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Active and Passive Immunization Protects against Lethal, Extreme Drug Resistant-Acinetobacter baumannii Infection

Overview of attention for article published in PLOS ONE, January 2012
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Title
Active and Passive Immunization Protects against Lethal, Extreme Drug Resistant-Acinetobacter baumannii Infection
Published in
PLOS ONE, January 2012
DOI 10.1371/journal.pone.0029446
Pubmed ID
Authors

Guanpingshen Luo, Lin Lin, Ashraf S. Ibrahim, Beverlie Baquir, Paul Pantapalangkoor, Robert A. Bonomo, Yohei Doi, Mark D. Adams, Thomas A. Russo, Brad Spellberg

Abstract

Extreme-drug-resistant (XDR) Acinetobacter baumannii is a rapidly emerging pathogen causing infections with unacceptably high mortality rates due to inadequate available treatment. New methods to prevent and treat such infections are a critical unmet medical need. To conduct a rational vaccine discovery program, OmpA was identified as the primary target of humoral immune response after intravenous infection by A. baumannii in mice. OmpA was >99% conserved at the amino acid level across clinical isolates harvested between 1951 and 2009 from cerebrospinal fluid, blood, lung, and wound infections, including carbapenem-resistant isolates, and was ≥89% conserved among other sequenced strains, but had minimal homology to the human proteome. Vaccination of diabetic mice with recombinant OmpA (rOmpA) with aluminum hydroxide adjuvant markedly improved survival and reduced tissue bacterial burden in mice infected intravenously. Vaccination induced high titers of anti-OmpA antibodies, the levels of which correlated with survival in mice. Passive transfer with immune sera recapitulated protection. Immune sera did not enhance complement-mediated killing but did enhance opsonophagocytic killing of A. baumannii. These results define active and passive immunization strategies to prevent and treat highly lethal, XDR A. baumannii infections.

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Geographical breakdown

Country Count As %
Mexico 1 <1%
India 1 <1%
Taiwan 1 <1%
Unknown 144 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 29 20%
Researcher 21 14%
Student > Bachelor 21 14%
Student > Master 15 10%
Other 8 5%
Other 18 12%
Unknown 35 24%
Readers by discipline Count As %
Agricultural and Biological Sciences 35 24%
Biochemistry, Genetics and Molecular Biology 23 16%
Medicine and Dentistry 19 13%
Immunology and Microbiology 15 10%
Pharmacology, Toxicology and Pharmaceutical Science 4 3%
Other 12 8%
Unknown 39 27%