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Spring/Summer 2012 Aesculapian Magazine - University of Georgia ...

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The most widely used diagnostic test is the tuberculin<br />

skin test. It was developed nearly a century ago and<br />

requires an under-the-skin injection <strong>of</strong> purified M.<br />

tuberculosis proteins. As mentioned before, it can give false<br />

results in individuals vaccinated with BCG, but also in<br />

individuals exposed to other related bacteria or infected<br />

with HIV, and it cannot accurately identify latent infection.<br />

One <strong>of</strong> the major challenges in the global effort to<br />

control TB is deciding which <strong>of</strong> these areas to focus on:<br />

diagnostics, therapeutics or vaccines. Researchers at<br />

UGA are working on a little bit <strong>of</strong> everything, from novel<br />

therapeutics to more sensitive diagnostics.<br />

UGA researchers making progress<br />

In 2010, Quinn was one <strong>of</strong> only six researchers in the<br />

United States to receive part <strong>of</strong> a $2.9 million grant from<br />

the FDA to develop a diagnostic test for latent tuberculosis<br />

infection. “A vast majority <strong>of</strong> the infections worldwide are<br />

latent, but there’s no way to diagnose them,” says Quinn.<br />

Two years later, Quinn is making progress on<br />

diagnostic blood and urine tests based on bacterial<br />

responses; he has applied for a one-year extension to begin<br />

looking at the test’s effectiveness on clinical serum and<br />

urine samples.<br />

Don Mark Estes, a pr<strong>of</strong>essor in infectious diseases<br />

and an immunology expert, came to UGA in 2010. He<br />

says that the research opportunities available through the<br />

<strong>University</strong>’s Animal Health Research Center were a major<br />

draw for him as a TB researcher.<br />

The Animal Health Research Center (AHRC), a<br />

biocontainment facility<br />

opened on the UGA campus<br />

in 2006, is key for UGA’s<br />

capacity to study tuberculosis.<br />

The AHRC is designated<br />

ABSL-3 by the Centers<br />

for Disease Control and<br />

Prevention, and BSL3-Ag<br />

by the U.S. Department <strong>of</strong><br />

Agriculture, which means<br />

it can hold high-security<br />

pathogens and house large<br />

animals for research. It is<br />

currently one <strong>of</strong> only two<br />

university-operated facilities<br />

in the nation with labs that<br />

meet these standards.<br />

“There is a lot <strong>of</strong><br />

potential for collaborative<br />

Photo by Sue Myers Smith<br />

The Animal Health Research<br />

Center (AHRC)<br />

Dr. Don Mark Estes, pr<strong>of</strong>essor in the department <strong>of</strong> Infectious<br />

Diseases, in his lab.<br />

work at UGA,” says Estes. His lab focuses on the genetics<br />

and immunology <strong>of</strong> M. tuberculosis, and he will be<br />

conducting the first high-containment animal study in the<br />

AHRC starting in the fall <strong>of</strong> <strong>2012</strong>.<br />

The AHRC’s ability to hold large animals means that<br />

instead <strong>of</strong> studying only smaller animal models, like mice<br />

and guinea pigs, for vaccine development, they can now<br />

use everything from nonhuman primates to cattle.<br />

“That’s one <strong>of</strong> the advantages <strong>of</strong> the AHRC,” says<br />

Estes. “It has the capability for large animal studies that<br />

other universities don’t have.”<br />

Animal modeling plays a pivotal role in testing<br />

vaccines; for any vaccines to go into human clinical trials,<br />

they must first be tested in animals.<br />

“The problem with TB vaccine development is that<br />

we really don’t understand enough about the immune<br />

response to be able to create the ultimate vaccine,” says<br />

Photo by Laura Smith

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