使用抗体组合中和艰难梭菌毒素 A。

Neutralization of Clostridium difficile toxin A using antibody combinations.

机构信息

Verenium Corp., San Diego, CA, USA.

出版信息

MAbs. 2010 Mar-Apr;2(2):190-8. doi: 10.4161/mabs.2.2.11220.

Abstract

The pathogenicity of Clostridium difficile (C. difficile) is mediated by the release of two toxins, A and B. Both toxins contain large clusters of repeats known as cell wall binding (CWB) domains responsible for binding epithelial cell surfaces. Several murine monoclonal antibodies were generated against the CWB domain of toxin A and screened for their ability to neutralize the toxin individually and in combination. Three antibodies capable of neutralizing toxin A all recognized multiple sites on toxin A, suggesting that the extent of surface coverage may contribute to neutralization. Combination of two noncompeting antibodies, denoted 3358 and 3359, enhanced toxin A neutralization over saturating levels of single antibodies. Antibody 3358 increased the level of detectable CWB domain on the surface of cells, while 3359 inhibited CWB domain cell surface association. These results suggest that antibody combinations that cover a broader epitope space on the CWB repeat domains of toxin A (and potentially toxin B) and utilize multiple mechanisms to reduce toxin internalization may provide enhanced protection against C. difficile-associated diarrhea.

摘要

艰难梭菌(C. difficile)的致病性是由两种毒素 A 和 B 的释放介导的。这两种毒素都含有大量的重复序列,称为细胞壁结合(CWB)结构域,负责结合上皮细胞表面。针对毒素 A 的 CWB 结构域生成了几种鼠单克隆抗体,并筛选了它们单独和联合中和毒素的能力。能够中和毒素 A 的三种抗体都识别毒素 A 上的多个位点,这表明表面覆盖率可能有助于中和。两种非竞争抗体 3358 和 3359 的组合增强了毒素 A 的中和作用,超过了单抗体的饱和水平。抗体 3358 增加了细胞表面可检测到的 CWB 结构域的水平,而 3359 抑制了 CWB 结构域与细胞表面的结合。这些结果表明,覆盖毒素 A(和潜在的毒素 B)的 CWB 重复结构域更广泛表位空间的抗体组合,并利用多种机制减少毒素内化,可能为预防艰难梭菌相关性腹泻提供更有效的保护。

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