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Passive Administration of Monoclonal Antibodies Against H. capsulatum and Others Fungal Pathogens
Published on: February 14, 2011
Ionizing radiation delivered by specific antibody is therapeutic against a fungal infection
Ekaterina Dadachova1, Antonio Nakouzi, Ruth A Bryan
1Department of Nuclear Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA. edadacho@aecom.yu.edu
Abstract:
There is an urgent need for new antimicrobial therapies to combat drug resistance, new pathogens, and the relative inefficacy of current therapy in compromised hosts. Ionizing radiation can kill microorganisms quickly and efficiently, but this modality has not been exploited as a therapeutic antimicrobial strategy. We have developed methods to target ionizing radiation to a fungal cell by labeling a specific mAb with the therapeutic radioisotopes Rhenium-188 and Bismuth-213. Radiolabeled antibody killed cells of human pathogenic fungus Cryptococcus neoformans in vitro, thus converting an antibody with no inherent antifungal activity into a microbicidal molecule. Administration of radiolabeled antibody to mice with C. neoformans infection delivered 213Bi and 188Re to the sites of infection, reduced their organ fungal burden, and significantly prolonged their survival without apparent toxicity. This study establishes the principle that targeted radiation can be used for the therapy of an infectious disease, and suggests that it may have wide applicability as an antimicrobial strategy.
Insights
Targeted radiation therapy using radiolabeled antibodies effectively killed pathogenic fungi and improved survival in infected mice. This novel approach offers a promising new strategy for combating antimicrobial resistance and infectious diseases.
Area of Science:
- Medical Physics
- Infectious Diseases
- Immunology
Background:
- Antimicrobial resistance necessitates novel therapeutic strategies.
- Ionizing radiation offers rapid microbial killing but lacks targeted delivery.
- Current therapies are often ineffective in immunocompromised hosts.
Purpose of the Study:
- To develop and evaluate targeted ionizing radiation as an antimicrobial therapy.
- To assess the efficacy of radioisotope-labeled monoclonal antibodies against fungal infections.
Main Methods:
- Monoclonal antibodies were labeled with therapeutic radioisotopes Rhenium-188 (188Re) and Bismuth-213 (213Bi).
- Radiolabeled antibodies were tested in vitro against Cryptococcus neoformans.
- Therapy was administered to infected mice to assess in vivo efficacy and toxicity.
Main Results:
- Radiolabeled antibodies demonstrated in vitro microbicidal activity against C. neoformans.
- In vivo administration of radiolabeled antibodies reduced fungal burden in infected mice.
- Treatment significantly prolonged survival without apparent toxicity.
Conclusions:
- Targeted radiation delivery via radiolabeled antibodies is a viable antimicrobial strategy.
- This approach converts antibodies into microbicidal agents for treating infections.
- The principle shows broad applicability for combating infectious diseases.
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