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Updated: Jun 9, 2025

Evaluation of Host-Pathogen Responses and Vaccine Efficacy in Mice
Published on: February 22, 2019
Alpha-1 antitrypsin inhibits pertussis toxin.
Stefanie Lietz1, Anja Sommer1, Lena-Marie Sokolowski1
1Institute of Experimental and Clinical Pharmacology, Toxicology and Pharmacology of Natural Products, Ulm University Medical Center, Ulm, Germany.
Alpha-1 antitrypsin (α1AT) inhibits pertussis toxin (PT), the main cause of whooping cough. This discovery offers a potential new treatment for this re-emerging infectious disease.
Area of Science:
- Immunology
- Microbiology
- Pharmacology
Background:
- Pertussis (whooping cough) is a highly infectious respiratory illness caused by Bordetella pertussis.
- It is re-emerging globally, with no effective treatments currently available, posing risks to unvaccinated individuals, especially newborns.
- Pertussis toxin (PT) is a key virulence factor driving disease severity.
Purpose of the Study:
- To identify novel inhibitors of pertussis toxin (PT).
- To investigate the therapeutic potential of alpha-1 antitrypsin (α1AT) as a PT inhibitor for pertussis treatment.
Main Methods:
- Utilized peptide libraries, bioassay-guided fractionation, and mass spectrometry to discover PT inhibitors.
- Conducted in vitro experiments including biochemistry, cell culture, and molecular modeling to elucidate α1AT's mechanism of action.
- Evaluated α1AT efficacy in an infant mouse model of severe pertussis.
Main Results:
- Identified α1AT as a potent inhibitor of PT.
- Demonstrated that α1AT blocks PT binding to host target cells.
- Observed reduced α1AT expression during infection and significant reduction in B. pertussis-induced leukocytosis following systemic α1AT administration in mice.
Conclusions:
- α1AT is a novel inhibitor of pertussis toxin.
- α1AT warrants further development as a potential therapeutic agent for pertussis.
- Existing clinical use of α1AT for deficiency suggests potential for repurposing in pertussis management.
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