Manish Sadarangani
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Research Interests
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Affiliations to Research Centres, Institutes & Clusters
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Biography
Dr. Sadarangani is head of the Vaccine Evaluation Center (VEC) at BC Children’s Hospital. Founded in 1988, the VEC is an academic centre of excellence focusing on vaccine and immunization research in BC and across Canada. He is also a pediatric infectious disease specialist and an investigator at BC Children’s, and assistant professor with the ÑÇÖÞÌìÌà Department of Pediatrics.
The aim of his research at the Vaccine Evaluation Center (VEC) is to lower the burden of childhood infectious disease through vaccination by building an evidence base for local, national and international vaccine policy. Hisresearch program includes laboratory studies to develop new and better vaccines, clinical trials to identify how best to utilize new and approved vaccines, and population-based investigations to identify targets for new vaccines and demonstrate vaccine impact.
Research Methodology
Recruitment
My research encompasses the full breadth of vaccine science via a unique combination of laboratory, clinical and epidemiologic research, integrating an exciting and innovative range of work. This breadth of expertise enables me to respond quickly to changing priorities, exemplified during the COVID-19 pandemic when I tackled diverse knowledge gaps rapidly and produced high quality results to inform policy – further detailed in the COVID-19 productivity impact assessment. My research program includes three complementary focus areas in an innovative molecule-to-population approach.
Vaccine Development. Develop new highly immunogenic vaccines and a novel vaccine platform.
Our group is currently focussed on developing vaccines against the global threat of antibiotic-resistant bacteria. Our work focuses on development of a vaccine against Klebsiella – a ‘critical’ priority pathogen according to the World Health Organization (WHO). We have designed new vaccines against Klebsiella, developing new mouse models of Klebsiella infection, and designed and tested novel vaccine antigens in these models.
Vaccine Immunity. Enhance immunity in individuals by optimizing immune responses to vaccines.
We are on the cusp of a transformative paradigm shift in vaccine research, catalyzed by the discovery from my group that a person’s immune status at time of vaccination, determines the outcome of vaccine response. I have been the PI of clinical trials, and evaluated antibody responses to infections and vaccines, including with systems biology approaches. This involved development and use of assays to measure antibody response and function after immunization in humans and mice. For example, aÌýHaemophilus influenzae type a vaccine has been developed in Canada, and is ready for phase 1 clinical trials, where salivary antibody analysis will be done in my lab, using a salivary assay that our group developed. Of note, this vaccine is being developed in Canada because of the particularly high incidence of Haemophilus influenzae type a disease in Indigenous populations.
Vaccine Effectiveness. Improve protection in the population by clinical vaccine evaluation.
I have multicentre national and international phase 1-4 clinical trials and observational studies to evaluate vaccine effectiveness after implementation and across the age spectrum. Specific clinical trials that I have been PI/co-PI include:
Mix-and-match study of three COVID-19 vaccines; n=1200 adults, 6 sites
Responses to Tdap vaccine in HIV-infected vs. HIV-uninfected pregnant women; n=200
2 vs. 3 doses of pneumococcal conjugate vaccine in infants; n=248, 4 sites
Compare different meningococcal vaccine schedules in adolescents; n=324, 3 sites
My group’s contributions have shaped national and global policy. For example, our studies on pertussis immunization during pregnancy have addressed (i) the burden of disease in infants, (ii) optimal timing of vaccination during pregnancy, and (iii) the impact of immunization during pregnancy on later vaccine responses during infancy. Our work has also provided evidence for reducing the number of doses for different vaccines (e.g., Streptococcus pneumoniae, Neisseria meningitidis, human papillomavirus), with major potential healthcare cost savings. Across all of these research areas, our group has played a central role in the global response to the COVID-19 pandemic.
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Doctoral Student Supervision
Dissertations completed in 2010 or later are listed below. Please note that there is a 6-12 month delay to add the latest dissertations.
Pertussis disease is most severe among young infants, leading to high morbidity and mortality. To reduce the burden of pertussis disease among young infants, immunization against pertussis during pregnancy has been implemented in an increasing number of countries over the past decade. My research goals have focused on addressing important knowledge gaps in the field of pertussis immunization during pregnancy to inform an evidence-based immunization program. Using data on hospitalized pertussis cases admitted to pediatric tertiary care centers in Canada, I report that the highest morbidity and mortality from pertussis is among infants
Master's Student Supervision
Theses completed in 2010 or later are listed below. Please note that there is a 6-12 month delay to add the latest theses.
The full abstract for this thesis is available in the body of the thesis, and will be available when the embargo expires.
The full abstract for this thesis is available in the body of the thesis, and will be available when the embargo expires.
Publications
- (2022)
CJC Pediatric and Congenital Heart Disease, 1 (2), 74--79 - (2022)
BMC Pediatrics, 22 (1) - (2022)
Pediatric Infectious Disease Journal, 41 (4), E166-E171 - (2022)
Human Vaccines and Immunotherapeutics, 18 (1) - (2022)
Canadian Journal of Public Health, - (2022)
Vaccine, 40 (10), 1385--1389 - (2022)
PLoS ONE, 17 (4 Apr) - (2022)
mSphere, 7 (1) - (2022)
Expert Review of Vaccines, - (2022)
BMJ Open, 12 (1) - (2022)
European Journal of Pediatrics, - (2022)
AIDS and Behavior, - (2022)
Human Vaccines and Immunotherapeutics, 18 (1) - (2022)
Human Vaccines & Immunotherapeutics, - (2022)
World Scientific Series in Global Health Economics and Public Policy, 9, 251-290 - (2022)
Microbiology Spectrum, 10 (2) - (2022)
Allergy, Asthma and Clinical Immunology, 18 (1) - (2022)
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 194 (14), E513-E523 - (2022)
BMJ Open, 12 (4) - (2022)
Vaccine, 40 (8), 1128-1134 - (2022)
Clinical Infectious Diseases, 74 (7), 1158-1165 - (2022)
BMJ Open, 12 (1) - (2022)
The Lancet Regional Health - Americas, 7 - (2022)
Vaccine, - (2022)
Human Vaccines & Immunotherapeutics, - (2021)
Journal of Infection, 83 (5), 533-541 - (2021)
Pediatrics, 148 (4) - (2021)
Microorganisms, 9 (3), 1-12 - (2021)
Vaccine, - (2021)
CMAJ, 193 (38), E1483-E1493 - (2021)
CMAJ, 193 (46), E1774-E1785 - (2021)
Vaccine, 39 (39), 5532-5537 - (2021)
International Journal of Cancer, - (2021)
Vaccine, 39 (44), 6545-6552 - (2021)
Pediatrics, 147 (5) - (2021)
Nature Reviews Immunology, - (2021)
Vaccine, - (2021)
BMC Public Health, 21 (1) - (2021)
Vaccine: X, 8 - (2021)
Frontiers in Immunology, 12 - (2021)
SSRN, - (2021)
Human vaccines & immunotherapeutics, 17 (10), 3554-3561 - (2021)
CMAJ open, 9 (2), E349 - (2021)
Microorganisms, 9 (10), 2116 - (2021)
Vaccine, 39 (52), 7545-7553 - (2021)
Vaccine: X, 8 - (2021)
Frontiers in Immunology, 12 - (2021)
mSphere, - (2021)
PLoS ONE, 16 (11 No) - (2021)
Health Education and Behavior, - (2020)
Vaccine, 38 (52), 8396--8404 - Canadian surveillance of COVID-19 in pregnancy: Epidemiology and maternal and infant outcomes (2020)
American journal of obstetrics and gynecology, - (2020)
The Journal of infectious diseases, - (2020)
CMAJ, 192 (48), E1691-E1695 - (2020)
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, - (2020)
- (2020)
Annals of the American Thoracic Society, - (2020)
Vaccine, 38 (8), 2026--2033 - (2020)
Molecular systems biology, - (2020)
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, - (2020)
Trends in immunology, - (2020)
PLOS ONE, 15 (9), e0239848 - (2020)
Frontiers in Immunology, 11 - (2020)
Journal of Medical Microbiology, - (2020)
Frontiers in immunology, - (2020)
PloS one, - (2020)
CMAJ open, - (2020)
SSRN, - (2020)
Vaccine, 38 (34), 5389--5392 - (2020)
BMC pediatrics, - (2020)
Frontiers in immunology, - (2020)
JAMA pediatrics, - (2020)
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, - 41 Lessons learned during the practice of a no-conflict of-interest panel-of-three adjudication process in the RSV program. (2019)
Paediatrics & Child Health, - 42 A risk factor approach is highly effective at selecting 29-34w gestation infants at risk for first season RSV-related admissions – a population study. (2019)
Paediatrics & Child Health, - (2019)
The Pediatric infectious disease journal, - (2019)
Scientific reports, - (2019)
The Pediatric infectious disease journal, - (2019)
Archives of disease in childhood. Education and practice edition, - (2019)
Expert review of clinical immunology, - (2019)
Vaccine, - (2019)
Current opinion in infectious diseases, - (2019)
Reviews in medical virology, - (2019)
BMJ case reports, - (2019)
Future Microbiology, 14 (11), 925-926 - (2019)
- (2019)
Frontiers in immunology, - (2019)
BMC pediatrics, - (2019)
The Pediatric infectious disease journal, - (2019)
PloS one, - (2018)
Open forum infectious diseases, - (2018)
Open forum infectious diseases, - (2018)
Journal of the Pediatric Infectious Diseases Society, - (2018)
PloS one, - Effect of human papillomavirus vaccination on sexual behaviour among young females. (2018)
Canadian family physician Medecin de famille canadien, 64 (7), 509-513 - (2018)
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, - (2018)
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, - (2018)
Archives of disease in childhood, - (2018)
Human vaccines & immunotherapeutics, - (2018)
Frontiers in immunology, - (2018)
The Lancet. Infectious diseases, - (2017)
The Lancet Infectious Diseases, 17 (4), 422--430 - (2017)
The Lancet. Infectious diseases, - (2017)
PloS one, - (2017)
Journal of Infection, 74 (2), 195--198 - (2017)
BMC health services research, - (2017)
Journal of the Pediatric Infectious Diseases Society, 6 (3), 309--310 - (2017)
The Lancet Infectious Diseases, 17 (7), e223--e234 - (2017)
The Lancet. Infectious diseases, - (2017)
Open Forum Infectious Diseases, 4 (Array), S515--S516 - (2017)
The Lancet Infectious Diseases, 17 (7), e197--e208 - (2017)
The Lancet. Infectious diseases, - (2017)
Pediatric Vaccines and Vaccinations, , 215--224 - (2017)
Canadian Medical Association Journal, 189 (41), E1276--E1285 - (2017)
Frontiers in Pediatrics, - (2017)
Vaccine, 35 (43), 5850--5857 - (2017)
JAMA Pediatrics, 171 (7), 637 - (2017)
The Journal of infection, - (2017)
Journal of Infection, 74, S2--S9 - (2016)
Gut Microbes, 7 (4), 342--352 - (2016)
The Pediatric Infectious Disease Journal, 35 (3), 347--349 - (2016)
Clinical Microbiology and Infection, 22, S103--S112 - (2016)
PLOS ONE, 11 (4), e0154153 - (2016)
Handbook of Meningococcal Disease Management, , 57--73 - (2016)
Vaccine, 34 (44), 5306--5313 - (2016)
Springer International Publishing , - (2016)
The Lancet Infectious Diseases, 16 (11), 1279--1287 - (2016)
The Lancet. Infectious diseases, - (2016)
BMJ Open, 6 (11) - (2016)
PLOS ONE, 11 (2), e0148840 - Meningitis (2016)
Manual of Childhood Infections (4th edition) , - (2016)
Journal of Biosciences, 41 (1), 13--19 - (2016)
The Lancet Infectious Diseases, 16 (10), e202--e213 - (2016)
The Lancet. Infectious Diseases, - (2016)
International Journal of Pediatric Otorhinolaryngology, 89, 140--144 - (2016)
Vaccine, 34 (34), 3986--3992 - (2016)
BMJ Case Reports, , bcr2016215058 - (2016)
Expert Review of Vaccines, 15 (12), 1463--1465 - (2015)
Journal of Infection, 71 (3), 326--337 - (2015)
Journal of Pediatric Hematology/Oncology, 37 (6), e384--e386 - Meningococcus (2015)
Nelson Textbook of Pediatrics (20th edition) , - (2015)
Clinical Infectious Diseases, 60 (8), e27--e35 - (2015)
Journal of Infection, 71 (4), 495--497 - (2015)
The Pediatric Infectious Disease Journal, 34 (3), 324--326 - (2014)
PLoS ONE, 9 (12), e115713 - (2014)
BMJ Open, 4 (2), e003312 - (2014)
Archives of Disease in Childhood, 100 (3), 292--294 - (2014)
Nature Immunology, 15 (2), 205 - (2014)
The Lancet Infectious Diseases, 14 (5), 397--405 - (2014)
Epilepsy Research and Treatment, 2014, 1--7 - (2014)
Expert Opinion on Biological Therapy, 15 (1), 131--142 - (2014)
Clinical Infectious Diseases, 59 (9), 1208-1215 - (2013)
Archives of Disease in Childhood, 98 (4), 248--251 - (2013)
PloS one, - (2013)
Paediatrics & Child Health, 18 (10), 543--544 - (2013)
Clinical and Vaccine Immunology, 21 (2), 234--242 - (2013)
Clinical and Developmental Immunology, 2013, 1--10 - (2013)
Nature Immunology, 14 (7), 660--667 - (2012)
PLoS ONE, 7 (12), e51045 - (2011)
Brain, 134 (5), 1519--1528 - (2011)
Hot Topics in Infection and Immunity in Children VIII, , 185--199 - (2011)
FEMS Microbiology Reviews, 35 (3), 498--514 - (2011)
Infection and Immunity, 79 (7), 2810--2818 - (2010)
The Lancet Infectious Diseases, 10 (2), 112--124 - (2009)
British Journal of Haematology, 146 (6), 675--682 - (2009)
Expert Review of Vaccines, 8 (6), 729--745 - (2009)
Clinical Infectious Diseases, 49 (2), 216--222 - Role of Acquired Immunity in Neisseria Infections (2009)
Neisseria: Molecular Mechanisms of Pathogenesis, - (2008)
The Lancet Neurology, 7 (2), 145--150 - (1999)
Journal of General Virology, 80 (5), 1271--1282
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