Contribution of Institut Pasteur & Institut Pasteur International Network in Global Research Collaboration for Infectious Disease Preparadeness Noël TORDO (Paris) & Ralf ALTMEYER (Shanghai) Louis Pasteur vision : « improve human health and welfare through scientific discovery » 1887 2013 François JACOB Center A multidisciplinary research center dedicated to emerging diseases Institut Pasteur : a private non profit foundation of public utility • 3 missions: • Biomedical Research • Public Health: monitoring infectious disease, expertise, field interventions • Sharing knowledge: teaching and training • 2400 scientists, technicians, Public Health • (> 60 nationalities) 10 Departments, 130 Research Units (half-dedicated to infectious diseases) Viral diseases Flu, hepatitis, dengue, SARS, Chikungunya, AIDS, rabies, poliomyelitis, yellow fever, hemorrhagic fevers Bacterial diseases Meningitis, tuberculosis, enteric diseases, plague, whooping cough, anthrax Parasitic diseases Malaria, leishmaniasis, amibiasis, Chagas disease, sleeping sickness Fungal diseases Cryptococcosis, candidiasis, aspergillosis Institut Pasteur : in the top 10 of Institutions for « Neglected Disease Research & Developement » 2012 budget : 270.5 M € Public Funds 23.0 % Donations & Legacies 27.8 % 47.6 % Business Development : Fees, royalties, expertise, Research grants Institut Pasteur : infrastructure in Paris, field intervention • Platforms in Paris: • High security laboratories (BSL3, A3) • High-throughput technology (genomics, proteomics, imaging, insectarium) • Biological ressources (collections of pathogens, biobanking) • LabEx IBEID (Integrative Biology of Emerging Infectious Diseases) • To strengthen preparedness by increasing knowledge and expertise in basic microbiology and microbial immunology. • To establish a continuum of research between surveillance, detection and basic analysis of the etiological agent and infected host • To explore microbial diversity, host complexity, host-microbe interactions, to find novel targets for vaccinology and therapeutics • 45 academic teams (in & out Pasteur), 5 Public Health Partners (Hospitals, Vet School, ANSES, InVS), 3 industry partners (Sanofi-BioMérieux-Danone) • CIBU (Laboratory for Urgent Response to Biological Threats) • Capacity building • Field investigations Public Health : WHO Collaborative Centers, OIE Reference Lab & National Reference Centers Research units <-> Surveillance centers for infectious diseases • • • 15 National Reference Centers (Paris) Bacteria : Anaerobic & botulism; Corynebacteria diphtheriae complex; E. coli, Shigella, Salmonella; Leptospirosis; Listeriosis; Meningitis; Plague & other Yersinia, Vibrios and cholera; whooping cough Viruses : Hantavirus; Hemorrhagic fevers; Influenza; Papillomavirus; Rabies Fungi : Invasive fungal infections and antifungal 4 Associated References Laboratories (French Guiana) Arboviruses, Hantavirus, Influenza, Malaria 8 WHO Collaborating Centers (Paris) • Bacteria : Leptospirosis; Listeria; Meningococcus ; Plague & other Yersinia Infections; • Salmonella Viruses: Arboviruses & Viral Hemorrhagic Fevers; Enteroviruses (poliovirus vaccine) ; Rabies 1 OIE Reference Laboratory (Paris) • Rift Valley Fever & Crimean Congo Hemorrhagic Fever GOARN One Health Teaching and training at the Institut Pasteur Teaching Centre in Paris / year - 25 Specialized Courses (Virology, Bacteriology, Zoonoses, Epidemiology, Immunology, Genomic, Neurobiology…) - 500 attendees: Master, PhD, Post-Doc, Scientists, Med/Vet ( > 60 countries) - 500 lecturers (Europe) Training in Paris / year - 80 Master students - 220 PhD students (PhD International program) - > 250 Post-Doc Teaching in the Institut Pasteur Network / year - 25 Regular Courses : Virology, Cell Biology, Immunology (Hong-Kong) Encephalitis - (Cambodia); Malaria (Madagascar), Bioinformatics, Salmonella (WHO) 15 Specific Courses: Basic Research to Public Health (50% with external funding, partnership with Health Autorities & Universities) 24 Proposals for 2014: Africa 10, Americas 6, Asia-Pacific 4, Europe 1, MATI 2 Institut Pasteur : European and International partnerships Europe, FP7 Others (IP-Network) US-DHHS (Cambodia, Cameroon, CAR, Senegal) IHR & viral respiratory infections GEIS (Laos) Tick borne diseases NIH (Cambodia) Camelia project HIV-TB US CDC USAID : (Madagascar, Cameroon, Ivory Coast) malaria, zoonosis, nutrition PEPFAR HIV (Ivory Coast) building laboratory capacity for HIV AFD ECOMORE JICA-JST (Laos) WHO – IHR Global Health To assist countries in strengthening their capacity for surveillance, detection, and response Institut Pasteur International Network : A global Network with 32 Institutes / 25 countries / 5 continents One network, multiple international programs on ID Europe Medit. Americas Asia Pacific Regions BSL3 Sub-saharan Africa Network programs (selection) PAANTHER : Clinical and immunological aspects of Paradoxical Tuberculosisassociated Immune Reconstitution Inflammatory Syndrome in HIV-TB co-infected children Cambodia, Vietnam, Burkina fasso, Cameroon; Sponsor: ANRS 12279 DENFREE : Dengue research Framework for Resisting Epidemics in Europe Cambodia, Thailand, IP Paris, Cuba, Europe; Sponsors: EU PREDICT : Expanding national capacity for zoonotic disease surveillance Asia, Africa, USA; Sponsor: USAID Core capacities for Influenza preparedness (2005) [IHR 2005] Cambodia, Cameroon, Central African Republic, Senegal, Sponsor: DHHS AGISAR : An integrated surveillance study of antimicrobial resistance in Salmonella subspecies, Campylobacter spp, Escherichia coli and Enterococcus spp from foodproducing animals, retail meat and outpatients National Pediatric Hospital, Phnom Penh, Cambodia; Sponsor: WHO/FAO Set up of a Mediteranean Laboratory Network priorities : Biosafety, West Nile and Dengue Training Dengue/West Nile & Biosafety in the lab 02-06 July 2012, IP – 23- 27 June 2013 Madrid 17 trainees + 6 international experts Networks against tuberculosis Improve diagnostic of drug resistant tuberculosis OPEC, Gabon 10 african countries : Cameroon, Ivory coast, Central African Republic, Niger, Benin, Burkina Faso, Gabon, Guinee-Bissau, Mali, Togo 3 european countries : France, Italy, Austria 1 Asian country: China Outbreak investigation within the Pasteur network Outbreak investigation: emergence of Enterovirus 71 (2012) China, Vietnam and recently Cambodia CNS infections & deaths in young children (JCV 2012, EMI 2013) - 2010 (China): 1.7m cases, 27,000 severe, 900+ deaths Task force: IP Cambodia, Shanghai, Paris, HKU 1st cases in April 2012 but confirmation (after testing for >40 pathogens) in June 2012 - funded by IP Paris, Li Ka Shing Foundation, IPS, IPC EV71 C4 genotype identified: Close phylogenetic relationship with China & Vientam strains (Promed SEP 2012) Factors of severe disease, drug repurposing 14 Marc Jouan • IP-RIIP 04/10/13 Approved drug repurposing for EID Suramin inhibits EV71 in vitro and in vivo CTRL Suramin EV71, WT virus Neonate mouse model Viral Load (copies/ml) EV71 WT virus, Adult monkey model MW: 1429.17 Treatment, Infection Days post infection Suramin inhibits recently circulating EV71 strains from China and Cambodia Suramin approval status (AT): Treatment & prophylaxis in children and infants Selected as clinical candidate based on efficacy, PK and safety data Ren et al, submitted спасибо Merci Thanks Merci Merci شكرا 谢谢 cảm ơn bạn ¡gracias благодаря