Helminth vaccines: from pre-clinical concepts to human efficacy trials


On June 22, 2021
, the Tropical Medicine Graduate Program, Khon Kaen University held their 3rd Tropical Medicine Webinar on the topic “Helminth vaccines: from pre-clinical concepts to human efficacy trials” expert presenter Professor Alex Loukas, Distinguished Professor Australian Institute of Tropical Health & Medicine, Centre for Molecular Therapeutics James Cook University, Cairns, Australia.

The welcome speech was given by Assistant Professor Sutas Suttiprapa, Director of the Tropical Medicine Graduate Program, KKU-MD, who welcomed the opportunity to learn and share insights about “Helminth vaccines: from pre-clinical concepts to human efficacy trials.”

The presentation explained the Life cycle of Necator americanus, or hookworm. Living in the small intestine, they   attach to the lining of the intestinal wall and suck blood and vitreous from the intestines. The female worm can lay 6000-20000 eggs per day, which are expelled with feces. With appropriate temperature and humidity, the larvae emerge from the egg in 1-2 days, and as first stage larvae, rhabditiform larvae, grow in soil or feces. They then molt into second stage embryo, in 5-10 days, and develop into the third filariform embryo in 5-10 days. These can penetrate   human skin and migrate into the veins, the heart, the lungs, from the lungs, into the esophagus, then the stomach and into small intestines.  Most older hookworms are evicted in one to two years but some can live for many years.

As a possible solution to hookworm infection a vaccine is in testing to increase the number of white blood cells Eosinophilia, which are responsible for preventing helminth infections, allergies, and tissue inflammation. Approximately 450 Eosinophil cells are normally found in the blood. Following vaccination, significant reductions in hamster fluke load has been found.

In conclusions TSPs appear to be good vaccine antigens and gene silencing (RNAi) and preliminary gene knock-out (CRISPR-Cas9) studies suggest that TSPs are essential-lethal phenotypes.

Future helminth vaccine directions

-Assess impact of vaccination on CCA in hamster model

-Explore other oral delivery methods that can be translated for human use (liposomes, chitosan nanoparticles)

-Probe proteome array with sera from protected mammalian hosts (eg. irradiated metacercariae)

-Test multivalent constructs or chimeric antigens

 

 

 

Written by Miss Taksaporn Vongsa-Nga

Mister Adisorn Tadsakorn

Edit by Professor John F Smith

Newsletter Issue 4-2564

Professor Sripa serves as the WHO Foodborne Disease Burden Epidemiology Reference Group

 

Professor Dr. Banchob Sripa, Department of Pathology, Faculty of Medicine, Khon Kaen University, invited panel member of WHO’s Disease Reference Group on Helminths and the first Foodborne Disease Burden Epidemiology Reference Group.

Professor Sripa is a KKU Senior Research Fellow, and a Director of Tropical Disease Research Center and Head of the WHO Collaborating Centre for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease), KKU.

Professor Banchob previously served as a panel member on the WHO’s Disease Reference Group on Helminths (DRG), Foodborne Disease Burden Epidemiology Reference Group (FERG), and is a WHO adviser.

He is the former President of the Regional Network of Asian Schistosomiasis and Other Helminth Zoonoses (RNAS+).

Over 30 years, his major research focus has been on biology, immunology, host-parasite interaction, pathogenesis of opisthorchiasis and bile duct cancer, and strong emphasis on control and elimination of human liver flukes across Asia. His integrated liver fluke control program named “Lawa model” is one of two WHO showcase models with success in helminth control (WHO/NZD4).

Professor Sripa has published more than 250 research articles, viewpoints, editorials and reviews in peer reviewed international journals and book chapters (h-index=50). He is Deputy Editor of PLOS Neglected Tropical Diseases, Associate Editor of Tropical Medicine & International Health, and is an editorial board member for several tropical disease journals. Over 36-year as academician, he has received several scientific research awards, the most prestigious the Thailand Outstanding Scientist Award (the King’s Award) and the Thailand Research Fund (TRF) Senior Research Scholar

Professor Sripa has received local and international research funding and is a pioneer in the in-depth study of the pathogenesis of liver fluke and bile duct cancer, leading to a better understanding of this disease   and methods for its prevention and control.   He also has published on Liver Fluke and Cholangiocarcinoma in leading journals in the Scopus Database and has received several major research awards, including a Thailand Outstanding Scientist Award, (pathology category 2013) and the TRF Senior Research Master of the year 2013 and one of the highest honors of Khon Kaen University, the Sarasin Researcher Honor Award in 2012.

Professor Sripa is internationally recognized as a specialist in liver fluke and bile duct cancer and has been invited as an international guest speaker more than 20 times and received the highest honor as a speaker at the International Congress of Parasitology (ICOPA 2010) as “International Cancer Organization (IARC) specialist”.

His international work, especially with the World Health Organization has made it possible to successfully promote liver fluke disease onto the World Health Organization’s List of Neglected Tropical Diseases (NTDs)

 

 

 

 

Written by Yada Lertkhajornsak

Edited by John Smith

 

Invention and innovation during COVID-19 pandemic: Khon Kaen University

During the COVID-19 pandemic, the Faculty of Medicine Khon Kaen University has collaborated with many parties on 6 innovative devices for increasing safety and medical care.

 

Long Range Stethoscope

 

The stethoscope is a commonly used medical instrument for checking hearth beat and lung function.  Stethoscope use requires the doctor to be close to the patient which could endanger both patient and the doctor during this crisis. Associate Professor Sarawuth ChaiMool, fom the Department of Electrical Engineering, the Faculty of Engineering and Dr. Auttipat Arunsawat, from the Faculty of Medicine and Mr. Chinchoti Vetsawanitchakul, second year engineering student invented a long-range stethoscope using wireless technology. This reduces the need for close contact between the patient and the doctor thus reducing the chance of disease transmission.


 

PAPR Suit (Powered Air Purifying Respirator)

 

 

The Powered Air Purifying Respirator (Suit PAPR) draws fresh air through a Virus Filter and is 99.99% effective in filtering bacteria and viruses. It also has a noise cancellation system to prevent noise while in use.


 

Battery (PAPR)

 

The Lithium-Ion Battery Institute, Khon Kaen University has now produced more than one thousand batteries (PAPR medical devices). For delivery to The Ministry of Public Health and hospitals all over the country. Scheduled for November to December 2021. It will also reduce the cost of purchasing commercial equipment.


 

Ozone Generator, Brand Prozone, Model Modified PZ7-2HO

 

The Ozone Generator, Brand Prozone, Model Modified PZ7 – 2 HO is a bacteria and viruses.

The Ozone Generator converts oxygen to ozone that can penetrate deep surfaces and disinfect well-enclosed space. It has been used to disinfect masks, materials, and PPE suits for medical personnel. It is now being further developed for use in hotel, office, and household setting.  The Innovation and Enterprise (KKU-innoprise) Group, the Faculty of Architecture and Northeast Science Park are working with students on this design and development project.


 

TOT-KKU SWAP Test Box (Positive Pressure)

 

TOT-KKU SWAP Test Box (Positive Pressure) is a device for increased safety for health workers and patients during COVID-19 testing. Converted from an old public phone booth donated by the National Telecom Public Company Limited, a UVC lamp and fan have been installed for air sterilization and ventilation system. Wheels for easy movement. The door has been modified with a magnetic open-close  system and there is a tray to hold medical equipment.


Service Robot (TEMI)

 

 

The KKU Library has also contributed to stopping COVID-19 transmission by donating Librarian robots to Srinagarind Hospital for servicing patients. The robots can be controlled via mobile phone or tablet with a real-time streaming option to allow doctors to examine high risk patients from a safe distant. A basket can be attached to the robot to allow medicines to be delivered to patients. This invention is another excellent solution for minimizing contact between patient and doctor to reduce the spread of Covid-19.


 

“Time Line Map” showing COVID-19 patients linkages to assist medical management

 

KKU Smart City Project works with the government and private sector, via using KKU Science Park to build technologies and innovations that will contribute to community.

The Time Line Map will support the government to manage to COVID-19 patients in the area and those returning to Khon Kaen.

 

 

Written by Miss Taksaporn Vongsa-Nga

 

Tissue Engineering in Clinical Research

 

On April 21, 2021, the third online Joint-Institute Forum (JIF) on the topic of Tissue Engineering in Clinical Research was held in a collaboration between the Departments of Biochemistry, Surgery, and Cholangiocarcinoma Research Institute, Faculty of Medicine, Khon Kaen University (MDKKU) ,the Thai National Center for Genetic Engineering and Biotechnology (BIOTEC) and Department of Pharmacology, UCL School of Pharmacy, University College London, UK.

The welcome speech “Learning and sharing insight of Tissue Engineering in Clinical Research” was given by Dr. Jutarop Phetcharaburanin- Assistant to the Dean for Research and International Relations Affairs, MDKKU.

Following the opening ceremony, there was a talk, Professor James Phillips, Department of Pharmacology, UCL School of Pharmacy, University College London, UK presented on ‘Nervous system tissue engineering and regenerative medicine’ ,‘Multi-Omics of Weight-Loss Surgery’ ,and “CNS tissue engineering and regenerative medicine”, followed by,

Dr. Papon Muangsanit, National Center for Genetic Engineering and Biotechnology (BIOTEC), a member of National Science and Technology Development Agency (NSTDA), on ‘Aligned endothelial cell and Schwann cell structures in 3D hydrogel for peripheral nerve tissue engineering’,

Dr. Sinobol Chusilp, Department of Surgery, on ‘Intratumoral Microbiome in Cholangiocarcinoma’,

Dr. Kanokrat Thaiwatcharamas, Department of Surgery, on ‘Intestinal organoid as an ex vivo model to study necrotizing entero-colitis in infants’, and, finally by

Dr. Poramate Klanrit, Department of Biochemistry, on ‘Modeling of Cholangiocarcinoma through three-dimensional (3D) cell culture’.

The webinar spurred knowledge exchange to improve the quality of research and practice in the future.

 

 

Written by Miss Taksaporn Vongsa-Nga

A One Health Approach to End Neglected Tropical Diseases

 

The Tropical Medicine Graduate Program and the Tropical Diseases Research Center (TDRC), Department of Parasitology, Faculty of Medicine, Khon Kaen University jointly organized a Special Webinar on “A One Health Approach to End Neglected Tropical Diseases” by Professor Darren Gray, Head of the Department of Global Health, Australian National University, Acton, Australia, on May 28, 2021.

 

 

 

It highlighted the problem of neglected tropical diseases that affect populations living in poverty and in close contact with disease vectors, such as, animals/livestock, and unclean water sources and poor sanitation.  These provide breeding grounds for pathogens such as Guinea parasites, blood flukes, etc.  Drug treatment are available but the infections can come back again if risky behavior continues.   The One Health approach is required to overcome the impact of tropical diseases. Integrated interventions for disease control are needed to -advance the WHO 2030 roadmap for the control and elimination of NTDs. New holistic evidence-based approaches should combine human, animal, and environmental health practices and disciplines to lead to overall good health. “One Health” approaches are key to overcoming the impact of tropical disease and achieving elimination targets.  A successful Chinese example of a multi-component integrated (One Health) approach is in schistosomiasis control and is now a high priority for the Chinese Government for addressing HIV/AIDs and TB.

 

 

 

 

 

Written by Miss Taksaporn Vongsa-Nga

Mister Adisorn Tadsakorn

Edited by  Miss Kanokphorn Hinthao

Professor John Smith 

 

Congratulations to our latest MDKKU Professorial promotions

 

Three more Associate Professors from our Faculty of Medicine, have been promoted to full professor status, in the latest announcement from the Office of the Prime Minister on June 15, 2021. They are:

  1. Professor Songsak Kiatchoosakun, Department of Medicine
  2. Professor Jintana Sattayasai, Department of Pharmacology
  3. Professor Tipaya Ekalaksananan, Department of Medical Microbiology

The Faculty of Medicine warmly congratulates them on this great acknowledgment of their outstanding career achievements.

 

Written by Yada Lertkhajornsak

Edited by John Smith