Official Title
Tropism and Pathogenesis of Influenza Virus and Coronavirus in Human Brain Explant Culture
Brief Summary

Background:Influenza and coronavirus have been repeatedly causing pandemic recently. Like theInfluenza A/H7N9 virus has caused five epidemics in China since its first detection inEast China in 2013. In 2017, the previously low pathogenic avian influenza (LPAI) H7N9virus underwent mutation in its haemagglutinin to give to a highly pathogenic avianinfluenza (HPAI) virus causing 32 human cases and potentially poses a threat to animaland human health. More recently, the SARS-CoV-2 pandemic has been heavily affecting theworld. Therefore an effective risk assessment platform is urgently required for betterpandemic preparation.Hypothesis:The tissue tropism and pathogenesis of a newly emerged infectious viruses, like thehighlypathogenic influenza, like H7N9 and coronavirus, like SARS-CoV-2 would be differentfrom that of their low pathogenic subtype and it would infect and replicate the humanrespiratory system more efficiently.Because of its resistance to oseltamivir for influenza and no effective antiviral forcoronavirus, investigators therefore propose to set up an novel and effective riskassessment platform for emerging infectious viruses.Experimental Design:The tissue tropism and viral replication kinetics of a HPAI and LP influenza andcoronavirus will be determined in ex vivo cultures of human brain and compared with theirLP subtype. The replication competence and innate immune responses of influenza andcoronavirus will be studied and compared with other LP virus in in vitro cultures ofhuman brain cells and human microvascular endothelial cells (HMVEC) both isolated fromhuman brain tissues.Expected outcomes:HPAI influenza and coronavirus particularly SARS-CoV-2 will infect and replicate thehuman brain tissues and cells more efficiently than their LP subtype. Besides, HPAIinfluenza and SARS-CoV-2 will induce dysregulated host innate immune response than the LPsubtype.

Detailed Description

In this study, 80 subjects who will undergoing elective or emergency craniotomies for
intrinsic brain lesions at Prince of Wales Hospital, will be recruited.

This is a prospective and qualitative study. There is no randomization in the study
procedure nor therapeutic invention for study subjects. No investigational product is
involved.

Brain tissues that are normal discarded during the operation from patients who undergo
elective or emergency craniotomies for intrinsic brain lesions will be collected for this
study.

A consent for operation and agreement to use of removed tissue for scientific research
will be obtained prior to the procedure.

Unknown status
Influenza Virus
Coronavirus
Eligibility Criteria

Inclusion Criteria:

1. Age: > 1 year old and < 70 years old

2. Undergo elective or emergency craniotomies for intrinsic brain lesions

Exclusion Criteria:

a. Samples containing infected material

Eligibility Gender
All
Eligibility Age
Minimum: 1 Year ~ Maximum: 70 Years
Countries
Hong Kong
Locations

Prince of Wales Hospital
Shatin, NT, Hong Kong

Investigator: Owen Ko, PhD
Contact: 26352160
ho.ko@cuhk.edu.hk

Contacts

Owen Ho Ko, Ph.D
+852 26352160
ho.ko@cuhk.edu.hk

Owen Ho Ko, PhD, Principal Investigator
Chinese University of Hong Kong

The University of Hong Kong
NCT Number
MeSH Terms
Influenza, Human
Coronavirus Infections