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针对肺炎克雷伯菌荚膜多糖的人源单克隆抗体可识别多种血清型的簇。

Human monoclonal antibodies specific for capsular polysaccharides of Klebsiella recognize clusters of multiple serotypes.

作者信息

Lang A B, Bruderer U, Senyk G, Pitt T L, Larrick J W, Cryz S J

机构信息

Department of Immunology, Swiss Serum and Vaccine Institute, Berne, Switzerland.

出版信息

J Immunol. 1991 May 1;146(9):3160-4.

PMID:2016541
Abstract

We report the generation and the characterization of a set of human monoclonal antibodies (HmAb) specific for Gram-negative bacteria of Klebsiella pneumoniae. The eight human hybridomas secrete either IgM kappa, IgA1 kappa, or IgA2 kappa antibodies. One HmAb binds bacteria of only one serotype. Five HmAb recognize non-overlapping clusters of 2, 3, or 10 different serotypes. The remaining two HmAb both recognize three serotypes. Two serotypes are recognized by both HmAb, and in addition both HmAb bind one more nonidentical serotype. These results suggest that in man, epitopes are immunodominant, different from serotype-specific determinants detected by conventional rabbit antisera. Screening of clinical isolates revealed that the HmAb recognize not only representative typing strains but also most isolates of the corresponding serotype. In addition, most of the isolates that were non-typable by polyclonal antisera were recognized by one of the HmAb. Fine specificity analyses revealed that all HmAb are highly specific for the isolated capsular polysaccharides (CPS) of bacteria within the corresponding cluster of serotypes. However, the avidity of a HmAb for the different CPS can differ significantly. Taken together, our results suggest that the unequivocal interactions between HmAb and CPS offer the basis for an alternative, better defined classification system, and that passive immunization with a limited number of HmAb may provide a feasible strategy for the protection against the majority of fatal, nosocomial infections with multidrug-resistant strains of K. pneumoniae.

摘要

我们报告了一组对肺炎克雷伯菌革兰氏阴性菌具有特异性的人单克隆抗体(HmAb)的产生及特性。这八种人杂交瘤分泌IgM κ、IgA1 κ或IgA2 κ抗体。一种HmAb仅结合一种血清型的细菌。五种HmAb识别2种、3种或10种不同血清型的不重叠簇。其余两种HmAb均识别三种血清型。两种血清型被这两种HmAb共同识别,此外这两种HmAb还结合另一种不同的血清型。这些结果表明,在人类中,表位具有免疫优势,这与传统兔抗血清检测到的血清型特异性决定簇不同。对临床分离株的筛选显示,HmAb不仅识别代表性的分型菌株,还识别相应血清型的大多数分离株。此外,大多数不能被多克隆抗血清分型的分离株能被其中一种HmAb识别。精细特异性分析表明,所有HmAb对相应血清型簇内细菌的分离荚膜多糖(CPS)具有高度特异性。然而,一种HmAb对不同CPS的亲和力可能有显著差异。综上所述,我们的结果表明,HmAb与CPS之间明确的相互作用为一种更好定义的替代分类系统提供了基础,并且用有限数量的HmAb进行被动免疫可能为预防大多数由多重耐药肺炎克雷伯菌引起的致命医院感染提供一种可行的策略。

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