Monoclonal Antibody Requires Immunomodulation for Efficacy Against Acinetobacter baumannii Infection. 2021

Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
Stritch School of Medicine, Loyola University Chicago, Maywood, Illinois, USA.

Monoclonal antibodies (mAbs) are gaining significant momentum as novel therapeutics for infections caused by antibiotic-resistant bacteria. We evaluated the mechanism by which antibacterial mAb therapy protects against Acinetobacter baumannii infections. Anticapsular mAb enhanced macrophage opsonophagocytosis and rescued mice from lethal infections by harnessing complement, macrophages, and neutrophils; however, the degree of bacterial burden did not correlate with survival. Furthermore, mAb therapy reduced proinflammatory (interleukin-1β [IL-1β], IL-6, tumor necrosis factor-α [TNF-α]) and anti-inflammatory (IL-10) cytokines, which correlated inversely with survival. Although disrupting IL-10 abrogated the survival advantage conferred by the mAb, IL-10-knockout mice treated with mAb could still survive if TNF-α production was suppressed directly (via anti-TNF-α neutralizing antibody) or indirectly (via macrophage depletion). Thus, even for a mAb that enhances microbial clearance via opsonophagocytosis, clinical efficacy required modulation of pro- and anti-inflammatory cytokines. These findings may inform future mAb development targeting bacteria that trigger the sepsis cascade.

UI MeSH Term Description Entries
D000079424 Tumor Necrosis Factor Inhibitors Compounds or agents that bind to and inhibit the synthesis or activity of TUMOR NECROSIS FACTOR-alpha. Such agents are used to treat inflammatory bowel diseases and other inflammatory diseases. TNF Antagonist,TNF Blocker,TNF Inhibitor,Tumor Necrosis Factor Antagonist,Tumor Necrosis Factor Blocker,Tumor Necrosis Factor Inhibitor,Tumor Necrosis Factor-a (TNF-a) Antagonist,Tumor Necrosis Factor-a (TNF-a) Blocker,Tumor Necrosis Factor-a (TNF-a) Inhibitor,TNF Antagonists,TNF Blockers,TNF Inhibitors,Tumor Necrosis Factor Antagonists,Tumor Necrosis Factor Blockers,Tumor Necrosis Factor-a (TNF-a) Antagonists,Tumor Necrosis Factor-a (TNF-a) Blockers,Tumor Necrosis Factor-a (TNF-a) Inhibitors,Antagonist, TNF,Antagonists, TNF,Blocker, TNF,Blockers, TNF,Inhibitor, TNF,Inhibitors, TNF
D000088362 Opsonization The process of recognizing and targeting particles by binding with OPSONINS (e.g., IgM, C1 and IgG) for phagocytosis or for antibody-dependent cell cytotoxicity. Opsonophagocytosis,Opsonophagocytoses
D000151 Acinetobacter Infections Infections with bacteria of the genus ACINETOBACTER. Mimae Infections,Infections, Acinetobacter,Infections, Mimae,Acinetobacter Infection,Infection, Acinetobacter,Infection, Mimae,Mimae Infection
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000900 Anti-Bacterial Agents Substances that inhibit the growth or reproduction of BACTERIA. Anti-Bacterial Agent,Anti-Bacterial Compound,Anti-Mycobacterial Agent,Antibacterial Agent,Antibiotics,Antimycobacterial Agent,Bacteriocidal Agent,Bacteriocide,Anti-Bacterial Compounds,Anti-Mycobacterial Agents,Antibacterial Agents,Antibiotic,Antimycobacterial Agents,Bacteriocidal Agents,Bacteriocides,Agent, Anti-Bacterial,Agent, Anti-Mycobacterial,Agent, Antibacterial,Agent, Antimycobacterial,Agent, Bacteriocidal,Agents, Anti-Bacterial,Agents, Anti-Mycobacterial,Agents, Antibacterial,Agents, Antimycobacterial,Agents, Bacteriocidal,Anti Bacterial Agent,Anti Bacterial Agents,Anti Bacterial Compound,Anti Bacterial Compounds,Anti Mycobacterial Agent,Anti Mycobacterial Agents,Compound, Anti-Bacterial,Compounds, Anti-Bacterial
D000911 Antibodies, Monoclonal Antibodies produced by a single clone of cells. Monoclonal Antibodies,Monoclonal Antibody,Antibody, Monoclonal
D014409 Tumor Necrosis Factor-alpha Serum glycoprotein produced by activated MACROPHAGES and other mammalian MONONUCLEAR LEUKOCYTES. It has necrotizing activity against tumor cell lines and increases ability to reject tumor transplants. Also known as TNF-alpha, it is only 30% homologous to TNF-beta (LYMPHOTOXIN), but they share TNF RECEPTORS. Cachectin,TNF-alpha,Tumor Necrosis Factor Ligand Superfamily Member 2,Cachectin-Tumor Necrosis Factor,TNF Superfamily, Member 2,TNFalpha,Tumor Necrosis Factor,Cachectin Tumor Necrosis Factor,Tumor Necrosis Factor alpha
D016207 Cytokines Non-antibody proteins secreted by inflammatory leukocytes and some non-leukocytic cells, that act as intercellular mediators. They differ from classical hormones in that they are produced by a number of tissue or cell types rather than by specialized glands. They generally act locally in a paracrine or autocrine rather than endocrine manner. Cytokine
D016753 Interleukin-10 A cytokine produced by a variety of cell types, including T-LYMPHOCYTES; MONOCYTES; DENDRITIC CELLS; and EPITHELIAL CELLS that exerts a variety of effects on immunoregulation and INFLAMMATION. Interleukin-10 combines with itself to form a homodimeric molecule that is the biologically active form of the protein. IL-10,CSIF-10,Cytokine Synthesis Inhibitory Factor,IL10,Interleukin 10
D051379 Mice The common name for the genus Mus. Mice, House,Mus,Mus musculus,Mice, Laboratory,Mouse,Mouse, House,Mouse, Laboratory,Mouse, Swiss,Mus domesticus,Mus musculus domesticus,Swiss Mice,House Mice,House Mouse,Laboratory Mice,Laboratory Mouse,Mice, Swiss,Swiss Mouse,domesticus, Mus musculus

Related Publications

Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
March 2023, Antimicrobial agents and chemotherapy,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
February 2023, Microbiology spectrum,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
January 2023, Progress in molecular biology and translational science,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
October 2017, Applied and environmental microbiology,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
April 2022, Journal of microbiology (Seoul, Korea),
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
December 2022, Journal of basic microbiology,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
June 2008, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
June 2012, The Journal of antimicrobial chemotherapy,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
June 2016, Antimicrobial agents and chemotherapy,
Travis B Nielsen, and Jun Yan, and Brian M Luna, and Yuli Talyansky, and Matthew Slarve, and Robert A Bonomo, and Brad Spellberg
December 2022, Proceedings of the National Academy of Sciences of the United States of America,
Copied contents to your clipboard!