1 00:00:00,067 --> 00:00:07,074 ♪ (music playing) ♪ 2 00:00:07,074 --> 00:00:10,077 Dr. Shanmugam: Welcome to the launch of the inaugural 3 00:00:10,077 --> 00:00:13,080 NIH-wide strategic plan for autoimmune 4 00:00:13,080 --> 00:00:17,584 disease research for fiscal years 2026-2030. 5 00:00:17,851 --> 00:00:19,386 Thank you for joining us. 6 00:00:19,686 --> 00:00:21,722 My name is Dr. Victoria Shanmugam. 7 00:00:22,189 --> 00:00:23,757 I'm the chair of the Coordinating 8 00:00:23,757 --> 00:00:25,759 Committee for Autoimmune Disease Research, 9 00:00:25,993 --> 00:00:27,928 which is the NIH-wide committee 10 00:00:27,928 --> 00:00:30,030 charged with developing this first 11 00:00:30,030 --> 00:00:33,500 NIH-wide strategic plan for autoimmune disease research. 12 00:00:34,001 --> 00:00:36,036 It is my very great pleasure to introduce 13 00:00:36,036 --> 00:00:37,738 the Director of the National 14 00:00:37,938 --> 00:00:39,406 Institutes of Health, 15 00:00:39,406 --> 00:00:42,910 Dr. Jay Bhattacharya, to provide some opening remarks. 16 00:00:43,744 --> 00:00:46,013 Dr. Bhattacharya: Thank you for joining us to celebrate the 17 00:00:46,013 --> 00:00:48,348 launch of the inaugural NIH-wide strategic 18 00:00:48,348 --> 00:00:50,951 plan for autoimmune disease research 19 00:00:50,951 --> 00:00:53,053 for fiscal years 2026-2030. 20 00:00:53,620 --> 00:00:55,889 This plan represents the NIH's unwavering 21 00:00:55,889 --> 00:00:58,125 commitment to address the chronic disease 22 00:00:58,125 --> 00:00:59,960 crisis in the United States and to improve 23 00:00:59,960 --> 00:01:02,729 the health and well-being of the American people. 24 00:01:03,263 --> 00:01:05,699 Autoimmune diseases influence every system 25 00:01:05,699 --> 00:01:08,035 in the body and pose significant risks to 26 00:01:08,035 --> 00:01:09,703 human health throughout the lifespan. 27 00:01:10,771 --> 00:01:13,106 Between 23.5 and 50 million people in 28 00:01:13,106 --> 00:01:15,542 America are estimated to be living with 29 00:01:15,542 --> 00:01:17,778 one or more autoimmune diseases. 30 00:01:18,712 --> 00:01:20,647 Collectively, autoimmune diseases 31 00:01:20,647 --> 00:01:22,616 represent some of the most common 32 00:01:22,616 --> 00:01:24,451 chronic diseases affecting the U.S. 33 00:01:24,451 --> 00:01:26,253 population. 34 00:01:26,253 --> 00:01:28,221 Autoimmune diseases carry substantial 35 00:01:28,221 --> 00:01:30,257 costs, estimated more than $100 billion 36 00:01:30,257 --> 00:01:32,793 per year for health care in the United States. 37 00:01:33,427 --> 00:01:35,128 When we consider indirect costs such as 38 00:01:35,128 --> 00:01:36,897 loss productivity and the broader impact 39 00:01:36,897 --> 00:01:39,099 on dependents, families, and society, 40 00:01:39,099 --> 00:01:41,468 the true costs of the American people are 41 00:01:41,468 --> 00:01:43,070 likely much higher than that. 42 00:01:43,670 --> 00:01:45,505 While significant progress has been made 43 00:01:45,505 --> 00:01:47,240 and continues to be made in autoimmune 44 00:01:47,240 --> 00:01:49,176 disease research across the NIH, 45 00:01:49,176 --> 00:01:51,178 more work is needed to accelerate 46 00:01:51,178 --> 00:01:53,447 diagnostics, therapeutics, and bring 47 00:01:53,447 --> 00:01:55,849 scientific discoveries to the bedside. 48 00:01:56,616 --> 00:01:59,152 The strategic plan proposes a coordinated 49 00:01:59,152 --> 00:02:01,355 approach to foster collaboration and 50 00:02:01,355 --> 00:02:03,757 innovation so the people can flourish. 51 00:02:03,757 --> 00:02:05,492 We can prioritize research that addresses 52 00:02:05,492 --> 00:02:07,094 the health needs of the American people. 53 00:02:07,627 --> 00:02:09,296 We will work together with people living 54 00:02:09,296 --> 00:02:11,031 with autoimmune diseases, integrating the 55 00:02:11,031 --> 00:02:12,966 perspectives and experiences so that 56 00:02:12,966 --> 00:02:14,501 scientific inquiry focuses on 57 00:02:14,501 --> 00:02:16,370 their most pressing health needs. 58 00:02:17,204 --> 00:02:19,106 This approach will not only enhance 59 00:02:19,106 --> 00:02:21,308 understanding of disease pathogenesis but 60 00:02:21,308 --> 00:02:23,977 also expedites the development of novel therapeutics. 61 00:02:25,012 --> 00:02:26,947 Recent innovations offer unprecedented 62 00:02:26,947 --> 00:02:28,815 opportunities to dissect the molecular 63 00:02:28,815 --> 00:02:30,651 basis of autoimmune disease at a scale 64 00:02:30,651 --> 00:02:32,219 that was never achievable before. 65 00:02:32,819 --> 00:02:34,955 This strategy will promote collaboration 66 00:02:34,955 --> 00:02:37,124 across scientific groups and disciplines, 67 00:02:37,524 --> 00:02:39,793 bolster infrastructure and investments, 68 00:02:39,793 --> 00:02:42,362 and support basic clinical, translational, 69 00:02:42,362 --> 00:02:44,002 epidemiologic, and implementation 70 00:02:44,002 --> 00:02:44,698 science work. 71 00:02:45,332 --> 00:02:47,334 The plan is a testament the NIH's 72 00:02:47,334 --> 00:02:49,469 dedication to advance human health. 73 00:02:49,803 --> 00:02:51,671 It's my hope that this plan will serve 74 00:02:51,671 --> 00:02:53,640 as a catalyst for transformative change, 75 00:02:54,074 --> 00:02:55,976 ultimately improving the lives of 76 00:02:55,976 --> 00:02:57,677 all people living with and at 77 00:02:57,677 --> 00:02:58,679 risk of autoimmune diseases. 78 00:02:59,012 --> 00:03:00,013 Thank you. 79 00:03:03,316 --> 00:03:05,919 Dr. Shanmugam: Thank you, Dr. Bhattacharya. 80 00:03:06,586 --> 00:03:08,889 I want to begin this presentation of the 81 00:03:08,889 --> 00:03:11,058 inaugural NIH-wide strategic plan for 82 00:03:11,058 --> 00:03:13,760 autoimmune disease research for fiscal 83 00:03:13,760 --> 00:03:16,029 years 2026-2030 with a summary 84 00:03:16,029 --> 00:03:17,864 of the background that led to the 85 00:03:17,864 --> 00:03:19,533 development of this initiative. 86 00:03:20,567 --> 00:03:22,936 Aligned with content from the 2022 report 87 00:03:22,936 --> 00:03:25,439 from the National Academies of Sciences, 88 00:03:25,439 --> 00:03:27,607 Engineering and Medicine, Congress 89 00:03:27,607 --> 00:03:30,077 directed NIH to establish the Office of 90 00:03:30,077 --> 00:03:32,345 Autoimmune Disease Research in the Office 91 00:03:32,345 --> 00:03:34,448 of Research on Women's Health and tasked 92 00:03:34,448 --> 00:03:37,117 the Office with the following six directives. 93 00:03:38,018 --> 00:03:40,087 To coordinate the development of the 94 00:03:40,087 --> 00:03:42,255 multi-IC strategic research plan with 95 00:03:42,255 --> 00:03:44,591 concrete meaningful milestones to set 96 00:03:44,591 --> 00:03:47,194 priorities. As part of the internal and 97 00:03:47,194 --> 00:03:49,463 external outreach for the strategic plan, 98 00:03:49,463 --> 00:03:51,898 to identify emerging areas of innovation 99 00:03:51,898 --> 00:03:53,300 and research opportunity. 100 00:03:54,067 --> 00:03:55,902 To coordinate and foster collaborative 101 00:03:55,902 --> 00:03:57,571 research across the Institutes and 102 00:03:57,571 --> 00:04:00,040 Centers. To annually evaluate the 103 00:04:00,040 --> 00:04:03,143 autoimmune research portfolio to determine 104 00:04:03,143 --> 00:04:05,378 progress made across the NIH. 105 00:04:05,378 --> 00:04:07,981 To provide resources to support planning, 106 00:04:08,615 --> 00:04:10,884 collaboration and innovation. And to 107 00:04:10,884 --> 00:04:13,420 develop and oversee a publicly accessible 108 00:04:13,420 --> 00:04:16,323 central repository for autoimmune disease research. 109 00:04:17,124 --> 00:04:19,392 The NIH supports a broad range of basic 110 00:04:19,392 --> 00:04:21,394 and clinical research on autoimmunity 111 00:04:21,394 --> 00:04:23,330 and autoimmune disease. 112 00:04:23,964 --> 00:04:26,099 The baseline landscape analysis of the 113 00:04:26,099 --> 00:04:28,268 NIH-funded autoimmune disease research 114 00:04:28,268 --> 00:04:30,570 portfolio included the more than 140 115 00:04:30,570 --> 00:04:33,106 diseases and conditions included in the 116 00:04:33,106 --> 00:04:35,675 NASEM report that are either autoimmune or 117 00:04:35,675 --> 00:04:37,811 commonly co-occur with autoimmune 118 00:04:37,811 --> 00:04:40,580 diseases as listed on this slide. 119 00:04:41,481 --> 00:04:44,117 NIH's investment in autoimmune disease 120 00:04:44,117 --> 00:04:46,820 research increased from $800 million in 121 00:04:46,820 --> 00:04:50,757 fiscal year 2018 to more than $1 billion in 2022. 122 00:04:51,792 --> 00:04:53,493 While autoimmune disease research is 123 00:04:53,493 --> 00:04:55,195 currently funded across every single 124 00:04:55,529 --> 00:04:57,998 institute and center at NIH, current funding 125 00:04:57,998 --> 00:05:00,167 levels are not proportional to the 126 00:05:00,167 --> 00:05:02,202 rising prevalence of autoimmune 127 00:05:02,202 --> 00:05:04,938 diseases, highlighting a significant gap. 128 00:05:06,006 --> 00:05:07,807 The autoimmune disease research 129 00:05:07,807 --> 00:05:10,210 portfolio serves as a vital reference for 130 00:05:10,210 --> 00:05:12,479 pinpointing areas that require additional 131 00:05:12,479 --> 00:05:14,781 investment to ensure progress in the field 132 00:05:14,781 --> 00:05:16,683 of autoimmune disease research. 133 00:05:17,851 --> 00:05:21,488 Between 23.5 and 50 million Americans 134 00:05:21,488 --> 00:05:23,190 are living with autoimmune diseases, 135 00:05:23,857 --> 00:05:25,725 collectively making autoimmune disease 136 00:05:25,725 --> 00:05:27,727 one of the most common chronic conditions 137 00:05:27,727 --> 00:05:29,396 affecting the American people. 138 00:05:30,063 --> 00:05:32,065 To place this in context, autoimmune 139 00:05:32,065 --> 00:05:34,301 diseases affect more Americans 140 00:05:34,301 --> 00:05:36,236 than coronary artery disease, chronic 141 00:05:36,236 --> 00:05:37,904 obstructive pulmonary diseases, 142 00:05:38,505 --> 00:05:41,875 and other chronic diseases as shown in this graph. 143 00:05:42,676 --> 00:05:44,978 While autoimmune diseases more commonly 144 00:05:44,978 --> 00:05:47,414 affect women, men with autoimmune diseases 145 00:05:47,414 --> 00:05:49,749 tend to have more severe disease and in 146 00:05:49,749 --> 00:05:53,053 some cases a higher risk of dying from their disease. 147 00:05:53,520 --> 00:05:55,689 The mission of the NIH-wide strategic 148 00:05:55,689 --> 00:05:58,158 plan for autoimmune disease research is to 149 00:05:58,158 --> 00:06:00,393 coordinate and advance efforts to support 150 00:06:00,393 --> 00:06:03,029 rigorous, high-priority, innovative and 151 00:06:03,029 --> 00:06:05,432 collaborative autoimmune disease research. 152 00:06:05,765 --> 00:06:08,435 One in four people living with autoimmune 153 00:06:08,435 --> 00:06:10,604 disease has more than one and rates of 154 00:06:10,604 --> 00:06:12,405 these conditions are rising more 155 00:06:12,405 --> 00:06:14,608 rapidly than genetics alone can explain. 156 00:06:15,208 --> 00:06:17,210 This suggests that both genes and 157 00:06:17,210 --> 00:06:19,746 environmental factors play important roles 158 00:06:19,746 --> 00:06:21,915 in the development of autoimmunity. 159 00:06:22,749 --> 00:06:25,085 Many autoimmune diseases have a period of 160 00:06:25,085 --> 00:06:27,387 asymptomatic autoimmunity known as 161 00:06:27,387 --> 00:06:29,422 the prodrome, with the appearance of 162 00:06:29,422 --> 00:06:31,625 autoantibodies and other markers of 163 00:06:31,625 --> 00:06:34,461 immune activation before the development of symptoms. 164 00:06:35,395 --> 00:06:37,731 In some diseases like type 1 diabetes, 165 00:06:37,731 --> 00:06:40,533 the prodrome can be as short as a few months. 166 00:06:40,934 --> 00:06:42,969 However, NIH research has shown that in 167 00:06:42,969 --> 00:06:45,038 other autoimmune diseases like systemic 168 00:06:45,038 --> 00:06:47,574 lupus erythematosus, autoantibodies 169 00:06:47,574 --> 00:06:50,143 may develop more than five years before 170 00:06:50,143 --> 00:06:52,212 the disease becomes clinically apparent. 171 00:06:53,079 --> 00:06:55,715 In other diseases like multiple sclerosis, 172 00:06:55,715 --> 00:06:57,751 this prodromal period can last 173 00:06:57,751 --> 00:06:59,452 for a decade or even longer. 174 00:07:00,553 --> 00:07:03,123 This window of asymptomatic autoimmunity 175 00:07:03,123 --> 00:07:05,759 offers a unique opportunity for 176 00:07:05,759 --> 00:07:07,627 early intervention and recent 177 00:07:07,627 --> 00:07:10,063 groundbreaking research has led to the 178 00:07:10,063 --> 00:07:12,132 approval of a new immunosuppressing 179 00:07:12,132 --> 00:07:14,434 therapy for people in the prodromal stage 180 00:07:14,434 --> 00:07:17,003 of type 1 diabetes, delaying the onset 181 00:07:17,003 --> 00:07:19,306 of disease in those at high risk. 182 00:07:20,073 --> 00:07:22,275 This is the first FDA-approved treatment 183 00:07:22,275 --> 00:07:24,077 specifically aimed at preventing 184 00:07:24,077 --> 00:07:25,679 progression during that prodromal 185 00:07:25,679 --> 00:07:27,314 phase of autoimmunity. 186 00:07:27,681 --> 00:07:29,916 And it provides promising evidence that 187 00:07:29,916 --> 00:07:32,152 similar preventative strategies could be 188 00:07:32,152 --> 00:07:35,455 possible for other chronic autoimmune diseases. 189 00:07:36,423 --> 00:07:38,325 Various exposures and triggers likely 190 00:07:38,325 --> 00:07:40,994 contribute to the development of autoimmuntity. 191 00:07:41,528 --> 00:07:43,997 The field of exposome research looks at the 192 00:07:43,997 --> 00:07:46,433 totality of these exposures ranging from 193 00:07:46,433 --> 00:07:48,468 diet and stress to pollutants and 194 00:07:48,468 --> 00:07:50,704 social conditions across a lifetime. 195 00:07:51,204 --> 00:07:54,107 In 2010, an NIH convened expert panel 196 00:07:54,107 --> 00:07:57,277 recognized clear links between autoimmune 197 00:07:57,277 --> 00:07:59,470 diseases and various environmental 198 00:07:59,470 --> 00:08:00,180 exposures. 199 00:08:00,780 --> 00:08:02,716 However, studying these factors is 200 00:08:02,716 --> 00:08:04,651 challenging due to the complexity 201 00:08:04,651 --> 00:08:06,186 and timing of exposures. 202 00:08:07,120 --> 00:08:09,789 Despite these challenges, understanding 203 00:08:09,789 --> 00:08:12,826 how these cumulative exposures interact 204 00:08:12,826 --> 00:08:15,228 over time is essential to uncovering 205 00:08:15,228 --> 00:08:17,697 the biologic pathways behind disease. 206 00:08:18,331 --> 00:08:20,967 And by following groups of people at risk 207 00:08:20,967 --> 00:08:23,536 or living with autoimmune conditions and 208 00:08:23,536 --> 00:08:25,872 using advanced data analysis, we can 209 00:08:25,872 --> 00:08:28,641 better predict, prevent, diagnose, and treat 210 00:08:28,641 --> 00:08:30,744 these diseases in the future. 211 00:08:31,644 --> 00:08:33,713 Development of the NIH-wide strategic plan 212 00:08:33,713 --> 00:08:35,715 for autoimmune disease research began in 213 00:08:35,715 --> 00:08:37,984 2023 with the formation of the Office of 214 00:08:37,984 --> 00:08:40,353 Autoimmune Disease Research in the Office 215 00:08:40,353 --> 00:08:41,855 of Research on Women's Health. 216 00:08:42,722 --> 00:08:44,924 The Office of Autoimmune Disease Research 217 00:08:44,924 --> 00:08:47,027 convened an internal NIH coordinating 218 00:08:47,027 --> 00:08:49,863 committee for autoimmune disease research 219 00:08:49,863 --> 00:08:52,699 or CCADR with representatives from across 220 00:08:52,699 --> 00:08:54,868 NIH institutes, centers, and offices. 221 00:08:55,602 --> 00:08:57,604 The committee formed a strategic plan 222 00:08:57,604 --> 00:08:59,539 working group which met regularly to 223 00:08:59,539 --> 00:09:01,574 evaluate and integrate data from multiple 224 00:09:01,574 --> 00:09:04,544 sources including responses to the request 225 00:09:04,544 --> 00:09:07,580 for information, dialogues at community 226 00:09:07,580 --> 00:09:10,417 roundtable sessions, input from NIH 227 00:09:10,417 --> 00:09:12,852 institute, center, and office directors, 228 00:09:12,852 --> 00:09:15,288 data from public health organizations, 229 00:09:16,356 --> 00:09:18,558 the analysis of the existing NIH 230 00:09:18,558 --> 00:09:21,394 autoimmune disease research portfolio and 231 00:09:21,394 --> 00:09:23,296 recommendations from the scientific 232 00:09:23,296 --> 00:09:25,098 literature and relevant reports. 233 00:09:26,099 --> 00:09:28,435 Using the NIH Common Template to guide the 234 00:09:28,435 --> 00:09:30,570 strategic planning process, the working 235 00:09:30,570 --> 00:09:32,806 group identified key priorities in 236 00:09:32,806 --> 00:09:35,041 multiple areas including research, 237 00:09:35,041 --> 00:09:37,444 capacity and operational priorities 238 00:09:37,444 --> 00:09:39,112 as well as cross-cutting themes. 239 00:09:40,046 --> 00:09:42,649 In December 2023, in coordination with the 240 00:09:42,649 --> 00:09:45,218 strategic plan working group, the Office 241 00:09:45,218 --> 00:09:47,086 of Autoimmune Disease Research issued a 242 00:09:47,086 --> 00:09:48,755 request for information to gather 243 00:09:48,755 --> 00:09:50,256 input from the public on the 244 00:09:50,256 --> 00:09:52,158 development of the strategic plan. 245 00:09:52,926 --> 00:09:54,961 A summary of the responses received is 246 00:09:54,961 --> 00:09:57,096 published alongside this strategic plan 247 00:09:57,397 --> 00:09:59,299 and is available for download on 248 00:09:59,299 --> 00:10:01,501 our website by scanning the QR code. 249 00:10:02,268 --> 00:10:04,304 The Office also hosted two virtual 250 00:10:04,304 --> 00:10:06,473 community roundtable discussions in 251 00:10:06,473 --> 00:10:09,108 February 2024 to garner additional 252 00:10:09,108 --> 00:10:11,644 insights from academic, patients 253 00:10:11,644 --> 00:10:13,079 and patient advocacy partners. 254 00:10:14,347 --> 00:10:16,249 Responses from all branches of the 255 00:10:16,249 --> 00:10:18,518 autoimmune disease community were received 256 00:10:18,751 --> 00:10:21,020 including those from people living with 257 00:10:21,020 --> 00:10:23,456 and at risk for autoimmune disease as well 258 00:10:23,456 --> 00:10:24,924 as scientists and researchers 259 00:10:24,924 --> 00:10:26,526 who helped study these diseases. 260 00:10:27,460 --> 00:10:29,629 This insightful input was instrumental 261 00:10:29,629 --> 00:10:31,130 in guiding the crafting of 262 00:10:31,130 --> 00:10:33,099 the inaugural strategic plan. 263 00:10:33,433 --> 00:10:35,702 And the quotes on this slide are simply a 264 00:10:35,702 --> 00:10:38,137 select sample covering topics related to 265 00:10:38,137 --> 00:10:40,039 the exposome and the design of research 266 00:10:40,039 --> 00:10:42,175 studies involving people living with and 267 00:10:42,175 --> 00:10:44,210 at risk for autoimmune disease. 268 00:10:45,111 --> 00:10:47,147 Recommendations from the National 269 00:10:47,147 --> 00:10:49,716 Academies report, Enhancing NIH research on 270 00:10:49,716 --> 00:10:51,518 autoimmune disease, were also 271 00:10:51,518 --> 00:10:54,020 incorporated into the planning process. 272 00:10:54,454 --> 00:10:56,689 These included the need for long term 273 00:10:56,689 --> 00:10:59,158 epidemiologic data and the development of 274 00:10:59,158 --> 00:11:01,394 population cohorts beginning before 275 00:11:01,394 --> 00:11:04,063 disease onset and addressing key gaps in 276 00:11:04,063 --> 00:11:05,398 the current research portfolio. 277 00:11:06,166 --> 00:11:09,202 This slide summarizes graphically the 278 00:11:09,202 --> 00:11:11,738 inaugural NIH-wide strategic plan 279 00:11:11,738 --> 00:11:13,540 for autoimmune disease research. 280 00:11:14,307 --> 00:11:15,909 The five strategic priorities and 281 00:11:15,909 --> 00:11:17,977 objectives are listed in the five circles 282 00:11:17,977 --> 00:11:21,981 in this graphic and include, priority one, 283 00:11:21,981 --> 00:11:24,717 accelerating scientific discovery in 284 00:11:24,717 --> 00:11:27,153 diagnosis, treatment, prevention, 285 00:11:27,153 --> 00:11:29,188 and cure of autoimmune diseases. 286 00:11:29,923 --> 00:11:33,026 Priority two, promoting research focused 287 00:11:33,026 --> 00:11:35,762 on enhancing health for people living with 288 00:11:35,762 --> 00:11:37,864 and at risk for autoimmune diseases. 289 00:11:39,065 --> 00:11:41,234 Priority three, supporting research 290 00:11:41,234 --> 00:11:43,403 to understand the full complexity 291 00:11:43,403 --> 00:11:44,871 of autoimmune diseases. 292 00:11:46,272 --> 00:11:48,608 Priority four, building and maintaining 293 00:11:48,608 --> 00:11:51,110 capacity for autoimmune disease research. 294 00:11:51,911 --> 00:11:53,580 And priority five, building and 295 00:11:53,580 --> 00:11:55,248 strengthening partnerships and 296 00:11:55,248 --> 00:11:57,617 interdisciplinary collaborations across 297 00:11:57,617 --> 00:11:59,686 the autoimmune disease community. 298 00:12:00,687 --> 00:12:02,522 These five priorities are further 299 00:12:02,522 --> 00:12:04,591 supported by five cross-cussing themes 300 00:12:04,591 --> 00:12:07,961 which are woven throughout each priority and include, 301 00:12:07,961 --> 00:12:09,796 harnessing technologies to 302 00:12:09,796 --> 00:12:12,298 advance autoimmune disease research, 303 00:12:12,298 --> 00:12:14,634 developing infrastructure for the 304 00:12:14,634 --> 00:12:17,537 translation of autoimmune disease research, 305 00:12:17,537 --> 00:12:20,707 supporting multimodal data 306 00:12:20,707 --> 00:12:23,443 driven approaches for autoimmune disease research, 307 00:12:23,443 --> 00:12:26,245 promoting the engagement of all 308 00:12:26,245 --> 00:12:28,548 populations in autoimmune disease research, 309 00:12:28,548 --> 00:12:30,917 and supporting community 310 00:12:30,917 --> 00:12:33,123 partnerships for autoimmune disease 311 00:12:33,123 --> 00:12:33,753 research. 312 00:12:34,721 --> 00:12:37,156 Each of the priorities includes four 313 00:12:37,156 --> 00:12:39,926 concrete meaningful objectives which are 314 00:12:39,926 --> 00:12:42,128 outlined in the following slides and will 315 00:12:42,128 --> 00:12:44,430 act as a roadmap for NIH-funded autoimmune 316 00:12:44,430 --> 00:12:47,684 disease research for fiscal years 317 00:12:47,684 --> 00:12:48,768 2026-2030. 318 00:12:49,636 --> 00:12:52,105 Priority one recognizes that advances in 319 00:12:52,105 --> 00:12:54,607 basic science are critical for improving 320 00:12:54,607 --> 00:12:56,609 our fundamental understanding of 321 00:12:56,609 --> 00:12:58,678 autoimmunity, catalyzing novel and 322 00:12:58,678 --> 00:13:00,480 clinical research, and ultimately 323 00:13:00,480 --> 00:13:02,682 translating knowledge into real benefits 324 00:13:02,682 --> 00:13:04,651 for people living with autoimmune 325 00:13:04,651 --> 00:13:07,654 diseases, those at risk and their communities. 326 00:13:08,354 --> 00:13:10,356 Within this priority, there are four 327 00:13:10,356 --> 00:13:11,024 objectives. 328 00:13:11,991 --> 00:13:13,860 To support research into fundamental 329 00:13:13,860 --> 00:13:15,995 mechanisms of autoimmunity and autoimmune 330 00:13:15,995 --> 00:13:18,765 disease, to advance understanding of 331 00:13:18,765 --> 00:13:21,501 drivers of autoimmune disease signs, 332 00:13:21,501 --> 00:13:24,170 symptoms and flares, to optimize 333 00:13:24,170 --> 00:13:26,372 development of research models for 334 00:13:26,372 --> 00:13:28,875 studying autoimmune diseases, and to 335 00:13:28,875 --> 00:13:31,611 improve understanding of predictors and 336 00:13:31,611 --> 00:13:34,981 risk factors for autoimmunity across the lifespan. 337 00:13:36,449 --> 00:13:38,051 Timely diagnosis, treatment and 338 00:13:38,051 --> 00:13:40,286 intervention are critical for improving 339 00:13:40,286 --> 00:13:42,021 outcomes in autoimmune diseases. 340 00:13:42,822 --> 00:13:44,724 Research focused on developing accurate 341 00:13:44,724 --> 00:13:46,793 diagnostics and effective treatments that 342 00:13:46,793 --> 00:13:48,695 are accessible and deployable in 343 00:13:48,695 --> 00:13:51,130 real-world settings are needed to support 344 00:13:51,130 --> 00:13:53,232 tangible improvements in health for people 345 00:13:53,232 --> 00:13:56,169 living with and at risk for autoimmune disease. 346 00:13:56,736 --> 00:13:59,472 The objectives included in priority two 347 00:13:59,472 --> 00:14:02,041 are to support research investigating 348 00:14:02,241 --> 00:14:04,977 preclinical autoimmunity, to advance 349 00:14:04,977 --> 00:14:08,081 research to accelerate accurate diagnosis 350 00:14:08,081 --> 00:14:11,017 of autoimmune disease, to bolster research 351 00:14:11,017 --> 00:14:13,419 focused on improving treatments for 352 00:14:13,419 --> 00:14:15,388 autoimmune disease, and to support 353 00:14:15,388 --> 00:14:17,490 implementation science for autoimmune 354 00:14:17,490 --> 00:14:20,093 disease research across all populations. 355 00:14:21,728 --> 00:14:23,896 The incidence of autoimmune diseases is 356 00:14:23,896 --> 00:14:26,399 rising globally and there are many gaps in 357 00:14:26,399 --> 00:14:28,735 understanding of how autoimmune diseases 358 00:14:28,735 --> 00:14:30,737 affect health across the lifespan. 359 00:14:31,370 --> 00:14:33,706 The objectives under priority three 360 00:14:33,706 --> 00:14:36,209 include to support the study of human 361 00:14:36,209 --> 00:14:39,011 cohorts for autoimmune disease research, 362 00:14:39,011 --> 00:14:41,614 to promote research to understand how 363 00:14:41,614 --> 00:14:43,883 different populations are affected by 364 00:14:43,883 --> 00:14:46,285 autoimmune diseases, to advance research 365 00:14:46,285 --> 00:14:48,421 that will facilitate clinical trials 366 00:14:48,421 --> 00:14:50,723 for autoimmune diseases, and to expand 367 00:14:50,723 --> 00:14:53,059 autoimmune disease research focused on 368 00:14:53,059 --> 00:14:55,294 co-occurring and comorbid conditions. 369 00:14:56,262 --> 00:14:58,264 Developing and maintaining infrastructure 370 00:14:58,264 --> 00:15:00,299 and the scientific workforce are important 371 00:15:00,299 --> 00:15:02,535 to ensure that high priority autoimmune 372 00:15:02,535 --> 00:15:04,804 disease research can be completed and to 373 00:15:04,804 --> 00:15:06,539 further accelerate the translation of 374 00:15:06,539 --> 00:15:09,375 scientific discoveries into improvements in health. 375 00:15:09,609 --> 00:15:12,078 Within priority four, the objectives 376 00:15:12,078 --> 00:15:14,580 include to prioritize and support the 377 00:15:14,580 --> 00:15:16,315 development of infrastructure for 378 00:15:16,315 --> 00:15:17,784 autoimmune disease research, 379 00:15:17,784 --> 00:15:19,886 to integrate clinical trial networks and 380 00:15:19,886 --> 00:15:22,388 registries in autoimmune disease research, 381 00:15:22,388 --> 00:15:25,291 to develop data science and computational 382 00:15:25,291 --> 00:15:27,460 tools to accelerate autoimmune disease 383 00:15:27,460 --> 00:15:30,096 research, and to support efforts to 384 00:15:30,096 --> 00:15:33,266 develop and sustain the scientific workforce. 385 00:15:33,966 --> 00:15:35,835 Developing and maintaining partnerships 386 00:15:35,835 --> 00:15:37,737 and collaborations across the autoimmune 387 00:15:37,737 --> 00:15:39,739 disease community is crucial to 388 00:15:39,739 --> 00:15:41,841 stimulate innovation in research. 389 00:15:42,441 --> 00:15:44,076 To build and strengthen these 390 00:15:44,076 --> 00:15:46,345 partnerships, the objectives included in 391 00:15:46,345 --> 00:15:48,281 priority five are to leverage 392 00:15:48,281 --> 00:15:50,783 public-private partnerships to support 393 00:15:50,783 --> 00:15:53,352 autoimmune disease research, to engage 394 00:15:53,352 --> 00:15:56,289 people living with autoimmune diseases, 395 00:15:56,289 --> 00:15:58,758 patient advocacy groups and caregivers 396 00:15:58,758 --> 00:16:01,027 in research, to partner with people and 397 00:16:01,027 --> 00:16:03,429 communities disproportionately affected 398 00:16:03,429 --> 00:16:05,765 by autoimmune disease outcomes, and to 399 00:16:05,765 --> 00:16:07,711 coordinate and foster collaborative 400 00:16:07,711 --> 00:16:08,267 research. 401 00:16:09,335 --> 00:16:11,270 As previously stated, interwoven 402 00:16:11,270 --> 00:16:13,272 throughout the strategic plan, 403 00:16:13,272 --> 00:16:15,141 five cross-cutting themes complement 404 00:16:15,141 --> 00:16:17,210 the strategic priorities and objectives, 405 00:16:17,610 --> 00:16:20,279 and these include harnessing technologies 406 00:16:20,279 --> 00:16:22,815 to advance autoimmune disease research, 407 00:16:23,516 --> 00:16:25,718 developing infrastructure for translation 408 00:16:25,718 --> 00:16:27,453 of autoimmune disease research, 409 00:16:28,020 --> 00:16:29,689 supporting multimodal data-driven 410 00:16:29,689 --> 00:16:31,357 approaches for autoimmune disease 411 00:16:31,357 --> 00:16:33,960 research, promoting the engagement of 412 00:16:33,960 --> 00:16:36,562 all populations in autoimmune disease 413 00:16:36,562 --> 00:16:38,631 research, and supporting community 414 00:16:38,631 --> 00:16:41,734 partnerships for autoimmune disease research. 415 00:16:42,535 --> 00:16:44,704 The strategic priorities and objectives 416 00:16:44,704 --> 00:16:46,973 are available in the full strategic plan 417 00:16:46,973 --> 00:16:49,008 and in the accompanying one-pager. 418 00:16:49,008 --> 00:16:51,244 Clicking on this link or scanning 419 00:16:51,244 --> 00:16:53,479 this QR code will lead you there. 420 00:16:53,980 --> 00:16:56,582 The NIH-wide strategic plan for autoimmune 421 00:16:56,582 --> 00:16:58,851 disease research sets forth a unified 422 00:16:58,851 --> 00:17:01,220 approach to accelerate scientific 423 00:17:01,220 --> 00:17:04,023 discovery, expand capacity and catalyze 424 00:17:04,023 --> 00:17:05,896 critical partnerships in autoimmune 425 00:17:05,896 --> 00:17:06,859 disease research. 426 00:17:07,393 --> 00:17:09,595 This plan will serve as a framework for 427 00:17:09,595 --> 00:17:11,864 priority setting for NIH-funded research 428 00:17:11,864 --> 00:17:14,233 over the next five years, with the voices 429 00:17:14,233 --> 00:17:16,168 of people living with autoimmune 430 00:17:16,168 --> 00:17:17,737 diseases remaining paramount. 431 00:17:18,871 --> 00:17:20,907 Implementing this strategic plan will 432 00:17:20,907 --> 00:17:23,209 accelerate discoveries leading to improved 433 00:17:23,209 --> 00:17:25,444 health outcomes and better well-being 434 00:17:25,444 --> 00:17:27,280 for all people living with or 435 00:17:27,280 --> 00:17:29,081 at risk for autoimmune diseases. 436 00:17:30,116 --> 00:17:32,118 In this figure, you can see a schema 437 00:17:32,118 --> 00:17:33,953 outlining the implementation plan, 438 00:17:33,953 --> 00:17:36,589 including expanding on existing and 439 00:17:36,589 --> 00:17:38,791 ongoing activities, employing a unified 440 00:17:38,791 --> 00:17:40,593 approach to accelerate progress, 441 00:17:40,593 --> 00:17:42,428 and achieving bold initiatives. 442 00:17:43,362 --> 00:17:45,464 In collaboration with the Institutes and 443 00:17:45,464 --> 00:17:47,700 Centers, we will closely monitor and 444 00:17:47,700 --> 00:17:49,969 evaluate progress working together to 445 00:17:49,969 --> 00:17:52,104 create opportunities, address gaps, 446 00:17:52,405 --> 00:17:54,640 and encourage cross-disciplinary partnerships. 447 00:17:55,474 --> 00:17:58,110 In closing, this strategic plan would not 448 00:17:58,110 --> 00:18:00,479 have been possible without the hard work 449 00:18:00,479 --> 00:18:02,982 of everyone who served on the NIH 450 00:18:02,982 --> 00:18:04,917 Coordinating Committee for autoimmune 451 00:18:04,917 --> 00:18:07,119 disease research, particularly the members 452 00:18:07,119 --> 00:18:10,423 of the strategic plan working group listed here. 453 00:18:10,423 --> 00:18:12,959 Thank you for everything you do every day 454 00:18:12,959 --> 00:18:15,328 to support autoimmune disease research. 455 00:18:16,262 --> 00:18:17,630 Thank you all for listening. 456 00:18:17,997 --> 00:18:19,966 I hope you take an opportunity to read 457 00:18:19,966 --> 00:18:23,235 the full strategic plan available on our website. 458 00:18:23,235 --> 00:18:24,837 And now, I would like to introduce 459 00:18:24,837 --> 00:18:28,341 Dr. Janine Austin Clayton, NIH Associate 460 00:18:28,341 --> 00:18:30,810 Director for Research on Women's Health 461 00:18:30,810 --> 00:18:32,478 and Director of the Office of 462 00:18:32,478 --> 00:18:34,180 Research on Women's Health. 463 00:18:35,181 --> 00:18:36,735 Dr. Clayton: Thank you for joining 464 00:18:36,735 --> 00:18:37,650 us to celebrate the 465 00:18:37,650 --> 00:18:40,252 launch of the inaugural NIH-wide strategic 466 00:18:40,252 --> 00:18:42,955 plan for autoimmune disease research 467 00:18:42,955 --> 00:18:45,691 for fiscal years 2026 through 2030. 468 00:18:46,425 --> 00:18:48,494 The Office of Autoimmune Disease Research was 469 00:18:48,494 --> 00:18:50,629 established in the Office of Research on 470 00:18:50,629 --> 00:18:52,932 Women's Health in 2023 in response 471 00:18:52,932 --> 00:18:55,301 to a congressional request to enhance 472 00:18:55,301 --> 00:18:57,603 coordination across NIH autoimmune 473 00:18:57,603 --> 00:18:59,305 disease research efforts. 474 00:19:00,006 --> 00:19:02,108 As the director of the Office of Research 475 00:19:02,108 --> 00:19:04,110 on Women's Health, it is my pleasure to 476 00:19:04,110 --> 00:19:06,278 stand up the Office of Autoimmune Disease 477 00:19:06,278 --> 00:19:07,780 research and to bring on 478 00:19:07,780 --> 00:19:10,383 Dr. Shanmugam as the inaugural director. 479 00:19:11,017 --> 00:19:12,952 But bringing this plan to fruition 480 00:19:12,952 --> 00:19:14,687 could not have happened alone. 481 00:19:15,021 --> 00:19:18,290 It took the work of many people across the NIH. 482 00:19:18,791 --> 00:19:21,193 I want to sincerely thank the directors of 483 00:19:21,193 --> 00:19:24,830 every institute, center, and office at NIH 484 00:19:24,830 --> 00:19:26,632 for their willingness to participate 485 00:19:26,632 --> 00:19:28,000 in this plan's development. 486 00:19:28,801 --> 00:19:30,736 I also want to thank the incredibly 487 00:19:30,736 --> 00:19:32,672 engaged members of the Coordinating 488 00:19:32,672 --> 00:19:35,241 Committee for Autoimmune Disease Research. 489 00:19:35,708 --> 00:19:38,411 This dedicated group worked diligently 490 00:19:38,411 --> 00:19:41,347 over the past 18 months to make this plan 491 00:19:41,347 --> 00:19:43,983 a reality and their passion and commitment 492 00:19:43,983 --> 00:19:47,019 to autoimmune disease research is tangible. 493 00:19:47,420 --> 00:19:49,889 Finally, I want to thank all people living 494 00:19:49,889 --> 00:19:52,191 with or affected by autoimmune diseases 495 00:19:52,191 --> 00:19:54,360 whose commitment and dedication to 496 00:19:54,360 --> 00:19:56,929 advancing autoimmune disease research is 497 00:19:56,929 --> 00:19:59,732 woven into every aspect of this plan. 498 00:20:00,332 --> 00:20:02,601 Thank you for letting us hear your stories 499 00:20:02,601 --> 00:20:05,838 and thank you for supporting the work of the Office. 500 00:20:06,272 --> 00:20:08,707 As we look to the future for autoimmune 501 00:20:08,707 --> 00:20:11,410 disease research, this plan will serve as 502 00:20:11,410 --> 00:20:14,046 a framework for priority setting over the 503 00:20:14,046 --> 00:20:16,615 next five years, ultimately improving the 504 00:20:16,615 --> 00:20:18,717 health of all people living with 505 00:20:18,717 --> 00:20:20,953 and at risk of autoimmune diseases. 506 00:20:22,721 --> 00:20:29,562 ♪ (music playing) ♪