Centre for Inflammation and Tissue Repair, University College London (UCL) Respiratory, London, United Kingdom.
London School of Hygiene and Tropical Medicine, Infectious and Tropical Disease, Department of Infection Biology, London, United Kingdom.
Front Immunol. 2021 Jul 30;12:705533. doi: 10.3389/fimmu.2021.705533. eCollection 2021.
Antibody therapy may be an alternative treatment option for infections caused by the multi-drug resistant (MDR) bacterium As has multiple capsular serotypes, a universal antibody therapy would need to target conserved protein antigens rather than the capsular polysaccharides. We have immunized mice with single or multiple strains to induce antibody responses to protein antigens, and then assessed whether these responses provide cross-protection against a collection of genetically diverse clinical isolates. Immunized mice developed antibody responses to multiple protein antigens. Flow cytometry IgG binding assays and immunoblots demonstrated improved recognition of both homologous and heterologous clinical strains in sera from mice immunized with multiple strains compared to a single strain. The capsule partially inhibited bacterial recognition by IgG and the promotion of phagocytosis by human neutrophils. However, after immunization with multiple strains, serum antibodies to protein antigens promoted neutrophil phagocytosis of heterologous strains. In an infection model, mice immunized with multiple strains had lower bacterial counts in the spleen and liver following challenge with a heterologous strain. These data demonstrate that antibodies targeting protein antigens can improve immune recognition and protection against diverse strains, providing support for their use as an antibody therapy.
抗体疗法可能是治疗多重耐药(MDR)细菌感染的一种替代治疗选择。由于 具有多种荚膜血清型,因此通用的抗体疗法需要针对保守的蛋白抗原,而不是荚膜多糖。我们用单一或多种 菌株免疫小鼠,以诱导针对蛋白抗原的抗体反应,然后评估这些反应是否能提供针对一组遗传上不同的临床 分离株的交叉保护。免疫小鼠产生了针对多种蛋白抗原的抗体反应。流式细胞术 IgG 结合分析和免疫印迹实验表明,与单一菌株相比,用多种菌株免疫的小鼠血清中对同源和异源临床菌株的识别能力得到了提高。荚膜部分抑制了 IgG 对细菌的识别和人中性粒细胞的吞噬作用。然而,在用多种菌株免疫后,针对蛋白抗原的血清抗体促进了中性粒细胞对异源 菌株的吞噬作用。在感染模型中,用多种菌株免疫的小鼠在接受异源菌株攻击后,脾脏和肝脏中的细菌数量减少。这些数据表明,针对蛋白抗原的抗体可以改善对多种 菌株的免疫识别和保护,为其作为抗体治疗的应用提供了支持。