# Project 1

> **NIH NIH U19** · SCRIPPS RESEARCH INSTITUTE, THE · 2023 · $884,500

## Abstract

Project Summary - Project 1
The objective of this project is to generate an integrated, systems-level dataset that will enable
development of models that predict disease severity or long-term sequelae in individuals infected with
Lassa virus, Ebola virus or SARS-CoV-2, and protective responses to vaccines. The central hypothesis of
Project 1 is that multiple variables, including individual physiological, metabolic and immunological
factors, inﬂuence survival or development of long-term sequelae after infection by pathogenic RNA
viruses. Additionally, we seek to determine whether or not responses to vaccines will be protective. To
test this hypothesis, we have assembled unique West African and United States cohorts of individuals
who are at risk for Lassa, Ebola and COVID-19 or who have survived these illnesses. Clinical trials of
Lassa vaccines have recently been initiated at our clinical sites in West Africa, and we are also studying
the durability of Ebola vaccines and the potential of vaccination to prevent viral reactivation in Ebola
survivors. The proposed project brings together a strategically organized set of cutting edge systems
tools to capture the overall immunome, antibody-ome, and metabolome of Ebola, Lassa, and COVID-19
survivors. We will use machine learning to identify unique signatures of persistent infection/disease,
providing a path to diagnose, treat, and manage persistent disease following viral infection.
In Aim 1, we will deﬁne physiological and metabolic attributes that distinguish Lassa, Ebola and COVID-19
survivors, non-survivors, and individuals that develop post-infection sequelae by compiling and analyzing
clinical, immunological and nontraditional data, including data from wearables. In Aim 2, we will utilize
high-throughput technologies, including PhIP-Seq, VirScan, and Systems Serology, to derive deep datasets
to identify attributes of the humoral immune responses of Lassa, Ebola and COVID-19 patients, survivors,
and vaccinees that lead to diﬀerent outcomes. In Aim 3, we will characterize anti-coronavirus immune
responses in West Africans and compare the results to United States cohorts, with the goal of identifying
and characterizing potentially protective responses to SARS-CoV-2. Finally, in Aim 4 we will integrate
heterogeneous data types to investigate the importance of host and virus factors in determining
responses to vaccines and outcome of infection with diﬀerent variants of our three viruses of interest. We
will work with the Modeling Core to integrate these heterogenous data types using a combination of
advanced modeling, machine learning tools, and related technologies to identify predictive biosignatures
that inform: personalized treatment across sex, age, and racial diﬀerences; management strategies in
acutely infected individuals and those with long term viral syndromes such as PASC; and potential targets
for advanced therapeutics and improved vaccines.

## Key facts

- **NIH application ID:** 10558423
- **Project number:** 2U19AI135995-06
- **Recipient organization:** SCRIPPS RESEARCH INSTITUTE, THE
- **Principal Investigator:** Robert F Garry
- **Activity code:** U19 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $884,500
- **Award type:** 2
- **Project period:** 2018-02-01 → 2028-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10558423

## Citation

> US National Institutes of Health, RePORTER application 10558423, Project 1 (2U19AI135995-06). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10558423. Licensed CC0.

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