Structural investigation of silk fibroin-based membranes

Silk fibroin has created a surge of interest for use as organic material due to its optical transparency, biocompatibility, biodegradability, and excellent physical properties. However, the implementation of silk films and structures into biomedical and sensing devices has been relatively low due to a lack of understanding of the mechanisms involved in such implementation. Increasing need for multifunctional high-performance organic materials has caused an emphasis on the ability of researchers to spatiotemporally pattern and control the structure and consequently functional properties of materials. Silk fibroin displays high potential for use as a controllable biomaterial that can be formed into a myriad of different structures for various applications. By implementation of an aqueous silk solution approach combining various fabrication techniques, several different pristine-silk and silk-composite membranes have been developed to investigate the importance of internal structuring. Different methods of investigation include: 1) incorporation of reinforcing nanoparticles within the silk matrix; 2) neutron reflectivity measurements of ultrathin silk films; 3) film patterning with nanoscale features followed by boundary organized surface mineralization of inorganic nanoparticles. The ultimate goal will be to provide fundamental data assisting in an increased knowledge of silk fibroin-based membranes and the effect of secondary structures on properties of interest.M.S

Partnership for Research on Ebola VACcination (PREVAC): protocol of a randomized, double-blind, placebo-controlled phase 2 clinical trial evaluating three vaccine strategies against Ebola in healthy volunteers in four West African countries

International audienceAbstract Introduction The Ebola virus disease (EVD) outbreak in 2014–2016 in West Africa was the largest on record and provided an opportunity for large clinical trials and accelerated efforts to develop an effective and safe preventative vaccine. Multiple questions regarding the safety, immunogenicity, and efficacy of EVD vaccines remain unanswered. To address these gaps in the evidence base, the Partnership for Research on Ebola Vaccines (PREVAC) trial was designed. This paper describes the design, methods, and baseline results of the PREVAC trial and discusses challenges that led to different protocol amendments. Methods This is a randomized, double-blind, placebo-controlled phase 2 clinical trial of three vaccine strategies against the Ebola virus in healthy volunteers 1 year of age and above. The three vaccine strategies being studied are the rVSVΔG-ZEBOV-GP vaccine, with and without a booster dose at 56 days, and the Ad26.ZEBOV,MVA-FN-Filo vaccine regimen with Ad26.ZEBOV given as the first dose and the MVA-FN-Filo vaccination given 56 days later. There have been 4 versions of the protocol with those enrolled in Version 4.0 comprising the primary analysis cohort. The primary endpoint is based on the antibody titer against the Ebola virus surface glycoprotein measured 12 months following the final injection. Results From April 2017 to December 2018, a total of 5002 volunteers were screened and 4789 enrolled. Participants were enrolled at 6 sites in four countries (Guinea, Liberia, Sierra Leone, and Mali). Of the 4789 participants, 2560 (53%) were adults and 2229 (47%) were children. Those < 18 years of age included 549 (12%) aged 1 to 4 years, 750 (16%) 5 to 11 years, and 930 (19%) aged 12–17 years. At baseline, the median (25th, 75th percentile) antibody titer to Ebola virus glycoprotein for 1090 participants was 72 (50, 116) EU/mL. Discussion The PREVAC trial is evaluating—placebo-controlled—two promising Ebola candidate vaccines in advanced stages of development. The results will address unanswered questions related to short- and long-term safety and immunogenicity for three vaccine strategies in adults and children. Trial registration ClinicalTrials.gov NCT02876328 . Registered on 23 August 2016