PMID- 2925242 OWN - NLM STAT- MEDLINE DA - 19890505 DCOM- 19890505 LR - 20111117 IS - 0019-9567 (Print) IS - 0019-9567 (Linking) VI - 57 IP - 4 DP - 1989 Apr TI - Protective efficacy of protein A-specific antibody against bacteremic infection due to Staphylococcus aureus in an infant rat model. PG - 1113-8 AB - Staphylococcal protein A (SpA) is a potent antiphagocytic component of the cell wall of most pathogenic Staphylococcus aureus strains. We studied the in vitro opsonophagocytic and in vivo protective activities of rabbit immunoglobulin G (IgG) antibody to purified SpA obtained from two unencapsulated S. aureus strains (Cowan I and 17A). Postimmune serum contained high titers of specific IgG to SpA, as measured by a modified enzyme-linked immunosorbent assay that blocked nonspecific binding of IgG to SpA. In vitro, both S. aureus strains were efficiently phagocytosed and killed by polymorphonuclear leukocytes in the presence of nonimmune sera and complement. With one strain (Cowan I), opsonophagocytosis was significantly enhanced in the presence of SpA antibody, but with the other strain (17A), killing was significantly decreased with immune serum. We then evaluated the potential protective benefit of SpA antibody in preventing S. aureus bacteremia in infant rats. Two-day-old rats received saline or various doses of SpA antiserum and were challenged subcutaneously 1 day later, but even the highest levels of antibody did not significantly reduce mortality, bacteremia or metastatic infection to lungs or liver (frequency or magnitude). This lack of protective efficacy was not related to a failure of SpA F(ab')2 to bind to cell surface-exposed epitopes, since F(ab')2 fragments prepared from hyperimmune serum bound avidly to the whole organism in an enzyme-linked immunosorbent assay. AD - Department of Pediatrics, University of California at Los Angeles, Torrance 90509. FAU - Greenberg, D P AU - Greenberg DP FAU - Bayer, A S AU - Bayer AS FAU - Cheung, A L AU - Cheung AL FAU - Ward, J I AU - Ward JI LA - eng GR - 5T32 HD07245/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - UNITED STATES TA - Infect Immun JT - Infection and immunity JID - 0246127 RN - 0 (Antibodies, Bacterial) RN - 0 (Immunoglobulin Fab Fragments) RN - 0 (Opsonin Proteins) RN - 0 (Staphylococcal Protein A) SB - IM MH - Animals MH - Animals, Newborn/*immunology MH - Antibodies, Bacterial/analysis/*therapeutic use MH - *Antibody Specificity MH - Binding Sites, Antibody MH - Blood Bactericidal Activity MH - Enzyme-Linked Immunosorbent Assay MH - Immunization, Passive MH - Immunoglobulin Fab Fragments/metabolism MH - Opsonin Proteins MH - Rats MH - Rats, Inbred Strains MH - Sepsis/blood/*prevention & control MH - Staphylococcal Infections/blood/*prevention & control MH - Staphylococcal Protein A/*immunology/metabolism MH - Staphylococcus aureus/immunology/metabolism PMC - PMC313238 OID - NLM: PMC313238 EDAT- 1989/04/01 MHDA- 1989/04/01 00:01 CRDT- 1989/04/01 00:00 PST - ppublish SO - Infect Immun. 1989 Apr;57(4):1113-8.