Dan Hung Barouch (born February 4, 1973) is an American physician, immunologist, and virologist. He studies the pathogenesis and immunology of viral infections and works on the development of global vaccine strategies.
Barouch began developing vaccine candidates for HIV and other infectious diseases during graduate and medical school, focusing on adjuvanted DNA vaccines and novel adenoviral vectors, including Ad26.[26][27]
In 2000, during medical school, he began researching HIV vaccines and demonstrated that vaccines could reduce viral loads in preclinical models, although immune escape remained a significant challenge.[28][29] In 2002, he published that an HIV vaccine could suppress the virus for two years in animals.[30] By 2006, he developed adenoviral vectors that avoided suppression by existing immunity.[31] Barouch's lab developed adenoviral vectors and mosaic proteins (with Bette Korber) that were later incorporated intoJohnson & Johnson's HIV vaccine studies.[24][32]
From 2015 to 2018, Barouch co-led the APPROACH study the Ad26/Env mosaic vaccine in humans and progressed to global efficacy trials in collaboration with partners such as the NIH, the Gates Foundation, and Janssen.[24][33][34]
He has also explored HIV cure strategies,[35] demonstrating in 2016 and 2018 that combining therapeutic vaccines or broadly neutralizing antibodies with immune activators, the "shock and kill" method, had the potential to be effective.[36] He frequently shares insights through media commentary.[37]
Zika research
In 2016, Barouch developed and tested the first Zika vaccines in preclinical studies.[38][39] These vaccines entered first-in-human trials later that year.[40]
COVID-19 research
In January 2020, at the start of the COVID-19 pandemic, Barouch began studying the immunology and pathogenesis of SARS-CoV-2 infection and developing a COVID-19 vaccine in collaboration with Johnson & Johnson. This vaccine underwent rapid preclinical testing.[41] and advanced into initial clinical trials by July 2020.[42] Subsequently, this vaccine was tested in the large international phase 3 efficacy trial ENSEMBLE and showed efficacy in humans.[43] The resulting vaccine, known as the Johnson & Johnson COVID-19 vaccine, or Ad26.COV2.S, was approved by WHO, FDA, and multiple countries throughout the world, and commenced global distribution in February 2021. This vaccine was the third COVID-19 vaccine authorized for use in the United States, and the first vaccine deployed in South Africa, as reported in the SISONKE study in healthcare workers.[44] The utilization of this vaccine was lower than the mRNA vaccines in the western world, but it was deployed extensively in the developing world, given its efficacy, durability, and stability without freezing. With over 200 million doses distributed, it has been credited with saving nearly 1 million lives in 2021.[45][46]
Barouch's research also involved studying the immunology of SARS-CoV-2 infection, the immunogenicity and durability of mRNA vaccines and boosters, and the impact of SARS-CoV-2 variants on immune escape and vaccine efficacy. He also defined immune correlates of protection for COVID-19 vaccines. In February 2021, Barouch co-authored a paper on how a certain level of COVID-19 antibodies may provide lasting protection against the virus.[47][48] In 2021 and 2022, he also co-authored papers exploring how COVID-19 antibodies protect, based on blood samples provided by 4300 employees of SpaceX, together with CEO Elon Musk.[47]
Throughout the rollout of COVID-19 vaccines and boosters in the United States, Barouch reported the immune kinetics and durability induced by mRNA and Ad26 vaccines and the impact of viral variants in evading antibody responses while preserving T cell responses.[49][50][51][52][53] In 2022, he reported that the bivalent ancestral+BA.5 mRNA boosters were limited by immune imprinting to the ancestral strain, which contributed to the FDA decision in 2023 to remove the ancestral strain for the XBB.1.5 mRNA booster.[54] In 2023, Barouch served as part of a panel of experts advising the Biden administration on the potential risk of another Omicron-like wave of COVID-19.[55] In 2024, he demonstrated the importance of mucosal immunity for improving vaccine protection against COVID-19.[56][57]
↑ Barouch, D. H.; Kunstman, J.; Kuroda, M. J.; Schmitz, J. E.; Santra, S.; Peyerl, F. W.; Krivulka, G. R.; Beaudry, K.; Lifton, M. A.; Gorgone, D. A.; Montefiori, D. C.; Lewis, M. G.; Wolinsky, S. M.; Letvin, N. L. (2002). "Eventual AIDS vaccine failure in a rhesus monkey by viral escape from cytotoxic T lymphocytes". Nature. 415 (6869): 335–339. doi:10.1038/415335a. PMID11797012.
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