Notes
Slide Show
Outline
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Passive Protection from Enterococcal Infection
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Enterococcal Nosocomial Infection
  • Responsible for 20-30% of the 2 million hospital acquired infections in the U.S. each year and 20% of all endocarditis infections.
  • Enterococcus faecalis and Enterococcus faecium account for 80-90% and 5-15%  of enterococcal clinical isolates respectively.
  • Surge in strains resistant to antibiotics,
  • including VRE (vancomycin resistant Enterococcus).
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Passive Protection with Recombinant Monoclonals
  • Generation of a panel of antibodies against specific surface antigens for passive protection during hospitalization  ”engineered polyclonal”
  • Many surface antigens / virulence factors identified, few evaluated as antibody targets
  • Recombinant monoclonals can be evaluated for affinity, cross reactivity and epitope specificity, providing valuable insight into potential of antigen as immune target.
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Antigen to Antibody
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E. Faecalis Antigen Targets
  • Antibodies found in patient sera are specific to target antigen.
  • Gene disruption effects pathogenicity of Enterococcus (decrease in colonization, biofilm disruption, adhesion inhibition).
  • Identification of a homolog in E. faecium.
  • Both anchored to peptidoglycan surface and
  •     can be expressed in culture.
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Immune Serum Evaluation / Use
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Specificity ELISA
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Ace parental well SPR screen
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Ace parental Well SPR screen
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Ace parental well SPR screen
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Biological Functional Assays
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Murine Models
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E. faecalis FACS labeling with Anti-Ace / Anti-EppC grown in BHI
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EbpC Expression Upregulated in Presence of Horse Serum
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APEx Selection via Flow Cytometry
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Cross reactivity selection
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Enterococcus Passive Protection Ongoing Research
  • Affinity mature lead candidates
  • Evaluate antibody protection in mouse models.  (single and combos)
  • Continue to utilize antibodies as tools for improving our understanding of regulation of surface antigen expression.
  • Isolate antibodies to additional targets.
  • Continue to improve screening and selection strategies.
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Acknowledgements
  • Ken Pinkston
  • Dr. Peng Gao
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Ace
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EpbC