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通过介导金黄色葡萄球菌巨聚体的调理吞噬作用,抗氨基葡萄糖苷酶单克隆抗体的被动免疫保护小鼠免受植入物相关骨髓炎。

Passive immunization with anti-glucosaminidase monoclonal antibodies protects mice from implant-associated osteomyelitis by mediating opsonophagocytosis of Staphylococcus aureus megaclusters.

机构信息

Department of Pathology & Laboratory Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, 14642; Center for Musculoskeletal Research, University of Rochester School of Medicine and Dentistry, Rochester, New York, 14642.

出版信息

J Orthop Res. 2014 Oct;32(10):1389-96. doi: 10.1002/jor.22672. Epub 2014 Jul 3.

Abstract

Towards the development of a methicillin-resistant Staphylococcus aureus (MRSA) vaccine we evaluated a neutralizing anti-glucosaminidase (Gmd) monoclonal antibody (1C11) in a murine model of implant-associated osteomyelitis, and compared its effects on LAC USA300 MRSA versus a placebo and a Gmd-deficient isogenic strain (ΔGmd). 1C11 significantly reduced infection severity, as determined by bioluminescent imaging of bacteria, micro-CT assessment of osteolysis, and histomorphometry of abscess numbers (p < 0.05). Histology also revealed infiltrating macrophages, and the complete lack of staphylococcal abscess communities (SAC), in marrow abscesses of 1C11 treated mice. In vitro, 1C11 had no direct effects on proliferation, but electron microscopy demonstrated that 1C11 treatment phenocopies ΔGmd defects in binary fission. Moreover, addition of 1C11 to MRSA cultures induced the formation of large bacterial aggregates (megaclusters) that sedimented out of solution, which was not observed in ΔGmd cultures or 1C11 treated cultures of a protein A-deficient strain (ΔSpa), suggesting that the combined effects of Gmd inhibition and antibody-mediated agglutination are required. Finally, we demonstrated that macrophage opsonophagocytosis of MRSA and megaclusters is significantly increased by 1C11 (p < 0.01). Collectively, these results suggest that the primary mechanism of anti-Gmd humoral immunity against MRSA osteomyelitis is macrophage invasion of Staphylococcal abscess communities (SAC) and opsonophagocytosis of megaclusters. .

摘要

为了开发耐甲氧西林金黄色葡萄球菌 (MRSA) 疫苗,我们在植入物相关骨髓炎的小鼠模型中评估了一种中和抗葡糖胺酶 (Gmd) 的单克隆抗体 (1C11),并将其作用与 LAC USA300 MRSA 进行了比较安慰剂和 Gmd 缺陷的同源菌株 (ΔGmd)。1C11 显著降低了细菌生物发光成像、微 CT 评估骨质溶解和脓肿数量的组织形态计量学(p < 0.05)所确定的感染严重程度。组织学还显示,在 1C11 治疗的小鼠骨髓脓肿中,浸润的巨噬细胞和完全缺乏葡萄球菌脓肿群落 (SAC)。在体外,1C11 对增殖没有直接影响,但电子显微镜显示 1C11 处理可模拟ΔGmd 在二分分裂中的缺陷。此外,将 1C11 添加到 MRSA 培养物中会诱导形成大的细菌聚集体 (巨聚体),这些聚集体从溶液中沉淀出来,在ΔGmd 培养物或缺乏蛋白 A 的菌株 (Δ Spa) 的 1C11 处理培养物中未观察到,这表明 Gmd 抑制和抗体介导的凝集的综合作用是必需的。最后,我们证明 1C11 显著增加了巨噬细胞对 MRSA 和巨聚体的调理吞噬作用 (p < 0.01)。总之,这些结果表明,针对 MRSA 骨髓炎的抗 Gmd 体液免疫的主要机制是巨噬细胞入侵葡萄球菌脓肿群落 (SAC) 和调理吞噬巨聚体。

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