Fiscal Year:
2001
Title:
A New Tuberculin for the Diagnosis of Tuberculosis
Agency:
HHS
Contract:
N/A
Award Amount:
$300,000.00
Abstract:
DESCRIPTION (provided by applicant):Accurate diagnosis of tuberculosis (TB)
infection is one of the pillars of effective TB control programs. The current
tool to diagnose infection with Mycobacterium tuberculosis is the tuberculin
skin test (TST). Because of the cross-reactive nature of purified protein
derivative (PPD) of tuberculin, TST currently does not discriminate between
infection with M. tuberculosis, vaccination with M. bovis BCG and sensitization
with non-tuberculous mycobacteria found in the environment. The recent
achievements in the field of bacterial genomics enable us to undertake a new
approach to formulate a M. tuberculosis-specific tuberculin and to overcome
poor TST specificity. Comparative genomic analyses show that the M.
tuberculosis genome includes regions that do not exist in M. bovis BCG (RD
regions). Thus, we can tailor a new, M. tuberculosis-specific tuberculin by
selecting from the pool encoded by the RD regions those antigens that elicit
TB-specific, cell-mediated immune responses. Our specific aims are 1)
Identification of candidate antigens. Gene selection will be based on published
results of comparative genomic analyses, BLAST protein homology searches, and
Southern blot analyses. 2) Antigen screening in guinea pigs. Antigens will be
selected that induce skin test reactions in tuberculous guinea pigs but not in
control animals sensitized with M. bovis BCG and with non-tuberculous
mycobacteria. 3) Antigen evaluation in human TB. Antigens selected in guinea
pig studies will be evaluated for the ability to induce in vitro
lymphoproliferation and cytokine secretion by peripheral blood mononuclear
cells (PBMC) of M. tuberculosis-infected persons but not by PBMC of negative
control individuals (BCG vaccinees, patients having non-tuberculous
mycobacterioses, and healthy, PPD-negative individuals). Antigens selected in
the proposed Phase I studies will be used to formulate a multi-antigen
tuberculin to be taken to human clinical trials during Phase II work.
PROPOSED COMMERCIAL APPLICATION:
2.1 Billion people harbor a TB infection. UNICEF reports that tuberculosis poses a serious risk to Asia's sustained socioeconomic development. In a recent National Intelligence Estimate, the Central Intelligence Agency singled out drug-resistant TB-and especially its incidence among immigrants-as a potential threat to national security. Salomon and Murray report that world expenditure on TB therapy and diagnosis was $4.1 Billion (USD) in 1998. Diagnosis of TB worldwide is by sputum smear, with 50% accuracy. This new diagnostic is desperately needed. Short term markets will be in developing countries where the test will replace the current skin test as an adjunct diagnostic.
Principal Investigator:
Leo Einck
Small Business Information at Submission:
SEQUELLA, INC.
9610 MEDICAL CENTER DR, STE 200 ROCKVILLE, MD 20850
EIN/Tax ID:
522044703
DUNS:
N/A
Number of Employees:
N/A
Woman-Owned:
No
Minority-Owned:
No
HUBZone-Owned:
No