Lipopolysaccharide (LPS)-binding protein (LBP) has been shown to regulate the response of monocytes to LPS in vitro. In a previous study, polyclonal anti-LBP IgGs were found to protect D-galactosamine-sensitized mice against a lethal endotoxemic shock induced by a low challenge of LPS or lipid A when administered simultaneously with endotoxin.In the present study, we investigated the mode of action ofthese anti-LBP IgGs. In vitro, we demonstrated that they interfere with LPS binding to Lipopolysaccharide (LPS)-binding protein (LBP) isolated from the blood of humans, rabbits, and mice has been shown to bind with a high affinity (Kd = 1 nM) to lipid A, the common moiety of LPS (1-3). LBP-LPS complexes rapidly bind to receptor CD14 expressed on the surface of monocytic cells and on activated neutrophils, triggering cell activation (2-6). In the presence of LBP, mediators including cytokines and nitrites, are released at concentrations of LPS far below those required for cell stimulation exposed to LPS in the absence of LBP (2-7). Antibody-mediated blockade of LBP or CD14 prevents the in vitro LPS-induced cytokine release by cells harboring CD14 on their surface (4-8). Therefore, it was postulated that LBP and CD14 represent a pair of key molecules in initiation of host defense mechanisms during infections caused by Gram-negative organisms (9, 10).Recently, we reported that treatment with an IgG preparation raised against purified murine LBP protected D-galactosamine-sensitized mice against a lethal endotoxemic shock induced by a low challenge of LPS or of lipid A (8). This protection was observed when the anti-LBP IgG was given simultaneously with LPS challenge, and it was associated with a strong decrease of circulating tumor necrosis factor (TNF). We have shown in parallel that type-specific anti-LPS antibodies afforded similar protection and decreased TNF to the same extent as the anti-LBP IgG (8).In the present study, we first characterized in vitro how anti-LBP IgG affected the binding of LPS to monocytes and polymorphonuclear cells (PMNs). We next investigated how and by which mechanisms antibodies present in the polyclonal anti-LBP IgG preparation could be involved in protecting mice from endotoxemic shock.
MATERIALS AND METHODSAntibodies. Anti-LBP antibodies were raised in rabbits, using purified murine LBP as immunogen as described (3,8). IgGs were isolated from preimmune (control IgG) and immune (anti-LBP IgG) plasma by protein A chromatography. Since we used LPS isolated from Escherichia coli 0111 (Sigma) in our experiments, we ruled out the presence of anti-LPS 0111 antibodies in this plasma by ELISA (11) (data not shown). F(ab')2 fragments were obtained by trypsin digestion (Pierce). Anti-O111 LPS IgGs were isolated by protein A chromatography from serum of a rabbit immunized with E. coli 0111 bacteria (12).Plasma and Cells. Heparin-treated blood samples obtained from human volunteers were used to prepare PMNs and peripheral blood mononuclear cells (PBMCs) by centrifugation over Ficoll/Hypaqu...