Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Science and Society
  • Published:

Rapid response research to emerging infectious diseases: lessons from SARS

Abstract

New and emerging infectious diseases continue to plague the world, and there is significant concern that recombinant infectious agents can be used as bioterrorism threats. Microbiologists are increasingly being asked to apply their scientific knowledge to respond to these threats. The recent pandemic caused by the severe acute respiratory syndrome (SARS) coronavirus illustrated not only how a newly evolved pathogen can rapidly spread throughout the world but also how the global community can unite to identify the causative agent and control its spread. Rapid response research mechanisms, such as those used by the SARS Accelerated Vaccine Initiative (SAVI), have shown that the application of emergency management techniques, together with rapid response research, can be highly effective when applied appropriately to new infectious diseases.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: The severe acute respiratory syndrome (SARS) pandemic and important findings.
Figure 2: Schematic representation of the severe acute respiratory syndrome coronavirus (SARS-CoV) particle.
Figure 3: Generic model of the organization of a rapid research response to an emerging infectious disease.

References

  1. Kombe, G. C. & Darrow, D. M. Revisiting emerging infectious diseases: the unfinished agenda. J. Commun. Health 26, 113–122 (2001).

    Article  CAS  Google Scholar 

  2. Feldmann, H. et al. Emerging and re-emerging infectious diseases. Med. Microbiol. Immunol. (Berl.) 191, 63–74 (2002).

    Article  Google Scholar 

  3. World Health Organization. Consensus document on the epidemiology of severe acute respiratory syndrome (SARS). [online], <http://www.who.int/csr/sars/en/WHOconsensus.pdf> (2003).

  4. Poutanen, S. M. et al. Identification of severe acute respiratory syndrome in Canada. N. Engl. J. Med. 348, 1995–2005 (2003).

    Article  Google Scholar 

  5. Marra, M. A. et al. The genome sequence of the SARS-associated coronavirus. Science 300, 1399–1404 (2003).

    Article  CAS  Google Scholar 

  6. Rota, P. A. et al. Characterization of a novel coronavirus associated with severe acute respiratory syndrome. Science 300, 1394–1399 (2003).

    Article  CAS  Google Scholar 

  7. Ruan, Y. J. et al. Comparative full-length genome sequence analysis of 14 SARS coronavirus isolates and common mutations associated with putative origins of infection. Lancet 361, 1779–1785 (2003).

    Article  CAS  Google Scholar 

  8. Tan, Y. J. et al. Profiles of antibody responses against severe acute respiratory syndrome coronavirus recombinant proteins and their potential use as diagnostic markers. Clin. Diagn. Lab. Immunol. 11, 362–371 (2004).

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Liu, X. et al. Profile of antibodies to the nucleocapsid protein of the severe acute respiratory syndrome (SARS)-associated coronavirus in probable SARS patients. Clin. Diagn. Lab. Immunol. 11, 227–228 (2004).

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Woo, P. C. et al. Relative rates of non-pneumonic SARS coronavirus infection and SARS coronavirus pneumonia. Lancet 363, 841–845 (2004).

    Article  Google Scholar 

  11. Ndifuna, A., Waters, A. K., Zhou, M. & Collisson, E. W. Recombinant nucleocapsid protein is potentially an inexpensive, effective serodiagnostic reagent for infectious bronchitis virus. J. Virol. Methods 70, 37–44 (1998).

    Article  CAS  Google Scholar 

  12. Cui, W. et al. Expression of lymphocytes and lymphocyte subsets in patients with severe acute respiratory syndrome. Clin. Infect. Dis. 37, 857–859 (2003).

    Article  Google Scholar 

  13. Lin, M. et al. Association of HLA class I with severe acute respiratory syndrome coronavirus infection. BMC Med. Genet. 4, 9 (2003).

    Article  Google Scholar 

  14. Olsen, C. W. A review of feline infectious peritonitis virus: molecular biology, immunopathogenesis, clinical aspects, and vaccination. Vet. Microbiol. 36, 1–37 (1993).

    Article  CAS  Google Scholar 

  15. Kenney, R. T. & Edelman, R. Survey of human-use adjuvants. Expert Rev. Vaccines 2, 167–188 (2003).

    Article  CAS  Google Scholar 

  16. Gurunathan, S., Klinman, D. M. & Seder, R. A. DNA vaccines: immunology, application, and optimization. Annu. Rev. Immunol. 18, 927–974 (2000).

    Article  CAS  Google Scholar 

  17. Fouchier, R. A. et al. Aetiology: Koch's postulates fulfilled for SARS virus. Nature 423, 240 (2003).

    Article  CAS  Google Scholar 

  18. Kuiken, T. et al. Newly discovered coronavirus as the primary cause of severe acute respiratory syndrome. Lancet 362, 263–270 (2003).

    Article  CAS  Google Scholar 

  19. Marshall, E. & Enserink, M. Caution urged on SARS vaccines. Science 303, 944–946 (2004).

    Article  CAS  Google Scholar 

  20. Martina, B. E. et al. SARS virus infection of cats and ferrets. Nature 425, 915 (2003).

    Article  CAS  Google Scholar 

  21. Subbarao, K. et al. Prior infection and passive transfer of neutralizing antibody prevent replication of severe acute respiratory syndrome coronavirus in the respiratory tract of mice. J. Virol. 78, 3572–3577 (2004).

    Article  CAS  Google Scholar 

  22. Gao, W. et al. Effects of a SARS-associated coronavirus vaccine in monkeys. Lancet 362, 1895–1896 (2003).

    Article  CAS  Google Scholar 

  23. Bisht, H. et al. Severe acute respiratory syndrome coronavirus spike protein expressed by attenuated vaccinia virus protectively immunizes mice. Proc. Natl Acad. Sci. USA 101, 6641–6646 (2004).

    Article  CAS  Google Scholar 

  24. Yang, Z. Y. et al. A DNA vaccine induces SARS coronavirus neutralization and protective immunity in mice. Nature 428, 561–564 (2004).

    Article  CAS  Google Scholar 

  25. Biddle, J. A. in Vaccines, From Concept to Clinic (eds Paoletti, L. C. & McInnes, P. M.) 127–174 (CRC Press, Boca Raton, 1999).

    Google Scholar 

  26. Allison, N. & Tranter, H. S. From vaccine research to manufacture: a guide for the researcher. Methods Mol. Med. 87, 391–408 (2003).

    CAS  PubMed  Google Scholar 

  27. Viret, J. F., Gluck, R. & Moser, C. Development of a SARS vaccine: an industrial perspective on the global race against a global disease. Expert Rev. Vaccines 2, 465–467 (2003).

    Article  Google Scholar 

  28. Baston, N., Glass, S. & Seiguer, E. in The Vaccine Book (eds Bloom, B. R. & Lambert, P. H.) 345–370 (Academic Press, San Diego, 2003).

    Google Scholar 

  29. Global Alliance for Vaccines and Immunization. How can public–private partnerships accelerate the availability of vaccines for the developing world? [online], <http://www.gaviftf.org/forum/pdf_cd/20CostRisk.pdf> (2001).

  30. La Montagne, J. R., Simonsen, L., Taylor, R. J. & Turnbull, J. Severe acute respiratory syndrome: developing a research response. J. Infect. Dis. 189, 634–641 (2004).

    Article  Google Scholar 

  31. Stadler, K. et al. SARS — beginning to understand a new virus. Nature Review Microbiology. 1, 209–218 (2003).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We would like to thank all SAVI members for their dedication and commitment towards this rapid response initiative. B.B.F. and R.C.B are Scientific Director and Associate Director of SAVI, respectively. B.B.F. is a Howard Hughes Medical Institute (HHMI) International Research Scholar, a Canadian Institutes for Health Research (CIHR) Distinguished Investigator and the UBC Peter Wall Distinguished Professor. R.C.B is Medical Director of the British Columbia Centre for Disease Control. We would also like to thank T. Conley and K. Roberts for graphic layout and design. Work in our laboratories is supported by CIHR, HHMI and the Canadian Bacterial Diseases Network.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B. Brett Finlay.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Related links

Related links

FURTHER INFORMATION

SARS Bioinformatics Suite

Vaccine policy

Michael Smith Genome Sciences Centre

British Columbia Centre for Disease Control

SAVI

Rights and permissions

Reprints and permissions

About this article

Cite this article

Finlay, B., See, R. & Brunham, R. Rapid response research to emerging infectious diseases: lessons from SARS. Nat Rev Microbiol 2, 602–607 (2004). https://doi.org/10.1038/nrmicro930

Download citation

  • Issue date:

  • DOI: https://doi.org/10.1038/nrmicro930

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing