Aditec workpackages Work package 1: Vaccine Adjuvants Objectives: The main objective of this WP is to perform comparative evaluation of existing ADITEC adjuvants for selected prototype antigens and to develop 2nd generation adjuvants with improved potency and safety. Work package 2: Vaccine vectors Objectives: The general objective of WP2 is the pre-clinical development of vaccine vectors for optimized induction of protective polyvalent immune responses. Work package 3: Formulations and delivery devices Objectives: The primary objective of WP3 is to facilitate the introduction of new vaccine/adjuvant candidates optimized for ”alternate” (non-IM/parenteral) routes of administration, including relevant formulations and specific delivery devices (where relevant), and to assure that vaccine candidates can be tested and compared across platforms. The aim of this WP is to work within the consortium to ensure that multiple routes of administration are available on an “as needed” basis, that each vaccine candidate is assured to be formulated in an optimal way depending on the device used, and that all the relevant analytics are available to make valid cross-route comparisons. Workpackage 4: Routes of Immunization Objectives: Development of alternative routes of immunization is urgently needed for prevention of mucosal respiratory, enteric and genital infections as well as a means for making overall vaccine administration safer and simpler.The anatomical location, magnitude and quality of the immune response induced by mucosal immunization are determined by the immunization route, the adjuvant and the formulation and/or delivery system used and remain largely poorly studied. The objectives of this WP are to clarify these relationships as studied in mice using well-defined antigens and adjuvants: 1. Compare mucosal and systemic immune responses and immunologic memory induced by different routes of immunization, with special emphasis on comparing the potential and limitations of recently described sublingual, aerosol and dermal/transdermal immunization routes with previously tested mucosal and systemic routes. 2. Validate, refine and standardize current tools and develop new tools for assessment of mucosal immunity in pre-clinical studies. 3. Define anatomic localization, magnitude and quality of immune responses induced by different vaccine antigen-adjuvant formulations, vectors and devices as derived and/or provided from the work in WP 1-3 . 4. Characterise priming and trafficking of T and B cells following immunization by different routes of immunization. These studies will use vaccine antigens that allow comparisons of the same molecule tested as “subunit” antigen and as a component of bacterial or viral vectors and ideally selected to also allow testing of induced protection against challenge in mouse models. These antigens will include those (influenza, TB) selected to be used across the whole ADITEC program and selected antigens will be tested with selected adjuvants as defined in WP1 and in the formulations, vectors and delivery devices provided by the work in WP1-3. A special study will compare the mucosal and systemic immune responses to two commercially available mucosal vaccines, cold-adapted influenza vaccine FluMist™ and B-subunit/whole cell cholera vaccine Dukoral™ , when administered by sublingual versus the approved nasal and oral routes, respectively. The studies will also pave the way for and be a link to more downstream ADITEC studies/WPs: prime-boost studies (WP5); protection and other studies in advanced animal models (WP6); and pivotal clinical studies ( WP10-13). Work package 5: Prime-boost Strategies Objectives: The overall objectives of the present WP are to identify optimal prime-boost vaccination strategies, by using different vaccine formulations and combination of mucosal/systemic immunization routes developed in WP1-4 and to characterise primary immune responses and their correlation with immune memory responses (in collaboration with WP10-13). Specific objectives will be: 1. Identification of optimal heterologous prime-boost vaccination strategies that combine different vaccine formulations and mucosal/systemic immunization routes. 2. Characterise priming and trafficking of T cells following immunization using different vaccine formulations. 3. Establish in vivo and ex vivo pre-clinical models to study the T-cell priming properties of adjuvants and delivery systems. 4. Characterize T cell priming by vaccination in humans and its relevance in predicting secondary responses. Work package 6: Advanced Animal Models Objectives: To use advanced challenge models with human pathogens (TB and Influenza) to discover new mechanisms associated with vaccine induced protective response and select of vaccine candidates to be advanced to the clinic. Work package 7: Aging and early life Objectives: The general objective of this WP is to analyze the effects of new vaccine formulations in animal models at extreme of age and to collect clinical evidences on age-associated determinants of response to currently licensed vaccines. Neonates, infants and elderly persons will be focused on. The final goals will be to collect data on candidate vaccines which should be considered for use at the extremes of age and to improve the scientific evidence on which to base recommendations defining how these particular age groups should be vaccinated to achieve optimal protection. Work package 8: Molecular signatures of immunity and immunogenicity Objectives: WP8 will assess the human immune response to vaccination and infection at the level of the transcriptomic and proteomic response, T-cell and B-cell memory formation, cell trafficking, and key molecular pathways of innate immunity, with emphasis on underlying mechanisms of protective immunity. In particular, we will investigate the following questions, outlined in the specific objectives: 1. To establish an extended multiplex transcriptome profiling assay (RT-MLPA) for monitoring (longitudinal) differences in expression of innate and adaptive immune-response and signaling genes, in order to interrogate, evaluate and optimize novel immunization strategies (LUMC). 2. To compare global transcriptomic gene expression profiles (mRNA as well as micro-RNA) following vaccination (e.g. with a new live vaccine (rec. BCG)) in infants and adults; we will thus identify novel mechanisms and correlates of immunity and safety with particular emphasis on age (MPG). 3. To determine quantitative profiles of proteins selected from transcriptomics data following vaccination. We will combine these results with data from the above transcriptomic analysis to identify novel signatures and mechanisms of immunity (Novartis, MPG, LUMC). 4. To identify key mechanisms of inducing memory T-cell (including Th17) and B-cell responses involved in mucosal immunity and protection, and to determine the underlying BCR and TCR repertoires and key molecules orchestrating mucosal migration (IRB). 5. To design strategies to prevent immune suppression and cellular exhaustion, and stimulate optimal vaccine-induced memory and effector functions to interfere with chronic persisting infection (MPG) 6. To evaluate key molecular markers of innate immunity, and its regulation in mucosal immunity and protection in human and animal models (FHR). 7. To test stress inducing agents as enhancers of innate and memory immune responses (KCL). Work package 9: Systems biology of innate and adaptive immunity to adjuvanted influenza vaccination in humans Objectives: The aim of WP9 will be to perform a systems biological analysis of the innate and adaptive immune responses to vaccination of humans. The main focus will be on studies with the influenza vaccines, either with or without adjuvants, conducted in WP10 and WP7. The systems biology approach will be also possibly applied to other vaccines, such as meningococcal vaccines and other studies conducted in WP10-13. The overarching goal of this effort is to identify molecular signatures that correlate with, and predict, various key parameters of the innate and adaptive immune response. A secondary goal is to obtain insights into the molecular mechanisms driving innate and adaptive responses to vaccination. Work package 10: Profiling human responses to defined adjuvants and prime-boost strategies Objectives: 1.To characterise biomics of human responses to defined adjuvant technologies 2.To characterise human cellular and humoral responses after heterologous prime-boost 3.To study breadth of human T cell responses induced by different adjuvants Work package 11: Evaluation in humans of novel routes of immunisation to induce targeted and disseminated immunity Objectives: 1. To define generic methodologies to induce broad human immunity at diverse anatomical sites by anatomically targeted immunisation 2. To evaluate human immune responses to sublingual antigen delivery Work package 12: Human transcriptomic and immune responses to enteric bacterial challenge & prophylactic immunisation Objectives: 1. Characterise human transcriptomic and immune responses to enteric bacterial challenge infection & prophylactic immunisation 2. Correlate transcriptomic and immune responses with protection against infection and shedding of bacteria Work package 13: Phase 1 clinical trials of novel immunisation technologies Objectives: To evaluate novel immunisation technologies in Phase 1 clinical trials. Work package 14: Effects of human genetics, gender and disease Objectives: There is a large individual variation in vaccine responses and most vaccines do not elicit protective immunity in all vaccines. The aim of WP14 will be to assess the effects on genetic variation, gender and disease on vaccine responses. Specific objectives will be: 1. To assess the effect of gender and underlying disease on vaccine response, in particular autoimmune and chronic inflammatory diseases, like cardiovascular disease. 2. To discover novel sequence variants (single polymorphic nucleotides, SNPs) that contribute vaccine response, using as models lack of/low and high response to influenza vaccination (performed in the project) or lack of response or adverse events to smallpox vaccination (existing data). 3. To to assess the association of such ”vaccine response SNPs” with autoimmune and inflammatory diseases, and to validate their effects on response to other vaccines and effects of adjuvants and immunization strategies tested in the patient characterization studies and clinical trials (WP10-13). Work package 15: Regulatory and ethical issues Objectives: 1. To identify regulatory challenges to novel technologies for immunisation and develop enabling regulatory frameworks 2. To identify challenges to standardisation of novel technologies for immunisation and develop enabling regulatory frameworks Work package 16: Training Objectives: A set of internationally recognized training programs at three levels will be developed with the specific aim to foster and disseminate throughout Europe specialised knowledge in the field of translational immunology and vaccinology, to improve and disseminate these advanced research skills developed within the project, and to promote the mobility and exchanges between students and SMEs researchers of the participating institutions. Work package 17: Dissemination Objectives: 1. Dissemination 2. Visibility Work package 18: Management Objectives: • Scientific and administrative coordination of the project • To guarantee the successful progress of the project within the agreed time, cost and quality limits as defined by the project contract signed with the EU and the Consortium Agreement signed among the participants. • To establish effective communication among the consortium partners. • To identify, protect and manage the Intellectual Property (IP) generated by the project and patent applications. Work package 19: Enhancing Impact – vaccine research and innovation Objectives: • Commissioned vaccine/immunology research for SMEs • Venture funds and loans for SMEs • Detecting and securing exploitable IP • Commissioned vaccine/immunology research for public health • Dissemination, visibility, advocacy • Impact monitoring: Impact Score Card Description of