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Research Group Heussler (Malaria I) - Bernhard-Nocht-Institut für ...

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Medical Microbiology Section<br />

Chairman‘s Summary<br />

The Medical Microbiology Section combines the Departments<br />

of Immunology, Virology, and Helminthology,<br />

the Central Diagnostic Unit and the animal facilities.<br />

Selected projects are described in the following reports.<br />

The Department of Immunology is mainly concerned<br />

with the immune response against parasites but also<br />

performs work in basic immunology. Investigations on<br />

the role of T cells in malaria show a dichotomy between<br />

immunopathogenetic influence and protective function.<br />

The role of NK cells and of cytokines of the innate immune<br />

system in the immune defence against Trypanosoma<br />

cruzi are investigated and genetic loci determining<br />

resistance to experimental Chagas’ disease are<br />

identified. The unknown function of the CD83 molecule,<br />

a member of the immunoglobulin superfamily, is analysed.<br />

Transgenic mice were generated in which either<br />

the CD83 immunoglobulin fusion protein is secreted by<br />

MHC class II positive cells or the CD83 molecule is expressed<br />

under the control of the MHC class I promotor.<br />

Both of these types of mice have interesting phenotypes<br />

indicating that CD83 in fact is important for T cell<br />

ontogeny and activation. How heat shock proteins can<br />

act as danger signals in the immune system is investigated.<br />

<strong>Research</strong> in the Department of Virology is mainly<br />

concerned with haemorrhagic fever viruses. Lassavirus<br />

replication, the epidemiology and pathogenesis of<br />

Lassa fever and novel diagnostic procedures. A new<br />

sero-diagnostic test for Dengue fever was used in Hué,<br />

Vietnam, for epidemiological investigations. The RNA<br />

helicase complex of Flaviviruses and Arenaviruses was<br />

investigated with respect to sensitivity to different lead<br />

substances with the aim of defining new inhibitor molecules.<br />

The role of glycosylation of the V3 loop of HIV-1<br />

gp120 protein for the effectivity of neutralizing antibodies<br />

is investigated in a collaborative project at the University<br />

of Hamburg. In addition to the well established<br />

PCR-methods to detect Lassa, Ebola and Marburg viruses<br />

(including all substrains), new real-time PCRs were<br />

developed and validated for a number of tropical viruses.<br />

The Department of Virology received high public attention<br />

due to its taking part in the identification of the<br />

SARS virus. Several cases with virus-induced acute haemorrhagic<br />

fever (VHF) in Germany and other European<br />

Countries. For these patients an emergency diagnostic<br />

procedure had to be established. On average a<br />

final result is obtained within 6 hours after arrival of the<br />

Medical Microbiology Section<br />

46<br />

blood specimens in the L4 laboratory. A 24 h emergency<br />

hotline is installed and can be reached day and<br />

night via 0049-40-42818-0. Since the biosafety level 4<br />

containment laboratory of the Department now has<br />

been operating without difficulties for more than 20<br />

years, experts from several other European countries<br />

came to obtain advice about construction and maintaining<br />

of such a laboratory.<br />

The Department of Helminthology concentrated on<br />

filariasis research. The department had performed work<br />

on the immune mechanisms active against filaria in a<br />

mouse model (infection of BALB/c mice with Litomosoides<br />

sigmodontis, that allows the development of<br />

microfilaria producing worms from infective larvae).<br />

This model was used to identify the interactions of cytokines<br />

and effector cells and also to prove the importance<br />

of Wolbachia endosymbionts for fertility and survival<br />

of the worms. This has led to the identification of a<br />

new treatment strategy using antibiotics to target the<br />

endobacteria. Clinical studies in Ghana and India are<br />

performed that show that depletion of endobacteria<br />

from O. volvulus lead to longterm depletion of microfilaria<br />

due to filaricidal effects on adult worms in onchocerciasis<br />

and lymphatic filariasis. In onchocerciasis, the investigation<br />

of the T cell response of patients with the<br />

generalized form of the disease has led to the identification<br />

of regulatory T cells that are responsible for the<br />

specific immunosuppression in these patients. ue to<br />

the leave of Dr. Achim Hoerauf to the University of<br />

Bonn the Department will not be continued in its present<br />

form but (a) research group for helminthology will<br />

be established to continue filariasis research.<br />

The Central Diagnostic Unit consists of combined laboratories<br />

from the Departments of Immunology, Virology<br />

and Molecular Parasitology. It performs the direct<br />

identification of parasites, bacteria and viruses by<br />

microscopy, cultivation and molecular detection tests<br />

as well as the serodiagnosis of parasitic, bacterial and<br />

viral infections. New diagnostic methods developed by<br />

the research laboratories are evaluated and eventually<br />

incorporated into the diagnostic routine.<br />

Since 2002 the Central Diagnostic Unit is appointed<br />

by the Federal Ministry of Health as the National Reference<br />

Centre for Tropical Infections. Because of its specialization<br />

the Unit receives material submitted from all<br />

parts of Germany and also from Denmark and Austria.<br />

In 2003 a research group for molecular diagnostics<br />

headed by Dr. Christian Drosten was established that<br />

works on molecular methods to widen the spectrum of<br />

diagnostic procedures to other rare infectious agents<br />

such as microsporidia, trypanosomes, rickettsia and several<br />

fever viruses.<br />

Experimental investigations in animals are an essential<br />

component of research in Tropical Medicine. Cer-

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