Overview

Ebola virus is a hemorrhagic fever virus with a mortality rate of around 50 percent. The first cases emerged in 1976 in what is now the Democratic Republic of Congo. The virus is transmitted either through exposure to infected animals or to bodily fluids of patients. Symptoms of Ebola virus disease include fever, diarrhea, and internal and external bleeding.

A major Ebola epidemic ended in 2016 with 11,000 deaths among 30,000 infected in Guinea, Liberia and Sierra Leone. The virus re-emerged in the Democratic Republic of Congo in mid-2018, killing more than 2,200 people. Because the virus is easily passed through contact with bodily fluids, healthcare workers are especially at risk. Pregnant and breastfeeding women are also at high risk.

There are at least six different Ebola virus variants, and an FDA-approved vaccine is effective against just one, called the Zaire strain. Multiple therapies and vaccine candidates are also at various stages of development, and some have shown success so far. More work needs to be done to determine how effective these vaccines are and to develop vaccines against the multiple kinds of Ebola virus. Scientists believe an ideal Ebola virus vaccine would also include protection against related viruses, including Sudan, Bundibugyo and Marburg viruses.

Our Approach

Structural biologist Erica Ollmann Saphire, Ph.D., has solved the structure of various Ebola proteins to understand how they could be targeted by antibodies. In a series of groundbreaking discoveries beginning a decade ago, her team determined the molecular structures of surface glycoproteins essential for invasion of human cells by Ebola, Sudan, Bundibugyo and Marburg viruses—each interacting with a patient-derived antibody recognizing that virus. These analyses now serve as blueprints for regions on the virus’ outer glycoprotein that could be targeted by antibodies to halt viral infection. This work also guides clinical development of “neutralizing” antibodies that could be infused into patients already infected with the virus. In fact, in 2014, Dr. Saphire and her colleagues were the first to show how an experimental Ebola virus therapy used an antibody “cocktail” to combat infection.

Dr. Saphire’s time as director of the Viral Hemorrhagic Fever Immunotherapeutic Consortium (VIC), helped power these Ebola virus discoveries. As leader of the VIC, Dr. Saphire established a coalition of 45 previously-competing labs across five continents. Under Dr. Saphire’s leadership, the VIC pooled the expertise of structural biologists, virologists, immunologists, clinicians, and public health practitioners to advance new therapies and vaccines faster than ever before.

Dr. Saphire has established a molecular imaging facility at LJI for cryo-electron microscopy (cryo-EM). Through cyro-EM, researchers at LJI can quickly produce extremely detailed images of viral structures and reveal vial targets that could be neutralized by human antibodies or drug therapies.

This new equipment, along with Dr. Saphire’s expertise, has driven advances in structural biology and unlocked new strategies against Ebola virus. In 2022, Dr. Saphire’s lab published a collaboration with Scripps Research scientists showing how a human protein in Ebola-infected cells actually starts helping the virus. This work suggests targeting this process may slow Ebola’s ability to make copies of itself and spread through the body.

Also in 2022, Dr. Saphire and research partners at Emory University made a major advance in the effort to develop an antibody cocktail against Ebola. The researchers found that human antibodies can target two ebolavirus species at once: Ebola virus and Sudan virus. These two species are responsible for the biggest, deadliest outbreaks of Ebola hemorrhagic fever. The new report suggests researchers could combine these two potent antibodies to make a powerful antiviral therapy.

In 2023, the Dr. Saphire Lab published an important investigation into how Ebola virus turns host cells into “virus factories” and churns out new viral particles. Dr. Saphire and her colleagues also published a 2023 study into the structure and function of the first FDA-approved treatment (called Inmazeb / REGN-EB3) for Zaire ebolavirus (Ebola virus). The treatment is a three-antibody cocktail designed to target the Ebola virus glycoprotein. The drug was first approved for clinical use in October 2020, but its exact mechanism of action had remained unclear. In a cover story for Cell Host & Microbe, the LJI researchers presented a high-resolution, 3D structure of the three antibodies as they bind to the Ebola virus glycoprotein (the viral protein that launches Ebola virus infection). This model revealed new information about both the drug and the virus, and how their interaction fights infection and protects against future viral mutations.

Research into Ebola virus therapies continues. In 2024, Dr. Saphire and Reika Wanatable, Ph.D., both members of LJI’s Center for Vaccine Innovation, share the first detailed, complete images of a viral structure called the Ebola virus nucleocapsid. This breakthrough may accelerate the development of antivirals that target this viral structure to combat several filoviruses at once.

Learn more:

LJI Center for Vaccine Innovation

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Labs

Jul 8, 2020
Saphire Lab

Erica Ollmann Saphire, Ph.D., MBA, studies, at the molecular level, how and why viruses are pathogenic. This work provides the roadmap for medical defense.

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Erica Ollmann Saphire, Ph.D., MBA
Professor, President & Chief Executive Officer
Center for Autoimmunity and Inflammation, Center for Cancer Immunotherapy, Center for Sex-based Differences in the Immune System, Center for Vaccine Innovation