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BIOGRAPHICAL SKETCH Fernando P. Polack,MD eRA COMMONS USER NAME POSITION TITLE Cesar Milstein Professor, Department of Pediatrics Vanderbilt University fpolack1 EDUCATION/TRAINING DEGREE (if applicable) MM/YY BS 1980-1985 Biology MD 1986-1990 Medicine French Hospital, Dept. Pediatrics, Buenos Aires Resident 1990-1992 Pediatrics William Beaumont Hospital, Royal Oak, MI Resident 1993-1996 Pediatrics Johns Hopkins University, Baltimore, MD Post Doc 1996-1999 Infectious Diseases INSTITUTION AND LOCATION Colegio Nacional de Buenos Aires, Argentina Universidad de Buenos Aires, School of Medicine FIELD OF STUDY A. Personal Statement My laboratory has been working in paramyxovirus pathogenesis for 11 years. We have a strong track record of significant and innovative discoveries in this field, including identifying immune complexes and complement as components of enhanced RSV disease (ERD) pathogenesis in mice and humans (J Exp Med 02); demonstrating an anti-inflammatory role for RSV G, long suspected to enhance inflammation in ERD (PNAS 05); describing what a vaccine needs to generate protective antibodies against RSV and why FIRSV failed to protect infants in 1967 (Nature Med 09); and translating mechanistic observations to/from other viral respiratory diseases, like the pathogenesis of severe pandemic influenza (Nature Med 11) and atypical measles (Nature Med 99, Nature Med 00, Nature Med 03). Decades of setbacks suggest that novel strategies and/or technologies will be necessary to develop a protective RSV vaccine for infants, making our current safety parameters outdated or insufficient to confidently distinguish safe vaccines from those dangerous products that could prime for ERD. Our laboratory is ideally positioned to clarify critical remaining questions about ERD pathogenesis, and identify sensitive and specific cellular and molecular markers of ERD for the development of safe vaccines to protect infants against the virus. B. Positions 1999- 2006 Assistant Professor, Division of Infectious Diseases, Department of Pediatrics, School of Medicine, The Johns Hopkins University, Baltimore, MD 2001- 2008 Joint Appointment, Department of International Health, School of Hygiene and Public Health, The Johns Hopkins University, Baltimore, MD 2003- present Scientific Director, Fundación INFANT, Buenos Aires, Argentina 2006- 2008 Associate Professor, Division of Infectious Diseases, Department of Pediatrics, School of Medicine, The Johns Hopkins University, Baltimore, MD 2009-2010 Cesar Milstein Associate Professor, Department of Pediatrics, Vanderbilt University (endowed chair) Nashville, TN 2010-present Cesar Milstein Professor, Department of Pediatrics, Vanderbilt University (endowed chair) Nashville, TN Honors 1990 1998 2002 2006 2008 2009 2010 2011 Graduated with Honors, School of Medicine, University of Buenos Aires, Argentina. Infectious Diseases Society of America, Pasteur Mèrieux Connaught Laboratories Fellowship in Pediatrics The Thomas and Carol McCann Award in Respiratory Research. Johns Hopkins School of Public Health. Young Investigator Award, Society for Pediatric Research Luis Pasteur Award, O.S.Sanidad, National Academy of Medicine, Argentina. Personalidad Destacada de las Ciencias, Ciudad de Buenos Aires, Argentina. E. Mead Johnson Award, Society for Pediatric Research American Society for Clinical Investigation, Member. C. Selected peer-reviewed publications. 1. Polack FP, Auwaerter PG, Lee SH, Nousari HC, Valsamakis A, Leiferman KIVI, Diwan AD, Adams RJ, Griffin DE. Atypical measles: evidence for disease mediated by immune complex formation and eosinophils in the presence of fusion inhibiting antibodies. Nature Med 1999; 5: 629-634. PMID: 10371500 2. Polack FP, Lee SH, Permar S, Manyara E, Nousari HC, Mustafa F, Valsamakis A, Adams RJ, Robinson HL, Griffin DE. DNA vaccines against measles virus: Protection associated with neutralizing antibodies against either the H or F protein in the absence of atypical measles. Nature Med 2000; 6: 776-781. PMID: 10888926 3. Polack FP, Hoffman SJ, Moss WJ, Griffin DE. Altered synthesis of interleukin-12, type 1 and type 2 cytokines in rhesus macaques during measles and atypical measles. J Infect Dis 2002; 15:13-19. PMID: 11756976 4. Polack FP, Teng MN, Collins PL, Prince GA, Exner M, Regele H, Lirman DD, Rabold R, Hoffman SJ, Karp CL, Kleeberger SR, Wills-Karp M, Karron RA. A role for immune complexes in enhanced respiratory syncytial virus disease. J Exp Med 2002; 196: 859-65. *Editor’s Choice. Science PMID: 12235218 5. Polack FP, Hoffman SJ, Crujeiras G, Griffin DE. A role for nonprotective complement fixing antibodies with low avidity for measles virus in atypical measles. Nature Med 2003, 9:1209-1213. *Selection in Faculty 1000. PMID: 12925847 6. Laham FR, Israele V, Casellas JM, Garcia AM, Lac Prugent CM, Hoffman SJ, Hauer D, Thumar B, Name MI, Pascual A, Taratutto A, Ishida MT, Balduzzi M, Maccarone M, Gaivironsky RA, Karron RA; Polack NR, Polack FP. Differential production of inflammatory cytokines between primary infection with human metapneumovirus and other common respiratory viruses of infancy. J Infect Dis. 2004; 189:2047-56. PMID: 15143472 7. Polack FP, Irusta PM, Hoffman SJ, Schiatti MP, Melendi GA, Delgado MF, Laham FR, Thumar B, Hendry RM, Melero JA, Karron RA, Collins PL, Kleeberger SR. The cysteine-rich region of respiratory syncytial virus attachment protein inhibits innate immunity elicited by the virus and endotoxin. Proc Natl Acad Sci 2005, 102: 8996-9001. PMID: 15956195 8. Bukreyev A, Serra ME, Laham FR, Kleeberger SR, Collins PL, Polack FP. The cysteine-rich region and secreted form of the attachment G glycoprotein of respiratory syncytial virus enhance the cytotoxic T lymphocyte response despite lacking MHC class I-restricted epitopes. J Virol 2006; 80:5854-5861. PMID: 16731924 9. Melendi GA, Hoffman SJ, Karron RA, Irusta PM, Laham FR, Humbles A, Schofield B, Pan CH, Rabold R, Thumar B, Thumar A, Gerard NP, Mitzner W, Barnum SR, Gerard C, Kleeberger SR, Polack FP. C5 modulates airway hyperreactivity and pulmonary eosinophilia during enhanced respiratory syncytial virus disease by decreasing C3a receptor expression. J Virol. 2007;81:991-9. PMID: 17079327 10. Klein MI, Bergel E, Gibbons L, Coviello S, Bauer G, Benitez A, Serra ME, Delgado MF, Melendi GA, Rodríguez S, Kleeberger SR, Polack FP. Differential gender response to respiratory infections and to the protective effect of breast milk in preterm infants. Pediatrics. 2008;121:e1510-6. PMID: 18519454. 11. Delgado MF, Coviello S, Monsalvo AC, Melendi GA, Hernandez JZ, Batalle JP, Diaz L, Trento A, Chang HY, Mitzner W, Ravetch J, Melero JA, Irusta PM, Polack FP. Lack of antibody affinity maturation due to poor Toll-like receptor stimulation leads to enhanced respiratory syncytial virus disease. Nat Med. 2009;15:34-41. *Editor’s Choice. Science; Nat Biotecnology. PMID: 19079256 12. Libster RP, Bugna J, Coviello S, Hijano DR, Dunaiewsky M, Reynoso N, Cavalieri ML, Guglielmo MC, Areso MS, Gilligan T, Santucho F, Cabral G, Gregorio GL, Moreno R, Lutz MI, Panigasi AL, Saligari L, Caballero MT, Egües Almeida RM, Gutierrez Meyer ME, Neder MD, Davenport MC, Del Valle MP, Santidrian VS, Mosca G, Garcia Domínguez M, Alvarez L, Landa P, Pota A, Boloñati N, Dalamon R, Sanchez Mercol VI, Espinoza M, Peuchot JC, Karolinski A, Bruno M, Borsa A, Ferrero F, Bonina A, Ramonet M, Albano LC, Luedicke N, Alterman E, Savy V, Baumeister E, Chappell JD, Edwards KM, Melendi GA, Polack FP. Pediatric hospitalizations associated with 2009 pandemic influenza A (H1N1) in Argentina. N Engl J Med. 2010;362: 45-55. PMID:20032320 13. Monsalvo AC, Batalle JP, Lopez MF, Krause JC, Klemenc J, Zea Hernandez J, Maskin B, Bugna J, Rubinstein C, Aguilar L, Dalurzo L, Libster R, Savy V, Baumeister E, Aguilar L, Cabral G, Font J, Solari L, Weller KP, Johnson J, Echavarria M, Edwards KM, Chappel JD, Crowe JE Jr, Williams JV, Melendi GA, Polack FP. Severe pandemic 2009H1N1 influenza disease due to pathogenic immune complexes. Nature Med 2011;17:195-915. PMID:21131958 14. Libster R, Coviello S, Cavalieri ML, Morosi A, Alabart N, Alvarez L, Ferrero F, Edwards KM, Polack FP. Pediatric hospitalizations due to influenza in 2010 in Argentina. N Engl J Med. 2010;363:2472-3. PMID: 21158677. 15. Miller EK, Hernandez JZ, Wimmenauer V, Shepherd BE, Hijano D, Libster R, Serra ME, Bhat N, Batalle JP, Mohamed Y, Reynaldi A, Rodriguez A, Otello M, Pisapia N, Bugna J, Bellabarba M, Kraft D, Coviello S, Ferolla FM, Chen A, London SJ, Siberry GK, Williams JV, Polack FP. A mechanistic role for type III interferon-λ1 in asthma exacerbations mediated by human rhinoviruses. Am J Respir Crit Care Med. 2011 Dec 1. PMID: 22135341. D. RESEARCH PROJECTS ONGOING, PENDING OR COMPLETED DURING THE LAST 3 YEARS: ACTIVE Gates Foundation (Polack) 11/17/10-10/31/13 Bill and Melinda Gates Foundation Burden of severe RSV lung disease in infants and young children The project goal is to provide critically-needed data to: a) determine whether a vaccine against RSV is a priority for infants and young children in the developing world and, b) identify best candidate groups for vaccination Thrasher Research Fund (Polack) 04/01/11-03/31/14 Thrasher Foundation Preventing hospitalizations due to severe lower respiratory tract disease in non-breastfeeding very low birth weight infants with donor breast milk This project will study the role of supplemental donated human milk in the prevention of hospitalizations caused by RSV in non-breastfeeding very low birth weight infants. The effect of human milk against respiratory infections elicited by other viruses will also be evaluated. Project 2 (Newberg-Boston College) 04/01/11-03/31/12 Abbott Pharmaceutical Structure/Function relationships between sialylglycans, inhibition of intestinal and pulmonary mucosal infection, and cell signaling Role: Co-Investigator Project 3 (Polack) Abbott Pharmaceutical 04/01/11-03/31/12 Identify breast milk components that promote production of type I interferons against RSV and influenza viral infections in the upper respiratory tract U19 AI95227-01 (Peebles) 07/01/11 – 06/30/16 NIH/NHLBI Host and Viral Determinants of Infant and Childhood Allergy and Asthma This application will examine the effects of both host genetic and immune response determinants, as well as the influence of specific RSV strains on severity of RSV bronchiolitis and childhood asthma. In addition, we will define the role of a novel therapeutic target, PGI2, in RSV pathogenesis. The long term objective of this proposed project is to define the relationship between infant respiratory syncytial virus (RSV) infection and the host response that enables asthma inception. Role: Co- Investigator COMPLETED R01 AI-054952 (Polack) 02/01/05-02/01/10 Director’s Challenge Award (Polack) 10/01/07-10/01/12 Thrasher Research Fund (Polack) 03/05/07-03/31/09