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Title: Inhibition of Toxic Shock by Human Monoclonal Antibodies against Staphylococcal Enterotoxin B

Journal Article · · PLoS ONE
 [1];  [2];  [1]
  1. Medical Research Institute of Infectious Diseases, Frederick, MD (United States); Hood College, Frederick, MD (United States)
  2. Medical Research Institute of Infectious Diseases, Frederick, MD (United States); Wilson College, Chambersburg, PA (United States)

Staphylococcus aureus is implicated in many opportunistic bacterial infections around the world. Rising antibiotic resistance and few alternative methods of treatment are just two looming problems associated with clinical management of S. aureus. Among numerous virulence factors produced by S. aureus, staphylococcal enterotoxin (SE) B is a secreted protein that binds T-cell receptor and major histocompatibility complex class II, potentially causing toxic shock mediated by pathological activation of T cells. Recombinant monoclonal antibodies that target SEB and block receptor interactions can be of therapeutic value. The inhibitory and biophysical properties of ten human monoclonal antibodies, isolated from a recombinant library by panning against SEB vaccine (STEBVax), were examined as bivalent Fabs and native full-length IgG (Mab). The best performing Fabs had binding affinities equal to polyclonal IgG, low nanomolar IC50s against SEB in cell culture assays, and protected mice from SEB-induced toxic shock. The orthologous staphylococcal proteins, SEC1 and SEC2, as well as streptococcal pyrogenic exotoxin C were recognized by several Fabs. Four Fabs against SEB, with the lowest IC50s, were converted into native full-length Mabs. Although SEB-binding kinetics were identical between each Fab and respective Mab, a 250-fold greater inhibition of SEB-induced T-cell activation was observed with two Mabs. Results suggest that these human monoclonal antibodies possess high affinity, target specificity, and toxin neutralization qualities essential for any therapeutic agent.

Research Organization:
Medical Research Institute of Infectious Diseases, Frederick, MD (United States); Hood College, Frederick, MD (United States)
Sponsoring Organization:
USDOE Office of Science (SC); Medical Research and Materiel Command; Joint Science and Technology Office
Grant/Contract Number:
SC0014664
OSTI ID:
1627427
Journal Information:
PLoS ONE, Vol. 5, Issue 10; ISSN 1932-6203
Publisher:
Public Library of ScienceCopyright Statement
Country of Publication:
United States
Language:
English

References (66)

Long-term effects of intravenous immunoglobulin in CIDP journal September 2007
Human Immunoglobulin G Recognizing Fibrinogen-Binding Surface Proteins Is Protective against both Staphylococcus aureus and Staphylococcus epidermidis Infections In Vivo journal February 2006
Clinical Trial of Safety and Efficacy of IHN-A21 for the Prevention of Nosocomial Staphylococcal Bloodstream Infection in Premature Infants journal September 2007
Community-associated Methicillin-resistant Staphylococcus aureus Isolates and Healthcare-Associated Infections1 journal February 2007
Potent neutralization of botulinum neurotoxin by recombinant oligoclonal antibody journal August 2002
egc , A Highly Prevalent Operon of Enterotoxin Gene, Forms a Putative Nursery of Superantigens in Staphylococcus aureus journal January 2001
Clinical Usefulness of Intravenous Human Immunoglobulins in Invasive Group A Streptococcal Infections: Case Report and Review journal December 1995
The staphylococcal enterotoxins and their relatives journal May 1990
Differences in Potency of Intravenous Polyspecific Immunoglobulin G against Streptococcal and Staphylococcal Superantigens: Implications for Therapy of Toxic Shock Syndrome journal March 2004
Staphylococcal enterotoxin B mutants (N23K and F44S): biological effects and vaccine potential in a mouse model journal February 1997
Staphylococcal enterotoxins: A purging experience in review, Part I journal December 2005
Staphylococcal enterotoxins A and B share a common structural motif for binding class II major histocompatibility complex molecules journal July 1995
Specificity, cross-reactivity and competition profile of monoclonal antibodies to staphylococcal enterotoxins B and C1 detected by indirect enzyme-linked immunosorbent assays journal April 1989
Costs of skin and skin structure infections due to S taphylococcus aureus : an analysis of managed- care claims journal August 2008
Development of engineered vaccines effective against structurally related bacterial superantigens journal November 1998
Neutralization of toxic shock syndrome toxin-1 by monoclonal antibodies in vitro and in vivo. journal January 1988
Biological activity of toxic shock syndrome toxin 1 and a site-directed mutant, H135A, in a lipopolysaccharide-potentiated mouse lethality model. journal January 1995
Correlation of Temperature and Toxicity in Murine Studies of Staphylococcal Enterotoxins and Toxic Shock Syndrome Toxin 1 journal March 1999
Progress Towards Recombinant Anti-Infective Antibodies journal January 2009
Influence of impaired T- and B-cell compartments on efficacy of IVIg in dysimmune neuropathies journal October 2007
Epidemiology of Methicillin‐Resistant Staphylococcus aureus journal June 2008
Use of intravenous immunoglobulin in the treatment of staphylococcal and streptococcal toxic shock syndromes and related illnesses☆☆☆ journal October 2001
Pathogenesis of Methicillin‐Resistant Staphylococcus aureus Infection journal June 2008
Potent Neutralization of Staphylococcal Enterotoxin B by Synergistic Action of Chimeric Antibodies journal March 2010
Lack of Benefit of Intravenous Immune Globulin in a Murine Model of Group A Streptococcal Necrotizing Fasciitis journal January 2000
Immunotherapeutic strategies to combat staphylococcal infections journal August 2010
Vaccination and passive immunisation against Staphylococcus aureus journal November 2008
A randomized prospective study on the use of 2 g-IVIG or 1 g-IVIG as therapy for Kawasaki disease journal November 2006
The Staphylococcal Enterotoxins and Their Relatives journal June 1990
Comparative prevalence of superantigenic toxin genes in meticillin-resistant and meticillin-susceptible Staphylococcus aureus isolates journal September 2008
Isolation of a Human Monoclonal Antibody with Strong Neutralizing Activity against Diphtheria Toxin journal June 2006
Monoclonal antibodies to staphylococcal enterotoxins B and C: cross-reactivity and localization of epitopes on tryptic fragments. journal January 1984
Gamma-globulin Inhibits Superantigen-induced Lymphocyte Proliferation and Cytokine Production journal January 2007
Generation of protective immunity by inactivated recombinant staphylococcal enterotoxin B vaccine in nonhuman primates and identification of correlates of immunity journal July 2003
Characterization of novel type C staphylococcal enterotoxins: biological and evolutionary implications. journal January 1993
Adjunctive Treatment of Streptococcal Toxic Shock Syndrome Using Intravenous Immunoglobulin: Case Report and Review journal January 1997
Cross‐Reactive Antibodies Prevent the Lethal Effects of Staphylococcus aureus Superantigens journal October 1999
Phase II, Randomized, Double-Blind, Multicenter Study Comparing the Safety and Pharmacokinetics of Tefibazumab to Placebo for Treatment of Staphylococcus aureus Bacteremia journal August 2006
Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States journal January 2009
Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States journal January 2008
Recurrent Nonmenstrual Toxic Shock Syndrome: Clinical Manifestations, Diagnosis, and Treatment journal May 2001
Structural and Functional Properties of Antibodies to the Superantigen TSST-1 and Their Relationship to Menstrual Toxic Shock Syndrome journal March 2007
Prevalence of Toxic Shock Syndrome Toxin 1-Producing Staphylococcus aureus and the Presence of Antibodies to This Superantigen in Menstruating Women journal September 2005
Successful treatment of cytomegalovirus-associated hemophagocytic syndrome by intravenous immunoglobulins journal February 2008
Use of intravenous immunoglobulin for the treatment of severe clostridium difficile colitis journal March 2007
Isolation of specific and common antibodies to staphylococcal enterotoxins B, C1, and C2. journal January 1980
One in five mortality in non-menstrual toxic shock syndrome versus no mortality in menstrual cases in a balanced French series of 55 cases journal October 2007
Proteomics-Based Identification of Anchorless Cell Wall Proteins as Vaccine Candidates against Staphylococcus aureus journal April 2009
Mucosal Vaccination with Recombinantly Attenuated Staphylococcal Enterotoxin B and Protection in a Murine Model journal April 2001
Invasive Methicillin-Resistant <EMPH TYPE="ITAL">Staphylococcus aureus</EMPH> Infections in the United States journal October 2007
Intravenous Immunoglobulin G Therapy in Streptococcal Toxic Shock Syndrome: A European Randomized, Double-Blind, Placebo-Controlled Trial journal August 2003
Fully synthetic human combinatorial antibody libraries (HuCAL) based on modular consensus frameworks and CDRs randomized with trinucleotides journal February 2000
Clinical and economic burden of antimicrobial resistance journal October 2008
Antibody for the prevention of neonatal noscocomial staphylococcal infection: a review of the literature journal January 2007
Epidemiology of Methicillin-Resistant Staphylococcus aureus journal January 1999
Staphylococcal enterotoxins: A purging experience in review, Part II journal December 2005
Cross-neutralization of staphylococcal and streptococcal pyrogenic toxins by monoclonal and polyclonal antibodies. journal January 1988
Toxic Shock Syndrome in a Neonate journal January 2007
Staphylococcal enterotoxin A and toxic shock syndrome toxin compete with CD4 for human major histocompatibility complex class II binding. journal January 1995
Staphylococcal Vaccines and Immunotherapies journal March 2009
Protection against Bacterial Superantigen Staphylococcal Enterotoxin B by Passive Vaccination journal May 2002
Neutralization of staphylococcal exotoxins in vitro by human-origin intravenous immunoglobulin journal January 2007
The staphylococcal enterotoxins and their relatives journal June 1990
Intravenous immunoglobulin contains specific antibodies inhibitory to activation of T cells by staphylococcal toxin superantigens [see comment] journal February 1993
Immunotherapy with human monoclonal antibodies. Fragment A specificity of polyclonal and monoclonal antibodies is crucial for full protection against tetanus toxin. journal July 1993
On the Cross-Reactivity of Staphylococcal Enterotoxins A, B, and C journal January 1978

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