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Abstract
When serious infections are suspected, patients are often treated empirically with broad-spectrum antibiotics while awaiting results that provide information on the bacterial class and species causing the infection, as well as drug susceptibilities. For deep-seated infections, these traditional diagnostic techniques often rely on tissue biopsies to obtain clinical samples which can be expensive, dangerous, and has the potential of sampling bias. Moreover, these procedures and results can take several days and may not always provide reliable information. This combination of time and effort required for proper antibiotic selection has become a barrier leading to indiscriminate broad-spectrum antibiotic use. Exposure to nosocomial infections and indiscriminate use of broad-spectrum antibiotics are responsible for promoting bacterial drug-resistance leading to substantial morbidity and mortality, especially in hospitalized and immunosuppressed patients. Therefore, early diagnosis of infection and targeted antibiotic treatments are urgently needed to reduce morbidity and mortality caused by bacterial infections worldwide. Reliable pathogen-specific bacterial imaging techniques have the potential to provide early diagnosis and guide antibiotic treatments.
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Affiliation(s)
- Alvaro A Ordonez
- Center for Infection and Inflammation Imaging Research, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Sanjay K Jain
- Center for Infection and Inflammation Imaging Research, Johns Hopkins University School of Medicine, Baltimore, MD; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
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Romero Pastrana F, Thompson JM, Heuker M, Hoekstra H, Dillen CA, Ortines RV, Ashbaugh AG, Pickett JE, Linssen MD, Bernthal NM, Francis KP, Buist G, van Oosten M, van Dam GM, Thorek DLJ, Miller LS, van Dijl JM. Noninvasive optical and nuclear imaging of Staphylococcus-specific infection with a human monoclonal antibody-based probe. Virulence 2017; 9:262-272. [PMID: 29166841 PMCID: PMC5955194 DOI: 10.1080/21505594.2017.1403004] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Staphylococcus aureus infections are a major threat in healthcare, requiring adequate early-stage diagnosis and treatment. This calls for novel diagnostic tools that allow noninvasive in vivo detection of staphylococci. Here we performed a preclinical study to investigate a novel fully-human monoclonal antibody 1D9 that specifically targets the immunodominant staphylococcal antigen A (IsaA). We show that 1D9 binds invariantly to S. aureus cells and may further target other staphylococcal species. Importantly, using a human post-mortem implant model and an in vivo murine skin infection model, preclinical feasibility was demonstrated for 1D9 labeled with the near-infrared fluorophore IRDye800CW to be applied for direct optical imaging of in vivo S. aureus infections. Additionally, 89Zirconium-labeled 1D9 could be used for positron emission tomography imaging of an in vivo S. aureus thigh infection model. Our findings pave the way towards clinical implementation of targeted imaging of staphylococcal infections using the human monoclonal antibody 1D9.
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Affiliation(s)
- Francisco Romero Pastrana
- a Department of Medical Microbiology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - John M Thompson
- b Department of Orthopaedic Surgery , Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Marjolein Heuker
- a Department of Medical Microbiology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Hedzer Hoekstra
- a Department of Medical Microbiology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Carly A Dillen
- c Department of Dermatology , Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Roger V Ortines
- c Department of Dermatology , Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Alyssa G Ashbaugh
- c Department of Dermatology , Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Julie E Pickett
- d Division of Nuclear Medicine and Molecular Imaging, Department of Radiology and Radiological Science , Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Matthijs D Linssen
- e Department of Gastroentrology and Hepatology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands.,f Department of clinical Pharmacy and Pharmacology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Nicholas M Bernthal
- g Department of Orthopaedic Surgery , David Geffen School of Medicine at the University of California, Los Angeles Medical Center , Santa Monica , CA , USA
| | - Kevin P Francis
- g Department of Orthopaedic Surgery , David Geffen School of Medicine at the University of California, Los Angeles Medical Center , Santa Monica , CA , USA.,h PerkinElmer , Alameda , California , CA , USA.,i Department of Surgery , Nuclear Medicine and Molecular Imaging and Intensive Care, University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Girbe Buist
- a Department of Medical Microbiology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Marleen van Oosten
- a Department of Medical Microbiology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Gooitzen M van Dam
- i Department of Surgery , Nuclear Medicine and Molecular Imaging and Intensive Care, University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
| | - Daniel L J Thorek
- d Division of Nuclear Medicine and Molecular Imaging, Department of Radiology and Radiological Science , Johns Hopkins University School of Medicine , Baltimore , MD , USA.,j Department of Oncology , Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Lloyd S Miller
- b Department of Orthopaedic Surgery , Johns Hopkins University School of Medicine , Baltimore , MD , USA.,c Department of Dermatology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.,k Division of Infectious Disease, Department of Medicine , Johns Hopkins University School of Medicine , Baltimore , MD , USA
| | - Jan Maarten van Dijl
- a Department of Medical Microbiology , University of Groningen, University Medical Center Groningen , Hanzeplein 1, Groningen , RB , The Netherlands
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