Microbial Immunology and Immunogenetics
Research Lines
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Resistencia a Antibióticos
Nuestro objetivo general es aportar conocimiento precoz sobre cualquier mecanismo de resistencia a antibióticos emergente en nuestro país. Dicho aporte de conocimiento se fundamenta en unos objetivos transversales clave:
1) La capacidad de adaptar la investigación a los problemas de resistencia emergentes
2) La promoción de estudios de investigación cooperativos y multidisciplinares con diferentes centros españoles y extranjeros
3) La transferencia ágil de los resultados de la investigación a la práctica clínica del Sistema Nacional de Salud
4) El fomento de la interrelación de la investigación con la referencia, la asesoría, la formación y la divulgación.
Nuestros principales objetivos científicos son la caracterización de las bases moleculares de la resistencia a antibióticos en bacterias patógenas, el estudio de la epidemiología molecular y la estructura poblacional de las bacterias resistentes, la caracterización de los elementos genéticos móviles que portan los genes de resistencia, y el desarrollo de técnicas diagnósticas y alternativas terapéuticas frente a bacterias con resistencia extensa, basado en nuevas tecnologías como la secuenciación de genomas bacterianos. La investigación en las vías de diseminación de enterobacterias, Acinetobacter baumannii y Pseudomonas aeruginosa productores de carbapenemasas es uno de nuestros objetivos prioritarios.
Algunas iniciativas en las que participamos son la red europea de vigilancia de la resistencia a antibióticos (EARS-Net), el sistema de la OMS desarrollado para apoyar el plan de acción mundial sobre la resistencia a los antimicrobianos (GLASS), la red española de investigación en patología infecciosa (REIPI), el Plan nacional contra la resistencia a antibióticos (PRAN), el Comité Coordinador de la red de laboratorios para la vigilancia de microorganismos resistentes, y la coordinación nacional de los proyectos CARBA-ES-2019 (nacional) y CCRE-survey (ECDC).
Líneas de investigación
- Detección y caracterización de mecanismos de resistencia a antibióticos emergentes, sobre todo a antibióticos de última línea como los antibióticos carbapenémicos y la colistina.
- Caracterización y trazabilidad interregional, mediante el análisis de secuencias de genomas completos (WGS), de clones de alto riesgo con múltiple resistencia a antibióticos, y de plásmidos epidémicos portadores de genes de resistencia.
- Identificación mediante recursos bio-informáticos de posibles dianas para el desarrollo de nuevos productos o moléculas relacionadas con el control de la resistencia a antibióticos (vacunas, pruebas diagnósticas, atenuantes de virulencia y otros).
- Análisis de las tendencias evolutivas de la resistencia a antibióticos en patógenos bacterianos productores de bacteriemia; European Antimicrobial Resistance Surveillance Net (EARS-Net) del ECDC y Global Antimicrobial Resistance Surveillance System (GLASS) de la OMS.
- Análisis del microbioma y resistoma del tracto gastrointestinal humano y su relación con la colonización por bacterias multi-resistentes y desarrollo de infecciones (metagenómica).
Investigación en infecciones multirresistentes
La emergencia y diseminación global de cepas bacterianas de diferentes especies con resistencia a distintas clases de antibióticos (cepas multirresistentes) supone una amenaza para la eficacia del tratamiento antibiótico. El Antibiotic Resistance Global Report publicado por la Organización Mundial de la Salud en 2014 destacó altas tasas de resistencia en varias especies de bacterias patógenas en cada una de las seis regiones incluidas en el estudio (WHO; 2014). Las infecciones causadas por bacterias resistentes están asociadas a una mortalidad significativa, produciendo más de 700.000 muertes al año, y se estima que esta cifra llegará a 10 millones de muertes anuales en 2050, si no cambia la tendencia actual (Antimicrobial Resistance Rev; 2015). En 2017, la Organización Mundial de la Salud identificó las especies bacterianas frente a las que deberían implementarse nuevas medidas de tratamiento y prevención (WHO 2017). En este informe se clasificaron las especies Gram negativas multirresistentes.
Acinetobacter baumannii, Pseudomonas aeruginosa y Klebsiella pneumoniae con la prioridad más alta (Priority 1: Critical). Las tasas de resistencia a los antimicrobianos de primera línea de estas bacterias Gram-negativas multirresistentes se han incrementado a nivel global durante la última década, complicando significativamente el manejo clínico de las infecciones producidas por estos microorganismos. En este contexto, nuestro grupo está desarrollando las siguientes líneas de investigación:
1. Desarrollo de vacunas para infecciones multirresistentes
Esta línea de investigación tiene como objetivo del desarrollo preclínico de vacunas profilácticas y anticuerpos monoclonales terapéuticos para infecciones producidas por bacterias Gram negativas multirresistentes de difícil manejo clínico debido a la resistencia antimicrobiana. La investigación realizada en esta línea tiene como objetivo identificar y caracterizar antígenos de las bacterias multirresistentes (Acinetobacter baumannii, Klebsiella pneumoniae y Pseudomonas aeruginosa) que sirvan para el desarrollo de anticuerpos monoclonales y vacunas a través de estudios epidemiológicos, genómicos y proteómicos.
2. Caracterización de tratamientos novedosos para infecciones multirresistentes
Esta línea de investigación tiene como objetivo identificar y caracterizar nuevos tratamientos basados en moléculas novedosas y/o combinaciones de antibióticos existentes para infecciones producidas por bacterias Gram negativas multirresistentes. También se emplean técnicas moleculares y "omicas" para la identificación de nuevas dianas para el desarrollo de antibióticos novedosas.
3. Desarrollo de vacunas frente a SARS-CoV-2
Debido la situación producida por la propagación del SARS-CoV-2 urge la realización de estudios que tienen como objetvo el desarrollo de vacunas profilácticas. Nuestro grupo lidera el desarrollo de un prototipo de vacuna basado en ADN plasmídico que expresa antígenos de SARS-CoV-2 y la caracterización de la respuesta inmune inducida por esta vacuna en un modelo murino de inmunización.
Caracterización molecular de los estafilococcus
El Laboratorio de Referencia e investigación en Infecciones Relacionadas con la Asistencia Sanitaria dispone de un Programa de Vigilancia de Staphylococcus aureus y Estafilococos coagulasa negativa y de la siguiente cartera de servicios:
Estafilococos coagulasa negativa
Identificación:
Por secuencia del gen 16S del ARN ribosómico
Por secuencia del gen rpoB
Por secuencia del gen tuf
Marcadores moleculares
Perfil por PFGE
SSC
mec
MLST
Detección de genes
Genes mec
Genes de resistencia
Mecanismos de resistencia al linezolid
Dominio V del gen 23S ARNr
Gen rplC (riboproteína L3)
Gen rplD (riboproteína L4)
Gen rplV (riboproteína L22)
Staphylococcus aureus
Identificación:
PCR del gen Sau
Por secuencia del gen 16S del ARN ribosómico
Por secuencia del gen rpoB
Por secuencia del gen tuf
Marcadores moleculares
PFGE
MLST
SSC
mec
Spa-tipo
Detección de genes
Genes mec
Gen PVL
Toxinas exfoliativas (SST)
Toxina del Shock Tóxico (TSST)
Research projects
Content with Investigacion .
A continuación se detallan los proyectos de investigación del grupo con vigencia en los últimos cinco años:
1. Título del proyecto: Terapias de RNA, Inmunoterapia y Diagnóstico Avanzado frente a las Resistencias Antimicrobianas. END-RAM (PLEC2024-011123).
Proyecto financiado por el CDTI y la Agencia Estatal de Investigación en la convocatoria Transmisiones de 2024 (vigencia 2025-2028). IP: María Pérez Vázquez
2. Título del proyecto: AMIR: Inmunoterapia avanzada basada en macrófagos para infecciones resistentes a antibióticos (CPP2024-011561)
Proyecto financiado por la Agencia Estatal de Investigación en la convocatoria Retos 2025 (vigencia 2026-2028). IP: Isabela Alonso González.
3. Título del proyecto: Desarrollo y Estandarización de un Banco de fagos para el tratamiento de Infecciones Pulmonares crónicas producidas por Bacterias Multirresistentes (DEBIPhage) (COOP24CIII/00021).
Proyecto financiado por el ISCIIII en la convocatoria COOPERA-ISCIII (AESi 2024) (vigencia 2025-2028). IP: María Pérez Vázquez.
4. Título del proyecto: Estudio comprehensivo del impacto de las bacterias multirresistentes productoras de metalocarbapenemasas a nivel nacional: Proyecto multicéntrico nacional CARB/MBL-ES-25 (PI24CIII/00044)
Proyecto financiado por el ISCIII en la convocatoria AESi 2024 (vigencia 2025-2027). IPs: María Pérez Vázquez y Jesús Oteo Iglesias; coordinadora: Eva Ramírez de Arellano.
5. Título del proyecto: Phage Therapy An-persister strategy (PHAGES-An-PERS) (JPIAMR-ACTION 2024)
Proyecto financiado por la JPIAMR-Action 2024 (vigencia 2025-2027) IP: María del Mar Tomás Carmona (H.U. A Coruña). IP del CNM: Jesús Oteo Iglesias.
6. Título del proyecto: Improving surveillance of antibiotic-resistant Pseudomonas aeruginosa in Europe (ISARPAE) (JPIAMR_NC_2022-021)
Proyecto financiado por la JPI-AMR 2022 (vigencia 2023-2024) IP: Antonio Oliver Palomo (H.U Son Espases de Palma de Mallorca). Investigador del grupo en el proyecto: Jesús Oteo Iglesias.
URL: https://www.jpiamr.eu/projects/isarpae/#network-partners
7. Título del proyecto: Bridging of Antimicrobial resistance Surveillance systems In Community Settings across Europe (BASICS) (JPIAMR_NC_2022-020).
Proyecto financiado por la JPI-AMR 2022 (vigencia 2023-2024). IP: Olivier Lemenand; investigador del grupo en el proyecto: Jesús Oteo Iglesias.
URL: https://www.jpiamr.eu/projects/basics/
8. Título del proyecto: La medicina de precisión contra la resistencia a antimicrobianos: Proyecto MePRAM (PMP22/00092)
Proyecto financiado por el ISCIII en la convocatoria de Medicina Personalizada y de Precisión 2022 (vigencia 2023-junio 2026). IP: Jesús Oteo Iglesias.
9. Título del proyecto: Impact of carbapenemase-producing Klebsiella pneumoniae in patients infected by SARS-CoV-2: Prevalence and genomic characterization (PI21CIII/00039)
Proyecto financiado por el ISCIII en la convocatoria AESi 2020 (vigencia 2022-2024, prorrogado hasta 2025). IPs: María Dolores Pérez Vázquez y Jesús Oteo Iglesias.
10. Título del proyecto: Impacto de la hospitalización en UCI en el microbioma y resistoma intestinal, estudio de cohorte observacional (2018-T1/BMD-11581)
Proyecto financiado por la Dirección General de Investigación e Innovación, Consejería de Educación e Investigación de la CAM (vigencia 2019-2023). IP: Silvia García Cobos.
11. Título del proyecto: Metatranscriptomics to investigate the functional gut microbiome and resistome in critically ill patients (2022-5A/BMD-24243)
Proyecto financiado por la Dirección General de Investigación e Innovación, Consejería de Educación e Investigación de la CAM (vigencia 2023-2024). IP: Silvia García Cobos.
12. Título del proyecto: PROTECT, Inhibidores de carbapenemasas: actividad frente a Enterobacterales productores de carbapenemasas, mecanismos e impacto en la evolución de la resistencia antimicrobiana (PI22/01212).
Proyecto financiado por el ISCIII en la convocatoria AES 2022 (vigencia 2023-2025). IP: Jorge Arca Suarez. Investigador colaborador del grupo: Maria Belén Aracil.
13. Título del proyecto: Incidencia y caracterización genómica de Klebsiella pneumoniae y Escherichia coli productores de carbapenemasas aislados en hospitales españoles: Proyecto multicéntrico nacional CARB-ES-2019 (PI18CIII/00030)
Proyecto financiado por el ISCIII en la convocatoria AESi 2018 (vigencia 2019-2021, prorrogado hasta diciembre de 2022). IP: Jesús Oteo Iglesias.
14. Título del proyecto: Desarrollo preclínico de vacunas basadas en ADN plasmídico para la prevención de infecciones por Klebsiella pneumoniae y Acinetobacter baumannii multirresistente (MPY 380/18)
Proyecto financiado por el ISCIII en la convocatoria AESi 2018 (vigencia 2019-2021, prorrogado hasta diciembre de 2022). IPs: María Pérez Vázquez y Michael McConnelly
15. Aunque no se trata de proyectos de investigación con financiación competitiva al uso, caben destacar los estudios de vigilancia mediante WGS que el ECDC a través de su red EURGen-Net está llevando a cabo en los últimos años, y que se estructuran a través de redes nacionales; la subred española está coordinada desde el CNM-ISCIII por nuestro grupo.
15.1. ECDC genomic-based survey of carbapenem-resistant Acinetobacter baumannii in Europe (CRAb). Inicio 2025. Coordinación española: Belén Aracil García y Jared Sotelo Tascón
15.2. ECDC genomic surveillance of carbapenem-resistant Enterobacterales 2025 (CRE25 survey). Inicio 2025. Coordinación española Belén Aracil García y Javier Cañada García.
Financiación activa:
1. STOPINFECTIONS: Desarrollo de la primera vacuna válida internacional contra la neumonía resistente a antibióticos. Convocatoria Retos de Colaboración 2019. Proyecto RTC 2019-007058-1 financiado por MCIN/AEI/10.13039/501100011033.
2. AMREADY: Desarrollo y fabricación de vacunas como soluciones y preparación ante la crisis sanitaria mundial por la resistencia a antibióticos. Convocatoria Proyectos I+D+i en líneas estratégicas, en colaboración público-privada 2021. Número de expediente PLEC2021-008078. Proyecto PLEC2021-008078 financiado por MCIN/AEI/10.13039/501100011033 y por la Unión Europea NextGenerationEU/PRTR.
3. TRANSVAC DS: Design Study for a European Vaccine R&D Infrastructure. (Unión Europea; Horizonte 2020) Work Package Leader: Michael McConnell. 2020-2022. 1.900.000 €.
4. Development of a multiepitope vaccine for the prevention of COVID-19. (CaixaImpulse Program) CF01-0002. IP: Michael McConnell. 2020-2020. 300.000 €.
5. NANOVAX: Desarrollo de nanopartículas funcionalizadas para mejorar la respuesta a vacunas frente a enfermedades infecciosas. (DTS19CIII/0007) Instituto de Salud Carlos III. IP: Michael McConnell. 2020-2021. 86.000 €.
6. Desarrollo preclínico de vacunas basadas en ADN plasmídico para la prevención de infecciones por Klebsiella pneumoniae y Acinetobacter baumannii multirresistentes. Instituto de Salud Carlos III (FIS). Co-IP: Michael McConnell. 2019-2021. 97.700 €.
7. Coordinación de actividades de investigación en el CNM para realizar una respuesta integradora frente a la pandemia por SARS-COV-2 en España. Work Package Leader: Michael McConnell. 2020-2021. 325.909 €.
8. Investigación para el desarrollo de vectores de expresión de antígenos de Actinobacillus pleuropneumonia. IP: Michael McConnell. 2019-2022. 11.000 €.
9. Investigación de anticuerpos frente a Acinetobacter baumannii. Co-IP Michael McConnell. 2018-2021. 40.400 €.
10. KapaVax: Development of a trivalent vaccine for the prevention of infection caused by Acinetobacter baumannii, Pseudomonas aeruginosa and Klebsiella pneumoniae. CARB-X. IP (ISCIII): Michael McConnell. 2019-2021. 89.615 €.
11. Estudio de la cinética y reactividad de los anticuerpos neutralizantes en pacientes recuperados de COVID-19. Fundación Mutua Madrileña. Work Package Leader: Michael McConnell. 2020-2021. 80.000 €.
12. STOP-Coronavirus: factores clínicos, inmunológicos, genómicos, virológicos y bioéticos de COVID-19. (ISCIII: COV20-00181). 2020-2021. 1.200.000€.
13. Desarrollo de herramientas computacionales basadas en "big data" genómico para el diagnóstico de precisión de sepsis bacteriana. (MPY 509/19). IP: Javier Martín Galiano. 2020-2022- 74,400 €.
En el Laboratorio de I.R.A.S., también denominado de "Infecciones Intrahospitalarias", nos centramos actualmente en la caracterización molecular de los estafilococos, tanto S. aureus, como coagulasa negativos.
Los marcadores moleculares habituales, en el caso de los S. aureus son: electroforesis en campo pulsado (PFGE), tipificación multilocus de secuencias (MLST), tipo de casete cromosómico estafilocócico (SSCmec), tipificación spa, También detectamos, entre otros, los genes mec y PVL, los genes que codifican la Toxina exfoliativa (SST) y la Toxina del Shock Tóxico. Asimismo, para la identificación de los estafilococos coagulasa negativos, secuenciamos los genes 16S, rpoB, tuf., a los que también aplicamos PFGE, SSCmec, MLST.
Nuestras líneas de investigación se centran, por un lado, en el estudio de los mecanismos de resistencia a las oxazolidinonas: gen cfr, dominio del gen 23S ARNr , gen rplC (riboproteína L3), gen rplD (riboproteína L4), gen rplV (riboproteína L22). Hemos detectado, por primera vez, la existencia de nuevas mutaciones en la riboproteína L4 en un paciente con fibrosis quística. Aparte de los estudios llevados a cabo de las resistencias al linezolid en distintos hospitales, estudiamos en colaboración con la Universidad de Tsukuba (Japón) y la Universidad Europea la prevalencia del plásmido pSCFS7 entre cepas cfr positivas de distintos hospitales españoles.
Por otra parte, participamos en estudios multicéntricos (2002-2014) para conocer mejor el estado de la población estafilocócica española, centrándonos fundamentalmente en las cepas de S. aureus resistentes a meticilina (SARM); dado que es un importante patógeno humano que causa una amplia variedad de infecciones que pueden ser leves, como algunas infecciones de piel y partes blandas, o graves, como bacteriemia, endocarditis, neumonía e infecciones de localización quirúrgica. Además, pueden producir una colonización asintomática, lo que facilita su transmisión y diseminación. Desde su descripción inicial en 1959 y durante varias décadas, el SARM se había considerado un patógeno confinado al ámbito sanitario, pero a partir de la década de los noventa, se describe la emergencia de cepas SARM responsables de infecciones aparentemente adquiridas en la comunidad.
Dentro de esta línea estamos colaborando en el proyecto: "Colonización por S. aureus resistente a la meticilina en niños sanos de la comunidad (estudio C.O.S.A.C.O.)", que es un estudio multicéntrico de ámbito nacional.
También colaboramos con otros laboratorios en distintos estudios, como: "Mecanismos de patogenicidad y protección en bacterias Gram positivas causantes de enfermedades respiratorias y bacteriemia".
Publications
Emergence of cfr-Mediated Linezolid Resistance in a Methicillin-Resistant Staphylococcus aureus Epidemic Clone Isolated from Patients with Cystic Fibrosis.
4. Emergence of cfr-Mediated Linezolid Resistance in a Methicillin-Resistant Staphylococcus aureus Epidemic Clone Isolated from Patients with Cystic Fibrosis. de Dios Caballero J, Pastor MD, Vindel A, Máiz L, Yagüe G, Salvador C, Cobo M, Morosini MI, del Campo R, Cantón R; GEIFQ Study Group. Antimicrob Agents Chemother. 2015 Dec 14;60(3):1878-82.
PUBMED DOIThe dynamic changes of dominant clones of Staphylococcus aureus causing bloodstream infections in the European region: results of a second structured survey.
5. The dynamic changes of dominant clones of Staphylococcus aureus causing bloodstream infections in the European region: results of a second structured survey. Grundmann H, Schouls LM, Aanensen DM, Pluister GN, Tami A, Chlebowicz M, Glasner C, Sabat AJ, Weist K, Heuer O, Friedrich AW; ESCMID Study Group on Molecular Epidemiological Markers; European Staphylococcal Reference Laboratory Working Group. Euro Surveill. 2014 Dec 11;19(49).
PUBMED DOIPeptidoglycan recycling contributes to intrinsic resistance to fosfomycin in Acinetobacter baumannii.
6. Gil-Marqués ML, Moreno-Martínez P, Costas C, Pachón J, Blázquez J, McConnell M.J.* Peptidoglycan recycling contributes to intrinsic resistance to fosfomycin in Acinetobacter baumannii. Journal of Antimicrobial Chemotherapy. 2018 Nov 1;73(11):2960-2968.
PUBMED DOIImmunization with lipopolysaccharide-free outer membrane complexes protects against Acinetobacter baumannii infection.
7. Pulido MR, García-Quintanilla M, Pachón J, McConnell M.J.* Immunization with lipopolysaccharide-free outer membrane complexes protects against Acinetobacter baumannii infection. Vaccine. 2018 Jul 5;36(29):4153-4156.
PUBMED DOIInhibition of LpxC increases antibiotic susceptibility in Acinetobacter baumannii.
8. García-Quintanilla M, Caro-Vega JM, Pulido MR, Moreno-Martínez P, Pachón J, McConnell M.J.* Inhibition of LpxC increases antibiotic susceptibility in Acinetobacter baumannii. Antimicrobial Agents and Chemotherapy. 2016 Jul 22;60(8):5076-9.
PUBMED DOIImmunization with lipopolysaccharide-deficient whole cells provides protective immunity in an experimental mouse model of Acinetobacter baumannii infection.
9. García-Quintanilla M., Pulido M.R., Pachón J. and McConnell, M.J.* Immunization with lipopolysaccharide-deficient whole cells provides protective immunity in an experimental mouse model of Acinetobacter baumannii infection. PLOS One. 2014 Dec 8;9(12).
PUBMED DOIEncephalitis associated with human herpesvirus-7 infection in an immunocompetent adult.
M. Parra; A. Alcala; C. Amoros; A. Baeza; A. Galiana; D. Tarragó; M.Á. García-Quesada; V. Sánchez-Hellín. Encephalitis associated with human herpesvirus-7 infection in an immunocompetent adult. Virology Journal. 14 - 1, 2017.
PUBMED DOIMolecular epidemiology of enterovirus and parechovirus infections according to patient age over a 4-year period in Spain.
M. Cabrerizo; M. Díaz-Cerio; C. Muñoz-Almagro; N. Rabella; D. Tarragó; M.P. Romero; M.J. Pena; C. Calvo; S. Rey-Cao; A. Moreno-Docón; I. Martínez-Rienda; A. Otero; G. Trallero. Molecular epidemiology of enterovirus and parechovirus infections according to patient age over a 4-year period in Spain. J Med Virol. 2017 Mar;89(3):435-442.
PUBMED DOIViral epidemic outbreaks and public health alerts studied at the National Centre of Microbiology during a two-year period (2012-2013).
J.M. Echevarría Mayo; A.A. Avellón Calvo; M. Cabrerizo Sanz; I. Casas Flecha; J.E. Echevarría Mayo; Fd.eO. de Ory Manchón; A. Negredo Antón; F. Pozo Sánchez; M.P. Sánchez-Seco Fariñas; D. Tarragó Asensio; G. Trallero Masó. Viral epidemic outbreaks and public health alerts studied at the National Centre of Microbiology during a two-year period (2012-2013). Revista española de salud pública. 90, pp. E16 - E16. 2016
PUBMEDMolecular epidemiology of enterovirus 71, coxsackievirus A16 and A6 associated with hand, foot and mouth disease in Spain.
M. Cabrerizo; D. Tarragó; C. Muñoz-Almagro; E. del Amo; M. Domínguez-Gil; J.M.-S. Eiros; I. López-Miragaya; C. Pérez; J. Reina; A. Otero; I. González; J.E. Echevarría; G. Trallero. Molecular epidemiology of enterovirus 71, coxsackievirus A16 and A6 associated with hand, foot and mouth disease in Spain. Clinical Microbiology and Infection. 20 - 3, pp. O150 - O156. 2014.
PUBMED DOIMolecular epidemiology of the first Spanish enterovirus A71 outbreak associated with severe neurological diseases, 2016.
R Gonzalez-Sanz*, D Casas-Alba, C Launes, C Muñoz-Almagro, M Ruiz-García, MJ Gonzalez-Abad, M Alonso, G Megias, N Rabella, M del Cuerpo, M Gozalo-Margüello, A González-Praetorius, A Martínez-Sapiña, MJ Goyanes-Galán, MP Romero, C Calvo, A Antón, M Imaz, M Aranzamendi, Á Hernandez, A Moreno-Docón, S Rey Cao, A Navascuences, A Otero, M Cabrerizo. Molecular epidemiology of the first Spanish enterovirus A71 outbreak associated with severe neurological diseases, 2016. Euro Surveill. 2019 Feb;24(7).
PUBMED DOIAcute flaccid paralysis (AFP) surveillance: challenges and opportunities from 18 years’ experience, Spain, 1998 to 2015.
J Masa-Calles, N Torner, N López-Perea, MV Torres de Mier, B Fernández-Martínez, M Cabrerizo, V Gallardo-García, C Malo, M Margolles, M Portell, N Abadía, A Blasco, S García-Hernández, H Marcos, N Rabella, C Marín, A Fuentes, I Losada, A Nieto, V García Ortúzar, M García Cenoz, JM Arteagoitia, Á Blanco Martínez, A Rivas, D Castrillejo, Spanish AFP Surveillance Working Group. Acute flaccid paralysis (AFP) surveillance: challenges and opportunities from 18 years’ experience, Spain, 1998 to 2015. EuroSurveill 2018 23(47):pii=1700423.
PUBMED DOIRecommendations for enterovirus diagnostics and characterisation within and beyond Europe.
H Harvala, E Broberg, K Benschop, N Berginc, S Ladhani, P Susi, C Christiansen, J McKenna, D Allen, P Makiello, G McAllister, M Carmen, M Sveinsdottir, K Zakikhany, T Gunnarsdottir, R Dyrdak, X Nielsen, T Madsen, J Paul, C Moore, K von Eije, A Piralla , M Strutt, M Carileir, L Vanoverschelde, R Poelman, A Anton, X López-Labrador, C Galli, K Keeren, M Maier, H Cassidy, S Derdas, C Savolainen-Kopra, S Diedrich, S Nordbø, P Minor, J Buesa, H Yu, Q Liao, JL Bailly, F Baldanti, A MacAdam, N Grossly, A Mirand, S Dudman, I Schuffenecker, S Kadamba, n Neyts, M Griffiths, J Richter, C Margaretto, S Govind, U Morley, S Krokstad, J Dean, M Salort, B Prochazka, H-R Honkanen, M Cabrerizo, M Majumdar, L Pellegrinelli, G Nebbia, M Wiewel, S Cottrell, P Coyle, O Adams, J Martin, S Midgley, P Horby, K Wolthers, B Hubert Niesters, P Simmonds and TK Fischer. Recommendations for enterovirus diagnostics and characterisation within and beyond Europe. J Clin Virol 101: 11-17 (2018).
PUBMED DOIMolecular surveillance of norovirus, 2005-16: an epidemiological analysis of data collected from the NoroNet network.
4. J van Beek, M de Graaf, H Al-Hhello, DJ Allen, K Ambert-Balay, N Botteldoorn, M Brytting, J Buesa, M Cabrerizo, M Chan, F Cloak, I Di Bartolo, S Guix, J Hewitt, N Iritani, M Jin, R Johne, I Lederer, J Mans, V Martella, L Maunula, G McAllister, S Niendorf, HG Niesters, AT Podkolzin, M Poljsak-Prijatelj, L Dam Rasmussen, G Reuter, G Tuite, A Kroneman, H Vennema, MPG Koopmans, on behalf of NoroNet. Molecular surveillance of norovirus, 2005-16: an epidemiological analysis of data collected from the NoroNet network. Lancet Infect Dis 18:545-553 (2018)
PUBMED DOIFirst Cases of Severe Flaccid Paralysis Associated with Enterovirus D68 Infection in Spain, 2015-2016.
M Cabrerizo*, JP García-Iñiguez, F Munell, A Amado, P Madurga-Revilla, C Rodrigo, S Pérez, A Martínez-Sapiña, A Antón, G Suárez, N Rabella, V Del Campo, A Otero, J Masa-Calles. First Cases of Severe Flaccid Paralysis Associated with Enterovirus D68 Infection in Spain, 2015-2016. Pediatric Infect Dis J; 36: 1214-1216 (2017).
PUBMED DOIOutbreak of brainstem encephalitis associated with enterovirus-A71 in Catalonia, Spain (2016): a clinical observational study in a children’s reference centre in Catalonia
6. D Casas-Alba, M de Sevilla, A Valero-Rello, C Fortuny, JJ Garcia, C Ortez, J Muchart, T Armangue, I Jordan, C Luaces-Cubells, I Barrabeig, R González-Sanz, M Cabrerizo, C Munoz-Almagro, C Launes. Outbreak of brainstem encephalitis associated with enterovirus-A71 in Catalonia, Spain (2016): a clinical observational study in a children’s reference centre in Catalonia. Clin Microbiol Infect 23: 874-881 (2017)
PUBMED DOIMolecular epidemiology of enterovirus and parechovirus infections according to patient age over a 4-year period in Spain.
7. M Cabrerizo*, M Díaz-Cerio, C Muñoz-Almagro, N Rabella, D Tarragó, MP Romero, MJ Pena, C Calvo, S Rey-Cao, A Moreno-Docón, I Martínez-Rienda, A Otero, G Trallero. Molecular epidemiology of enterovirus and parechovirus infections according to patient age over a 4-year period in Spain. J Med Virol 89: 435-442 (2017).
PUBMED DOI-

Ana Alastruey Izquierdo
Research Scientist
ORCID code: 0000-0001-8651-4405
Doctor in microbiology from the Complutense University of Madrid and Master in Bioinformatics and computational biology from the same university. He completed his doctoral thesis at the ISCIII under the supervision of Dr. Juan Luis Rodríguez Tudela in molecular identification of human pathogenic fungi. He carried out research stays in Holland (Fungal Biodiversity Center, CBS-Knaw, Utrecht) and Austria (Austrian Institute of Technology). In 2010-2011 he joined Dr. David Perlin's group as a postdoctoral fellow at the Public Health Research Institute of Rutgers University in the United States working on antifungal resistance. In 2012 and 2013 he carried out research stays at the European Bioinformatics Institute (EMBL-EBI). Since 2014 he has been a Senior Scientist at the ISCIII.
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María Cabrerizo Sanz
Tenure Scientist and Group Leader
ORCID code: 0000-0001-7054-5696
Doctor in Chemistry, specializing in Biochemistry and Molecular Biology, Universidad Autónoma de Madrid (2000). Except for a postdoctoral period of 2 years at the Hospital de La Princesa, in which her research was related to onco-hematological diseases, the rest of her scientific career has focused on the study of infectious diseases caused by viruses and their surveillance. She joined the Instituto de Salud Carlos III in 2003, first in the Laboratory of Arbovirus and Imported Viral Diseases, then in the Laboratory of Viral Hepatitis and finally, in the Laboratory of Enterovirus (which is accredited as a National Polio Laboratory -LNP- for the WHO since 1998). She obtained the position of Tenure Scientist in 2016, at the same time she assumed the responsibility of the laboratory, currently of Enteric Viruses: Poliovirus/Enterovirus, Parechovirus and Gastroenteritis-producing Viruses, of the CNM. She has 4 scientific sexennials and 4 quinquennials recognized.
She has been and is PI of 4 consecutive research projects and 3 service contracts, from 2012 to the present, participating, in addition, in other 20 projects. As head of the LNP, she is part of the Working Group of the National Plan for the Eradication of Poliomyelitis and of the WHO European Polio Laboratory Network. She is also a member of the European Non-Polio Enterovirus Network (ENPEN), and of the national cooperation networks CIBERESP and RITIP (IdiPAZ). Since 2023 she is a Council Member from Spain of the European Society.
In total she has published 98 articles in WoS indexed journals (23 Q1 and 22 D1), being first author, senior author or correspondence author in 43 of them (H=27). She has supervised 1 PhD Thesis (2017) and 12 TFM. She is currently supervising another doctoral thesis (IMIENS-UNED). She participates as a teacher in three university masters (UCM, UAH and UV), being coordinator of the subject H2 of the Master of Virology at UCM.
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Concepción Casado Herrero
Tenure Scientist of Public Research Organizations (OPIs)
ORCID code: 0000-0003-3412-2877
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Javier García Pérez
Investigador Doctor
ORCID code: 0000-0001-7551-7803
Graduated in Biochemistry (1999) and Molecular Biology (2000) from the Autonomous University of Madrid (UAM), he obtained a predoctoral fellowship “ISCIII” in the AIDS Immunopathology laboratory, where he developed new techniques based on recombinant viruses. His doctoral thesis focused on the application of this technological development to the study of the replicative capacity of HIV-1 and its resistance to antiretroviral drugs, obtaining the degree of Doctor of Science from the UAM in 2007.
Thanks to a short postdoc in 2008 and several stays between 2009 and 2015 at the Viral Pathogenesis Unit of the Institut Pasteur in Paris he extended his training in the study of HIV-1 envelope and tropism. Between 2015 and 2019 he rejoins the AIDS Immunopathology Unit at ISCIII, focusing his work on the study of the functional capacity of founder viruses, as well as variants of the virus with interest in Public Health due to its recent expansion in our country. He is currently leading a project on the study of a mutation in transportin 3 observed in patients with a very rare muscular dystrophy (LGMDD2) that confers protection against HIV-1 infection.
During the last 5 years he combines this activity in HIV-1 with the participation and leadership of different clinical trials and studies investigating the immunity generated in people vaccinated against SARS-CoV-2 infection.
Since 2024 he is a “Investigador Doctor fuera de Convenio” at the Spanish National Centre of Microbiology and he currently coordinates together with Dr. Francisco Díez Fuertes the AIDS Immunopathology Unit.
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María Luisa Gaspar Alonso-Vega
Research Professor
ORCID code: 0000-0001-9858-3862
Dr. María Luis Gaspar Alons-Vega graduated in 1980 and obtained her PhD in 1985 in Medicine and Surgery from the Autonomous University of Madrid. She completed the specialty of Immunology (1981-1985), and her doctoral thesis under the direction of Dr. Carmen Gutierrez, in the Immunology laboratory of the Puerta de Hierro Clinic directed by Dr. Miguel Kreisler. She completed a predoctoral stay in the Cytogenetics Laboratory of the National Institute of Autoimmune, Diabetes, Digestive and Kidney Diseases (NIDDK, NIH), under the supervision of Dr. JH Tjio and Dr. E. Raveché. She joined the Immunology Service of the National Center for Health Microbiology, Virology and Immunology (CNMVIS, AISNA and later ISCIII) as a Physician-Specialist in 1986, in the Immunology Laboratory directed by Dr. Alfredo Toraño. She completed a postdoctoral stay (1989-1991) at the Immunogenetics Unit of the Pasteur Institute (Paris) directed by Dr. T. Meo. From 1991 to 2006 she was Head of the Immunology Section successively at the CNMVIS, at the National Center for Fundamental Biology (CNBF-ISCIII) and at the National Center for Microbiology (CNM-ISCIII). From 2006 to 2016 she has been a Senior Researcher and Senior Scientist of OPIs, in the Immunobiology laboratory of the CNM-ISCIII. From 2016 to 2018 she was a Scientific Researcher at OPIs and since 2018, she is a Research Professor at OPIs at the CNM.
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Horacio Gil Gil
Research Scientist
ORCID code: 0000-0002-7114-6686
Degree in Veterinary Medicine in 1995 and PhD in Veterinary Medicine in 2002 from the University of Zaragoza. He did his PhD thesis at NEIKER Tecknalia (Derio, Vizcaya) and the National Center for Microbiology of Instituto de Salud Carlos III (CNM-ISCIII, Majadahonda, Madrid) on the biological cycle of Lyme disease in the Basque Country. After that, he developed his postdoctoral training in different aspects of the pathogenesis of tularemia at the Center for Infectious Diseases, Stony Brook University, New York (USA) for 3 years. In December 2005, he joined the Reference and Research Laboratory in Special Pathogens of the CNM-ISCIII where he developed diagnostic, reference and research activities, in Bartonella, Leptospira and pathogens of interest in bioterrorism. Between 2014-2016 he participated in the European Program for the Training of Microbiologists in Public Health (EUPHEM), organized by the European Centre for Disease Prevention and Control. During this program, he participated in an international mission for the investigation of a cholera outbreak in Ghana, proposed by the Bernhard Nocht Institute for Tropical Diseases in Hamburg (Germany). In December 2016, he worked as a laboratory consultant for the World Health Organization at their office in Phnom Penh (Cambodia). Subsequently, he worked one year with Médecins Sans Frontières as director and quality manager of the TB laboratory in Nukus (Uzbekistan).
In 2019, he joined the HIV Variability and Biology Unit at CNM-ISCIII, where he developed different reference and research activities, including his contribution to the molecular epidemiological surveillance of HIV-1 in Spain and the study of HIV-1 antiretroviral resistance. Since September 2022 he has been leading the Human Papillomavirus Unit at the CNM-ISCIII. -
Alicia Gómez López
Research Scientist
ORCID code: 0000-0003-2780-5039
Doctor of Pharmacy from the Complutense University of Madrid and specialist in Microbiology and Parasitology via FIR (La Paz Hospital, Madrid). He completed his doctoral thesis at the Reference and Research Laboratory in Mycology under the supervision of Manuel Cuenca-Estrella. Currently a career civil servant in the Scientific Scale of O.P.I. at the Reference and Research Laboratory in Mycology.
Since 2010, he has been leading a line of research that seeks to advance clinical resistance in fungal infection through the study of dose/response relationships, the evaluation of PK/PD parameters of antifungals and their role in efficacy, as well as the study of biofilms as strategies that favour the resistance of fungal cells to the action of antifungals and immune cells. This line of research has resulted in the development and application of chromatographic methods (UPLC-UV) for antifungal monitoring and the characterisation of fungal biomolecules indicative of infection progression, which are useful for evaluating treatment response and diagnosis. Some of these methodologies have been validated according to protocols defined by the EMA and have been recognised by ENAC as valid methods for monitoring azoles in clinical samples. They are currently part of LRIM's portfolio of services and are in high demand as this methodology is not always available in clinical laboratories.
This line of research has been active since 2009, with continuous funding through various competitive calls from the AES as well as other collaborative private funding projects (9 Research Projects as IP in the period 2010-2025, Strategic Action in Health, AES FIS-ISCIII, calls for proposals 2009, 2013, 2016, 2021 and 2025; 22 research projects leading/collaborating in experimental or technological developments in the period 2000-2025).
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Adela González de la Campa
Scientific Investigator
ORCID code: 0000-0002-3598-2548
Dr. Adela González de la Campa obtained her degree in Biology in 1981 and her PhD in 1985 from the Complutense University of Madrid. She did her doctoral thesis in the laboratory of Dr. Miguel Vicente at the Centro de Investigaciones Biológicas of CSIC. Subsequently she worked for 2 years at Brookhaven National Laboratory, Upton, New York, USA in the laboratory of Sandford Lacks. After this postdoctoral stage in the USA, she worked for 3 years as a Reincorporation Fellow at the Centro de Investigaciones Biológicas of CSIC in the laboratory of Dr. Manuel Espinosa. He is a CSIC Senior Scientist since 1990 and Research Scientist since 2007. He participated as group leader of the CIBER of Respiratory Diseases (CIBERES) from 2007 to 2015. Since 1990, she has been the principal investigator of the Bacterial Genetics Unit at the National Centre for Microbiology.
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Maribel Jiménez Alonso
Tenured Scientist
ORCID code: 0000-0002-5615-3087
Doctor in Pharmacy from the Complutense University of Madrid (1994) and Extraordinary Doctorate Award. She started her research activity at ISCIII in 1990 in the field of leishmaniasis. Currently, she is the head of the LEM where she develops her scientific work in the field of entomological surveillance of phlebotomine sandflies in the CM and other studies in the field of molecular biology, mainly applied to the model of Leishmania infantum and its vector Phlebotomus perniciosus. Member of the team of experts of the ISCIII that participates in the elaboration of Rapid Risk Assessments and in the working groups in charge of the elaboration of National Plans of Prevention, Surveillance and Control of Vector-borne Diseases of the CCAES, Ministry of Health. She is currently “Operational Focal Point” for vector-borne diseases at national level for the One Health-Vectornet network (EFSA and ECDC) and coordinator of the VectorNet-Spain network since July 2024. In addition, she is a member of the expert committee of the Network of Surveillance and Control of Vectors with public health interest in the Community of Madrid. In addition, she is part of a research group from CIBER (CIBERINFEC; CB21/13/00110).
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Vicente Mas Lloret
Scientific Researcher
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Miguel Thomson
Research Professor. Head of Unit
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Eloisa Yuste Herranz
Staff Scientist
ORCID code: 0000-0002-9484-9974
She holds a Bachelor's and a Ph.D. in Biological Sciences from the Complutense University of Madrid. She completed her first postdoctoral stay (1998–2001) at the “Severo Ochoa” Molecular Biology Center (Madrid). In 2001, she undertook a second postdoctoral stay at Harvard Medical School (USA), where she was promoted to Associate Researcher in 2005.
In 2008, she joined the August Pi i Sunyer Biomedical Research Institute (Barcelona) as a Ramón y Cajal Researcher, later being promoted to I3 Researcher in 2011 at the same institution. In 2016, she joined the National Center for Microbiology at the Carlos III Health Institute (Madrid) as a Distinguished Researcher. In 2018, she was promoted to Tenured Scientist at the same institution.
Her research has focused on the study of humoral immunity against HIV-1 and the development of preventive HIV-1 vaccine prototypes. She is currently co-leading, alongside Dr. Víctor Sánchez Merino, the newly established Humoral Immunity and HIV Vaccines Unit.
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Óscar Zaragoza Hernández
Research Professor
ORCID code: 0000-0002-1581-0845
Dr. Oscar Zaragoza graduated in Biology from the Complutense University of Madrid in 1995 and obtained his PhD from the Autonomous University of Madrid. He completed his doctoral thesis (2000) at the CSIC under the direction of Dr. Juana María Gancedo on the topic of glucose catabolite repression in Saccharomyces cerevisiae. During this period, he was also tutored by Dr. Carlos Gancedo in collaborative projects, that allowed him to start working with the pathogenic yeast Candida albicans.
After a brief postdoctoral stay in the same laboratory, in 2001, he joined the laboratory of Dr. Arturo Casadevall (Albert Einstein College of Medicine, New York), where he specialized in research into virulence mechanisms of pathogenic fungi, mainly Cryptococcus neoformans. In 2006 he joined the National Center for Microbiology of the ISCIII thanks to a “Ramón y Cajal” contract and he became staff scientist in 2009. Currently, he occupies the rank of Research Professor of the OPIs.
During his career, he has published more than 140 articles, 4 book chapters and a popular book ("Microscopic fungi: Friends or Enemies?"). He has obtained public and private projects, and participates as CoIP of a CIBERINFEC group. He has supervised seven doctoral theses, and numerous master's thesis projects.
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Laura Alguacil Cuéllar
PhD student (pFIS)
ORCID code: 0000-0002-7362-0214
Graduated in Biology from the Rey Juan Carlos University, she completed the Master's Degree in Microbiology and Parasitology: Research and Development from the Complutense University of Madrid (UCM) and is an expert in Research Methodology and Evidence-Based Clinical Practice from the Miguel de Cervantes European University. For two years he was a research assistant in the Microbiology department of the Faculty of Pharmacy at the UCM thanks to a CM Young Employment Scholarship. In 2023 he joined ISCIII with a pFIS predoctoral contract under the direction of Dr. Ana Alastruey Izquierdo.
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Jorge Amich Elías
Tenure Scientist
ORCID code: 0000-0002-8987-5115
Doctor en Microbiología y Genética Molecular, realizó su tesis doctoral (2010) en la Universidad de Salamanca bajo la dirección del Dr. José Antonio Calera Abad. Realizó estancias postdoctorales en la Universidad de Würzburg (Alemania) bajo la supervisión del Prof. Sven Krappmann (2011-2012) y en el Hospital Clínico de Würzbug bajo la supervisión del Prof. Andreas Beilhack (2013-2015). Entre 2016 y 2021 fue Investigador Principal en el Manchester Fungal Infection Group (MFIG, Universidad de Manchester, Reino Unido) financiado con un MRC Career Development Award. En 2022 me he incorporado al Centro Nacional de Microbiología del ISCIII gracias a un contrato de Atracción de Talento de la Comunidad de Madrid. En 2024, pasó a ser Científico Titular de los OPIs en el CNM.
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Belén de Andrés Muguruza
Research Scientist
ORCID code: 0000-0002-7391-2823
Graduated in Biology in 1987 and PhD in 1992 from the Autonomous University of Madrid. He completed his doctoral thesis in the laboratory of Dr. Carlos Lahoz in the Immunology department of the Jiménez Díaz Foundation with a pre-doctoral stay at the Institute Curie in Paris, in the laboratory of Dr. Wolf H. Fridman. Subsequently, he completed a two-year postdoctoral stay in the Department of Pathology of the College of Medicine at the University of Iowa, USA, in the laboratory of Dr. Richard G. Lynch. After a year as an Adjunct in the Immunology department of the Jiménez Diaz Foundation, she worked for 2 years with a reinstatement contract from the Ministry of Science in the Immunobiology department of the CNM/ISCIII in the laboratory of Dr. Mª Luisa Gaspar and later with a Ramón y Cajal contract. In 2006 she obtained a position as Staff Senior Scientist.
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Francisco Díez Fuertes
Investigador Doctor Indefinido
ORCID code: 0000-0003-2413-9229
Degree in Biology from the University of León, PhD specialized in molecular virology from the Complutense University of Madrid in 2010 and master's degree in bioinformatics and computational biology from the same university in 2012. He has done research stays at University of Illinois at Urbana Champaign (USA) in 2010, Nebraska Center for Virology (USA) in 2011, Institut Pasteur (France) in 2013 and J. Craig Venter Institute (USA) in 2015-2016.
He joined the AIDS Immunopathology Unit in 2013 with a contract from the “Sara Borrell” postdoctoral program. After a period at the August Pi i Sunyer Biomedical Research Institute in Barcelona he rejoins the AIDS Immunopathology Unit in 2020 as a PhD researcher.
His lines of research have focused on the genomic and transcriptomic characterization of extreme phenotypes in HIV-1 infection, including long-term non-progressors and elite controllers. He collaborates with other laboratories of the center in the analysis of outbreaks caused by viruses with interest in Public Health, as well as in evolutionary studies on genomic epidemiology. Since 2020 he has led different clinical studies on COVID-19. Currently, he combines omics sciences with different bioinformatics tools to answer different scientific questions in the field of virology, especially in HIV-1 and SARS-CoV-2 research. He currently coordinates together with Dr. Javier García Pérez the AIDS Immunopathology Unit.
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Mª Dolores Fernández García
Tenure Scientist
ORCID code: 0000-0003-0336-6596
Degree in Pharmacy (2005) and PhD from the University VII Paris Diderot in Microbiology (2010). She completed her doctoral thesis at the Pasteur Institute in Paris characterizing the molecular and cellular basis of flavivirus entry into cells. Specialist in Public Health Microbiology (European Program EUPHEM coordinated by ECDC). She has worked 3 years for the French Ministry of Foreign Affairs as a researcher at the Pasteur Institute in Dakar (Senegal) carrying out microbiological surveillance activities and research on polioviruses and non-polio enteroviruses in West Africa. She has obtained two Miguel Servet contracts: one to work at IMIBIC in Cordoba (2019) and an intramural one to work at CNM (2020). Both were awarded for the study of neurotropic viruses applying massive sequencing for their diagnosis. In 2021 he joined the CNM-ISCIII as a Tenure Research Scientist at the Enterovirus and Viral Gastroenteritis Unit of the CNM-ISCIII. Since then, she combines her scientific activity with the assistance to the National Health System in the microbiological research of outbreaks and in the Genomic Surveillance of Enteroviruses and Gastroenteritis-producing Viruses.
She is a researcher in the Epidemiology and Public Health Area of the Centro de Investigación Biomédica en Red (CIBERESP-ISCIII). In addition, she is an evaluator and panelist for the HORIZON health program projects of the European Commission, the French National Agency ANRS-Emerging Infectious Diseases, R&D&I in HEALTH of the Strategic Action in Health (ISCIII) and the Andalusian Public Foundation Progreso y Salud. She has worked as scientific advisor to the Spanish Ministry of Health on Rotavirus and Polio. Since 2020 she has been teaching virology in different Spanish universities.
She has worked for WHO in the investigation of numerous outbreaks caused by viruses (Ebola, Zika, Yellow Fever, Dengue, etc.) in African and Asian countries strengthening laboratory capacities through technology transfer of diagnostic methods, training of laboratory personnel in these countries and scientific advisory tasks to the Ministries of Health. She has been the Health Coordinator of the START Project (Spanish Technical Aid Response Team) of the AECID, framed in the “Emergency Medical Teams” initiative of the WHO, participating in the establishment for Spain of a field hospital classified by the WHO as EMT Level 2 for interventions in humanitarian emergencies.
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María José Ferrándiz Avellano
Research Scientist
ORCID code: 0000-0003-1428-9506
Dr. María José Ferrández obtained her degree in Biology in 1990 and her PhD in 1997 from the Complutense University of Madrid. She completed her doctoral thesis at the Centro de Investigaciones Biológicas of CSIC in the laboratory of Dr. Miguel Vicente. She completed her postdoctoral training at the Centro Nacional de Microbiología of Instituto de Salud Carlos III (1998-2001 and 2003-2006) and at the Institute of Infection and Immunity (University of Nottingham) from 2001- 2003. From 2007 to 2015, she participated as a researcher of the CIBER of Respiratory Diseases (CIBERES). Since 2006, she is a Full Scientist at the National Microbiology Center of the ISCIII.
List of staff