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Updated: Sep 15, 2025

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Inducing bacterial calcification for systematic treatment and immunomodulation against methicillin-resistant
Wanying Zhang1, Liang Liu2, Qingyan Zhang3,4
1Department of Infectious Diseases, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Nature Biotechnology
|July 15, 2025
Summary
A novel antibody-polysialic acid conjugate effectively targets Methicillin-resistant Staphylococcus aureus (MRSA), inducing bacterial calcification for eradication. This approach shows promise for treating antibiotic-resistant infections by modulating the immune response.
Area of Science:
- Immunology
- Microbiology
- Biotechnology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant global health threat due to widespread antibiotic resistance.
- Developing novel therapeutic strategies against MRSA is crucial for combating refractory bacterial infections.
Purpose of the Study:
- To develop and evaluate an antibody-polysialic acid (PSA) conjugate for targeting and eradicating MRSA.
- To investigate the mechanism of MRSA elimination induced by the conjugate, including bacterial calcification and immune modulation.
Main Methods:
- Conjugation of antigen-binding fragments of monoclonal antibodies against S. aureus wall-teichoic acid with PSA.
- In vitro and in vivo studies in mice to assess the efficacy and safety of the antibody-PSA conjugate.
- Analysis of bacterial calcification, immune cell activation (macrophages, monocytes), and expression of inflammatory markers (calprotectin, S100A8/S100A9).
Main Results:
- The antibody-PSA conjugate effectively targeted MRSA and induced bacterial calcification, hindering essential metabolic pathways.
- Bacterial calcification led to increased expression of calprotectin and S100A8/S100A9 in macrophages and monocytes.
- Systemic administration of the conjugate demonstrated high efficacy and safety in treating chronic MRSA lung infections and osteomyelitis in mice.
Conclusions:
- The antibody-PSA conjugate represents a promising therapeutic strategy for treating MRSA infections by combining direct bacterial targeting with immunomodulation.
- This approach offers a potential solution for drug-resistant bacterial infections and related chronic conditions.
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