| Literature DB >> 33588433 |
Estelle F Chiari1, William Weiss2, Michael R Simon1,3,4,5, Stephan T Kiessig6, Mark Pulse2, Stephen C Brown1, Hanne R Gerding6, Maurice Mandago6, Karina Gisch7, Christoph von Eichel-Streiber7.
Abstract
Coadministration of human secretory IgA (sIgA) together with subtherapeutic vancomycin enhanced survival in the Clostridioides difficile infection (CDI) hamster model. Vancomycin (5 or 10 mg/kg × 5 days) plus healthy donor plasma sIgA/monomeric IgA (TID × 21 days) or hyperimmune sIgA/monomeric IgA (BID × 13 days) enhanced survival. Survival was improved compared to vancomycin alone, P = .018 and .039 by log-rank Mantel-Cox, for healthy and hyperimmune sIgA, respectively. Passive immunization with sIgA (recombinant human secretory component plus IgA dimer/polymer from pooled human plasma) can be administered orally and prevents death in a partially treated CDI hamster model.Entities:
Keywords: zzm321990 Clostridioides difficile infection; immunotherapy; secretory IgA
Mesh:
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Year: 2021 PMID: 33588433 PMCID: PMC8557658 DOI: 10.1093/infdis/jiab087
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226