Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action

The mechanisms underlying the effects of immunoglobulins on bacterial infections are thought to involve bacterial cell lysis via complement activation, phagocytosis via bacterial opsonization, toxin neutralization, and antibody-dependent cell-mediated cytotoxicity. Nevertheless, recent advances in t...

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Main Authors: Teiji Sawa, Mao Kinoshita, Keita Inoue, Junya Ohara, Kiyoshi Moriyama
Format: Article
Language:English
Published: MDPI AG 2019-11-01
Series:Antibodies
Subjects:
Online Access:https://www.mdpi.com/2073-4468/8/4/52
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author Teiji Sawa
Mao Kinoshita
Keita Inoue
Junya Ohara
Kiyoshi Moriyama
author_facet Teiji Sawa
Mao Kinoshita
Keita Inoue
Junya Ohara
Kiyoshi Moriyama
author_sort Teiji Sawa
collection DOAJ
description The mechanisms underlying the effects of immunoglobulins on bacterial infections are thought to involve bacterial cell lysis via complement activation, phagocytosis via bacterial opsonization, toxin neutralization, and antibody-dependent cell-mediated cytotoxicity. Nevertheless, recent advances in the study of the pathogenicity of Gram-negative bacteria have raised the possibility of an association between immunoglobulin and bacterial toxin secretion. Over time, new toxin secretion systems like the type III secretion system have been discovered in many pathogenic Gram-negative bacteria. With this system, the bacterial toxins are directly injected into the cytoplasm of the target cell through a special secretory apparatus without any exposure to the extracellular environment, and therefore with no opportunity for antibodies to neutralize the toxin. However, antibodies against the V-antigen, which is located on the needle-shaped tip of the bacterial secretion apparatus, can inhibit toxin translocation, thus raising the hope that the toxin may be susceptible to antibody targeting. Because multi-drug resistant bacteria are now prevalent, inhibiting this secretion mechanism is an attractive alternative or adjunctive therapy against lethal bacterial infections. Thus, it is not unreasonable to define the blocking effect of anti-V-antigen antibodies as the fifth mechanism for immunoglobulin action against bacterial infections.
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spelling doaj.art-74b0c54de0724efe9bb6f2b4ae1ee0562022-12-22T02:31:46ZengMDPI AGAntibodies2073-44682019-11-01845210.3390/antib8040052antib8040052Immunoglobulin for Treating Bacterial Infections: One More Mechanism of ActionTeiji Sawa0Mao Kinoshita1Keita Inoue2Junya Ohara3Kiyoshi Moriyama4Department of Anesthesiology, School of Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Anesthesiology, School of Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Anesthesiology, School of Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Anesthesiology, School of Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo 181-8611, JapanThe mechanisms underlying the effects of immunoglobulins on bacterial infections are thought to involve bacterial cell lysis via complement activation, phagocytosis via bacterial opsonization, toxin neutralization, and antibody-dependent cell-mediated cytotoxicity. Nevertheless, recent advances in the study of the pathogenicity of Gram-negative bacteria have raised the possibility of an association between immunoglobulin and bacterial toxin secretion. Over time, new toxin secretion systems like the type III secretion system have been discovered in many pathogenic Gram-negative bacteria. With this system, the bacterial toxins are directly injected into the cytoplasm of the target cell through a special secretory apparatus without any exposure to the extracellular environment, and therefore with no opportunity for antibodies to neutralize the toxin. However, antibodies against the V-antigen, which is located on the needle-shaped tip of the bacterial secretion apparatus, can inhibit toxin translocation, thus raising the hope that the toxin may be susceptible to antibody targeting. Because multi-drug resistant bacteria are now prevalent, inhibiting this secretion mechanism is an attractive alternative or adjunctive therapy against lethal bacterial infections. Thus, it is not unreasonable to define the blocking effect of anti-V-antigen antibodies as the fifth mechanism for immunoglobulin action against bacterial infections.https://www.mdpi.com/2073-4468/8/4/52immunoglobuliniviglcrvpcrvtranslocationtype iii secretory toxintype iii secretion systemv-antigen
spellingShingle Teiji Sawa
Mao Kinoshita
Keita Inoue
Junya Ohara
Kiyoshi Moriyama
Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action
Antibodies
immunoglobulin
ivig
lcrv
pcrv
translocation
type iii secretory toxin
type iii secretion system
v-antigen
title Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action
title_full Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action
title_fullStr Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action
title_full_unstemmed Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action
title_short Immunoglobulin for Treating Bacterial Infections: One More Mechanism of Action
title_sort immunoglobulin for treating bacterial infections one more mechanism of action
topic immunoglobulin
ivig
lcrv
pcrv
translocation
type iii secretory toxin
type iii secretion system
v-antigen
url https://www.mdpi.com/2073-4468/8/4/52
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AT maokinoshita immunoglobulinfortreatingbacterialinfectionsonemoremechanismofaction
AT keitainoue immunoglobulinfortreatingbacterialinfectionsonemoremechanismofaction
AT junyaohara immunoglobulinfortreatingbacterialinfectionsonemoremechanismofaction
AT kiyoshimoriyama immunoglobulinfortreatingbacterialinfectionsonemoremechanismofaction