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Clinical and Vaccine Immunology, October 2006, p. 1079-1086, Vol. 13, No. 10
1071-412X/06/$08.00+0     doi:10.1128/CVI.00107-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Llama Single-Chain Antibody That Blocks Lipopolysaccharide Binding and Signaling: Prospects for Therapeutic Applications{triangledown}

Mohamed El Khattabi,1* Hendrik Adams,1 Erik Heezius,2 Pim Hermans,3 Frank Detmers,3 Bram Maassen,1 Peter van der Ley,4 Jan Tommassen,5 Theo Verrips,1 and Jord Stam1

Department of Cellular Architecture and Dynamics, Faculty of Science, Utrecht University, Utrecht,1 Eijkman-Winkler Institute for Medical Microbiology, University Medical Center, Utrecht,2 BAC BV, Naarden,3 Netherlands Vaccine Institute, De Bilt,4 Department of Molecular Microbiology, Faculty of Science, Utrecht University, Utrecht, The Netherlands5

Received 27 February 2006/ Returned for modification 16 May 2006/ Accepted 11 August 2006

Sepsis is a considerable health problem and a burden on the health care system. Endotoxin, or lipopolysaccharide (LPS), present in the outer membrane of gram-negative bacteria, is responsible for more than 50% of the sepsis cases and is, therefore, a legitimate target for therapeutic approaches against sepsis. In this study, we selected and characterized a llama single-chain antibody fragment (VHH) directed to Neisseria meningitidis LPS. The VHH, designated VHH 5G, showed affinity to purified LPS as well as to LPS on the surfaces of the bacteria. Epitope mapping using a panel of N. meningitidis mutants revealed that VHH 5G recognizes an epitope in the inner core of LPS, and as expected, the VHH proved to have broad specificity for LPS from different bacteria. Furthermore, this VHH blocked binding of LPS to target cells of the immune system, resulting in the inhibition of LPS signaling in whole blood. Moreover, it was found to remove LPS efficiently from aqueous solutions, including serum. The selected anti-LPS VHH is a leading candidate for therapies against LPS-mediated sepsis.


* Corresponding author. Mailing address: Padualaan 8, 3584 CH Utrecht, The Netherlands. Phone: 31-30-2533350. Fax: 31-30-2513655. E-mail: m.elkhattabi{at}bio.uu.nl.

{triangledown} Published ahead of print on 23 August 2006.


Clinical and Vaccine Immunology, October 2006, p. 1079-1086, Vol. 13, No. 10
1071-412X/06/$08.00+0     doi:10.1128/CVI.00107-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.




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