LBERI Update on Animal Model Development Sub-NIAID Tech Call 1 June 2010 Lovelace Respiratory Research Institute 2425 Ridgecrest Drive SE, Albuquerque, NM 87108 1 Active Milestones #2 Active #8 Active #9 Active #10 Active #12/13 Active #21 Active #29 Active Vaccinations of study personnel- no work in May LVS vaccination protection of aerosol Schu4 confirmed in primates Aerosol SOP developed for GLP transition- no work in May Efficacy testing of vaccine candidates (LBERI)- no work in May Assays for detecting relevant immune responses in animals and humans Correlates of protection- in vitro assay or other readout of effector function of Ft developed for multiple species Analysis of T cells from lymph nodes and T cell epitopes- no work in May 2 MS#8 – LVS Vaccinated NHP Challenged with SCHU S4 LVS Vaccinated NHP Challenged with SCHU S4 Round 1 Vaccination Practice/Challenge (n=3 scarification; n=2 subcutaneous) Round 2 Vaccination/Challenge (n=3 by scarification; n=3 by subcutaneous route; n=4 previously vaccinated; 2 SC, 2 ID) SCHU S4 Challenge 500 CFU Round 3 Vaccination/Challenge (Vaccination with Highest Dose of LVS attainable by scarification and s.c.) SCHU S4 Challenge 1000 CFU Round 4 Vaccination/Challenge (Vaccination with Lot 16 n=3; Lot 17 n=3; Lot 20 n=8; Lot 4 n=8) SCHU S4 Challenge 1000 CFU Round 5 Vaccination/2 Broth Challenge (SC Vaccination with Lot 17, compare CB vs. CAMHB) SCHU S4 Challenge 1000 CFU Vaccination/Challenge Telemetered Natural History Study SCHU S4 Challenge 1000 CFU Red: completed Green: in progress Blue: steps in the milestone 3 Milestone #8 - Objective and Endpoints • • Describe the natural history of aerosol delivered SCHU S4 infection in NHPs that have been previously vaccinated with LVS – Compare two different methods of vaccination (scarification and subcutaneous) – TUL08 A and B – Compare 4 different LVS lots as vaccines (all delivered by subcutaneous route) – TUL08 C – Compare SCHU S4 growth media to see if it has an effect on virulence (Chamberlain’s broth vs. Mueller-Hinton broth) – TUL08 D Endpoints – histopathology – bacterial CFUs of internal organs (lung, spleen, liver, kidneys, and lymph nodes) – records of clinical symptoms post-infection – clinical chemistry and hematology during infection 4 Milestone #8 – May 2010 Accomplishments • TUL08D Broth Comparison exposures occurred. Due to Day 14 elevated CRP and LDH for some animals, study termination will occur 28 days post exposure. • TUL08C 4 LVS lot vaccine comparison data was reanalyzed by whether vaccinated animals survived and had minimal lesions, survived and had residual lesions, or succumbed. This data is being included in the draft final report. • Protocol for the telemetry study in vaccinated NHP was written. • Protocol amendment for the LD50 study at very low doses was written. • Tul08A data was, and continues to be, analyzed for inclusion into the final report. • NHPs were screened for their ability to secrete IFNγ and proliferate in response to various LVS and SCHU S4 antigens – Tested PBMCs on Day 0, 7, 14, and 28 5 Milestone #8 – Data & Interpretation TUL08C Re-analysis Key for data presented in the following slides: • I labeled vaccinated animals that survived challenge to study termination, possessed minimal interstitial pneumonitis lung lesions and had clinical chemistry and hematology values that had returned to baseline or to values minimally above normal pre-exposure values by study termination, the “minimal lesions” group. • NHP that were vaccinated and survived to study termination but had mild pneumonia and clinical chemistry/hematology values that remained mildly above baseline and did not return to normal by day 56, I labeled the “residual lesions” group because the status of disease resolution was uncertain from a pathology perspective at study termination. • Vaccinated NHP that succumbed to disease are described as deceased vaccinated, and the control NHP I listed as such. • Reanalyzing the data in this fashion (independent of vaccine lot) has given us new insight into how we might potentially categorize vaccine protection. 6 Milestone #8 – Data & Interpretation TUL08C Re-analysis, Animal Group Allocation Lot Number Control Control Control Lot 16 Lot 17 Lot 20 Lot 20 Lot 20 Lot 20 Lot 4 Lot 4 Lot 4 Lot 16 Lot 17 Lot 20 Lot 4 Lot 16 Lot 17 Lot 20 Lot 20 Lot 4 Lot 4 Lot 4 Lot 4 Animal Number Presented Dose (CFU) 30015 A06872 A07624 30003 A07872 29991 29996 30014 30048 30019 A07738 A07842a 29975 A07699 A07683 30039 29992 A07754 29976 A06488 29987 30017 A07720 A07756 1823 636 1268 2872 1860 304 2148 728 1479 1785 416 1090 1667 787 828 3766 1540 1897 2510 2250 1511 1257 119 1669 Avg Dose/Gp (Geom. Mean) 1137 1155 1422 1257 Study Outcome Unvaccinated Control Unvaccinated Control Unvaccinated Control Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Deceased, Vaccinated Residual Lesions Residual Lesions Residual Lesions Residual Lesions Minimal Lesions Minimal Lesions Minimal Lesions Minimal Lesions Minimal Lesions Minimal Lesions Minimal Lesions Minimal Lesions Study Day of Avg Day of Death Death 39 39 40 44 42 41 47 45 43 42 40 56 56 56 56 56 56 56 56 56 56 56 56 56 39.3 44.4 56.0 56.0 7 Milestone #8 – Data & Interpretation TUL08C Re-analysis: CRP levels during disease Unvaccinated Control CRP-H Summary (Absolute Numbers) Day Post-Exposure 0 2 4 6 10 14 21 Mean 6.7 118.4 435.3 dead dead dead dead SD 7.3 59.1 55.0 N 3 3 3 Deceased, Vaccinated CRP-H Summary (Absolute Numbers) Day Post-Exposure 0 2 4 6 10 14 21 Mean 3.3 59.4 402.9 419.4 362.0 318.9 217.8 SD 2.5 35.2 51.6 73.3 17.7 NA NA N 8 8 7 7 3 1 1 Mean SD N Residual Lesions CRP-H Summary (Absolute Numbers) Day Post-Exposure 0 2 4 6 10 14 3.1 139.8 380.3 333.2 214.0 143.4 0.7 78.1 85.1 52.1 89.4 113.1 4 4 4 4 4 4 21 36.9 13.4 4 Mean SD N Minimal Lesions CRP-H Summary (Absolute Numbers) Day Post-Exposure 0 2 4 6 10 14 2.5 28.6 256.9 197.2 29.7 27.0 1.1 43.5 132.2 125.8 31.6 45.7 8 8 8 8 8 8 21 7.6 9.8 8 Conclusions: • CRP levels in control animals rise rapidly after exposures and animals succumb rapidly. • CRP levels in vaccinees that succumb rise rapidly and remain high over time. • In animals with residual lesions, CRP levels do not rise as high as the controls or vaccinees that succumbed and return to near normal by study termination. • Animals with minimal lesions have CRP levels that are much lower than the other groups and that return to near baseline levels by study termination. 8 Milestone #8 – Data & Interpretation TUL08C Re-analysis Conclusions: • When data is reanalyzed, differences between the groups become more clear. Respiratory rate increase is more pronounced in the controls and the vaccinees that succumb. It was less pronounced in the animals that survived whether they had residual or resolved lesions. Statistical analysis is in progress. • Temperatures increased for all groups, however progression to hypothermia was most impressive in the control group. Those with minimal lesions returned to baseline (~ 37 degrees)faster than those with residual lesions. The decrease in temperature associated with vaccinees that succumbed is likely due to animal death during that time and not a return to baseline. Please note one animal comprises that group beginning day9 49. Milestone #8 – Data & Interpretation TUL08C Re-analysis Conclusions: • When data is reanalyzed, differences between the groups become more clear. Weights in the minimal lesion group dip less than 5% from baseline. Control animals weights drop to near 10% loss and then succumb. Interestingly, those with residual lesions and those vaccinees that succumb track together. Day 49 and after cannot be compared for those groups because one NHP comprises the deceased vaccinees. Those with residual lesions have weight increases beginning day 48, but never return to baseline as the minimal lesion group did. Statistical analysis is in progress. • Clear differences between groups is now seen in the lungs and other tissues. Statistical analysis is in 10 progress. Milestone #8 – Data & Interpretation TUL08D Presented Doses and Deaths Broth CB MHB Animal # Pres. Dose A09011 2,823 A09410 339 A09139 1,107 A09088 1,580 A09094 1,741 A09487 1,344 A09164 2,097 A09064 1,455 A09097 971 A09169 2,178 A09079 642 A09518 2,341 A09072 1,439 A09066 1,050 A09068 1,329 A08739 2,150 A06086 2,266 A09523 2,010 A09140 1,630 A09511 1,801 Vx Dose Died (Y/N) NA Y NA Y NA Y 8.75E+08 N 8.75E+08 N 8.75E+08 N 8.75E+08 N 2.10E+08 Y 2.10E+08 N 2.10E+08 Y NA Y NA Y NA Y 8.75E+08 N 8.75E+08 N 8.75E+08 N 2.10E+08 N 2.10E+08 N 2.10E+08 N 2.10E+08 N Animal # A09079 A09011 A09139 A09518 A09064 A09072 A09410 A09169 Broth MHB CB CB MHB CB MHB CB CB Days post Exposure Vx or Ctrl Day 5 Day 6 Day 7 Ctrl found dead Ctrl found dead Ctrl moribund Ctrl found dead Vx moribund Ctrl found dead Ctrl found dead Vx moribund Conclusions: • Control NHP succumbed in the same time frame whether they were challenged with SCHU S4 grown in Chamberlain’s broth or Mueller Hinton Broth. • The only vaccinees that have succumbed were those challenged with Chamberlain’s grown SCHU S4 11 Milestone #8 – Data & Interpretation TUL08D CRP Levels Post Exposure Broth CB MHB Animal # Status A09011 A09410 A09139 A09088 A09094 A09487 A09164 A09064 A09097 A09169 A09079 A09518 A09072 A09066 A09068 A08739 A06086 A09523 A09140 A09511 Ctrl Ctrl Ctrl Vx Vx Vx Vx Vx Vx Vx Ctrl Ctrl Ctrl Vx Vx Vx Vx Vx Vx Vx Pres. Dose Days Post Exposure Day 5 Day 7 340.2 Dead 324.3 Dead 487.8 Dead Day 0 Day 3 2,823 0.8 264.6 339 2.1 302.4 1,107 2.3 403.8 1,580 1.9 309.6 1,741 2.9 258 388.5 1,344 1.8 171.6 247.5 2,097 1.6 240 1,455 2.7 206.7 602 971 1.9 310.8 173.6 2,178 2.8 414.6 429 642 4.1 350.7 339.6 2,341 2.3 438.3 282.6 1,439 3.3 405.6 515.1 1,050 1.9 169.1 348.3 1,329 2.5 120.3 130.5 2,150 0.5 331.2 493.5 2,266 6.3 255.6 440.7 2,010 0.6 143.5 99.6 1,630 0.9 169.3 168.9 1,801 0.9 200.1 248.7 not enough sample to run CRP 341.1 387.6 106.7 338.7 33.1 489.3 Dead Dead Dead 395.1 37.8 457.2 372.6 63.5 154.2 42 Day 10 Dead Dead Dead 79.9 258.3 155.6 225.3 Dead 7.6 Dead Dead Dead Dead 128.4 265.2 155.9 6.1 5.2 66.3 Day 14 Dead Dead Dead 30.5 336.4 252.9 155.1 Dead 6 Dead Dead Dead Dead 25.9 77.3 60.7 40.8 6.9 2.1 8.7 Conclusions: • CRP levels in vaccinated NHP that were challenged with CB-grown SCHU S4 in general have elevated CRP levels by 14 days post exposure as compared with the ones challenged with MHB-grown SCHU S4. • all groups had high CRP levels early in disease and decrease in levels appears to be more rapid in those challenged with MHB-grown SCHU S4. • Analysis is in progress. • Because the CRP levels remained very high in the CB group, term is now 28 days post12 exposure. Milestone #8 – Data & Interpretation TUL08D Weight Changes % Body Weight Loss from ~ Day-1 Pres. Broth Animal # Status Dose A09011 Ctrl 2,823 A09410 Ctrl 339 A09139 Ctrl 1,107 A09088 Vx 1,580 A09094 Vx 1,741 CB A09487 Vx 1,344 A09164 Vx 2,097 A09064 Vx 1,455 A09097 Vx 971 A09169 Vx 2,178 A09079 Ctrl 642 A09518 Ctrl 2,341 A09072 Ctrl 1,439 A09066 Vx 1,050 A09068 Vx 1,329 MHB A08739 Vx 2,150 A06086 Vx 2,266 A09523 Vx 2,010 A09140 Vx 1,630 A09511 Vx 1,801 Study Day Post Exposure Day 0 Day 2 Day 4 Day 6 Day 8 Day 10 Day 12 Day 14 Day 16 -5 -6 0 -2 -2 0 2 0 -5 -5 0 -4 -4 -2 -2 -4 -5 -5 -4 -5 -6 -5 -1 0 0 0 0 0 -5 -1 0 -4 -2 0 0 -4 -1 0 0 -5 -6 -8 -6 -3 -5 -3 -3 0 -7 -7 0 -4 -4 -1 0 -8 -4 -1 -4 -5 Dead -11 Dead -6 -5 -1 -6 Dead -4 -11 Dead Dead -6 -4 0 -11 -6 0 -1 -5 Dead Dead Dead -7 -7 -7 -12 Dead -6 Dead Dead Dead Dead -9 0 -14 -7 -2 -3 -3 Dead Dead Dead -4 -11 -7 -12 Dead -2 Dead Dead Dead Dead -8 0 -17 -7 -2 -1 -1 Dead Dead Dead -4 -12 -9 -14 Dead -4 Dead Dead Dead Dead -5 0 -10 -6 0 0 -1 Dead Dead Dead 0 -15 -9 -12 Dead -2 Dead Dead Dead Dead -6 0 -7 -5 0 0 0 Dead Dead Dead 0 -15 -9 -10 Dead 0 Dead Dead Dead Dead NA NA NA NA NA NA NA Conclusions: In animals that survive challenge, animals with CRP levels that have returned to near normal display less weight loss by day 14/16 than NHP with high CRP levels. Vaccinated animals exposed to MHB-grown SCHU S4 appear to recover weight faster than those that were exposed to CB-grown SCHU S4. 13 600 Media LVS ff Hi SCHUS4 ff Hi DVC LVS ff 10^7 DVC S4 ff 10^7 500 MHB 400 CB 300 CB 200 MHB A09523, Day 28 A09523, Day 14 A09523, Day 7 A09523, Day 0 A09164, Day 28 A09164, Day 14 A09164, Day 7 A09164, Day 0 A09094, Day 28 A09094, Day 14 A09094, Day 7 A09094, Day 0 A09068, Day 28 A09068, Day 14 0 A09068, Day 7 100 A09068, Day 0 IFNg Spots (Mean +/- S.D.) Representative IFN-γ production by NHP PBMCs stimulated with F. tularensis antigens LVS FF Hi (1 x 105/ml, UNM) stimulates the most IFNγ production by PBMCs from vaccinees. DVC LVS FF (1 x 107/ml) does not stimulate as much IFNγ production even though it is used at 100 times the concentration as LVS FF Hi (1 x 105/ml from UNM). SCHU S4 FF Hi (1 x 105/ml) and DVC SCHU S4 (1 x 107/ml) generally stimulate less IFNγ production than LVS FF Hi (1 x 105/ml; UNM). MHB and CB denote animals eventually exposed to SCHU S4 grown in Mueller Hinton and Chamberlain’s broth respectively. All PBMCs cultured at 200,000/well. Milestone #8 – Immune Assay Data Interpretation • All LVS vaccinees secreted more IFN-γ in response to FF LVS Hi (UNM prep) post-vaccination as compared to Day 0 (pre-vaccination) – Five NHPs had relatively low responses compared to the other 9 NHPs (3 of the 5 were eventually exposed to SCHU S4 grown in Chamberlain’s broth; one succumbed to challenge) • DVC FF LVS does not stimulate as much IFN-γ production as the FF LVS from UNM even when tested at 100x the concentration 15 Milestone #8 – Plans for next month • • • • • Submit the TUL08C draft final report Continue to work on the TUL08A report Begin analysis of serum for cytokines from TUL08D Analyze data from TUL08D collected while in the ABSL-3 Test the F. tularensis antigen-induced IFN-γ production in PBMCs and splenocytes of SCHU S4 aerosol survivors 16 Milestone #12/13 – Immune Responses in Animals and Humans Immunoassay Development and Comparisons in Animal Models Choose PBMC Purification Method Choose PBMC Freezing Method Method chosen: Purdue ListServ Cerus Develop Immunoassay methodologies Proliferation assay Red: completed Green: In progress Yellow: on hold; restart if necessary Blue: steps in the milestone IFNg ELISPOT Plasma IgG ELISA Plasma IgA ELISA Determine protein:CFU relationship in FF and HK LVS antigens Microagglutination assay 17 Milestone #12/13 - Objective and Endpoints • Develop immunoassays that reliably distinguish LVSvaccinated from non-vaccinated NHPs – Thus far can rely on IgG anti-LVS ELISA for this purpose • Develop immunoassays that may distinguish NHPs which survive SCHU S4 aerosol challenge from those that do not – Thus far have not been able to refine our assays to function as such – IgG anti-LVS plasma levels do not correlate with protection – IFNγ production or proliferation by bulk PBMCs in response to LVS or SCHU S4 antigens also appear not to distinguish those NHPs which have been protected from SCHU S4-induced mortality 18 Milestone #12/13 – May 2010 Accomplishments • In an effort to quantify the protein content:CFU ratio of the various F. tularensis antigen preparations we use to stimulate PBMCs, we: – Further tested the effect of sample lysis buffer on Bradford reagent in the Bradford protein assay – Used monoclonal anti-F. tularensis antibodies to detect bound antigen in an ELISA 19 Sample lysis buffer reacts with Bradford Assay reagent and results in a detectable color change in the absence of protein 0.9 0.8 0.7 y = 0.014x + 0.5056 R² = 0.9142 AU 595 0.6 0.5 25 µl standard + 1975 µl SB 0.4 - Further dilutions made in PBS 0.3 0.2 0.1 0 0 5 10 15 mg/ml 20 25 30 Blank = PBS + Bradford reagent Replicate A595 mean SD conc: g/ml Independent dilution of 25 µl PBS into 1 0.764 0.772 0.01131 18.3542 1975 µl Sample buffer and then diluted 2 0.780 1:1 with Bradford reagent: Use of Sample buffer + Bradford Reagent as the assay blank reduces the number of points above zero 0.15 0.1 0.05 AU 595 0 0 5 10 15 -0.05 -0.1 -0.15 y = 0.0116x - 0.1804 R² = 0.7496 20 25 30 25 µl standard + 1975 µl SB - Further dilutions -0.25 mg/ml made in PBS Blank = Sample buffer + Bradford reagent -0.2 Due to the fact that the Sample buffer reacts with the Bradford reagent to cause a detectable color change and the fact that PBS used as a sample interpolated as 18 µg/ml protein, we do not favor use of this assay to measure the protein content of F. tularensis antigen preparations. Anti-fop A antibody detects HK LVS bound to an ELISA plate 0.8 0.7 a-fopA ELISA OD 405 nm 0.6 0.5 FF LVS UNM 0.4 HK LVS 5.2 UNM FF LVS DVC 0.3 FF LVS O- MUT DVC 0.2 DVC FF SS4 0.1 DVC FF SS4 O-MUT 0 Dilution of antigen UNM antigen stocks are at approx. 5 x 10^8/ml; DVC stocks are at 10^9/ml. Despite the fact that a higher quantity of the DVC antigens are plated in the ELISA, less anti-Fop A antibody reacts with those preparations as compared to HK LVS (UNM). Anti-DNA K antibody detects F. tularensis antigens bound to an ELISA plate Anti-DNA K ELISA; 30 minute development UNM antigen stocks are at approx. 5 x 10^8/ml; DVC stocks are at 10^9/ml. Despite the fact that a higher quantity of the DVC antigens are plated in the ELISA, less anti-DNA K antibody reacts with those preparations as compared to the UNM antigens. Milestone #12/13 – Data Interpretation • The Bradford assay would be difficult to use to determine protein content in F. tularensis antigen preparations due to the interaction of the sample buffer with the Bradford reagent creating a significant color change • Use of an ELISA strategy to detect protein bound to a plate suggests that HK LVS (UNM) has the highest protein:CFU ratio; however this assay assumes that all of the preparations bind to the plate equivalently 24 MS #21 – Correlates of protection Establish assays of effector function that detect correlates of protection Establish conditions to detect intracellular cytokines in NHP PBMCs Confirm response in LVS-vaccinated NHPs Confirm low response in nonLVS-vaccinated NHPs Red: completed Green: In progress Blue: steps in the milestone Establish conditions to detect growth of LVS in NHP PBMCs Confirm reduced growth in LVSvaccinated NHPs Confirm growth in non- LVS-vaccinated NHPs 25 Milestone #21 - Objective and Endpoints • Develop immunoassays of effector function that can detect correlates of protection from SCHU S4 aerosol-induced morbidity – Developing two assays for this purpose thus far: – 1) Intracellular cytokine staining; • Perhaps IFNγ production by particular cell types will distinguish NHPs which are protected vs. those that are not • Perhaps the presence of particular cells that are producing more than one cytokine (ex. IFNγ, TNFα and IL-2) will predict protection – 2) inhibition of in vitro growth of SCHU S4 by some cells contained in the PBMC preparations of protected NHPs vs. those that succumb to SCHU S4 aerosol 26 Milestone #21 – May 2010 Accomplishments • One more NHP was tested for intracellular IFN-γ by flow cytometry – Day 28 post-LVS vaccination 27 CD4+ and CD8+ cells from PBMCs of an LVS vaccinee are stimulated to produce IFN-γ by UNM FF LVS 0.8 0.7 % IFNg+ CD3+CD8- cells % IFN-g+ CD8 T cells A09523 Day 28 post vacc % IFN-g+ CD4 T cells A09523 Day 28 post vacc 0.6 0.5 UNM ffLVS 0.4 DVC ffLVS 0.3 0.2 2 % IFN-g+ of CD3+CD8+ T cells 0.9 1.8 1.6 1.4 1.2 1 UNM ffLVS 0.8 DVC ffLVS 0.6 0.4 0.2 0 0.00E+00 1.25E+04 5.00E+04 2.00E+05 cfu/well 0.1 0 0.00E+00 1.25E+04 5.00E+04 2.00E+05 cfu/well UNM FF LVS stimulates CD4 and CD8 cells to produce IFN-γ, possibly in a dose-dependent manner; DVC FF LVS does not. Milestone #21-Data Interpretation • FF LVS (UNM) can stimulate production of IFN-γ by CD4 and CD8 cells in the PBMC population of a vaccinee – Could possibly be in a dose-dependent manner but more data collection is necessary to determine that for certain – In addition CD14+ (monocytes) and CD56+ cells (CD3+ monocytes or T cells?), but not CD16+ (NK cells) also respond to FF LVS (UNM) – DVC FF antigen does not stimulate IFN-γ production by cells in the PBMC population 29 Milestone #21 - Plans for next month • Test the ability of PBMCs from naïve NHPs to produce IFN-γ as detected by the intracellular staining (ICS) assay – This data will be critical to the interpretation of the ICS data from LVS-vaccinated NHPs and will inform us as to whether the FF LVS if working as a mitogen (i.e. as many PBMCs from naïve NHPs would make IFN-γ as those from vaccinees) or a specific antigen (less PBMCs from naïve NHPs would make IFN-g compared to PBMC from vaccinees) 30 Action Items • Michelle : LBERI will remove the second to last box on slide 3. NIAID requested that LBERI not run the non telemetered arm of the vaccination/challenge/telemetered study. (Completed in minutes 6/7/10). 31 Additional Points Deliverables completed for each active milestone: No deliverables were completed during the month of May List of relevant publications from the past month None MSCR status MS 3: NIAID reviewing MSCR (UNM sent to NIAID on 2/18/2010 ) MS 4: NIAID reviewing MSCR (UNM sent to NIAID on 3/23/2010 ) MS 7: NIAID reviewing MSCR (UNM sent to NIAID on 4/7/2010 ) MS 11: NIAID reviewing MSCR (UNM sent to NIAID on 3/24/2010 ) MS 8 a: LBERI writing and due to UNM 5/14/10 MS 8 b: LBERI writing and due to UNM 6/30/10 MS 8 c: LBERI writing and due to UNM 5/4/10 32