Coronavirus research at Fraunhofer ITEM

Fraunhofer vs. Corona: Medical research on SARS-CoV-2

Fight against corona: what we have achieved

Research in the field of infectious diseases became particularly important with the outbreak of the SARS-CoV-2 pandemic.

Drugs, diagnostics, devices and data are the four major areas of medical science. In the additional thematic area "New normal", changes in people’s social behavior during or after the pandemic are addressed, e.g. the question as to how to deal with aerosols.

Fraunhofer ITEM initiated or participated in a total of 21 projects with a total volume of 9.1 million euros from 2020 to 2022. These projects have been financed or contracted by industry, public or Fraunhofer internal funds.

Our focuses

  • Better understanding of SARS-CoV-2 infectivity and transmissibility including aerosols containing viruses
  • Development of corona-specific active and passive vaccines
  • Evaluation of the safety and efficacy of therapeutics for treating COVID-19

Publications

Please find at the bottom of this page all corona-related publications by Fraunhofer ITEM researchers.

Project insights

As part of the Knowember of Science 2021, our researchers presented Fraunhofer ITEM corona research projects. Click below for further information in German language.

Fight against corona: overview of current projects

Learn more about Fraunhofer ITEM projects and activities that are related to dealing with the coronavirus pandemic.

Aiming to protect lung tissue: investigating inhaled administration of angiotensin-(1-7) to COVID-19 patients with acute lung injury

SARS coronavirus-2 enters human cells through binding of its spike protein to the ACE-2 receptor on the cell surface. This leads to reduced production of angiotensin-(1-7). In the lungs, this endogenous peptide has a protective effect on lung tissue. Lack of this peptide may be a cause of the severe damage seen in the lungs of COVID-19 patients. The aim of a project studying inhalation of MAS receptor agonists by COVID-19 patients with acute lung injury is to investigate inhaled administration of angiotensin-(1-7) as a therapeutic option and to find out whether well-timed inhalation of this peptide can prevent severe lung injury. Fraunhofer ITEM is a partner in this project. With decades of experience and international reputation in the field of inhalation toxicology, the institute is in charge of the preclinical inhalation toxicology studies to be performed under GLP conditions.

The German Federal Ministry of Education and Research (BMBF) is funding the whole project with about 4 million euros. It is one of eight BMBF projects in the funding program “Research and development of urgently needed therapeutics against SARS-CoV-2.”

Our contacts: Prof. Armin Braun, Dr. Dorothee Winterberg

Partners: EXPLICAT Pharma GmbH (coordinator), ABX advanced biochemical compounds GmbH, Ulm University, NEBU-TEC med. Produkte Eike Kern GmbH, Universidade Federal de Minas Gerais (Brazil), Wacker Chemie AG, Medical Center – University of Freiburg, Fraunhofer ITEM.

Development of a drug screening pipeline for discovery of novel COVID-19 therapeutics

Currently, there are no effective drugs available to fight SARS coronavirus-2 (SARS-CoV-2) and the associated disease, COVID-19. The working group on High-Throughput Drug and Target Discovery at Fraunhofer ITEM in Regensburg is cooperating with partners from the University of Regensburg and the company 2bind GmbH, aiming to identify drug candidates that specifically inhibit packaging of the SARS-CoV-2 genome into virus particles and thereby prevent replication of the virus. The project will be funded by the Bavarian Research Foundation for a period of one year, starting in December 2020.

Read the news of December 16, 2020: Development of a drug screening pipeline for discovery of novel COVID-19 therapeutics

Our contact: Dr. Kamran Honarnejad

BEAT-COVID: Advanced therapy strategies against the pandemic

The present SARS-coronavirus-2 pandemic with all its effects on society – both health and economic – highlights the urgency of developing new therapies for COVID-19 treatment. At the same time, it demonstrates the necessity to become well prepared for new virus infections we may be facing in the future. To help control the current pandemic and brace for novel pathogens that may cause future pandemics, Fraunhofer researchers have initiated the project BEAT-COVID to develop independent novel therapy strategies and build up platform technologies that will enable rapid and targeted development of new drugs against as yet unknown pathogens that may emerge. Based on their expertise in preclinical and clinical drug development, five Fraunhofer Institutes and cooperating universities, coordinated by Fraunhofer ITEM, want to address the following objectives: prevent the virus from entering host cells, combat the virus itself, and control the excessive immune response triggered by the virus.

Read the press release of October 19, 2020: BEAT-COVID – advanced therapy strategies against the pandemic

Project partners: Fraunhofer IZI, Fraunhofer ISC, Fraunhofer IAP, Fraunhofer IZM

Our contact: Prof. Jens Hohlfeld

Corona-Access: Establishing a lung tissue-based SARS-CoV-2 infection model for drug research and testing in S2 laboratories

Research on SARS-CoV-2 and efficacy testing of candidate drugs against this virus using lung infection models with the active virus can be performed only in safety level 3 (S3) laboratories. Not all research institutions, however, have access to S3 laboratories, and working under S3 conditions is very challenging. In this project, virus-like particles will be used for a SARS-CoV-2 infection model that will allow work in this context to be performed at the lower safety level 2. For efficacy testing of drug candidates that might be used for COVID-19 treatment, the Fraunhofer ITEM scientists want to use tissue slices from human lung explants, also referred to as precision-cut lung slices (PCLS). These slices remain viable for several days in ex-vivo cultures and perfectly mimic the natural responses of the lung. To allow the tests to be performed under S2 conditions, the scientists will use virus-like particles (VLPs), which are non-infectious. VLPs are virus particles that have the spike protein of SARS-CoV-2 on their surface and are thus able to enter the host cell, however, they are unable to replicate in the cell and therefore cannot produce infectious virus particles. Using VLPs, the initial SARS-CoV-2 infection can be mimicked under S2 conditions in in-vitro and ex-vivo models, such as human precision-cut lung slices (PCLS).  This model will be used to test drug candidates for COVID-19 treatment and also to study risk factors for severe courses of COVID-19 in vulnerable patient groups.

Our contact: Dr. Sabine Wronski

DRECOR: Development of new inhalation therapies by drug repurposing

The current global health emergency caused by the SARS-CoV-2 pandemic poses an urgent need for vaccines and drugs to prevent infections and manage COVID-19. By drug repurposing, i.e. by using existing active agents with known safety profiles or drugs approved already for treating other diseases or conditions for new therapeutic purposes, Fraunhofer scientists are aiming to quickly identify drugs and develop therapies for COVID-19 treatment. This approach is used in the DRECOR project, addressing above all the following goals: First of all, the scientists want to identify suitable candidate molecules targeting the lungs and airways and formulate these for inhaled or systemic administration. For inhaled administration of these drugs, a prototype of a smart medical device for use in clinical trials will be created in addition. Furthermore, the team will set up complex in-vitro models and test systems that will also be available for use in other projects targeting different therapeutic areas. In the long run, DRECOR is aimed at establishing a multidisciplinary drug formulation and delivery network and process, so as to be better prepared for future pandemics. Seven Fraunhofer Institutes are collaborating in the DRECOR project, coordinated by Fraunhofer IME.

Project partners: Fraunhofer IME, Fraunhofer IGB, Fraunhofer ISC, Fraunhofer EMFT, Fraunhofer Project Center for Drug Discovery and Delivery at Hebrew University of Jerusalem (Israel)

Our contacts: Prof. Armin Braun, Dr. Gerhard Pohlmann

iCAIR® makes use of synergies to develop new medications against SARS-CoV-2

With its rapid spread around the world, the coronavirus SARS-CoV-2 has triggered a public health emergency of international concern. To date, there is neither a vaccine nor drugs for treating COVID-19 patients available. Researchers of the international consortium iCAIR® are working on the development of novel anti-infective agents to treat or prevent clinically significant diseases of the respiratory tract caused by viruses, fungi and bacteria – and they recently started a project aimed at developing medications to combat the coronavirus SARS-CoV-2.

Read the press release of May 7, 2020: Fraunhofer Research consortium iCAIR® makes use of synergies to develop new medications against SARS-CoV-2

Read the interview: Prof. Braun and Prof. von Itzstein about the challenge of finding an effective drug against the coronavirus SARS-CoV-2

Go to the iCAIR® website 

Project partners:  Hannover Medical School , Helmholtz Centre for Infection Research (HZI) in Braunschweig, Institute for Glycomics at Griffith University in Gold Coast, Australia

Our contacts: Dr. Jana Führing, Prof. Armin Braun

Immunovid‐19: Preventing SARS-CoV-2 from entering cells

There are different therapeutic targets for SARS-CoV-2 infection. One approach is to prevent the virus from entering host cells. This is the development concept Fraunhofer ITEM and Helmholtz-Zentrum Dresden-Rossendorf as a partner are pursuing in the project Immunovid‐19. The partners have joined forces to develop a therapeutic approach aiming to prevent the coronavirus SARS-CoV-2 from entering cells by means of a fusion protein, using the soluble form of the ACE2 protein. The scientists are currently developing a recombinant CHO production cell line for manufacturing of the fusion protein.

Project partner: Helmholtz-Zentrum Dresden-Rossendorf

Our contact: Dr. Corinna Lüer

InnoCoV – automation technologies in medical research

As a pioneer in applied research, the Fraunhofer-Gesellschaft is bringing together the expertise of 23 Fraunhofer Institutions to develop new development and production technologies for innovative cell and gene therapeutics, as well as vaccines, in the “Production for Intelligent Medicine” innovation cluster.

The most recent case of the COVID-19 pandemic once again has shown the tremendous challenges which arise in the context of the development and subsequent production of specific vaccines to respond to novel health risks. To help contain the pandemic, researchers of the Fraunhofer ITEM division of Pharmaceutical Biotechnology have designed a completely new production strategy for a coronavirus vaccine, which shortens the process development time for the production of investigational medicinal products for clinical trials down to a few months – in contrast to the usual 1.5 to 2 years.

In addition, Fraunhofer ITEM is bringing in its comprehensive know-how on the biology, production, and differentiation of stem cells and on lung macrophages. Within this project, quality characteristics and risk profiles will be developed for these cell types and then be used as a basis for automated production processes.

Read the news of August 18, 2020: Fraunhofer relies on automation technologies in medical research

Project partners: 23 Fraunhofer Institutions

New coronavirus vaccine: Researchers of the Hannover Medical School and of Fraunhofer ITEM want to test the efficacy of an inhaled vaccine

Scientists around the world are seeking to develop additional vaccines against the coronavirus SARS-CoV-2. In Hannover (Germany), researchers of the Hannover Medical School (MHH) and of Fraunhofer ITEM are working on a vaccine that will not be injected but inhaled. In the clinical trial MVA, they now want to test the safety and tolerability of this new vaccine when used as a booster against COVID-19. Inhalation delivers the vaccine precisely to the target organ – the lungs, where the virus is particularly vicious. The trial is intended to provide insights into whether and to what extent the inhaled vaccine stimulates the immune system to produce antibodies that protect a person from infection with the SARS-CoV-2 virus. The vaccine is a vector vaccine based on a genetically inactivated smallpox virus that experts know as “Modified Vaccinia Virus Ankara”, MVA for short.

Read the press release of February 17, 2022: New coronavirus vaccine: Researchers of the Hannover Medical School and of Fraunhofer ITEM want to test the efficacy of an inhaled vaccine

Project partner: Hannover Medical School

Our contact: Prof. Dr. Jens Hohlfeld

redCMC: Regulatory-technical shortcut for manufacturing of a passive vaccine against SARS-CoV-2

Before a new vaccine reaches the stage of clinical application, it has to go through defined development phases in line with regulatory and process-related technical requirements. Using a passive vaccine against SARS-CoV-2 as an example, the project partners are closely collaborating with Paul-Ehrlich-Institut to develop an approach aimed at drastically reducing the time required for bioprocess development and first GMP manufacturing of an investigational medicinal product for clinical trials – from previously more than 15 months to less than 6 months. This requires the partners to rethink both quality and regulatory aspects. The key element is an abridged bioprocessing and regulatory setup which, if it proves feasible and can be validated, would quickly provide access to a therapeutic solution – without compromising patient safety in any way. Should this regulatory-technical shortcut turn out to be successful, the principle could generally be used for the development of new biopharmaceuticals, thereby accelerating their translation from bench to bedside. In future pandemics, this would enable faster development of new vaccines.

Read the press release of February 1, 2021: Top-speed antibody development

Read the press release of November 18, 2020: Human antibody against COVID-19 ready for clinical trials

Project partners: CORAT Therapeutics, Paul-Ehrlich-Institut

RENACO: Pancreas drug nafamostat an option for COVID-19 treatment?

In the face of the pandemic spread of SARS-CoV-2 there is an urgent need for effective drugs and vaccines. To speed up the process, existing drugs that have already been approved for treatment of other conditions are tested for their efficacy against the new coronavirus. Scientists of the German Primate Center (DPZ) in Göttingen, Germany, and the Fraunhofer ITEM are now receiving 1.6 million euros from the German Federal Ministry of Education and Research (BMBF) for a collaborative project investigating the efficacy of nafamostat.

Read the news of March 4, 2021: Known drugs inhibit cell entry of SARS-CoV-2

Read the press release of July 31, 2020: Pancreas drug nafamostat an option for COVID-19 treatment?

Project partner: German Primate Center

Our contact: Prof. Armin Braun

Safe-AntiCorona: Pharmacokinetics and safety of monoclonal antibodies against SARS-CoV-2

Virus-specific, neutralizing antibodies derived from blood plasma of recovered COVID-19 patients are able to inactivate the SARS-CoV-2 virus, representing a promising treatment option for COVID-19. Classically, such antibodies or convalescent plasma, i.e. plasma from the blood of recovered patients, are administered intravenously. Since these neutralizing antibodies must specifically reach the site of SARS-CoV-2 infection, i.e. the lungs, one aim of this project is to clarify whether inhaled administration of neutralizing antibodies is a way to increase their concentration in the lung. Fraunhofer ITEM scientists are using the isolated perfused rat lung (IPL) model to investigate the safety, bioavailability and kinetics of such a neutralizing antibody against SARS-CoV-2. This method represents an alternative ex-vivo organ model and offers the possibility to measure important lung function parameters (tidal volume, compliance and resistance). In this way, acute adverse effects after antibody administration can be identified without using animal experiments.

Our contact: Dr. Christina Hesse

Repurposing of Aloxistatin

Infection with SARS-CoV-2 can lead to severe courses of COVID-19. Effective therapies that limit mortality from this disease and thereby also help maintain a well-functioning healthcare system continue to be in high demand. Aloxistatin (E64D) is a cysteine protease inhibitor that has been known for many decades and was originally developed for treating neurodegenerative diseases and muscular dystrophy. In addition, Aloxistatin has shown efficient inhibition of SARS-CoV-2 replication in in-vitro experiments, making this drug, which has already undergone clinical testing, a candidate for drug repurposing for COVID-19 treatment.

Under the BMBF funding call "Investigation of COVID-19 following the outbreak of SARS-CoV-2", inhalation toxicology studies under GLP conditions were performed at Fraunhofer ITEM to prepare for regulatory approval of the cysteine protease inhibitor Aloxistatin.  The studies included safety pharmacological and histopathological endpoints as well as blood tests. Given the successful toxicological characterization of Aloxistatin, a phase-I inhalation trial with Aloxistatin in healthy volunteers has now been initiated at the University Medical Center Freiburg im Breisgau, Germany.

SARS-CoV-2 infections can also affect the heart

MicroRNA biomarkers detected in critically ill COVID-19 patients

Infections with the coronavirus SARS-CoV-2 not only cause stress on the lungs. The virus also massively affects the cardiovascular system. A research group led by Prof. Dr. Dr. Thomas Thum, director of Fraunhofer ITEM and of the Institute for Molecular and Translational Therapy Strategies at the Hannover Medical School (MHH), has detected micro-RNA biomarkers in seriously ill COVID-19 patients that have also been associated with inflammatory processes in heart diseases. In collaboration with the MHH Departments of Cardiology and Angiology and of Pneumology, the research team examined blood samples from COVID-19 patients who were treated and ventilated in intensive care. For comparison, the researchers also examined the blood of flu patients with acute respiratory distress syndrome, who also had to be ventilated, as well as blood samples from a healthy control group. The concentration of the microRNA markers in blood serum of the COVID-19 patients was significantly higher than in healthy individuals. Interestingly, it also differed significantly from the values found in the seriously ill and mechanically ventilated influenza ARDS patients. The researchers now want to find out whether the microRNA markers enable prediction of the course of the disease. In addition, microRNAs could provide new therapeutic targets in the fight against COVID-19.

Read the publication: Circulating cardiovascular microRNAs in critically ill COVID-19 patients

Project partner: Hannover Medical School 

Our contact: Prof. Thomas Thum

Filter4Flow: Intelligent viral filter for SARS-CoV-2 patients

Patients experiencing a severe course of COVID-19 often require ventilation, some of them with a non-invasive method, others in an intensive care unit. In either case, the patient's lung function and respiratory parameters have to be monitored. Patients and also the health-care staff should be provided with the best possible protection from a viral infection. An intelligent viral filter for use with both non-invasive and invasive ventilation is aimed at enabling this high level of protection. In the project Filter4Flow, Fraunhofer scientists are collaborating with the companies Aircontrols, ELK and Christoph Manegold MT-Consult to develop such a smart viral filter – a novel combination of fast sensor elements for measuring the flow rate, pressure and inhaled gas and a viral filter. The signals are digitized and transmitted quickly and wirelessly to a ventilation or patient monitoring system (e.g. an app). The intelligent viral filter allows precise, reliable and at the same time cost-effective breath monitoring in numerous patients, while also providing a filter function that protects both patients and staff from infection. This can help prevent the dreaded shortage of ventilation resources.

Project partners: Fraunhofer IST, Fraunhofer IIS, Aircontrols, ELK, Christoph Manegold MT-Consult

Our contact: Dr. Gerhard Pohlmann

Give a Breath challenge: Non-invasive ventilator for COVID-19 patients

In the global call for ideas "Give-a-Breath Challenge", Munich Re and Fraunhofer started seeking concepts and ideas for emergency ventilation systems and related equipment in March 2020. The subchallenge for ventilators was won by two teams – one is the team SmartCPAP: Fraunhofer IAPT and ITEM together with AC Aircontrols GmbH. The team developed a non-invasive ventilator that can be produced inexpensively anywhere and used in a wide range of conditions. The device has some special features that make it particularly suitable for COVID-19 patients. For example, it assists patients very flexibly and spontaneously with breathing both in and out, thereby providing support for as long as possible without intubation. The SmartCPAP can work with oxygen from various different sources and also has features that save oxygen. A plan for working with Stellenbosch University in South Africa to pilot the equipment designed has already been developed.

Go to website of the Give a Breath challenge

Project partners: Fraunhofer IAPT, AC Aircontrols GmbH, Munich RE

Our contact: Dr. Gerhard Pohlmann

New coronavirus vaccine: Researchers of the Hannover Medical School and of Fraunhofer ITEM want to test the efficacy of an inhaled vaccine

Scientists around the world are seeking to develop additional vaccines against the coronavirus SARS-CoV-2. In Hannover (Germany), researchers of the Hannover Medical School (MHH) and of Fraunhofer ITEM are working on a vaccine that will not be injected but inhaled. In the clinical trial MVA, they now want to test the safety and tolerability of this new vaccine when used as a booster against COVID-19. Inhalation delivers the vaccine precisely to the target organ – the lungs, where the virus is particularly vicious. The trial is intended to provide insights into whether and to what extent the inhaled vaccine stimulates the immune system to produce antibodies that protect a person from infection with the SARS-CoV-2 virus. The vaccine is a vector vaccine based on a genetically inactivated smallpox virus that experts know as “Modified Vaccinia Virus Ankara”, MVA for short.

Read the press release of February 17, 2022: New coronavirus vaccine: Researchers of the Hannover Medical School and of Fraunhofer ITEM want to test the efficacy of an inhaled vaccine

Project partner: Hannover Medical School

Our contact: Prof. Dr. Jens Hohlfeld

Development of a drug screening pipeline for discovery of novel COVID-19 therapeutics

Currently, there are no effective drugs available to fight SARS coronavirus-2 (SARS-CoV-2) and the associated disease, COVID-19. The working group on High-Throughput Drug and Target Discovery at Fraunhofer ITEM in Regensburg is cooperating with partners from the University of Regensburg and the company 2bind GmbH, aiming to identify drug candidates that specifically inhibit packaging of the SARS-CoV-2 genome into virus particles and thereby prevent replication of the virus. The project will be funded by the Bavarian Research Foundation for a period of one year, starting in December 2020.

Read the news of December 16, 2020: Fraunhofer relies on automation technologies in medical research

Our contact: Dr. Kamran Honarnejad

AVATOR – Anti-Virus-Aerosol: Testing, Operation, Reduction

Scientists assumed for quite some time that the coronavirus is transmitted primarily by droplet infection – that is, through larger droplets and particles. There are, however, findings clearly suggesting that tiny exhaled droplets which are smaller than 10 µm in diameter and remain airborne for a long time – referred to as aerosols – may cause infections, if they are loaded with viruses. In the project AVATOR (Anti-Virus-Aerosol: Testing, Operation, Reduction), scientists are, therefore, investigating how to monitor and reduce the risk of infection from aerosol-borne virus in indoor areas. In addition to simulation-based methods for air dispersion assessment, the project is also aimed at developing air purification technologies involving both trapping and inactivation of the virus. This will serve as a basis for deriving hygiene concepts for different applications. The results of this project will be beneficial to all operators of indoor spaces – in particular means of transport such as airplanes or trains as well as production facilities and meeting rooms, but also classrooms and open-plan offices shall be addressed.

Go to the project website

Read the news of August 12, 2021: Tracking down aerosols

Project partners: Fraunhofer IBP, Fraunhofer EMI, Fraunhofer ITWM, Fraunhofer ICT, Fraunhofer LBF, Fraunhofer IAP, Fraunhofer IMM, Fraunhofer IFF, Fraunhofer IPM, Fraunhofer IGD, Fraunhofer IFAM, Fraunhofer IGB

Our contact: Dr. Annette Bitsch

iCAIR® makes use of synergies to develop new medications against SARS-CoV-2

With its rapid spread around the world, the coronavirus SARS-CoV-2 has triggered a public health emergency of international concern. To date, there is neither a vaccine nor drugs for treating COVID-19 patients available. Researchers of the international consortium iCAIR® are working on the development of novel anti-infective agents to treat or prevent clinically significant diseases of the respiratory tract caused by viruses, fungi and bacteria – and they recently started a project aimed at developing medications to combat the coronavirus SARS-CoV-2.

Read the press release of May 7, 2020: Fraunhofer research consortium iCAIR® makes use of synergies to develop new medications against SARS-CoV-2

Read the interview: Prof. Braun and Prof. von Itzstein about the challenge of finding an effective drug against the coronavirus SARS-CoV-2

Go to the iCAIR® website 

Project partners:  Hannover Medical School, Helmholtz Centre for Infection Research in Braunschweig, Institute for Glycomics at Griffith University in Gold Coast, Australia

Our contacts: Dr. Jana Führing, Prof. Armin Braun

InnoCoV – automation technologies in medical research

As a pioneer in applied research, the Fraunhofer-Gesellschaft is bringing together the expertise of 23 Fraunhofer institutions to develop new development and production technologies for innovative cell and gene therapeutics, as well as vaccines, in the “Production for Intelligent Medicine” innovation cluster.

The most recent case of the COVID19 pandemic once again has shown the tremendous challenges which arise in the context of the development and subsequent production of specific vaccines to respond to novel health risks. To help contain the pandemic, researchers of the Fraunhofer ITEM division of Pharmaceutical Biotechnology have designed a completely new production strategy for a coronavirus vaccine, which shortens the process development time for the production of investigational medicinal products for clinical trials down to a few months – in contrast to the usual 1.5 to 2 years.

In addition, Fraunhofer ITEM is bringing in its comprehensive know-how on the biology, production, and differentiation of stem cells and on lung macrophages. Within this project, quality characteristics and risk profiles will be developed for these cell types and then be used as a basis for automated production processes.

Read the news of August 18, 2020: Fraunhofer relies on automation technologies in medical research

Project partners: 23 Fraunhofer Institutions

SARS-CoV-2 infections can also affect the heart

MicroRNA biomarkers detected in critically ill COVID-19 patients

Infections with the coronavirus SARS-CoV-2 not only cause stress on the lungs. The virus also massively affects the cardiovascular system. A research group led by Prof. Dr. Dr. Thomas Thum, director of Fraunhofer ITEM and of the Institute for Molecular and Translational Therapy Strategies at the Hannover Medical School (MHH), has detected micro-RNA biomarkers in seriously ill COVID-19 patients that have also been associated with inflammatory processes in heart diseases. In collaboration with the MHH Departments of Cardiology and Angiology and of Pneumology, the research team examined blood samples from COVID-19 patients who were treated and ventilated in intensive care. For comparison, the researchers also examined the blood of flu patients with acute respiratory distress syndrome, who also had to be ventilated, as well as blood samples from a healthy control group. The concentration of the microRNA markers in blood serum of the COVID-19 patients was significantly higher than in healthy individuals. Interestingly, it also differed significantly from the values found in t the influenza ARDS patients. The researchers now want to find out whether the microRNA markers enable prediction of the course of the disease. In addition, microRNAs could provide new therapeutic targets in the fight against COVID-19.

Read the publication: Circulating cardiovascular microRNAs in critically ill COVID-19 patients

Project partner: Hannover Medical School 

Our contact: Prof. Thomas Thum

AVATOR – Anti-Virus-Aerosol: Testing, Operation, Reduction

Scientists assumed for quite some time that the coronavirus is transmitted primarily by droplet infection – that is, through larger droplets and particles. There are, however, findings clearly suggesting that tiny exhaled droplets which are smaller than 10 µm in diameter and remain airborne for a long time – referred to as aerosols – may cause infections, if they are loaded with viruses. In the project AVATOR (Anti-Virus-Aerosol: Testing, Operation, Reduction), scientists are, therefore, investigating how to monitor and reduce the risk of infection from aerosol-borne virus in indoor areas. In addition to simulation-based methods for air dispersion assessment, the project is also aimed at developing air purification technologies involving both trapping and inactivation of the virus. This will serve as a basis for deriving hygiene concepts for different applications. The results of this project will be beneficial to all operators of indoor spaces – in particular means of transport such as airplanes or trains as well as production facilities and meeting rooms, but also classrooms and open-plan offices shall be addressed.

Go to the project website

Read the news of October 12, 2021: Indoor air: how to eliminate viruses effectively

Read the news of August 12, 2021: Tracking down aerosols

Project partners: Fraunhofer IBP, Fraunhofer EMI, Fraunhofer ITWM, Fraunhofer ICT, Fraunhofer LBF, Fraunhofer IAP, Fraunhofer IMM, Fraunhofer IFF, Fraunhofer IPM, Fraunhofer IGD, Fraunhofer IFAM, Fraunhofer IGB

Our contact: Dr. Annette Bitsch

CoClean-up: Controlling the spread of SARS-CoV-2 by means of highly efficient indoor air disinfection

Tiny droplets, also referred to as aerosols, in the exhaled breath of infected individuals are considered the main vector spreading the coronavirus SARS-CoV-2. In the project CoClean-up, we are assisting Fraunhofer IKTS in developing a system for purification of the air extracted from enclosed indoor spaces. The system is based on electrochemical total oxidation, a technology allowing complete elimination of organic substance. This treatment also makes sure that no endotoxins or other substances resulting from incomplete degradation of airborne pollutants can get into the indoor air, in particular in ventilated or air-conditioned indoor areas. After successful development of a prototype, the scientists intend to rapidly proceed with system optimization and integration as well as scale-up, and pursue the launch into the market. This highly efficient indoor air disinfection technology shall also be used in the future to prevent viruses from spreading.

Read the press release of March 1, 2021: New type of ventilator for virus-free air

Project partner: Fraunhofer Institute for Ceramic Technologies and Systems IKTS

Our contact: Dr. Katharina Schwarz

Filter4Flow: Intelligent viral filter for SARS-CoV-2 patients

Patients experiencing a severe course of COVID-19 often require ventilation, some of them with a non-invasive method, others in an intensive care unit. In either case, the patient's lung function and respiratory parameters have to be monitored. Patients and also the health-care staff should be provided with the best possible protection from a viral infection. An intelligent viral filter for use with both non-invasive and invasive ventilation is aimed at enabling this high level of protection. In the project Filter4Flow, Fraunhofer scientists are collaborating with the companies Aircontrols, ELK and Christoph Manegold MT-Consult to develop such a smart viral filter – a novel combination of fast sensor elements for measuring the flow rate, pressure and inhaled gas and a viral filter. The signals are digitized and transmitted quickly and wirelessly to a ventilation or patient monitoring system (e.g. an app). The intelligent viral filter allows precise, reliable and at the same time cost-effective breath monitoring in numerous patients, while also providing a filter function that protects both patients and staff from infection. This can help prevent the dreaded shortage of ventilation resources.

Project partners: Fraunhofer IST, Fraunhofer IIS, Aircontrols, ELK, Christoph Manegold MT-Consult

Our contact: Dr. Gerhard Pohlmann

QUELLE: Tracking the risk of airborne infections – what is the role of aerosols?

According to the current state of knowledge, SARS-CoV-2 viruses and many other pathogens are transmitted primarily by droplet infection. To reduce the risk of infection, a broad range of legal and voluntary measures have been implemented, for example social distancing and the wearing of face masks. An issue of constant debate is the transmission of viruses through exhaled aerosols – tiny (< 5 µm) liquid droplets that remain suspended in the air for a long time. Fraunhofer ITEM experts now intend to use existing, appropriate measurement techniques to systematically investigate the proportion of fine aerosol particles in exhaled air and whether the face masks currently in use provide efficient protection against exhaled aerosols. The researchers hope that their results will contribute to a better understanding of coronavirus transmission and will help to better assess the relevance, suitability and prioritization of corresponding protective measures, in particular in the health and geriatric care sectors. In addition, they aim to evaluate the efficiency of passive protective measures, such as ventilation of indoor areas.

Our contact: Dr. Katharina Schwarz

Publications

  • Badimon, L., Robinson, E. L., Jusic, A., Carpusca, I., de Windt, L. J., Emanueli, C., Ferdinandy, P., Gu, W., Gyongyosi, M., Hackl, M., Karaduzovic-Hadziabdic, K., Lustrek, M., Martelli, F., Nham, E., Potocnjak, I., Satagopam, V., Schneider, R., Thum, T., Devaux, Y., CA, E. U.-C. C. A. (2021). "Cardiovascular rna markers and artificial intelligence may improve covid-19 outcome: position paper from the eu-cardiorna cost action ca17129." Cardiovascular Research 117(8): 1823-1840. doi: 10.1093/cvr/cvab094 https://academic.oup.com/cardiovascres/advance-article/doi/10.1093/cvr/cvab094/6220322 - Open Access
  • Chapman, J. R., Baan, C. C., Bromberg, J., Emond, J. E., Geissler, E. K., Kaplan, B., Tullius, S. G. (2021). "COVID-19: A Year on." Transplantation 105(1): 1-3. doi: 10.1097/TP.0000000000003544 https://journals.lww.com/transplantjournal/Fulltext/2021/01000/COVID_19__A_Year_on.1.aspx - Open Access
  • Derda, A. A., Garg, A., Bar, C., Thum, T. (2021). "Reply to 'COVID-19 severity, miR-21 targets, and common human genetic variation'." European Journal of Heart Failure 23(11): 1987-1988. doi: 10.1002/ejhf.2322 https://onlinelibrary.wiley.com/doi/10.1002/ejhf.2322 - Open Access
  • Elrayess, M. A., Cyprian, F. S., Abdallah, A. M., Emara, M. M., Diboun, I., Anwardeen, N., Schuchardt, S., Yassine, H. M. (2022). Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity. Frontiers in Medicine 8. doi: 10.3389/fmed.2021.788687 https://www.frontiersin.org/articles/10.3389/fmed.2021.788687/full - Open Access
  • Garg, A., Seeliger, B., Derda, A. A., Xiao, K., Gietz, A., Scherf, K., Sonnenschein, K., Pink, I., Hoeper, M. M., Welte, T., Bauersachs, J., David, S., Bar, C., Thum, T. (2021). "Circulating cardiovascular microRNAs in critically ill COVID-19 patients." European Journal of Heart Failure 23(3): 468-475. doi: 10.1002/ejhf.2096 https://onlinelibrary.wiley.com/doi/10.1002/ejhf.2096 - Open Access
  • Glaab, T., Braun, A. (2021). "Noninvasive Measurement of Pulmonary Function in Experimental Mouse Models of Airway Disease." Lung 199(3): 255-261. doi: 10.1007/s00408-021-00443-9 https://link.springer.com/article/10.1007%2Fs00408-021-00443-9 - Open Access
  • Färber, I., Kruger, J., Rocha, C., Armando, F., von Kockritz-Blickwede, M., Pohlmann, S., Braun, A., Baumgartner, W., Runft, S., Kruger, N. (2022). Investigations on SARS-CoV-2 Susceptibility of Domestic and Wild Animals Using Primary Cell Culture Models Derived from the Upper and Lower Respiratory Tract. Viruses 14(4). doi: 10.3390/v14040828 https://www.mdpi.com/1999-4915/14/4/828 - Open Access
  • Friedrich, M., Pfeifer, G., Binder, S., Aigner, A., Vollmer Barbosa, P., Makert, G. R., Fertey, J., Ulbert, S., Bodem, J., Konig, E. M., Geiger, N., Schambach, A., Schilling, E., Buschmann, T., Hauschildt, S., Koehl, U., Sewald, K. (2022). Selection and Validation of siRNAs Preventing Uptake and Replication of SARS-CoV-2. Front Bioeng Biotechnol 10: 801870. doi: 10.3389/fbioe.2022.801870 https://www.frontiersin.org/articles/10.3389/fbioe.2022.801870/full - Open Access
  • Hempel, T., Elez, K., Krüger, N., Raich, L., Shrimp, J. H., Danov, O., Jonigk, D., Braun, A., Shen, M., Hall, M. D., Pöhlmann, S., Hoffmann, M., Noé, F. (2021). "Synergistic inhibition of SARS-CoV-2 cell entry by otamixaban and covalent protease inhibitors: pre-clinical assessment of pharmacological and molecular properties." Chemical Science 12(38): 12600-12609. doi: 10.1039/d1sc01494c https://pubs.rsc.org/en/content/articlelanding/2021/SC/D1SC01494C#!divAbstract - Open Access
  • Herrera, V. L. M., Walkey, A. J., Nguyen, M. Q., Gromisch, C. M., Mosaddhegi, J. Z., Gromisch, M. S., Jundi, B., Lukassen, S., Carstensen, S., Denis, R., Belkina, A. C., Baron, R. M., Pinilla-Vera, M., Mueller, M., Kimberly, W. T., Goldstein, J. N., Lehmann, I., Shih, A. R., Eils, R., Levy, B. D., Ruiz-Opazo, N. (2022). A targetable 'rogue' neutrophil-subset, [CD11b+DEspR+] immunotype, is associated with severity and mortality in acute respiratory distress syndrome (ARDS) and COVID-19-ARDS. Scientific Reports 12(1): 5583. doi: 10.1038/s41598-022-09343-1 https://www.nature.com/articles/s41598-022-09343-1 - Open Access
  • Hoffmann, M., Hofmann-Winkler, H., Smith, J. C., Krüger, N., Arora, P., Sørensen, L. K., Søgaard, O. S., Hasselstrøm, J. B., Winkler, M., Hempel, T., Raich, L., Olsson, S., Danov, O., Jonigk, D., Yamazoe, T., Yamatsuta, K., Mizuno, H., Ludwig, S., Noé, F., Kjolby, M., Braun, A., Sheltzer, J. M., Pöhlmann, S. (2021). "Camostat mesylate inhibits SARS-CoV-2 activation by TMPRSS2-related proteases and its metabolite GBPA exerts antiviral activity." EBioMedicine 65: 103255. doi: 10.1016/j.ebiom.2021.103255 https://www.sciencedirect.com/science/article/pii/S2352396421000487?via%3Dihub - Open Access
  • Lubnow, M., Schmidt, B., Fleck, M., Salzberger, B., Müller, T., Peschel, G., Schneckenpointner, R., Lange, T., Hitzenbichler, F., Kieninger, M., Lunz, D., Graf, B., Brochhausen, C., Weber, F., Lüke, F., Peterhoff, D., Schuster, P., Hiergeist, A., Offner, R., Hehr, U., Wallner, S., Hanses, F., Schmid, S., Weigand, K., Geismann, F., Poeck, H., Pukrop, T., Evert, M., Gessner, A., Burkhardt, R., Herr, W., Maier, L. S., Heudobler, D. (2021). "Secondary hemophagocytic lymphohistiocytosis and severe liver injury induced by hepatic SARS-CoV-2 infection unmasking Wilson's disease: Balancing immunosuppression." International Journal of Infectious Diseases 103: 624-627. doi: 10.1016/j.ijid.2020.12.047 https://www.sciencedirect.com/science/article/pii/S1201971220325716?via%3Dihub - Open Access
  • Pfaar, O., Bergmann, K. C., Bonini, S., Compalati, E., Domis, N., de Blay, F., de Kam, P. J., Devillier, P., Durham, S. R., Ellis, A. K., Gherasim, A., Haya, L., Hohlfeld, J. M., Horak, F., Iinuma, T., Jacobs, R. L., Jacobi, H. H., Jutel, M., Kaul, S., Kelly, S., Klimek, L., Larche, M., Lemell, P., Mahler, V., Nolte, H., Okamoto, Y., Patel, P., Rabin, R. L., Rather, C., Sager, A., Salapatek, A., Sigsgaard, T., Togias, A., Willers, C., Yang, J., Zieglmayer, R., Zuberbier, T., Zieglmayer, P. (2021). "Technical standards in allergen exposure chambers worldwide - an EAACI Task Force Report." Allergy 76(12): 3589-3612. doi: 10.1111/all.14957 https://onlinelibrary.wiley.com/doi/10.1111/all.14957 - Open Access
  • Rosano, G., Jankowska, E. A., Ray, R., Metra, M., Abdelhamid, M., Adamopoulos, S., Anker, S. D., Bayes-Genis, A., Belenkov, Y., Gal, T. B., Bohm, M., Chioncel, O., Cohen-Solal, A., Farmakis, D., Filippatos, G., Gonzalez, A., Gustafsson, F., Hill, L., Jaarsma, T., Jouhra, F., Lainscak, M., Lambrinou, E., Lopatin, Y., Lund, L. H., Milicic, D., Moura, B., Mullens, W., Piepoli, M. F., Ponikowski, P., Rakisheva, A., Ristic, A., Savarese, G., Seferovic, P., Senni, M., Thum, T., Tocchetti, C. G., Van Linthout, S., Volterrani, M., Coats, A. J. S. (2021). "COVID-19 vaccination in patients with heart failure: a position paper of the Heart Failure Association of the European Society of Cardiology." European Journal of Heart Failure 23(11): 1806-1818. doi: 10.1002/ejhf.2356 https://onlinelibrary.wiley.com/doi/10.1002/ejhf.2356 - Open Access
  • Runft, S., Farber, I., Kruger, J., Kruger, N., Armando, F., Rocha, C., Pohlmann, S., Burigk, L., Leitzen, E., Ciurkiewicz, M., Braun, A., Schneider, D., Baumgartner, L., Freisleben, B., Baumgartner, W. (2022). Alternatives to animal models and their application in the discovery of species susceptibility to SARS-CoV-2 and other respiratory infectious pathogens: A review. Veterinary Pathology [Epub ahead of print]: 3009858211073678. doi: 10.1177/03009858211073678  https://journals.sagepub.com/doi/10.1177/03009858211073678
  • Sauerhering, L., Kuznetsova, I., Kupke, A., Meier, L., Halwe, S., Rohde, C., Schmidt, J., Morty, R. E., Danov, O., Braun, A., Vadasz, I., Becker, S., Herold, S. (2022). Cyclosporin A Reveals Potent Antiviral Effects in Preclinical Models of SARS-CoV-2 Infection. American Journal of Respiratory and Critical Care Medicine [Epub ahead of print]. doi: 10.1164/rccm.202108-1830LE https://www.atsjournals.org/doi/10.1164/rccm.202108-1830LE - Open Access
  • Taleb, S., Yassine, H. M., Benslimane, F. M., Smatti, M. K., Schuchardt, S., Albagha, O., Al-Thani, A. A., Ait Hssain, A., Diboun, I., Elrayess, M. A. (2021). "Predictive Biomarkers of Intensive Care Unit and Mechanical Ventilation Duration in Critically-Ill Coronavirus Disease 2019 Patients." Front Med (Lausanne) 8: 733657. doi: 10.3389/fmed.2021.733657 https://www.frontiersin.org/articles/10.3389/fmed.2021.733657/full - Open Access
  • Zimniak, M., Kirschner, L., Hilpert, H., Geiger, N., Danov, O., Oberwinkler, H., Steinke, M., Sewald, K., Seibel, J., Bodem, J. (2021). "The serotonin reuptake inhibitor Fluoxetine inhibits SARS-CoV-2 in human lung tissue." Scientific Reports 11(1): 5890. doi: 10.1038/s41598-021-85049-0 https://www.nature.com/articles/s41598-021-85049-0 - Open Access