2008
DOI: 10.1086/589776
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Neutralization of Multiple Staphylococcal Superantigens by a Single‐Chain Protein Consisting of Affinity‐Matured, Variable Domain Repeats

Abstract: Staphylococcus aureussecretes various toxins that act as superantigens by stimulating a large fraction of the host’s T cells. Toxin binding to variable domains of T cell receptor β chains (Vβ) leads to massive release of inflammatory molecules and potentially to toxic shock syndrome (TSS). Previously, we generated soluble forms of different Vβ domains with a high affinity for binding superantigens. However, a broader spectrum antagonist is required for the neutralization of multiple toxins. In the present stud… Show more

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Cited by 19 publications
(16 citation statements)
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“…These studies are in their infancy, but it is expected that in the future such antibody cocktails may replace the need for the costly IVIG. Multiple studies have also been performed that show that engineered high-affinity (picomolar affinity) V␤-TCRs, which are uniquely specific to binding and inactivating superantigens, prevent fever and lethality due to concurrent treatment or pretreatment with superantigens or staphylococci and streptococci that produce them, as tested in rabbit models (44,231,252,316,317). These reagents have also been shown in multiple rabbit studies to be important in preventing lethality due to staphylococcal pneumonia (231) and in preventing vegetation formation in infective endocarditis (252).…”
Section: Passive Vaccination Against Superantigensmentioning
confidence: 99%
“…These studies are in their infancy, but it is expected that in the future such antibody cocktails may replace the need for the costly IVIG. Multiple studies have also been performed that show that engineered high-affinity (picomolar affinity) V␤-TCRs, which are uniquely specific to binding and inactivating superantigens, prevent fever and lethality due to concurrent treatment or pretreatment with superantigens or staphylococci and streptococci that produce them, as tested in rabbit models (44,231,252,316,317). These reagents have also been shown in multiple rabbit studies to be important in preventing lethality due to staphylococcal pneumonia (231) and in preventing vegetation formation in infective endocarditis (252).…”
Section: Passive Vaccination Against Superantigensmentioning
confidence: 99%
“…Soluble forms of the engineered Vβ proteins produced in E. coli were shown to be effective inhibitors of SEB-mediated T-cell activation and completely neutralized the lethal activity of SEB in animal models. 113 More recently, the same group was able to express Vβ domains in tandem as a single-chain protein and neutralized the clinically important SAgs SEB and TSST-1 with a single agent demonstrating the feasibility of engineering a broader spectrum antagonist capable of neutralizing multiple toxins 114…”
Section: Novel Directions In Therapymentioning
confidence: 99%
“…Another action of SAgs is to directly block TCR interaction with the presented peptide, keeping the TCR and MHC II dimers physically separated where SAgs wedge between the two receptors (Group II), allowing only minimal contact (TCR α-chain and MHC II β-chain), physically block peptide interaction (Class 1), or bind to cause a sharp angle in between TCR and MHC II/peptide interface (class V) [57]. Current studies on SAgs involve development of structural mimics to neutralize pathology in animal models [61] and to determine the specificity of immune stimulation by SAgs of clinical bacterial isolates [62]. …”
Section: Superantigensmentioning
confidence: 99%