Radioimmunotherapy combating biofilm-associated infection in vitro

BackgroundAddressing prosthetic joint infections poses a significant challenge within orthopedic surgery, marked by elevated morbidity and mortality rates. The presence of biofilms and infections attributed to Staphylococcus aureus (S. aureus) further complicates the scenario.ObjectiveTo investigate...

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Main Authors: Zijian Ye, Berend van der Wildt, F. Ruben H. A. Nurmohamed, J. Fred F. Hooning van Duyvenbode, Jos van Strijp, H. Charles Vogely, Marnix G. E. H. Lam, Ekaterina Dadachova, Harrie Weinans, Bart C. H. van der Wal, Alex J. Poot
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1478636/full
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author Zijian Ye
Berend van der Wildt
F. Ruben H. A. Nurmohamed
J. Fred F. Hooning van Duyvenbode
Jos van Strijp
H. Charles Vogely
Marnix G. E. H. Lam
Ekaterina Dadachova
Harrie Weinans
Harrie Weinans
Bart C. H. van der Wal
Alex J. Poot
author_facet Zijian Ye
Berend van der Wildt
F. Ruben H. A. Nurmohamed
J. Fred F. Hooning van Duyvenbode
Jos van Strijp
H. Charles Vogely
Marnix G. E. H. Lam
Ekaterina Dadachova
Harrie Weinans
Harrie Weinans
Bart C. H. van der Wal
Alex J. Poot
author_sort Zijian Ye
collection DOAJ
description BackgroundAddressing prosthetic joint infections poses a significant challenge within orthopedic surgery, marked by elevated morbidity and mortality rates. The presence of biofilms and infections attributed to Staphylococcus aureus (S. aureus) further complicates the scenario.ObjectiveTo investigate the potential of radioimmunotherapy as an innovative intervention to tackle biofilm-associated infections.MethodsOur methodology involved employing specific monoclonal antibodies 4497-IgG1, designed for targeting wall teichoic acids found on S. aureus and its biofilm. These antibodies were linked with radionuclides actinium-225 (225Ac) and lutetium-177 (177Lu) using DOTA as a chelator. Following this, we evaluated the susceptibility of S. aureus and its biofilm to radioimmunotherapy in vitro, assessing bacterial viability and metabolic activity via colony-forming unit enumeration and xylenol tetrazolium assays.ResultsBoth [225Ac]4497-IgG1 and [177Lu]4497-IgG1 exhibited a noteworthy dose-dependent reduction in S. aureus in planktonic cultures and biofilms over a 96-h exposure period, compared to non-specific antibody control groups. Specifically, doses of 7.4 kBq and 7.4 MBq of [225Ac]4497-IgG1 and [177Lu]4497-IgG1 resulted in a four-log reduction in planktonic bacterial counts. Within biofilms, 14.8 kBq of [225Ac]4497-IgG1 and 14.8 Mbq [177Lu]4497-IgG1 led to reductions of two and four logs, respectively.ConclusionOur findings underscore the effectiveness of [225Ac]4497-IgG1 and [177Lu]4497-IgG1 antibodies in exerting dose-dependent bactericidal effects against planktonic S. aureus and biofilms in vitro. This suggests that radioimmunotherapy might serve as a promising targeted treatment approach for combating S. aureus and its biofilm.
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spelling doaj-art-7bfa2e55ef9d4af1b1953d7e74f64c8d2024-11-29T04:31:55ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-11-011110.3389/fmed.2024.14786361478636Radioimmunotherapy combating biofilm-associated infection in vitroZijian Ye0Berend van der Wildt1F. Ruben H. A. Nurmohamed2J. Fred F. Hooning van Duyvenbode3Jos van Strijp4H. Charles Vogely5Marnix G. E. H. Lam6Ekaterina Dadachova7Harrie Weinans8Harrie Weinans9Bart C. H. van der Wal10Alex J. Poot11Department of Orthopaedics, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Medical Microbiology, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, NetherlandsCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, CanadaDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Biomechanical Engineering, Faculty of Mechanical Engineering, Delft University of Technology, Delft, NetherlandsDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, NetherlandsBackgroundAddressing prosthetic joint infections poses a significant challenge within orthopedic surgery, marked by elevated morbidity and mortality rates. The presence of biofilms and infections attributed to Staphylococcus aureus (S. aureus) further complicates the scenario.ObjectiveTo investigate the potential of radioimmunotherapy as an innovative intervention to tackle biofilm-associated infections.MethodsOur methodology involved employing specific monoclonal antibodies 4497-IgG1, designed for targeting wall teichoic acids found on S. aureus and its biofilm. These antibodies were linked with radionuclides actinium-225 (225Ac) and lutetium-177 (177Lu) using DOTA as a chelator. Following this, we evaluated the susceptibility of S. aureus and its biofilm to radioimmunotherapy in vitro, assessing bacterial viability and metabolic activity via colony-forming unit enumeration and xylenol tetrazolium assays.ResultsBoth [225Ac]4497-IgG1 and [177Lu]4497-IgG1 exhibited a noteworthy dose-dependent reduction in S. aureus in planktonic cultures and biofilms over a 96-h exposure period, compared to non-specific antibody control groups. Specifically, doses of 7.4 kBq and 7.4 MBq of [225Ac]4497-IgG1 and [177Lu]4497-IgG1 resulted in a four-log reduction in planktonic bacterial counts. Within biofilms, 14.8 kBq of [225Ac]4497-IgG1 and 14.8 Mbq [177Lu]4497-IgG1 led to reductions of two and four logs, respectively.ConclusionOur findings underscore the effectiveness of [225Ac]4497-IgG1 and [177Lu]4497-IgG1 antibodies in exerting dose-dependent bactericidal effects against planktonic S. aureus and biofilms in vitro. This suggests that radioimmunotherapy might serve as a promising targeted treatment approach for combating S. aureus and its biofilm.https://www.frontiersin.org/articles/10.3389/fmed.2024.1478636/fullradioimmunotherapyStaphylococcus aureusbiofilmantibodiesinfectionwall teichoic acids
spellingShingle Zijian Ye
Berend van der Wildt
F. Ruben H. A. Nurmohamed
J. Fred F. Hooning van Duyvenbode
Jos van Strijp
H. Charles Vogely
Marnix G. E. H. Lam
Ekaterina Dadachova
Harrie Weinans
Harrie Weinans
Bart C. H. van der Wal
Alex J. Poot
Radioimmunotherapy combating biofilm-associated infection in vitro
Frontiers in Medicine
radioimmunotherapy
Staphylococcus aureus
biofilm
antibodies
infection
wall teichoic acids
title Radioimmunotherapy combating biofilm-associated infection in vitro
title_full Radioimmunotherapy combating biofilm-associated infection in vitro
title_fullStr Radioimmunotherapy combating biofilm-associated infection in vitro
title_full_unstemmed Radioimmunotherapy combating biofilm-associated infection in vitro
title_short Radioimmunotherapy combating biofilm-associated infection in vitro
title_sort radioimmunotherapy combating biofilm associated infection in vitro
topic radioimmunotherapy
Staphylococcus aureus
biofilm
antibodies
infection
wall teichoic acids
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1478636/full
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AT josvanstrijp radioimmunotherapycombatingbiofilmassociatedinfectioninvitro
AT hcharlesvogely radioimmunotherapycombatingbiofilmassociatedinfectioninvitro
AT marnixgehlam radioimmunotherapycombatingbiofilmassociatedinfectioninvitro
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