Margaret Feeney, MD

Professor
Department of Pediatrics
Primary Thematic Area
Secondary Thematic Area
Research Summary
Human immunity to malaria, T cell immunity in the fetus and infant

The Feeney Lab studies the human T cell response to infection and age-based differences in the immune response during gestation and infancy. The overarching goal of our research is to better understand how the human infant responds to infection in order to inform the development of vaccines and immune-based therapies.

Our main interest is human immunity to malaria caused by P. falciparum, a pathogen that has co-evolved with humans for millenia. Projects currently underway include the identification of key antigenic targets during liver-stage P. falciparum infection, interactions between innate and adaptive lymphocytes, and the role of immunoregulation in subverting the development of protective immunity and following malaria infection or vaccination. We use samples and data from cohorts of women, infants, and children to characterize the antimalarial immune response using high parameter technologies (scRNAseq, TCRseq, flow/mass/spectral cytometry), and collaborate with leading malaria epidemiologists to correlate immune parameters with clinical outcomes in well-characterized cohorts.

A longstanding interest of the lab is the development of immune function during early life. Fetal and infant T cells are functionally distinct from those of adults. This is in part due to the tolerogenic in utero environment, but in addition there are intrinsic differences in the programming of fetal lymphocytes that shape their response to pathogens. A better understanding of these differences could have major translational implications for the design of vaccines and adjuvants that maximize immunogenicity in the neonate. In our lab, we study how T cells respond to pathogen-derived antigens encountered in utero or during early infancy (e.g. placental malaria, congenital CMV infection). We have established a large biobank of umbilical cord blood cells and longitudinal follow-up samples to facilitate the study of infant immune responses at the cellular and molecular level. A major current emphasis in the lab is the role of gamma delta (gd) T cells, a unique population of semi-innate cells that play a key role in immunity in the fetus and infant. A subset of gd T cells exhibit intrinsic reactivity to malaria metabolites and correlate with vaccine protection, while a distinct subset has been shown to contribute to immunity to CMV. Our lab is working to understand how these critical early effector cells can be harnessed to mitigate infection during infancy.

To facilitate these studies, we have developed robust international collaborations, primarily in Uganda, where we have developed significant laboratory infrastructure to study the human immune response to malaria in a highly endemic setting. The Feeney Lab is committed to training scientists from historically under-represented backgrounds, in both the U.S. and abroad. 

Publications

Broadly inhibitory antibodies to severe malaria virulence proteins.

Nature

Reyes RA, Raghavan SSR, Hurlburt NK, Introini V, Bol S, Kana IH, Jensen RW, Martinez-Scholze E, Gestal-Mato M, López-Gutiérrez B, Sanz S, Bancells C, Fernández-Quintero ML, Loeffler JR, Ferguson JA, Lee WH, Martin GM, Theander TG, Lusingu JPA, Minja DTR, Ssewanyana I, Feeney ME, Greenhouse B, Ward AB, Bernabeu M, Pancera M, Turner L, Bunnik EM, Lavstsen T

Post Artesunate Delayed Hemolysis in Pediatric Patients in the United States.

Journal of the Pediatric Infectious Diseases Society

Sesh A Sundararaman, Karen L Hanze Villavicencio, Brianne Roper, Ziyi Wang, Amy K F Davis, Jonathan A Mayhew, Michelle L Wang, Nina L Tang, Vijaya L Soma, Gail F Shust, Margaret E Feeney, Indi Trehan, Jill E Weatherhead, Chandy C John, Jeffrey S Gerber, Audrey O John

Broadly inhibitory antibodies against severe malaria virulence proteins.

bioRxiv : the preprint server for biology

Reyes RA, Raghavan SSR, Hurlburt NK, Introini V, Kana IH, Jensen RW, Martinez-Scholze E, Gestal-Mato M, Bau CB, Fernández-Quintero ML, Loeffler JR, Ferguson JA, Lee WH, Martin GM, Theander TG, Ssewanyana I, Feeney ME, Greenhouse B, Bol S, Ward AB, Bernabeu M, Pancera M, Turner L, Bunnik EM, Lavstsen T

Malaria-driven expansion of adaptive-like functional CD56-negative NK cells correlates with clinical immunity to malaria.

Science translational medicine

Ty M, Sun S, Callaway PC, Rek J, Press KD, van der Ploeg K, Nideffer J, Hu Z, Klemm S, Greenleaf W, Donato M, Tukwasibwe S, Arinaitwe E, Nankya F, Musinguzi K, Andrew D, de la Parte L, Mori DM, Lewis SN, Takahashi S, Rodriguez-Barraquer I, Greenhouse B, Blish C, Utz PJ, Khatri P, Dorsey G, Kamya M, Boyle M, Feeney M, Ssewanyana I, Jagannathan P

OV21/PETROC: a randomized Gynecologic Cancer Intergroup phase II study of intraperitoneal versus intravenous chemotherapy following neoadjuvant chemotherapy and optimal debulking surgery in epithelial ovarian cancer.

Annals of oncology : official journal of the European Society for Medical Oncology

Provencher DM, Gallagher CJ, Parulekar WR, Ledermann JA, Armstrong DK, Brundage M, Gourley C, Romero I, Gonzalez-Martin A, Feeney M, Bessette P, Hall M, Weberpals JI, Hall G, Lau SK, Gauthier P, Fung-Kee-Fung M, Eisenhauer EA, Winch C, Tu D, MacKay HJ

Mutually exclusive T-cell receptor induction and differential susceptibility to human immunodeficiency virus type 1 mutational escape associated with a two-amino-acid difference between HLA class I subtypes.

Journal of virology

Yu XG, Lichterfeld M, Chetty S, Williams KL, Mui SK, Miura T, Frahm N, Feeney ME, Tang Y, Pereyra F, Labute MX, Pfafferott K, Leslie A, Crawford H, Allgaier R, Hildebrand W, Kaslow R, Brander C, Allen TM, Rosenberg ES, Kiepiela P, Vajpayee M, Goepfert PA, Altfeld M, Goulder PJ, Walker BD

HIV evolution: CTL escape mutation and reversion after transmission.

Nature medicine

Leslie AJ, Pfafferott KJ, Chetty P, Draenert R, Addo MM, Feeney M, Tang Y, Holmes EC, Allen T, Prado JG, Altfeld M, Brander C, Dixon C, Ramduth D, Jeena P, Thomas SA, St John A, Roach TA, Kupfer B, Luzzi G, Edwards A, Taylor G, Lyall H, Tudor-Williams G, Novelli V, Martinez-Picado J, Kiepiela P, Walker BD, Goulder PJ