Interleukin-6 signaling, lung injury, and post-TB lung disease in TB-HIV

Active Project Grant Awarded Last action

Award ID
R01AI184179
Recipient
Awarding agency
Obligated
$2,102,091

Award facts

Assistance listing
93.855 Allergy and Infectious Diseases Research
Completion date 42% complete
Place of performance
Roxbury, MA 02118, USA

Award details come from USAspending.gov.

Description

Abstract
Tuberculosis (TB) is among the leading infectious killers worldwide with over 10 million new cases and 1.5 million deaths each year. Pulmonary TB, the most common form of the disease, is associated with lung injury that can persist beyond treatment completion. Post-TB lung disease (ptld) is an important contributor to excess disability and mortality that can affect an estimated 155 million TB survivors globally. Yet there are no known interventions to prevent TB-associated lung injury and the likelihood of subsequent ptld. The goal of this R01 proposal is to characterize the burden, severity, and phenotypic presentation of ptld, and its association with interleukin-6 (IL-6) signaling pathways, in TB patients with and without HIV. We will leverage the ongoing NIH and indian government funded report-india TB research consortium, a multi-site study that is prospectively evaluating HIV-uninfected adults with drug-sensitive TB for lung injury during and after TB treatment, by enrolling a comparison cohort of HIV-positive drug-sensitive TB patients matched on age, SEX, and smoking exposure who will follow identical study protocols. Through aim-1, we will extensively characterize and compare the phenotypic differences in lung injury at TB treatment initiation, its resolution during treatment, and subsequent ptld between TB patients with versus without HIV using a multi-dimensional approach of pulmonary function testing, respiratory health and functional status assessments, and novel lung imaging approaches. Through aim- 2, we will use induced sputum samples to comprehensively investigate the role of different IL-6 signaling pathways in determining the extent of lung injury, and its resolution during TB treatment, by measuring key immune, cellular, and gene expression markers, along with downstream inflammatory pathways linked to acute lung injury and fibrotic remodeling. This R01 application will expand upon our prior and ongoing research in india and generate evidence to support the design of clinical trials of host-directed therapies for selectively modulating IL-6 signaling pathways to improve pulmonary outcomes in TB patients with and without HIV.

Transactions

Action Obligated Date
Amendment $83,562
Amendment $94,873
Amendment $493,405
Amendment $81,414
Amendment $86,249
Amendment $518,890
Original award $743,698

Subawards

Subrecipient Amount Awarded
BJ Medical College & Sassoon General Hospitals BJGMC, Pune is a premier teaching hospital based in Maharashtra, India. The BJGMC team will be responsible for recruiting and evaluating 140 TB-HIV participants… $171,300
The Christian Medical College Vellore Association CMC Vellore is a premier teaching hospital based in Vellore, Tamil Nadu, India. The CMC team will be responsible for recruiting and evaluating 60 TB-HIV… $93,788
The Johns Hopkins University The sub-contractual agreement will be overseen by Dr. Amita Gupta, Chair of the Division of Infectious Diseases at JHU. The JHI Pune-based Management Leadership… $107,283

Quick answers

Who received award R01AI184179?

R01AI184179 was awarded to Trustees Of Boston University by National Institute of Allergy and Infectious Diseases (National Institutes of Health) on September 20, 2024.

How much is award R01AI184179 worth?

$2,102,091 has been obligated on R01AI184179.

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