title: Assessment of ability of murine and human anti-lipid A monoclonal antibodies to bind and neutralize lipopolysaccharide.
abstract: The use of monoclonal antibodies (mAbs) directed to lipid A for the therapy of gram-negative sepsis is controversial. In an attempt to understand their biologic basis of action, we used a fluid-phase radioimmunoassay to measure binding between bacterial lipopolysaccharide (LPS) and two IgM mAbs directed to lipid A that are being evaluated for the treatment of gram-negative bacterial sepsis. Both antibodies bound 3H-LPS prepared from multiple strains of gram-negative bacteria when large excesses of antibody were used, although binding was modest and only slightly greater than control preparations. We also studied the ability of each anti-lipid A antibody to neutralize some of the biological effects of LPS in vitro. Despite large molar excesses, neither antibody neutralized LPS as assessed by the limulus lysate test, by a mitogenic assay for murine splenocytes, or by the production of cytokines interleukin (IL)-1, IL-6, or tumor necrosis factor from human monocytes in culture medium or in whole blood. Our experiments do not support the hypothesis that either of these anti-lipid A mAbs function by neutralizing the toxic effects of LPS.
authors.affiliation: Department of Medicine, Massachusetts General Hospital, Charlestown 02129.
authors.forename: H S
authors.initials: HS
authors.lastname: Warren
authors.forename: S F
authors.initials: SF
authors.lastname: Amato
authors.forename: C
authors.initials: C
authors.lastname: Fitting
authors.forename: K M
authors.initials: KM
authors.lastname: Black
authors.forename: P M
authors.initials: PM
authors.lastname: Loiselle
authors.forename: M S
authors.initials: MS
authors.lastname: Pasternack
authors.forename: J M
authors.initials: JM
authors.lastname: Cavaillon
mesh_terms: D000328:Adult; D000818:Animals; D000911:Antibodies, Monoclonal / Q000276:immunology*; D061067:Antibodies, Monoclonal, Humanized; D016207:Cytokines / Q000096:biosynthesis; D006801:Humans; D008050:Lipid A / Q000276:immunology*; D008070:Lipopolysaccharides / Q000276:immunology* / Q000378:metabolism; D051379:Mice; D008807:Mice, Inbred BALB C; D009000:Monocytes / Q000378:metabolism; D009500:Neutralization Tests
chemical_list: D000911:Antibodies, Monoclonal; D061067:Antibodies, Monoclonal, Humanized; D016207:Cytokines; D008050:Lipid A; D008070:Lipopolysaccharides; C068069:nebacumab