As the Zika virus (ZIKV) epidemic sweeps through the Americas, the risks to public health are tremendous. Although prospective studies are limited, microcephaly and other major fetal abnormalities may occur in up to 30% of children born to ZIKV-infected mothers. There is a pressing need for new diagnostic, prognostic, and therapeutic tools to combat this global health threat. We propose that the maternal immune response may provide a window into understanding the pathogenesis of ZIKV during pregnancy. We therefore aim to define the transcriptional signatures of the immune response to ZIKV during pregnancy and to identify signatures predictive of adverse fetal outcomes. Defining these signatures could have a significant impact on the management of pregnant women exposed to ZIKV by serving as a basis for improved diagnostic tests for detecting ZIKV, therapeutic approaches targeting identified pathways, and an improved ability to predict fetal risk.

Public Health Relevance

The explosive spread of Zika virus is giving rise to an epidemic of severe birth defects, with microcephaly and other adverse neurologic outcomes that will impact human health in affected areas for years to come. Here we propose defining the inflammatory pathways driven by ZIKV infection during pregnancy in order to develop new diagnostic and therapeutic strategies.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21AI130523-02
Application #
9457327
Study Section
Special Emphasis Panel (ZAI1)
Program Officer
Prabhudas, Mercy R
Project Start
2017-03-21
Project End
2020-02-29
Budget Start
2018-03-01
Budget End
2020-02-29
Support Year
2
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Stanford University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94304