PMID- 21178283 OWN - NLM STAT- MEDLINE DCOM- 20110328 LR - 20101223 IS - 1875-869X (Electronic) IS - 1093-2607 (Linking) VI - 19 IP - 4 DP - 2010 TI - A fully human monoclonal antibody to Staphylococcus aureus iron regulated surface determinant B (IsdB) with functional activity in vitro and in vivo. PG - 113-28 LID - 10.3233/HAB-2010-0235 [doi] AB - A fully human monoclonal antibody (CS-D7, IgG1) specific for the iron regulated surface determinant B (IsdB) of Staphylococcus aureus was isolated from the Cambridge Antibody Technology (CAT) scFv antibody library. As compared to previously described IsdB specific murine monoclonals, CS-D7 has a unique, non-overlapping binding site on IsdB, and exhibits increased in vivo activity. The antibody recognizes a conformational epitope spanning amino acids 50 to 285 and has a binding affinity of 340 (+/- 75) pM for IsdB. CS-D7 bound to a wide variety of S. aureus strains, but not to an isdB deletion mutant. The antibody mediated opsonophagocytic (OP) killing in vitro and mediated significant protection in vivo. In a murine lethal sepsis model, the antibody conferred protection from death when dosed prior to challenge, but not when dosed after challenge. Importantly, in a central venous catheter (CVC) model in rats, the antibody reduced bacteremia and prevented colonization of indwelling catheters. Protection was observed when rats were dosed with CS-D7 prior to challenge as well as post challenge. IsdB is currently being investigated for clinical efficacy against S. aureus infection, and the activity of this human IsdB specific antibody supplements the growing body of evidence to support targeting this antigen for vaccine development. FAU - Ebert, Tim AU - Ebert T AD - Merck Research Labs, Merck and Co. Inc., West Point, PA 19486, USA. FAU - Smith, Sharon AU - Smith S FAU - Pancari, Greg AU - Pancari G FAU - Clark, Desmond AU - Clark D FAU - Hampton, Richard AU - Hampton R FAU - Secore, Susan AU - Secore S FAU - Towne, Victoria AU - Towne V FAU - Fan, Hongxia AU - Fan H FAU - Wang, Xin-Min AU - Wang XM FAU - Wu, Xiaoqing AU - Wu X FAU - Ernst, Robin AU - Ernst R FAU - Harvey, Barrett R AU - Harvey BR FAU - Finnefrock, Adam C AU - Finnefrock AC FAU - Wang, Fubao AU - Wang F FAU - Tan, Charles AU - Tan C FAU - Durr, Eberhard AU - Durr E FAU - Cope, Leslie AU - Cope L FAU - Anderson, Annaliesa AU - Anderson A FAU - An, Zhiqiang AU - An Z FAU - McNeely, Tessie AU - McNeely T LA - eng PT - Journal Article PL - Netherlands TA - Hum Antibodies JT - Human antibodies JID - 9711270 RN - 0 (Antibodies, Bacterial) RN - 0 (Antibodies, Monoclonal) RN - 0 (Cation Transport Proteins) RN - 0 (IsdB protein, Staphylococcus aureus) RN - 0 (Opsonin Proteins) SB - IM MH - Animals MH - Antibodies, Bacterial/immunology/metabolism MH - Antibodies, Monoclonal/*immunology/metabolism/*therapeutic use MH - Antibody Specificity MH - Bacteremia/immunology/microbiology/mortality/prevention & control MH - Catheterization, Central Venous/adverse effects MH - Cation Transport Proteins/genetics/*immunology MH - Disease Models, Animal MH - Female MH - Humans MH - Mice MH - Mice, Inbred BALB C MH - Opsonin Proteins/metabolism MH - Phagocytosis MH - Rats MH - Rats, Sprague-Dawley MH - Sepsis/microbiology/mortality/prevention & control MH - Staphylococcal Infections/microbiology/*mortality/*prevention & control MH - Staphylococcus aureus/genetics/*immunology/pathogenicity MH - Survival Rate MH - Treatment Outcome EDAT- 2010/12/24 06:00 MHDA- 2011/03/29 06:00 CRDT- 2010/12/24 06:00 PHST- 2010/12/24 06:00 [entrez] PHST- 2010/12/24 06:00 [pubmed] PHST- 2011/03/29 06:00 [medline] AID - X7G3821230461130 [pii] AID - 10.3233/HAB-2010-0235 [doi] PST - ppublish SO - Hum Antibodies. 2010;19(4):113-28. doi: 10.3233/HAB-2010-0235.