH1 RESPONDERS, AND TH2 RESPONDERS TO SALIVA, WE WE FOUND SOME INDIVIDUALS CAN PRODUCE TO THE SALIVA OF [INDISCERNIBLE], HIGH LEVELS OF INTERFERON-GAMMA AND IL12 AND MUCH LOWER OF I L5 AND 13. ANOTHER GROUP, IT H2, RESPONDERS IS MUCH LESS INTERFERON-GAMMA BUT MUCH HIGHER IL5 AND 13, AND OF COURSE WE HAD THE THIRD GROUP WHICH IS THE NONRESPONDERS. IT'S A GROUP. BUT JUST TO NOT RESPOND. THEN YOU THINK ABOUT TWE'RE PROPOSING THAT PROBABLY, WHY IN AN ENDEMIC AREA, EVEN IF YOU HAVE IMMUNITY TO SALIVA, YOU STILL MAY NOT BE PROTECTED, WE HYPOTH SCIZZED THAT EVEN YOU ARE NOT RESPONDER OR YOU'RE A TH2 LIKE RESPONDER TO THE HOST SALIVA AND MAYBE THERE ARE RESPONDERS THAT ARE DOSE 1 THAT ARE PROTECTED. WE'RE STILL--WE'RE DO THANKSGIVING ANALYSIS--DOING THIS ANALYSIS TO CLARIFY THIS QUESTION, BUT AT LEAST WE HAVE SOMETHING NEW OR A NEW HYPOTHESIS TO ANSWER THIS QUESTION THAT WE HAVE ALWAYS BEEN ASKED. HOW ABOUT THE SECOND POINT THAT I TOLD YOU. IF YOU'VE BEATEN MANY TIMES YOU CAN STILL MOUNT A CELLULAR IMMUNE RESPONSE TO THE SALIVA OF THIS INSECT? AND WE ASK THAT QUESTION IN MALI.„i , WE SELECTED INDIVIDUALS, I THINK IT'S MUCH LOWER, 5-65 AND THIS IS A VERY FUNNY STORY. THE COLONY WE HAVE HERE AT NIH, EVEN IN THE LAB, IS COMING FROM THE [INDISCERNIBLE], WE GOT FLIES FROM THERE TO HELP US DO THAT. WE COLONIZE THE FLYS AND THEN WE WANT TO DO THIS ANALYSIS BUT WE COULDN'T USE THE FLIES FROM MALI BECAUSE THEY'RE WILD CARDS AND THEY HAVE LEISHMANIASES, THEY HAVE TO GET THE FLIES FROM HERE BACK TO MALI, WHICH MEANS THEY'RE GOING TO SEE THEIR RELATIVES. [LAUGHTER] BUT ALSO, TO US IT'S VERY IMPORTANT BECAUSE WHEN PEOPLE ARE BITTEN BY NATURAL FLIES WOULD REACT TO FLIES THAT ARE COLON EYES. --COLOONIZED. THERE WAS QUITE IMPORTANT TO ANSWER THIS QUESTION, WELL WE TOOK THE FLYS AND WE ONLY EXPOSE THIS INDIVIDUAL, TO TREATED FLY IT FLY--FLYS AND THIS WAS THE SIGN IN THE LAB AND THE FLIES ARE CONTAINED AND THE ADVANTAGE IS YOU CAN SEE IT'S A PLEXIGLASS, CAN YOU SEE THE FLIES ARE FED. THEY'RE VERY RED. AND THEN YOU ADD IT TO YOUR ARM AND WAIT OHM A FEW MINUTES, I THINK 10 TO 20 MINUTES AND THEY--THE IS WHAT WE SEE. WE SEE THAT MINUTES AFTER BITES YOU DON'T SEE MUCH OF A RESPONSE IN SOME INDIVIDUALS, ALTHOUGH SOME INDIVIDUALS, THEY DO; THEY HAVE MORE IMMEDIATE RESPONSE, PARTICULARLY KIDS AND IT'S SOMETHING WE'RE TRYING TO INVESTIGATE MORE BUT 48 HOURS AFTER THE BITE, WE SEE A TYPICAL BPh. THAT IF YOU TAKE A BIOPSY, YOU SEE THE CELL RECRUITMENT IN THE SIDE. THE BOTTOM LINE IS THAT ABOUT 65% OF INDIVIDUALS FROM THIS AREA RESPONDED TO THE BITES OF THE FLIES WHICH MEANS THEY DID NOT LOSE THE ABILITY TO RESPOND. EVEN AFTER ALL THESE YEARS. THIS IS SOMETHING THAT I LIKE TO EMPHASIZE HERE. SAND FLIES ARE NOT MOSQUITOES. OKAY? EVEN WHEN WE CHECK THE TRANSCRIPT OHM OF THE FLIES THERE ARE ONLY LIKE FEW PROTEINS THAT ARE SIMILAR TO MODEL CITIZEN MOSQUITOES, [INDISCERNIBLE] ARE MORE THAN HUNDRED SOMETHING SEPARATED BUT THEY COME TO [INDISCERNIBLE] MORE INDEPENDENTLY, THEN ALTHOUGH WE TREAT THEM LIKE EQUAL, BECAUSE THEY SUCK BLOOD, AND MAY MAKE AN ITCHY RESPONSE, THEY'RE NOT THE SAME. SAND FLIES IN IN CASE ARE TELLING US THAT THE WAY WE RESPOND TO FLIGHT IS DIFFERENT BECAUSE OF THE TYPE OF THE RESPONSE TO Ph, AND ALSO WE TEND TO MAINTAIN THE RESPONSE FOR LONGER TIME, PROBABLY BY THE TYPE AMOUNT AND TYPE OF PROTEIN I INJECTED INTO THE HOST, AND SOME OF THE INDIVIDUALS, IF YOU TAKE THE FREQUENCY OF THE BPh POSITIVE, YOU START SEEING THAT THE MAJORITY OF PEOPLE DO NOT LOSE THE RESPONSE, ALTHOUGH AFTER 45 OR 50 YEARS, IT DROPS. THERE IS A LOSS, BUT THE MAGGORRITY BETWEEN AGE 41-45, THEY MAIN ABILITY TO INDUCE Ph RESPONSE TO SALIVA. AND THIS IMMUNE RESPONSE IS TYPICAL FOR BPh AND THIS IS IN NUTRIFILLS AND MACK WOPHAGES AND--MACROPHAGES AND THEN YOU HAVE A MORE ALLERGIC RESPONSE AND THIS APPEARS AGAIN TO BE CD4 MEDIATED. IT WOULD TAKE A BIOPSY OF 1 OF THESE REACTIVE SITES FROM 15 INDIVIDUALS WE SEE THIS REACTIVE TYPE PRODUCING LOTS OF INTERFERON-GAMMA AND EVEN AFTER SO MANY YEARS OF EXPOSURE THAT WILL BE DIFFERENT TO DETERMINE A PARTICULAR AGE GROUP IN AN INDEMMIC AREA, AND MANY PEOPLE THAT ARE REACTIVE, THEY PRODUCE A TH1 SALIVA, AND THAT MAKES THIS CONNECTION AND THIS QUITE AN INTERESTING. THAT'S WHY I MENTION ABOUT IN THE FIELD, THIS WILL GIVE YOU A BETTER RESPONSE, THIS IS A DISEASE AND WERE BITTEN BY THE FLYS AND THIS IS WHAT WE'RE LEARNING RIGHT NOW. THAT WAS THE FIRST STUDY. THAT WAS AN ENDEMIC AREA. YOU CANNOT CONTROL THE NUMBER OF FLIES, YOU THE NUMBER WHEN THEY WERE ENCOUNTERED AND THE BITES WERE HOW LONG, AND WE DID ANOTHER STUDY IN HEALTHY VOLUNTEERS. THIS WAS AAWARDED BY THE NIH CLINICAL CENTER, WE GOT A BENCH TO BEDSIDE AWARD TO DO THIS PROJECT. AND THIS IS IN COLLABORATION WITH WALTER REID WITH DR. AARON SON AND THE QUESTION WAS THE SAME, HOW HEALTHY VOLUNTEERS WHEN EXPOSED TO BITE. WHAT IS THE IMMUNE RESPONSE, HOW CAN THEY REACT OVER TIME. CAN THEY PRODUCE A TH1 TYPE RESPONSE? AND IN THIS SITUATION, WE'RE UNDERSTANDING MORE, CAN WE IDENTIFY MOLECULES, FROM THE SALIVA OF SAND FLY BUT CAN'T ROUGH ATOM PROCESSES DUCE A TH1 RESPONSES HUMANS DO THEY EXIST AS A MOLECULE? THEN? THIS STUDIES ONGOING, THIS IS HERE THIS, IS 9 MONTHS, I THINK [INDISCERNIBLE], ALMOST OVER, 3 MORE MONTHS MONTHS AND WE FINISH THE PROJECT BUT AT LEAST, WE TAKE A SNAPSHOT, WE SEE THAT MOST OF THE INDIVIDUALS WHICH WE HAVE ANTIBODIES, THEY PRODUCE ASPECT BODIES EITHER THAT WE'RE EXPOSED TO, AND THIS COLOR, ATTENTION, THEY RESPOND DIFFERENTLY. THE PEOPLE WITH THE--THEY MAKE LESS ANTED BODIES AND ALSO THE SAME WAS WITH THE FILLER IMMUNE RESPONSE AND THEN EVEN WHEN WE'RE COMPARING MOSQUITOES TO THE DIFFERENT, WE'RE COMPARING SAND FLIES, TO THE THE SAME DIFFERENCE AND I CAN TELL YOU THAT THERE'S SOME MOLECULES THAT ARE UNIQUE THAT YOU DON'T FIND IN THERE AND VICE VERSA AND THEN IT'S NOT A SURPRISE, IF WE PUT IN THE CONTEXT OF THE MOLECULES THAT WE FIND THE TRANSCRIPT OHM. THESE INDIVIDUALS WHEN YOU HAVE THE PBMCASKS STIMULATE WITH SALIVA EITHER OR PULPs, THEY PRODUCE INTERFERON-GAMMA IN IL10, BUT THESE CALL OUR ATTENTION CAN PRODUCE LOTS OF IL10. OPPOSITE 200 THAT PRODUCE LOTS OF INTERFERON-GAMMA AND MUCH LIST IL10 AND AGAIN, YOU CAN--CAN YOU SEE THE DIFFERENCE EVEN IN HEALTHY INDIVIDUALS, THEY HAVE RESPONSE OF TH1 AND TH2, AND EVEN SOME OF THE CYTOKINES ARE DIFFERENT DEPENDING ON THE VECTOR. AND THIS IS WHAT I--THE LAST PART, I WANTED TO KNOW IF SOME OF THE REDOM BIN ANT PROTEINS WE HAD AND WE STIMULATE THESE INDIVIDUALS THAT WE'RE PRODUCING INTERFERON-GAMMA CAN WE FIND A MOLECULE THAT PRODUCE THE TH1. AND ACTUALLY, WE FOUND 2. WE FOUND THAT LGM 11 AND WE STIMULATE THESE WITH LGM 11 THAT PRODUCE INTERFERON-GAMMA AND SOME INDIVIDUALS, A COUPLE INDIVIDUALS WHERE THE PMC WERE WITH„i LG7, THEY PRODUCE INTERFEROG GAMMA AND [INDISCERNIBLE] WAS STIMULATED WITH EITHER LGM SPEAN OR LG M 11, THEN, WE WERE EXCITED TO SEE THESE, THE PROPORTION IS NOT HIGH, WHICH MEANS THAT THIS MIGHT NOT BE THE MOST--THE MOLECULE THAT PRODUCE THE MOST INTERFERON-GAMMA IN THIS INDIVIDUAL, BUT WHAT WE FOUND, ACTUALLY, WE FOUND THE FIRST DEFINED SALIVA--SALIVAIVEARY PROTEIN FROM ANY VECTOR ACTUALLY THAT CAN PRODUCE A TH1 TYPE SALIVA--SALIVAIVEARY RESPONSE IN HUMANS. WE WILL CONTINUE THIS STUDY, WE ARE IN THE MIDDLE OF THE STUDY, WE NEED TO TEST THE ASSAY TO SEE IF THIS IMMUNE RESPONSE, KILL THE PARASITES AND OTHER MORE IMMUNOLOGICAL STUDIES BUT THIS IS WHERE WE'RE GOING RIGHT NOW. AND JUST TO END, I HOPE TO--THAT I CONVINCE YOU OF OF THE IMPORTANCE OF STUDY THANKSGIVING VECTOR, HOST INTERACTION AND IN PARTICULAR SALIVA THAT--SALIVA IS FULL OF THIS POWERFUL PHARMACOLOGICAL COMPONENTS THAT BE UTILIZED IN THIS CARDIOVASCULAR DISEASES FROM THE SYMPTOMATOLOGY DISEASES AND VECTOR, IS LIVA VECTOR K'S BE USED FOR PIG MA TO LOGICAL VECTORS STUDIES OF BIOMARKERS WITH THE TOOLS AND THAT SALIVA CAN PRODUCE THE VERY STRONG IMMUNE COMPONENT, COMPONENT THAT CAN MODIFY THE RESPONSE OF THE HOST OF THE PARASIGHT AND PROTECTING FOR ANIMALS AGAINST THE LEASH MANIA AND NOW WE'RE FINDING THAT THE--THE WAY WE HUMAN RESPONSE TO SALIVA AND WE CAN PRODUCE THE TYPE OF RESPONSES. THEREFORE, WE ARE HYPOTHESIZING, OR SUGGESTING THAT SALIVA, SHOULD BE INCLUDED IN THE LEISHMANIA VACCINE TOGETHER WITH THE ANTIGEN AND I THINK WE SHOULD PUSH FORWARD AND DO MORE ASSAYS TO TEST THE COMBINATION OF THE 2 BUT THIS IS SOMETHING THAT THIS STUDY OF THE ANIMALS AND HUMANS IS [INDISCERNIBLE]. I WANT TO CLOSE--I NOT GOING TO TELL EVERYBODY HERE BUT THIS HAS BEEN A TREMENDOUS JOURNEY THROUGH ALL THESE YEARS AT THE NIH AND I WANT TO ACKNOWLEDGE EVERYBODY IN THE SECTION, THAT--HAPPY TO MOVE FROM NONTENURE TO TENURE AND STILL CONTINUE TO HAVE FUN IN THE LAB AND TALKING ABOUT SALIVA ALMOST EVERY DAY. [INDISCERNIBLE] SCIENTIST IN THE LAB DOING, I WOULD SAY LIKE ALMOST CO PI IN MY LAB BECAUSE HE'S HELPED ME WITH MOST OF THE PROJECT IN THE LAB. [INDISCERNIBLE] IS THE RECENT STAFF SCIENTIST IN THE LAB THAT IS DOING MOST OF THE STUDIES IN MALI, AND ALSO PRODIEDING--PROVIDING GREAT INSIGHT INTO THE IMEULOGIOLOGY AND THAT ASPECT. OUR COLLEAGUE WHO WILL GO TO THE POSITION IN THE BRAZIL LAB, HAS BEEN DOING THE STUDY WITH HUMANS AND DOG ALL THE STUDIES WITH THE LGM 11 AND THE HAMSTER AND I WOULD LIKE TO ACKNOWLEDGE THAT I DID NOT MENTION TODAY, [INDISCERNIBLE] WITH THE TRANSMISSION BLOCKING VACCINE, AND [INDISCERNIBLE] WORKING WITH DOGS AND SALIVA AND MODELS AND DR. ANDERSON USED TO BE A MEMBER OF THE LAB BUT NOW SHE'S A STAFF SCIENTIST IN MALI, SHE HELPED US WITH THE PROJECT AND OUR COLLEAGUE AND POST DOCS THAT ARE HELPING US A LOT WITH THE DIFFERENT PRODUCTS AND [INDISCERNIBLE]--I DIDN'T MENTION [INDISCERNIBLE] THAT ARE PART OF THE SAND FLIES WE CANNOT DO ANY OF THIS TYPE OF RESEARCH. AND I WANT TO ACKNOWLEDGE EVERYBODY WITH THE DIFFERENT LABS, JUST SAY, [INDISCERNIBLE] AND SUE FOR THE HELP IN THE DIFFERENT PROJECTS AND ALL THE OTHER PEOPLE PARTICULARLY THE GROUP IN MALI THAT HAS BEEN A TREMENDOUS COLLABORATION. AND OF COURSE, FUNDING. MY LAB IS FUNDED BY INTRAMURAL RESEARCH. WE GET FUNDS FOR CLINICAL CENTER, BENCH TO BODY SIDE, AND WE--BEDSIDE, AND WE GET GOOD COLLABORATION WITH THE COMPANY, AND MOST OF THE MONKEY PROJECT WAS FUNDED BY GATES EXPLORATION GRANT WITH THIS I'LL FINISH AND THANK YOU. [ APPLAUSE ]„i 2K-678. >> QUESTIONS? IF YOU CAN'T GET TO THE MICROPHONE I'LL ASK THEM TO REPEAT IT BECAUSE WE ARE TRANSMITTING. >> A COUPLE WILL OF QUESTIONS, FIRST OF ALL I WANT TO THANK YOU FOR THE EXCELLENT PRESENTATION, I THE QUESTION I HAVE REGUARDING THE VENUE, YOU SAID WHEN YOU IMMUNIZE WITH THIS LJ11 MOLECULE AND THEN YOU CHALLENGE THEM, YOU DIDN'T SEE MUCH INTERFERON-GAMMA RESPONSE, IT WAS LOWER. SO--BUT STILL, THEY WERE PROTECTED. SO THE QUESTION IS, IS IT THE QUALITY OR THE QUANTITY OF THE INTERFERON-GAMMA THIS IS IMPORTANT FOR THE PROTECTION AND TO ANSWER THAT, HAVE YOU DONE SOME EXPERIMENTS TO SHOW THAT YOU PUT ANTIINTERFERON-GAMMA AND TO BLOT THAT AND CAN YOU THEN SEE BACK AGAIN THE PRODUCTIONS LOST? NARKS THATEE 1 QUESTION,. >> THAT'S A GOOD QUESTION AND THANK YOU FOR THE OBSERVATION. THIS IS SOMETHING THAT WE GOT--WE HAVEN'T DONE ANYTHING AFTER THAT. WE DID NOT SEE ANY INTERFERON-GAMMA AT 2 WEEKS BUT WE SAW IT AT 5 WEEKS. AT THE BEGINNING BUT STILL YOU'RE RIGHT. THAT WAS BIT PUZZLING BECAUSE WE SEE THE PROTECTION, WE SEE THE LACK OF OF PATHOLOGY AND THERE WAS NO INTERFERON-GAMMA AT THAT TIME POINT. BUT AS WE SAID, IT CAN BE DUE TO THE LOW NUMBER OF PARASITES. BUT BUT--I DON'T HAVE THAT RIGHT NOW. BUT WE WILL STUDY THAT. >> AND I THINK IT WOULD BE IMPORTANT TO ALSO LOOK AT OTHER CYTOKINES, YOU KNOW IL17 AND WHICH ARE--ANTIIPT GREATER FLAMMATORY RESPONSES AND CYTOKINES. SECOND QUESTION, SHOW KHI WAS VERY INTRIGUING ALSO IS TO--AND YOU SAID, EVEN THOUGH THE PARASITE BURDEN S&P REDUCED BUT THERE ARE STILL PARASITES LEFT THERE. THE QUESTION IS IF YOU TREATED THOSE ANIMALS WITH SOME KIND OF A DRUG AND YOU GOT RID OF THAT BECAUSE THAT'S WHAT YOU'RE REFERRING TO IS HAVING A PERSISTENT INFECTION IS 1 THAT'S PROTECTING AND IN A REAL LIFE SITUATION, AS YOU KNOW VERY WELL, WE CANNOT HAVE PERSISTENT PARASITE AS A VACCINE, SO IF YOU STREETED THEM WITH A DRUG AND THEN SEE WHETHER YOU CHALLENGE THEM ARE THEY STILL PROTECTED? BECAUSE THERE'S THIS CONCEPT ANIMAL FIST YOU TREAT WITH A DRUG AND YOU IMMUNE ICE, YOU KNOW YOU GET A BETTER PROTECTION OR SOMETHING? >> THAT'S A VERY GOOD POINT. WE HAVE NOT ADDRESSED THAT. WE SHOULD ADDRESS THAT. ALSO 1 OF THE THINGS WE WANT TO DO IS REICAL THENCH ANIMAL THAT IS PROTECT TED BY LGM11. FIRST WE WANT TO KNOW IF THE NUMBER OF PARASITE DECREASE FOR A LOW MEMBER OF RETIREMENT AND IF YOU DO A RECHALLENGE WITH THE PARASITE OR THE OTHER PARASITE THAT IS INDEPENDENT OFMY SALIVA IF THE ANIMALS ARE PROTECTED. WE BELIEVE SO, OR WE HYPOTHESIZE SO BECAUSE OF WHAT WE SAW 5 WEEKS LATER CHRKS IS CD4 T-CELLS INTERFERON-GAMMA, ANDLISH MANIA AND MORE PRODUCE. THE QUESTION ABOUT THE PERSISTENT OF THE PARASITE, I DON'T KNOW BUT IT'S A GOOD POINT. THAT'S WHAT I THINK WE SHOULD TALK ABOUT COMBINING THIS MUTANTS PARASIGHT WITH SALIVA. >> I THINK THAT'S A VERY GOOD-- >> THEY CAN GO SHORT TIME, STILL IMMUNITY,--I MEAN FOR A SHORT TIME BUT THEN WHEN THE SALIVA YOU GET THE BARRIER TO THE PARASITE THAT IS LONG LASTING. YEAH. >> I WAS INTERESTED IN SOME OF YOUR OBSERVATIONS, NUMBER 1 THAT SOME OF THE PROTEINS COULD BIND BIOMOLECULES LIKE SEROTONIN AND THEN 1 OF THE OTHERS THAT YOU SAY EARLIER THAT 1 OF THEM SEEM TO REDUCE PAIN THRESHOLDS IN MICE. THE 2, QUESTIONS OF A DIFFERENT SORT, NUMBER 1, I'VE ALWAYS BEEN CURIOUS WHY USING THE MOSQUITO AS AN EXAMPLE, YOU CAN GET BITTEN AND YOU DON'T FEEL ANYTHING WHICH IS GREAT FOR THE MOSQUITO, BUT IS IT BECAUSE THEY'RE RELEASING OR IN THE CASE OF SAND FLIES, RELEASING PROTEINS THAT BLOCK YOUR SENSORY NETWORKS AND ALSO GIVEN THAT THE 1 MIGHT BE ABLE TO REDUCE PAIN IN MICE, IS THERE ANY POTENTIAL FOR ANTIPAIN MEDICATIONS OR MOLECULES. THAT MIGHT BE OF USE. >> THE ANSWER TO THE FIRST QUESTION, THERE IS EVIDENCE OF AN [INDISCERNIBLE] TYPE COMPONENT IN THE SALIVA, MANY OF THESE PROTEINS IF THEY INHIBIT HISTA MINE OR BRINGING UP OTHER SALES YOU WILL NOT FEEL THE PAIN OR YOU WILL NOT FEEL ANYTHING FOR THE FIRST FEW MINUTES AND THEN YOU LEAVE AND THEN YOU SEE THE ACTION. REGUARDING THE SECOND QUESTION, YEAH, THERE IS LOTS OF INTEREST FOR USING SOME OF THESE MOLECULES FOR ANTIARTHRITIS AND THIS IS IN COLLABORATION WITH FERNANDO CUNYA, IN THE LAB OF THE UNIVERSITY OF [INDISCERNIBLE] YOU WILL SEE [INDISCERNIBLE] AND WE HAVE ACTIVE COLLABORATION, WE PRODUCE THE PROTEINS AND THEN GIVING--YOU ON AND I TRANSFER THESE SEPARATE THINGS TO HIM AND HE TELLS ME WHICH 1 IS WORKING AND THEN WE PRODUCE MORE. THEN THE THING IS SOME OF THESE PROTEINS HAVE THE DUAL ACTION, THEY CAN BE'MUNE O GENIC ASK THEY CAN BE ANTIWHATEVER, BUT SOME OF THESE PROTEINS ARE VERY QUIET. THE SOME ARE NONIMMUNO GENIC WHICH THESE ARE THE MOLECULES WE'RE LOOKING FOR AT LEAST FOR ABET ARTHRITIS, VERY QUIET, KIND OF STILL INHIBIT AND THIS IS LGM111, AND WE KNOW THAT HUMAN FIST WE TEST THE POPULATION IN BRAZIL, THAT HAVE BEEN EXPOSED TO BITES AND YOU TEST IT WITH THE AGAINST LGM111, THEY DON'T RESPOND AND THAT'S A GOOD MOLECULE. >> SO, JESUS, ALONG THE SAME LINE ALTHOUGH IT'S OBVIOUS WHY AN INSECT WOULD NOT WANT THE HOST TO REALIZE THEY'RE BEING BITTEN, BUT THE LONG-TERM IMMUNO STIMULATING EFFECTS, IT'S NOT AS CLEAR UNLESS THE INSECT DOESN'T WANT THE HOST TO DIE CONVICTLY. DO HAVE YOU ANY THOUGHT ABOUT THE EVOLUTION OF THESE PROTEINS AS POTENT STATE EPT IMMUNO STIMULANTS AS TO WHY THAT WOULD BE? >> WE PUBLISH INDEED 2000, THIS WAS A POST DOC IN [INDISCERNIBLE] LAB AND WE HAD THAT QUESTION. WE THOUGHT THAT IMMUNITY TO BITES OF SAND FLIES WAS GOING TO BE THE TREATMENT OF THE FLIES BUT THE FLIES WOULD NOT BE INTERESTED IN FEEDING, WOULD BE AFRAID OF BITING AND THE POST WAS GOING TO ATTACK SOMEHOW THE FLIESS. ACTUALLY WE FOUND COMPLETELY THE OPPOSITE, WHAT HAPPENS IS WHEN THE SAND FLIES PRODUCE, THE TYPE OF SENSITIVITY RESPONSE, THE BLOOD FLOW DECREASES DRAMATICALLY IN THE SITE. THOSE FLY WHEN IS WE EXPERIMENTS, WE TOOK IT TO PARTS OF THE SKIN, WHEN THEY FED IN OUR BPh SITE, THEY PROP FASTER 40% AND [INDISCERNIBLE] FASTER 45%. MEASURE BEING TWICE AS FAST IN PROBING AND FEEDING VERSES A NONBPh SITE. THAT'S ADVANTAGEOUS, I DON'T KNOW HOW A GENETIC BIOLOGIST WOULD SEE THESE BUT WE TESTED IT. WE TESTED THE HYPOTHESIS AND WE SAW AN ADVANTAGE OF PRODUCING BPh OF THOSE FLIES. I DON'T KNOW FOR MOSQUITOES AND THE OTHERS THERE'S AN ADVANTAGE. >> SO THE OTHER THOUGHT I HAD IS THAT THE SAND FLY MIGHT BE A WONDERFUL VECTOR FOR ACTUALLY GIVING VACCINES AGAINST OTHER ORGANISMS, SO IS THERE ANY WORK GOING ON IN ENGINEERING THE SALIVARY GLANDS TO PRODUCE ANTIGENS THAT COULD BE USED AGAINST LET'S SAY MALARIA. >> OOH, THAT'S A VERY GOOD QUESTION. LEISHMANIASES IS NEGLECTED BUT THE VECTOR IS VERY NEGLECTED IN TERMS OF GENETICS. WE DON'T KNOW HOW TO TRANSFORM MODEL MOSQUITOES, THE FIRST RNAi EXPERIMENTS WERE DONE LAST YEAR, A COUPLE OF YEARS AGO AND WE NEED MORE GROUPS INTERESTED IN THIS ASPECT OF USING SAND FLIES AS A GENETIC TOOL. IN TERMS OF USING THE SALIVA OF THE SAND FLY TO OTHER DISEASES, YES, WE ARE. WE ARE INTERESTED IN ANY OTHER ORGANISMS THAT REQUIRE CD4 T-CELLS FOR PROTECTION. WE'RE TALKING ABOUT-MARKED FOR IDENTIFICATION. >> INDEFINEED VACCINES. >> YES, I WANT TO VENTURE [INDISCERNIBLE] CAN WE HELP WITH THIS TYPE OF MOLECULES THAT HAVE PROTECTED IMMUNE RESPONSES. THIS IS SOMETHING THAT IS CALLING ATTENTION BECAUSE OF THE POTENCY OF THE MOLECULE WITHOUT THE ADJUVANT, IT'S [INDISCERNIBLE] RESPONSE, OR--WELL IF IT'S CD4 OR DERIVES THAT PROTECTION TO A PARTICULAR FORM THAT IS--HA IS PROTECTED, YES, I WOULD SAY YES. >> ANY OTHER QUESTIONS? OKAY. IF NOT, LET'S THANK JESUS FOR OPENING OUR EYES TO A WHOLE BIOLOGY THAT AT LEAST I WAS NOT FAMILIAR WITH. [ APPLAUSE ]