Human immunoglobulin G recognizing fibrinogen-binding surface proteins is protective against both Staphylococcus aureus and Staphylococcus epidermidis infections in vivo

Antimicrob Agents Chemother. 2006 Feb;50(2):511-8. doi: 10.1128/AAC.50.2.511-518.2006.

Abstract

A human donor-selected immunoglobulin G for intravenous injection (IGIV) product with elevated titers against the staphylococcal fibrinogen-binding MSCRAMM proteins ClfA and SdrG (INH-A21) was tested in vitro and in vivo. INH-A21 contained a significantly increased ability to inhibit the fibrinogen-binding activity of recombinant forms of both ClfA and SdrG. Evaluation of the opsonizing potential of INH-A21 was evaluated using fluorescently labeled bacteria; this assay indicated an increase in phagocytic activity compared to normal IGIV. The prophylactic efficacy of INH-A21 against an intraperitoneal challenge of methicillin-resistant Staphylococcus epidermidis (MRSE) was evaluated in a neonatal rat model. INH-A21 was also evaluated for prophylactic and therapeutic efficacy in a rabbit model of catheter-induced aortic valve infective endocarditis caused by either MRSE or methicillin-resistant Staphylococcus aureus (MRSA). Results from the in vivo models demonstrated potent prophylactic and therapeutic efficacy against both MRSE and MRSA. These data suggest that INH-A21 may be an important tool for the prevention and treatment of staphylococcal infections, especially in high-risk populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Bacterial / therapeutic use*
  • Bacterial Proteins / immunology*
  • Carrier Proteins / immunology*
  • Coagulase / immunology*
  • Female
  • Humans
  • Immunoglobulin G / therapeutic use*
  • Immunoglobulins, Intravenous / therapeutic use*
  • Rabbits
  • Rats
  • Rats, Sprague-Dawley
  • Staphylococcal Infections / prevention & control*
  • Staphylococcus aureus / immunology*
  • Staphylococcus epidermidis / immunology*

Substances

  • Antibodies, Bacterial
  • Bacterial Proteins
  • Carrier Proteins
  • Coagulase
  • Fbe protein, bacteria
  • Immunoglobulin G
  • Immunoglobulins, Intravenous