Full Text PA-97-073 MUCOSAL IMMUNITY IN PATHOGENESIS/PREVENTION OF HUMAN DISEASE NIH GUIDE, Volume 26, Number 23, July 18, 1997 PA NUMBER: PA-97-073 P.T. 34 Keywords: Immunology Pathogenesis Disease Prevention+ National Institutes of Health PURPOSE The National Institutes of Health (NIH) invite applications for investigator initiated basic and preclinical research into the human mucosal immune system and its regulation. Included are the gastrointestinal, oral, respiratory, reproductive, and urinary mucosa, with their specialized lymphoreticular structures and cells. The goal of this announcement is to increase high quality research on the mechanisms of response of the human mucosal immune system to disease specific antigens. Use of primate models may be appropriate. Increased understanding of the human mucosal immune system and its response in disease and to exogenous factors should allow the design of more rational immunotherapies and vaccines for the treatment or prevention of autoimmune and infectious diseases, including HIV infection and its complications. HEALTHY PEOPLE 2000 Each NIH PA addresses one or more of 22 Health Promotion and Disease Prevention priority areas identified. These areas can be found via the WWW at URL: http://www/crisny.org/health/us/health7.html ELIGIBILITY Applications may be submitted by domestic and foreign, for-profit and non-profit organizations, public and private, such as universities, colleges, hospitals, laboratories, units of State and local governments, and eligible agencies of the Federal government. Foreign institutions are not eligible for First Independent Research Support and Transition (FIRST) awards (R29). Racial/ethnic minority individuals, women, and persons with disabilities are encouraged to apply as Principal Investigators. MECHANISMS OF SUPPORT Traditional research project grant (R01) and FIRST award (R29) applications may be submitted in response to this program announcement. Applications for R01 grants may request up to five years of support and applications for R29 grants must request five years of support. Responsibility for the planning, direction, and execution of the proposed research for all applicable mechanisms of support will be solely that of the applicant. RESEARCH OBJECTIVES BACKGROUND The mucosal surface, which includes the oral, respiratory, synovial, gut, urinary and reproductive epithelium, is one of the first important interfaces between pathogens and the host, and as such is critical in prevention of infectious disease. M cells, specialized epithelial cells at the mucosal surface, serve as a portal of entry for proteins, peptides, and microbes. Further understanding of the regulation and role of these cells could lead to new approaches to prevent infection. IgA is the major immunoglobulin found at the mucosal surface, but other immunoglobulins may play a role in protection against infection at mucosal surfaces. Recently, it has been suggested that IgA, in addition to its traditional role in the lumen, may be important in the intraepithelial neutralization of viruses. As IgA traverses the epithelial cell, it may encounter virus intracellularly, where it has the potential to neutralize the pathogen. This idea could lead to innovative approaches to prevent infectious diseases, particularly those caused by intracellular pathogens. Mucosal inflammation underlies several human diseases. Recently, various animal models of intestinal inflammation have been produced. One interesting finding is that several of these animal models do not develop disease if kept in germ-free conditions, suggesting that environmental microbes are involved in the activation of mucosal inflammation. Further investigation of these animals should provide more insight into the pathogenesis of inflammatory bowel diseases. In addition, it has recently been found that Helicobacter pylori infection is responsible for mucosal inflammation leading to development of gastric and duodenal ulcers. Further understanding of the interaction of this organism with the mucosa could offer insight into the balance involved between prevention of infection and initiation of pathological mucosal inflammation. Chronic inflammation can result from the interaction of pathogens or other exogenous agents and urogenital cells. Further understanding of these responses could lead to a significant increase in the quality of women's health. There is increasing use of the oral route for administration of antigens for production of immunity to infectious agents. Paradoxically, oral antigen administration may also result in the development of tolerance to prevent or treat various autoimmune diseases. Factors that determine whether the outcome is immunity or tolerance induction and the mechanisms responsible for each outcome are not well defined. Evidence that communication and coordination among the various mucosa, i.e., nasal, respiratory, gut, urinary, and genital, occur is now becoming persuasive. Immunization in the gut may induce immunity in the reproductive tract. The mechanisms responsible for such communication are not known, but further understanding could lead to new approaches to vaccines for induction of immunity or novel immunotherapies leading to tolerance. Lymphocytes that traffic to the mucosa express specific proteins called integrins, while high endothelial venules of Peyer's patches and mesenteric lymph nodes, but not peripheral lymph nodes, express specific addressins, which are the receptors for the integrins. Thus, these molecules are involved in the homing of specific lymphocytes to the mucosa. Increased information about this homing system, including regulation of these molecules, may allow manipulation to prevent detrimental mucosal inflammation or target immune responses. Defensins, which are antimicrobial and cytotoxic peptides, are produced by phagocytes and by epithelial cells of the lung, the gut, the oral cavity, and possibly the genitourinary tract. These natural antibiotics can kill microorganisms and offer another defense for the host at mucosal surfaces. The discovery of new defensins important in the reproductive, respiratory, and genitourinary tract, and more detailed understanding of their regulation may allow new approaches to the control of pathogens. Research Objectives and Scope The goal of this Program Announcement is to increase basic understanding of the human mucosal immune system and its regulation. Studies that focus on the pathogenesis of human diseases related to dysregulation of this system are also sought. This information should allow the development of novel immune therapies for treatment or prevention of autoimmune and infectious diseases, including HIV infection and associated opportunistic infections. Examples of areas of research interest responsive to this PA include, but are not limited to: o trafficking and homing of lymphocytes to and from mucosal surfaces and the role of such trafficking in human infection, disease, and recovery; o characteristics of relevant antigen and/or antigen presentation that lead to the development of systemic tolerance or immunity when antigen is administered orally; o role of IEL (intraepithelial lymphocytes) in the development of tolerance or immunity; o production, secretion, and function of IgA and other immunoglobulins in human mucosal immunity; o characterization of defensins and their function in the immune response to foreign antigen at mucosal surfaces; o role of microbes in initiating mucosal inflammation; o mechanisms by which the normal microbial flora becomes established, avoids immune clearance, establishes tolerance, and affects the immune response to a pathogen; o mechanism of pathogen strain differences that increase or decrease infectivity at mucosal versus systemic sites; o identification of humoral and cellular immune responses that might be effective in preventing microbe or viral transmission via mucosal surfaces; o development and analysis of various vectors and vaccine strategies designed to induce a specific mucosal immune response to disease antigens that could protect against infection; o refinement and development of additional methods and reagents to evaluate mucosal immunity in humans. Animal models, including primate models, are appropriate in response to this PA ONLY if they have clear relevance to the human system. Use of primate models in defining the immunobiology of protection against immunodeficiency viruses is within the scope of this PA. INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS See NIH Guide of March 18, 1994 for requirements for inclusion of Women and Minorities in research. It is available via the WWW at URL: http://www.nih.gov/grants (select NIH Guide for Grants and Contracts). APPLICATION PROCEDURES Applications are to be submitted on the grant application for PHS 398 (rev. 5/95) and will be accepted on the standard application deadlines as indicated on the application kit. Application kits are available at most institutional offices of sponsored research and may be obtained from the Division of Extramural Outreach and Information, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone (301) 710-0267, email: asknih@odrockm1.nih.gov. The PHS 398 application kit can be accessed from the World Wide Web at: http://www.nih.gov/grants/funding/phs398/phs398.html For purposes of identification and processing, item 2 on the face page of the application must be marked "YES". The PA number and title, must also be typed in section 2. The completed, signed original and five (5) legible, single-sided copies of the application must be sent or delivered to: DIVISION OF RESEARCH GRANTS NATIONAL INSTITUTES OF HEALTH 6701 ROCKLEDGE DRIVE, ROOM 1040, MSC 7710 BETHESDA, MD 20892-7710 BETHESDA, MD 20817-7710 (for express/courier service) R29 APPLICANTS ONLY. R29 applications must include at least three (3) sealed letters of reference attached to the face page of the original application. FIRST applications submitted without the required number of reference letters will be considered incomplete and will be returned without review. ALL APPLICANTS REQUESTING $500,000 OR MORE IN ANNUAL DIRECT COSTS. The NIH Policy Update on Acceptance for Review of Unsolicited Applications that Request More Than $500,000 Direct Cost for Any One Year applies to applications in response to this PA. The Policy Update was published in the NIH Guide for Grants and Contracts, Volume 25, No. 14, May 3, 1996, and became effective June 1, 1996. Potential applicants must contact the appropriate program staff listed in INQUIRIES below to initiate clearance processes for acceptance of their applications. Applicants from institutions that have a General Clinical Research Centers (GCRC) funded by the NIH National Center for Research Resources may wish to identify the Center as a resource for conducting the proposed research. If so, a letter of agreement from the GCRC Program Director must be included in the application material. REVIEW CONSIDERATIONS Review Procedures Applications will be assigned to NIH Institutes and Centers on the basis of established PHS referral guidelines. Upon receipt, applications will be reviewed for completeness by the NIH Division of Research Grants. Incomplete applications will be returned to the applicant without further consideration. Applications will be reviewed for scientific and technical merit by study sections of the Division of Research Grants, NIH, in accordance with the standard NIH peer review procedures. As part of the initial merit review, all applications will receive a written critique and undergo a process in which only those applications deemed to have the highest scientific merit, generally the top half of the applications under review, will be discussed, assigned a priority score, and receive a second level review by the appropriate national advisory council. Review Criteria The goals of NIH-supported research are to advance our understanding of biological systems, improve the control of disease, and enhance health. In the written review, comments on the following aspects of the application will be made in order to judge the likelihood that the proposed research will have a substantial impact on the pursuit of these goals. Each of these criteria will be addressed and considered in the assignment of the overall score. (1) Significance Does this study address an important problem? If the aims of the application are achieved, how will scientific knowledge be advanced? What will be the effect of these studies on the concepts or methods that drive this field? (2) Approach Are the conceptual framework, design, methods, and analyses adequately developed, well-integrated, and appropriate to the aims of the project? Does the applicant acknowledge potential problem areas and consider alternative tactics? (3) Innovation Does the project employ novel concepts, approaches or method? Are the aims original and innovative? Does the project challenge existing paradigms or develop new methodologies or technologies? (4) Investigator Is the investigator appropriately trained and well suited to carry out this work? Is the work proposed appropriate to the experience level of the principal investigator and other researchers (if any)? (5) Environment Does the scientific environment in which the work will be done contribute to the probability of success? Do the proposed experiments take advantage of unique features of the scientific environment or employ useful collaborative arrangements? Is there evidence of institutional support? In addition, the adequacy of plans to include both genders and minorities and their subgroups as appropriate for the scientific goals of the research will be reviewed. Plans for the recruitment and retention of subjects will also be evaluated. The initial review group will also examine the provisions for the protection of human and animal subjects, the safety of the research environment, and conformance with the NIH Guidelines for the Inclusion of Women and Minorities as Subjects in Clinical Research. AWARD CRITERIA Applications will compete for available funds with all other favorably recommended applications. The following will be considered when making funding decisions: quality of the proposed project as determined by peer review, program balance, and availability of funds. SPONSORS AND INQUIRIES Each sponsoring Institute/Center is identified below. A staff contact for electronic and telephone is listed and inquiries regarding programmatic (research scope, eligibility and responsiveness) issues are encouraged. The opportunity to clarify any issues or answer questions from potential applicants is welcome. National Heart, Lung, and Blood Institute Hannah Peavy, M.D. Tel: (301) 435-0222 Fax: (301) 480-3557 Internet: hp8z@nih.gov National Institute on Aging Anna McCormick, Ph.D. Tel: (301) 496-6402 Fax: (301) 402-0100 Internet: am38k@nih.gov National Institute of Allergy and Infectious Diseases Allergy, Immunology, and Transplantation Elaine Collier, M.D. Tel: (301) 496-7104 Fax: (301) 402-2571 Internet: ec5x@nih.gov AIDS Patricia Fast, M.D., Ph.D. Tel: (301) 435-3727 Fax: (301) 402-3684 Internet: pf13i@nih.gov Microbiology and Infectious Diseases Dennis Lang, Ph.D. Tel: (301) 496-7051 Fax: (301) 402-1456 Internet: dl73v@nih.gov National Institute of Arthritis and Musculoskeletal and Skin Diseases Susana Serrate-Sztein, M.D. Tel: (301) 594-5032 FAX: (301) 480-4543 Internet:szteins@ep.niams.nih.gov National Institute on Deafness and Other Communication Kenneth Gruber, Ph.D. Tel: (301) 402-3458 FAX: (301) 402-6251 Internet: kg37m@nih.gov National Institute of Dental Research Dennis F. Mangan, Ph.D. Tel: (301) 594-2421 FAX: (301) 480-8318 Email: Dennis.Mangan@nih.gov National Institute of Diabetes, Digestive and Kidney Frank A. Hamilton, M.D., M.P.H. Tel: (301) 594-8877 FAX: (301) 480-8300 EMAIL: hamiltonf@ep.niddk.nih.gov Office of Research on Women's Health, NIH Katrina Johnson, Ph.D. Tel: (301) 402-1770 FAX: (301) 402-1798 EMAIL: kj48y@nih.gov AUTHORITY AND REGULATIONS Research under this announcement will be supported under program cited in the Catalog of Federal Assistance (CFDA). The PHS portion of the CFDA is available at URL: http://odphp.osophs.dhhs.gov/cfda/index.htm. Awards will be administered under PHS grants policies and Federal Regulations 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems review. The PHS strongly encourages all grant and contract recipients to provide a smoke-free workplace and promote the non-use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care or early childhood development services are provided to children. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people. .
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