PMID- 31207937 OWN - NLM STAT- MEDLINE DCOM- 20200316 LR - 20210502 IS - 2072-6651 (Electronic) IS - 2072-6651 (Linking) VI - 11 IP - 6 DP - 2019 Jun 14 TI - Rational Design of Toxoid Vaccine Candidates for Staphylococcus aureus Leukocidin AB (LukAB). LID - 10.3390/toxins11060339 [doi] LID - 339 AB - Staphylococcus aureus (SA) infections cause high mortality and morbidity in humans. Being central to its pathogenesis, S. aureus thwarts the host defense by secreting a myriad of virulence factors, including bicomponent, pore-forming leukotoxins. While all vaccine development efforts that aimed at achieving opsonophagocytic killing have failed, targeting virulence by toxoid vaccines represents a novel approach to preventing mortality and morbidity that are caused by SA. The recently discovered leukotoxin LukAB kills human phagocytes and monocytes and it is present in all known S. aureus clinical isolates. While using a structure-guided approach, we generated a library of mutations that targeted functional domains within the LukAB heterodimer to identify attenuated toxoids as potential vaccine candidates. The mutants were evaluated based on expression, solubility, yield, biophysical properties, cytotoxicity, and immunogenicity, and several fully attenuated LukAB toxoids that were capable of eliciting high neutralizing antibody titers were identified. Rabbit polyclonal antibodies against the lead toxoid candidate provided potent neutralization of LukAB. While the neutralization of LukAB alone was not sufficient to fully suppress leukotoxicity in supernatants of S. aureus USA300 isolates, a combination of antibodies against LukAB, alpha-toxin, and Panton-Valentine leukocidin completely neutralized the cytotoxicity of these strains. These data strongly support the inclusion of LukAB toxoids in a multivalent toxoid vaccine for the prevention of S. aureus disease. FAU - Kailasan, Shweta AU - Kailasan S AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. skailasan@IntegratedBiotherapeutics.com. FAU - Kort, Thomas AU - Kort T AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. Tom@IntegratedBiotherapeutics.com. FAU - Mukherjee, Ipsita AU - Mukherjee I AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. imukher@integratedbio.onmicrosoft.com. FAU - Liao, Grant C AU - Liao GC AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. gliao@IntegratedBiotherapeutics.com. FAU - Kanipakala, Tulasikumari AU - Kanipakala T AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. Tula@IntegratedBiotherapeutics.com. FAU - Williston, Nils AU - Williston N AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. nils.williston@gmail.com. FAU - Ganjbaksh, Nader AU - Ganjbaksh N AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. nader@IntegratedBiotherapeutics.com. FAU - Venkatasubramaniam, Arundhathi AU - Venkatasubramaniam A AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. arundathi@IntegratedBiotherapeutics.com. FAU - Holtsberg, Frederick W AU - Holtsberg FW AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. rick@IntegratedBiotherapeutics.com. FAU - Karauzum, Hatice AU - Karauzum H AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. hkarauzum@IntegratedBiotherapeutics.com. FAU - Adhikari, Rajan P AU - Adhikari RP AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. rajan@integratedbiotherapeutics.com. FAU - Aman, M Javad AU - Aman MJ AD - Integrated Biotherapeutics Inc., Rockville, MD 20850, USA. javad@integratedbiotherapeutics.com. LA - eng GR - R01 AI111205/AI/NIAID NIH HHS/United States GR - R01-AI111205/National Institute of Allergy and Infectious Diseases/International PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190614 PL - Switzerland TA - Toxins (Basel) JT - Toxins JID - 101530765 RN - 0 (Bacterial Proteins) RN - 0 (Bacterial Vaccines) RN - 0 (Leukocidins) RN - 0 (Toxoids) RN - 0 (leukocidin AB, Staphylococcus aureus) SB - IM MH - Animals MH - Bacterial Proteins/genetics/*immunology MH - *Bacterial Vaccines MH - Cell Survival MH - Escherichia coli/genetics MH - Female MH - HL-60 Cells MH - Humans MH - Leukocidins/genetics/*immunology MH - Mice, Inbred ICR MH - Monocytes MH - Staphylococcal Infections/*prevention & control MH - THP-1 Cells MH - Toxoids/genetics/*immunology PMC - PMC6628420 OTO - NOTNLM OT - Leukocidin OT - LukAB OT - LukGH OT - Staphylococcus aureus OT - polyclonal antibody OT - toxin neutralization OT - toxoid vaccine COIS- MJA has stocks and RPA, FWH, and HK have stock options in Integrated Biotherapeutics Inc. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2019/06/19 06:00 MHDA- 2020/03/17 06:00 PMCR- 2019/06/01 CRDT- 2019/06/19 06:00 PHST- 2019/05/01 00:00 [received] PHST- 2019/06/10 00:00 [revised] PHST- 2019/06/12 00:00 [accepted] PHST- 2019/06/19 06:00 [entrez] PHST- 2019/06/19 06:00 [pubmed] PHST- 2020/03/17 06:00 [medline] PHST- 2019/06/01 00:00 [pmc-release] AID - toxins11060339 [pii] AID - toxins-11-00339 [pii] AID - 10.3390/toxins11060339 [doi] PST - epublish SO - Toxins (Basel). 2019 Jun 14;11(6):339. doi: 10.3390/toxins11060339.