Report of activities for the International Day of Immunology in Cuba
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1 Report of activities for the International Day of Immunology in Cuba INTRODUCTION Cuban Society of Immunology (SCI in Spanish) is a scientific association founded on 15 June 1995, in order to promote scientific research, teaching and dissemination of the specialty. It is integrated into the National Council of Scientific Societies of Health, an organization through which it interacts with the Ministry of Public Healthcare of the country, in its promotional and scientific advisory roles. The society brings together both professionals of the health, medical and specialists from other disciplines as scientists engaged in research of immunology experimental from the biological point of view. Among members, there are scientists from advanced research institutions in the country, including the Pedro Kourí Institute of Tropical Medicine (IPK); the Institute of Hematology and Immunology (IHI); the Molecular Immunology Center (CIM), the Immunoassay Center (CIE), the Finlay Vaccine Institute (IFV), the National Center of Bioproducts (BIOCEN) and the Center of Genetic Engineering and Biotechnology (CIGB), the latter belonging to the biotechnology and pharmaceutical sector (BioCubaFarma), an area recognized as advanced in the innovation and development of immunobiological products and vaccines, at international scale. The Cuban Society of Immunology is associated to the International Union of immunology Societies (IUIS) and is a relevant member of the Latin-American and Caribbean Association for Immunology (ALACI). Cuba is currently holding the presidency and will celebrate this year its Congress. The society has the following means as ways of dissemination and socialization, all of them offering information in Spanish: The official website: https://instituciones.sld.cu/sci/ The specialty website in the Cuban medical network Infomed : https://especialidades.sld.cu/inmunologia/ Channel on Youtube : https://www.youtube.com/channel/UCCYzOLBLc7HwuPwKfC3tz7w Facebook: https://www.facebook.com/Sociedad-Cubana-de-Inmunologia-103985838134159/ Twitter: https://mobile.twitter.com/CubanaFor Immunology as a scientific and clinical discipline has played a key role defying COVID-19 worldwide and specifically in Cuba. In our country the therapeutic protocols have been based mainly on immunobiological innovative products of domestic production, among them, recombinant alpha-Interferon, Heberferon® (combination of alpha and gamma interferon), Itolizumab (anti CD-6 monoclonal) and JUSVINZA® (an anti-inflammatory peptide derived from HSP60). In addition, Nasalferon (formulation of IFN-alpha for the nasal route) has been used successfully as a preventive approach. Remarkable results have been achieved in the prevention of acute respiratory infections and COVID-19 in elder residents in nursing homes with the use of Biomodulina T®, a product based on Thymus polypeptides with an immunorestoring action. Members of the Cuban society of immunology have played a leading role in the clinical studies that have supported the introduction of these innovative approaches and, properly, in the design of the national protocol of action against COVID-19. 1 Also, in the field of diagnosis and epidemiology, our basic and clinical immunologists have had a decisive influence. The most current molecular diagnostic methods were implemented immediately, taking the IPK as the national reference center. The network of PCR laboratories rapidly expanded from a few to 27, located throughout the country. In vitro diagnostic reagents and devices have been developed in record time reagents (Sample transport media, PCR extraction kits) allowing technology sovereignty for the nation. The network already reaches 27 000 daily PCR tests, 1 Osier F et al. The global response to the COVID-19 pandemic: how have immunology societies contributed? Nat Immunol Rev Oct 2020 20(10):594-602 DOI: 10.1038/s41577-020-00428-4. 1
2 which is equivalent to one test for every 415 inhabitants.2 Immunoassay Kits were developed for the determination of anti SARS-CoV-2 IgM and IgG, and more recently, for the determination of the viral antigen, based on the SUMA analytical technology available on the network of primary health care throughout the country.3,4 A special place in immunology, in general, and particularly in battle against the COVID-19 pandemic is occupied by the vaccine research and development. The Cuban science and biopharmaceutical industry already have a well-earned prestige and tradition in this field. Cuba is perhaps the only developing country with its own strategy and concrete results in the development and application of own vaccines against COVID-19.5 There have been developed five candidate vaccines that have reached clinical phase: Soberana 1, Soberana 2 and Soberana Plus6 (by the Institute Finlay Vaccine jointly with the Center of Molecular Immunology) and Abdala and Mambisa7 (by the Center of Genetic Engineering and Biotechnology). These vaccines are all based on recombinant proteins, specifically and on the SARS-CoV 2 Receptor Binding Domain. In the first case (the Soberana platform) a conjugate using a carrier protein (Tetanus Toxoid)8 and in the second case (Abdala and Mambisa), a particulate glycosylated protein expressed in Pichia Pastoris.9 The accelerated development of vaccines has been possible thanks to the highly qualified human resources trained in the country, an aspect in which the Cuban Society of Immunology has contributed. The already traditional partnership bonds between scientific institutions and clinics have been renewed and tightened. Innovative methodologies have been applied, particularly in the field of protein modeling and development of bioanalytical methods to evaluate the neutralizing capacity of antibodies. Clinical trials with Soberana 2/Plus and Abdala have progressed to Phase III, including in this phase intervention studies in healthcare personnel and in populations at high epidemic risk. Recently Cuba has exceeded one million inhabitants vaccinated using exclusively these vaccines.10 Both products are expected to reach the full Market Authorization in few weeks and it is expected to immunize 70% of the population before the end of August. 11 The activities for the International Day of Immunology have granted a privileged place the protagonists of this scientific feat of high social impact. 2 https://covi19cubadata.github.io/#cuba 3 Cuban News Agency May 7, 2020 http://www.acn.cu/salud/64394-logra-cuba-montaje-de-sistema-diagnostico-para-detectar- anticuerpos-generados-por-la-covid-19 4 Granma Newspaper http://www.granma.cu/cuba-covid-19/2020-05-13/tecnologia-suma-una-muestra-de-soberania- tecnologica-13-05-2020-23-05-11 5 Can Cuba beat COVID with its homegrown vaccines? Nature talks to vaccine designer Vicente Vérez Bencomo about the country's efforts to produce its own coronavirus jabs - and set a record. 29 April, 2021 https://doi.org/10.1038/d41586-021- 01126-4 6 Stands for “sovereign” in Spanish. 7 “Abdala” is a name of a patriotic poem written by the Cuban national hero Jose Martí and “Mambisa” refers to the Cuban rebels that fought in the 19th century for the independence against the Spanish colonial power. 8 Valdes-Balbin, Yuri et al…. Verez-Bencomo, Vicente. (2021). SARS-CoV-2 RBD-Tetanus toxoid conjugate vaccine induces a strong neutralizing immunity in preclinical studies. 10.1101/2021.02.08.430146. 9 Cuban News Agency. April 26, 2021. Glay Chinea: Protein engineering at the service of life. http://www.acn.cu/especiales- acn/194-rostros/78929-glay-chinea-ingenieria-de-proteinas-al-servicio-de-la-vida- fotos?fbclid=IwAR38c9jhTYM2mmPTT6qEBTiMoEQ2FFPzrUaQ36ECz4KyIe 10 Prensa Latina press agency: Cuba surpassed a million people with doses of anti-Covid-19 candidates https://www.prensa- latina.cu/index.php?o=rn&id=450430 11 Cuban News Agency May 7, 2021 http://www.acn.cu/salud/79417-preven-que-en-agosto-cuba-tendra-el-70-por-ciento-de-su- poblacion- immunized-against-covid-19 2
3 OVERVIEW OF THE ACTIVITIES FOR THE 2021 INTERNATIONAL IMMUNOLOGY DAY Program to celebrate the International Immunology Day in Cuba Dedicated to Dr. Jorge Gavilondo Cowley12 1. Call of abstracts to the ALACI21 Congress and the 7th Cuban Immunology Congress 2. Call for the 2021 Annual National Immunology Prize 3. Presentation of the book Basic-Applied Neuroimmunology , by Cuban authors . Thursday April 29. https://www.youtube.com/channel/UCCYzOLBLc7HwuPwKfC3tz7w 4. Constitution of the Multidisciplinary Chair of Immunology “Dr. Antonio María Béguez César” at the Medical Sciences University of Santiago de Cuba. 5. Opening of the I National Student Scientific Conference on Immunology "INMUNOCIEN 2021" at the Medical Sciences University of Santiago de Cuba. 6. Webinar Advances of Cuban Vaccines against Covid19 Thursday April 29. 2 pm https://www.youtube.com/channel/UCCYzOLBLc7HwuPwKfC3tz7w 7. National Television Show "La Pupila Asombrada" dedicated to the Molecular Immunology Center Thursday April 22, 10 pm Cubavisión https://www.youtube.com/Lapupilaasombrada 8. National Television Show “La Pupila Asombrada” dedicated to the Finlay Vaccine Institute, Thursday, April 29, 10 pm Cubavisión https://www.youtube.com/Lapupilaasombrada 9. Interview with members of the National Board of the Cuban Society of Immunology in the National TV Show "Afternoon at Home" Thursday, April 29 5:30 pm https://www.youtube.com/watch?v= zrnHcnSroI0 10. Dissemination of achievements of Immunology in Cuba in internet: Facebook, Twitter, Websites, Youtube Channel of the SCI. The program was published on internet and distributed by email to members of the society as of April 22: https://instituciones.sld.cu/sci/2021/04/22/jornada-nacional-por-el-dia-mundial-de-la-inmunologia/ https: //especialidades.sld.cu/inmunologia/2021/04/28/jornada-nacional-por-el-dia-mundial-de-la-inmunologia/ 12 Jorge Gavilondo Cowley. Cuban scientist who passed away in January 2021. Founder of Biotechnology in Cuba. Expert in the fields of Cancer Immunology, Monoclonal and Recombinant Antibodies, Immunodiagnostics, Therapeutic Vaccines, Academic of the Cuban Academy of Sciences, Member of the Board of Directors of the Cuban Society of Immunology (1996-2010), President of the Latin American Immunology Association (1999-2002). 3
4 The Webinar "Progress of Cuban vaccines against SARS-Cov2" was held on April 29 at 2 pm, with a duration of 1 hour and 15 minutes. It featured two keynote speeches: first, Dr. Dagmar García (Director of Research at the Finlay Vaccine Institute) and then, Dr. Gerardo Guillén (Director of Biomedical Research at the Center for Genetic Engineering and Biotechnology). Dr. García reviewed the progress of the clinical trials with the vaccine candidates Soberana 01 and Soberana 02/Plus and Dr. Guillén the results with the vaccine candidates Abdala and Mambisa. The Webinar was moderated by Dr. Belinda Sánchez, Director of immunobiology and Immunotherapy at the Center for Molecular Immunology and Secretary of the Cuban Society of Immunology. The presentations showed the results of these strategies in terms of antibody induction and cellular response with two or three doses, which was comparable to other international vaccines. The clinical studies with Soberana 02/Plus and Abdala are already in Phase III showing encouraging results and constitute the basis of the Cuban strategy for mass vaccination of the population. The webinar had an online audience of 35 participants who posed questions to the speakers. Subsequently, the video has been placed on the Society's YouTube channel, where it has already had more than 600 views. 4
5 The presentation of the book "Applied Basic Neurology" (Editorial LIBROMED Panamá ISBN 978-9962-9061-3-1) was carried out online by the group of Cuban authors headed by Dr. María de los Ángeles Robinson. The book featured a foreword by Prof. Gustavo Sierra (who passed away on April 27, 2021) and Prof. Miguel Ángel Macías Islas. The video of the presentation can be found on the Society’s YouTube channel. The book contains 11 chapters covering a comprehensive range of topics: Innate and Adaptive Immunity and Central Nervous System; Gut-Brain Axis and Immunity; Inflammatory mechanisms in Pharmacoresistant Epilepsy; Multiple Sclerosis; the Immunology of Neuromyelitis Diseases; Parkinson Disease; the participation of Immune Response in neuronal death; the Huntington disease, neuroinflammation in Ischemic Cerebrovascular Disease, Autoimmune Diseases with impact on the nervous system and Psychoneuroimmunology. In Cuban provinces The activities for the Immunology Day were extended to other provinces of the country where the society has chapters, particularly, in the city of Santiago de Cuba, the second in importance in the country, two activities were held: The constitution of the multidisciplinary chair in Immunology “Dr. Antonio María Béguez César” and the First National Student’s Scientific Conference on Immunology “INMUNOCIEN 2021” , both events were held at the University of Medical Sciences of Santiago de Cuba (UCMSC). 5
6 The Chair pays tribute to Dr. Antonio Maria Béguez César, a pediatrician born in Santiago de Cuba, that did the first description of a primary immunodeficiency caused by mutations in the gene that regulates lysosomal function, the same received the name of "Béguez-Steinbrinck-Higashi Syndrome" (though still often erroneously referenced as Chediak-Higashi syndrome). The Cuban Society of Immunology together with the Cuban Society and Hematology have promoted a project to increase the visibility of the scientific discovery of Dr. Antonio María Béguez César, considered the first immunologist in that city. It was achieved that the Children's Hospital, where he worked all his life, were 6
7 named after him. It has promoted the correction of the denomination of the syndrome in the Cuban Hematology and Immunology Journal.13 The First National Student’s Scientific Immunology Conference "INMUNOCIEN 2021" was organized by the movement of Immunology assistant graduate students, in the Faculty No 1 at the Medical Sciences University of Santiago de Cuba, jointly with the Teaching Department of Immunology, and sponsored by the Institute of Basic and Preclinical Sciences “Victoria de Girón” at the Medical Sciences University of Havana, and with the support of the local chapter of the Cuban Society of Immunology. The Conference had 18 attendees, and 4 scientific papers were presented. 13 Castro Castro , B., Ballester Santovenia , JM, Peña Sánchez, MA, Batista Duharte , A., Robinson Rodriguez , RJ (2019). Syndrome Béguez-Steinbrinck-Higashi : a new eponym for the syndrome Chediak-Higashi . Cuban Journal of Hematology, Immunology and Hemotherapy, 35 (2). 7
10 Workers of the National Center of Medical Genetics in Havana celebrating the Immunology Day. The immunology day in national TV shows In the Cuban national television three shows were devoted to the international day of immunology, each lasting 1 h. The first two (April 22 and 29) were in the popular show "La Pupila Asombrada"14, a space dedicated to current socio- political and cultural issues with a high audience in the country directed by the well-known journalist and blogger Iroel Sánchez (host of the blog La Pupila Insomne15 ). Both programs were dedicated to Cuban vaccines against COVID-19. The first of them "Cuba and its vaccines, how is it possible?" included an interview with Prof. Agustín Lage , founder of the Center for Molecular Immunology (CIM) and the main protagonist of the development in Cuba of monoclonal antibodies and therapeutic vaccines for the treatment of cancer. The mammalian cell culture technology developed at CIM, is used for the production of the RBD antigen, the active ingredient in Cuban vaccines of the Soberana platform. The second show "Beyond Cuban vaccines against Covid 19" collected interviews with prominent players in the development of health sciences and biotechnology in Cuba, and particularly, with the Director of Research at the Finlay Institute, a leading institution in the development of vaccines in Cuba, Dr. Dagmar García. The full videos of both programs are available on the SCI YouTube channel. 14 Stands for “the astonished pupil” in Spanish 15 Stands for “the sleepless pupil”, a poem title from the X20th century Cuban writer and social leader Ruben Martínez Villena 10
11 On the 29th of April, the popular television show “In the afternoon at home” which lasts for 1 hour, hosted by Raquel Mayedo, was dedicated to the International Day of Immunology. It is a show usually dedicated to the cultural field and entertainment oriented to general audience. In it, interviews were conducted with Dr. Ana Beatriz Pérez, SCI President and IPK researcher, Dr. Consuelo Macías, SCI vice-president and director of the Institute of Hematology and Immunology, and Dr. Belinda Sánchez, SCI secretary and Director of Immunobiology and Immunotherapy at the Center of Molecular Immunology. An edited version of the program with the three interviews can be found on the SCI YouTube channel at https://www.youtube.com/watch?v=zrnHcnSroI0. Scene from the show “La Pupila Asombrada" named “Cuba and its vaccines, how is it possible?" filmed at the Center for Molecular Immunology. The picture shows the interview with the eminent Cuban immunologist Prof. Agustín Lage. Scene from the TV show “La Pupila Asombrada” named “Beyond Cuban vaccines against Covid 19" filmed at the Finlay Vaccine Institute. Interview with the Director of Investigations of the IFV Dr. Dagmar Garcia. 11
12 Interview with the Immunologist Dr. Danay Saavedra, researcher at the Center of Molecular Immunology https://www.youtube.com/watch?v=U35RSvLJNyM 12
13 Interviews with the Board members of the Cuban Society of Immunology Dr. Ana Beatriz Pérez (President), Dr. Consuelo Macías (Vice President) and Dr. Belinda Sánchez (Secretary) in the popular show of the Cuban Television "Afternoon at home" dedicated to the international day of Immunology. 13
14 Reach of the activity as assessed by on-line visits to the SCI channel at Youtube Videos Impact on YouTube by number of views on the Society's channel (date May, 31 2021) TV show “La Pupila asombrada” “Cuba and its vaccines, how is it https://www.youtube.com/watch?v 3529 possible?” (April 22, 2021) =i-6-0N-- eIY TV show “La Pupila asombrada” "Beyond the Cuban vaccines https://www.youtube.com/watch?v 714 against Covid 19 " (April 29, 2021) =Giz7GvEF13U Webinar "Progress in Cuban Vaccines against Covid19 " (April 29, https://www.youtube.com/channel/ 619 2021) UCCYzOLBLc7HwuPwKfC3tz7w International Immunology Day (Interview with Dr. Danay https://www.youtube.com/watch?v 311 Saavedra, Center for Molecular Immunology; April 28, 2021) =U35RSvLJNyM Presentation of the book Basic-Applied Neuroimmunology (April https://www.youtube.com/watch?v 66 29, 2021) =D8GhlKJ3mig Total 5239 Reach of the activity as estimated by the National TV audience. Shows Estimated audience (Open signal TV viewers in Cuba)16 TV show “La Pupila asombrada” Canal Cubavisión 4 million TV show “De tarde en casa” Canal Educativo 2 16 https://www.tvcubana.icrt.cu/destacados/5022-el-consumo-televisivo-en-tiempos-de-la-covid-19 14
15 OBITUARY The program to celebrate the International Immunology Day was initially dedicated to Dr. Jorge Gavilondo, a prominent immunologist with relevant results in cancer research and the development of monoclonal antibodies, who passed away on January 14, 2021. Just two days before April 29, the Cuban scientific community suffered another great loss, that of the beloved Professor Gustavo Sierra, the founder of the Cuban Society of Immunology and creator of the first international vaccine against Neisseria meningitidis B, this time a victim of COVID-19. The Cuban Immunology Society pays profound tribute to both. Prof. Gustavo Sierra González A great loss for Cuba: the immunologist and pioneer of biotechnology in our country Dr. Gustavo Sierra has died from COVID-19. He was the initiator of the first steps of biotechnology in Cuba in the late 1980s, founder of the Finlay Institute and the Center for Genetic Engineering and Biotechnology, and was a member of the group of founding leaders of the BioCubaFarma Holding Group. The Cuban Society of Immunology has lost its Founding President, the Professor of Cuban Immunologists of several generations, a great scientist, a man of integrity, fairness, incredible humility and modesty, with a great sense of humanity. He was one of the leaders responsible for the development in 1989 of the world first effective vaccine against serogroup B meningococcus, the patent of which earned the Gold Medal of the World Intellectual Property Organization. He was previously part of the group of researchers that produced the first interferons in Cuba. It was one of the main author or co-author of other vaccines developed at the Finlay Institute, some are already in clinical use or in development: anti-Leptospirosis, Anti-Salmonella tiphy, Anti-Cholera, Anti-Amoeba, Anti-TB. inventor of vaccine adjuvants including various derivatives of the Proteoliposome technology of which he was the creator. He tutored 45 doctoral dissertations as part of his responsibilities as a teacher, mentor, and guide to generations of physicians and scientists. He was adjunct professor at several universities, appointed Caribbean Founder Professor by the International Brain Research Organization (IBRO) and the Caribbean and Central America Brain Research Organization (CARBRO); WHO and PAHO Advisor. He was also decorated with the “José Antonio Echevarría” Order of Merit, “Lázaro Peña” First Degree Order, “Juan Tomas Roig” Distinction, and Commemorative Medal for the XXX Anniversary of the Cuban Academy of Sciences among other numerous distinctions. He was Deputy to the National Assembly of People's Power (the Cuban Parliament) and member of the Parliament Science Commission. He was elected as Academician of Merit of the Cuban Academy of Sciences since September 17, 2011. His achievements earned him the highest distinction awarded in the country to scientists: The “Carlos J. Finlay” Order. Dr. Sierra was a man very appreciated and loved by his family and by his disciples and colleagues due to his modesty, wisdom, good humor and infinite solidarity. Let’s serve his example for all those who make science in Cuba. His legacy will always be a model of altruism and dedication to Science. 15
16 Dr. Jorge Gavilondo Cowley Dr. Jorge V. Gavilondo Cowley was one of the main Cuban scientists of the second half of the 20th century and one of the protagonists in the construction of the biotechnology sector. Expert in the fields of Immunology of Cancer, monoclonal and recombinant antibodies, immunodiagnostic therapeutic vaccines, member of the Cuban Academy of Sciences, Member of the Board of Directors of the Cuban Society of Immunology (1996-2010), President of the Latin American Immunology Association (1999-2002) From his hands came the first monoclonal antibodies obtained in Cuba in 1981, including ITOLIZUMAB, well known today for its success in treating seriously ill patients with COVID-19. He graduated in Biological Sciences at the University of Havana in 1972 and began his professional life as a scientist at the Havana National Institute of Oncology and Radiobiology (INOR) where he was promoted from the Radiobiology Laboratory, to the direction of the Department of Biology, and was a very active member of the Scientific Council of that institution. His first investigations were on lymphomas, and on the proliferation of higher cells in culture. He was the author of the first articles published by the INOR in journals with high international impact. He had the perspective of identifying monoclonal antibodies as one of the main areas of development in biotechnology. That is the reason why, at such an early date and before the technique became generalized throughout the world, antibodies were obtained in Cuba as early as 1981 and were tested in clinical trials for therapeutic use. His professional experience included a broad field spanning cell and molecular biology, experimental immunology, monoclonal and recombinant antibodies, cancer vaccines, experimental oncology, cell radiobiology, cell culture, diagnostic systems. Especially the assimilation of technologies for the culture of mammalian cells had a lot to do with Gavilondo's knowledge and experimental skills. He was an excellent experimenter and at the same time a profound theorist. When the Havana Center for Genetic Engineering and Biotechnology was founded in 1986, he was invited to join the Center as Head of the Immunotechnology and Diagnosis Division and later, Head of Cancer Immunotherapy. Under his direction, the therapeutic cancer vaccine HeberSaVax®, based on the Vascular Endothelial Growth Factor, was obtained and today is in clinical trials. He was awarded with the “Carlos J. Finlay” Order by the Council of State. He was author of more than 150 scientific articles, seven patents and five books, and obtained 23 awards from the Cuban Academy of Sciences, of which he was member. In his extensive teaching work, he trained 14 doctors of science. He was president of the Latin American Association of Immunology, intensely disseminated in the world the results of Cuban biotechnology and cancer research, and represented Cuba in many international organizations and events. Jorge Gavilondo always believed in science and in the possibilities of doing world-class science in Cuba. And he did. His footprint remains in the dozens of scientists he trained and in each immunotherapy product, especially in each monoclonal antibody that comes out of Cuban laboratories, his work will be present. 16
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