Retargeting pre-existing human antibodies to a bacterial pathogen with an alpha-Gal conjugated aptamer.
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ABSTRACT: The ever-increasing threat of multi-drug resistant bacterial infections has spurred renewed interest in alternative approaches to classical antibiotic therapy. In contrast to other mammals, humans do not express the galactose-?-1,3-galactosyl-?-1,4-N-acetyl-glucosamine (?-Gal) epitope. As a result of exposure of humans to ?-Gal in the environment, a large proportion of circulating antibodies are specific for the trisaccharide. In this study, we examine whether these anti-Gal antibodies can be recruited and redirected to exert anti-bacterial activity. We show that a specific DNA aptamer conjugated to an ?-Gal epitope at its 5' end, herein termed an alphamer, can bind to group A Streptococcus (GAS) bacteria by recognition of a conserved region of the surface-anchored M protein. The anti-GAS alphamer was shown to recruit anti-Gal antibodies to the streptococcal surface in an ?-Gal-specific manner, elicit uptake and killing of the bacteria by human phagocytes, and slow growth of invasive GAS in human whole blood. These studies provide a first in vitro proof of concept that alphamers have the potential to redirect pre-existing antibodies to bacteria in a specific manner and trigger an immediate antibacterial immune response. Further validation of this novel therapeutic approach of applying ?-Gal technology in in vivo models of bacterial infection is warranted.. ?-Gal-tagged aptamers lead to GAS opsonization with anti-Gal antibodies. . ?-Gal-tagged aptamers confer phagocytosis and killing of GAS cells by human phagocytes. . ?-Gal-tagged aptamers reduces replication of GAS in human blood. . ?-Gal-tagged aptamers may have the potential to be used as novel passive immunization drugs.
SUBMITTER: Kristian SA
PROVIDER: S-EPMC4469262 | biostudies-literature | 2015 Jun
REPOSITORIES: biostudies-literature
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