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Pathogen Intelligence
§10

CLINICAL RESEARCH HUB.

PATHOGEN MOLECULAR MAPPING // CONTINUOUS SIGNAL INTELLIGENCE

A Randomized, Controlled Trial of Ebola Virus Disease Therapeutics

Mulangu S et al.·The New England Journal of Medicine·2019

A landmark multi-center trial in the DRC evaluating four experimental therapies: ZMapp, remdesivir, mAb114, and REGN-EB3. Results established a new standard of care for Ebola therapeutics.

TherapeuticsmAbsPALM Trial
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Efficacy and effectiveness of an rVSV-vectored vaccine in Guinea

Henao-Restrepo AM et al.·The Lancet·2017

Final results from the cluster-randomized ring vaccination trial in Guinea, providing definitive evidence of the high efficacy and effectiveness of the rVSV-ZEBOV vaccine.

VaccineRing VaccinationrVSV-ZEBOV
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Safety, pharmacokinetics, and immunogenicity of REGN-EB3: a randomised, first-in-human phase 1 study

Sivapalasingam S et al.·The Lancet Infectious Diseases·2019

A double-blind, placebo-controlled, first-in-human study of REGN-EB3, demonstrating that the co-formulated cocktail is safe and well-tolerated in healthy adults.

TherapeuticsmAbsPhase 1
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Ebanga (mAb114) Isolation and Structural Neutralization Mapping

Corti D et al.·Science / FDA Data·2020

Structural and functional analysis of mAb114, a human monoclonal antibody isolated from a 1995 Kikwit outbreak survivor, showing potent neutralization of Zaire Ebolavirus.

TherapeuticsEbangaGenomic
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Genomic Surveillance Elucidates Ebola Virus Origin and Transmission

Gire SK et al.·Science·2014

Phylogenetic analysis of 99 Ebola virus genomes from the 2014 West Africa outbreak, tracing the viral lineage and mutation rate during human-to-human transmission.

GenomicEpidemiologyOutbreak
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Favipiravir in patients with Ebola virus disease (JIKI Trial)

Sissoko D et al.·PLOS Medicine·2016

An open-label proof-of-concept trial in Guinea evaluating the efficacy of favipiravir in reducing mortality in patients with high and moderate viral loads.

TherapeuticsAntiviralJIKI
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Persistence of Ebola Virus in Survivors (PREVAIL III)

Prevail III Study Team·The New England Journal of Medicine·2016

Longitudinal study analyzing the persistence of Ebola virus RNA in the semen and ocular fluids of male survivors, defining long-term spillover risks.

PersistenceEpidemiologySurvivors
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Antibody persistence after single-dose rVSV-ZEBOV vaccination: an observational cohort study

Huttner A et al.·The Lancet Infectious Diseases·2018

A multi-center cohort study evaluating the durability of Ebola virus glycoprotein-specific antibody responses, providing critical data for long-term immunization strategies.

VaccineImmunityPersistence
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Ebola virus disease and pregnancy: a review of current knowledge of maternal and neonatal outcomes

Bebell LM et al.·Birth Defects Research·2017

A comprehensive review of the clinical course and outcomes of EVD in pregnant women, characterizing the high mortality rates and risks to fetal development.

EpidemiologyPregnancyMaternal Health
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Disability Among Ebola Survivors and Their Close Contacts in Sierra Leone

Jagadesh S et al.·Clinical Infectious Diseases·2018

A case-controlled study characterizing the long-term physical and cognitive disabilities experienced by survivors of the 2014 West Africa epidemic.

EpidemiologySurvivorsDisability
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Ebola Outbreak Response in the DRC with rVSV-ZEBOV-GP Ring Vaccination

Kinganda-Lusamaki E et al.·The New England Journal of Medicine·2024

Real-world evidence from the 2018–2020 DRC outbreak confirming the protective efficacy of ring vaccination in complex emergency settings.

VaccineDRC OutbreakRing Vaccination
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Development and Field Validation of a Rapid Diagnostic Test for Ebola Virus

Broadhurst MJ et al.·The Lancet·2015

Validation of a point-of-care rapid diagnostic test (RDT) demonstrating high sensitivity and specificity in mobile laboratory environments.

EpidemiologyDiagnosticField Test
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§10B

CLINICAL GENOMICS REGISTRY.

EXPANDED 25-GENE MOLECULAR PATHWAY REGISTRY // IN-SILICO EPIGENETIC MAPPING

SymbolLocus Lbl / Full NamePathway LayerRegulatory Mechanism & RoleDef. Wt
NR3C1
NR3C1
Glucocorticoid Receptor
HPA Axis RegulationCortisol receptor sensitivity and glucocorticoid signaling cascade.91%
FKBP5
FKBP5
FK506 Binding Protein 5
HPA Axis RegulationNegative regulator of glucocorticoid receptor activity. Stress-sensitive polymorphism.85%
CRH
CRH
Corticotropin-Releasing Hormone
HPA Axis RegulationPrimary upstream activator of the HPA stress cascade from the hypothalamus.88%
CRHR1
CRHR1
CRH Receptor 1
HPA Axis RegulationMediates CRH signal at pituitary; controls ACTH release amplitude.82%
POMC
POMC
Pro-opiomelanocortin
HPA Axis RegulationPrecursor to ACTH, MSH, and endorphins. Central metabolic-stress node.79%
HSD11B1
HSD11B1
11β-Hydroxysteroid Dehydrogenase 1
HPA Axis RegulationRegenerates active cortisol in peripheral tissues; key in metabolic syndrome.76%
AVP
AVP
Arginine Vasopressin
HPA Axis RegulationSynergistic HPA activator; potentiates CRH-driven ACTH release under chronic stress.73%
SOD1
SOD1
Superoxide Dismutase 1 (Cu/Zn)
Oxidative Stress PathwayPrimary cytoplasmic ROS scavenger. Converts superoxide to H₂O₂.87%
SOD2
SOD2
Superoxide Dismutase 2 (Mn)
Oxidative Stress PathwayMitochondrial ROS defense. Critical for oxidative phosphorylation integrity.89%
GPX1
GPX1
Glutathione Peroxidase 1
Oxidative Stress PathwayReduces H₂O₂ and lipid hydroperoxides using glutathione as cofactor.84%
CAT
CAT
Catalase
Oxidative Stress PathwayDecomposes H₂O₂ to water and oxygen in peroxisomes. High-flux antioxidant.81%
NFE2L2
NFE2L2
Nuclear Factor Erythroid 2-Related Factor 2 (NRF2)
Oxidative Stress PathwayMaster transcription factor for antioxidant gene programs (HMOX1, NQO1).93%
HMOX1
HMOX1
Heme Oxygenase 1
Oxidative Stress PathwayCytoprotective enzyme; degrades pro-oxidant heme to biliverdin, CO, and iron.78%
TXNRD1
TXNRD1
Thioredoxin Reductase 1
Oxidative Stress PathwayMaintains thioredoxin in reduced state; selenium-dependent antioxidant enzyme.75%
PRDX3
PRDX3
Peroxiredoxin 3
Oxidative Stress PathwayMitochondria-specific H₂O₂ scavenger; regulates apoptosis and mtROS levels.72%
MTHFR
MTHFR
Methylenetetrahydrofolate Reductase
Methylation CycleRate-limiting enzyme for methyl group production. C677T variant reduces activity 70%.94%
DNMT1
DNMT1
DNA Methyltransferase 1
Methylation CycleMaintenance methyltransferase; preserves methylation patterns through cell division.86%
DNMT3A
DNMT3A
DNA Methyltransferase 3 Alpha
Methylation CycleDe novo methyltransferase; establishes new epigenetic marks during development and stress.83%
TET2
TET2
Ten-Eleven Translocation 2
Methylation CycleCatalyzes 5-mC to 5-hmC conversion; active DNA demethylation pathway.80%
MECP2
MECP2
Methyl CpG Binding Protein 2
Methylation CycleReads methylated DNA; coordinates neuronal gene silencing and chromatin architecture.77%
PER3
PER3
Period Circadian Regulator 3
Core PhenotypicSuprachiasmatic nucleus entrainment. Controls sleep-onset latency and delta-wave amplitude.90%
COMT
COMT
Catechol-O-Methyltransferase
Core PhenotypicPrefrontal cortex dopamine clearance efficiency. Val158Met polymorphism modulates cognitive flux.88%
IGF1
IGF1
Insulin-like Growth Factor 1
Core PhenotypicSystemic protein synthesis flux and muscle proteostasis. Growth hormone downstream effector.85%
FTO
FTO
Fat Mass and Obesity Associated
Core PhenotypicGlycemic homeostasis efficiency and mitochondrial oxidative phosphorylation throughput.82%
BDNF
BDNF
Brain-Derived Neurotrophic Factor
Core PhenotypicSynaptic plasticity modulator. Val66Met variant reduces activity-dependent secretion ~30%.87%
Total: 25 Loci DefinedHPA: 7Oxidative: 8Methylation: 5Core: 5EPIGENETIC ENGINE S3.1 ✓
§10C

INFERENCE PROBABILITY SPECTRUM.

PROBABILISTIC GENE ACTIVATION SPECTRUM // EBOLA VECTOR MAPPING

PROBABILISTIC INFERENCE ENGINE ACTIVE

Real-time activation thresholds computed using GENE_LIBRARY weights & selected Ebolavirus Strain Severity.

Select Pathogen:
PER3(Period Circadian Regulator 3)
Core Phenotypic58%
COMT(Catechol-O-Methyltransferase)
Core Phenotypic71%
IGF1(Insulin-like Growth Factor 1)
Core Phenotypic51%
FTO(Fat Mass and Obesity Associated)
Core Phenotypic76%
BDNF(Brain-Derived Neurotrophic Factor)
Core Phenotypic72%
NR3C1(Glucocorticoid Receptor)
HPA Axis76%
MTHFR(Methylenetetrahydrofolate Reductase)
Methylation79%
IL6()
74%
Circadian (PER3)
Cognitive (COMT)
Physical (IGF1)
Metabolic (FTO)
Mood (BDNF)
Stress (NR3C1)
Methylation (MTHFR)
Core (IL6)
Red line = Trigger Threshold (60%)