Toxin Neutralization Assay Research Articles

Use of a Chinese hamster ovary cell cytotoxicity assay for the rapid diagnosis of pertussis

A cytotoxicity assay with Chinese hamster ovary cells (CHO) capable of detecting 750 pg of pertussis toxin was assessed for use as a rapid test for the diagnosis of pertussis and compared with direct immunofluorescence (DFA). With pure bacterial cultures and simulated clinical specimens, the CHO assay detected as few as two colonies of Bordetella pertussis; no cytotoxicity occurred with other respiratory tract microorganisms. Next, nasopharyngeal aspirate secretions and nasopharyngeal cultures harvested after 72 h of incubation from 57 culture-positive and 201 culture-negative patients were examined. The CHO assay with nasopharyngeal secretions was positive in 25 (45%) of 55 culture-positive cases; DFA was positive in 15 (26%) of 57 cases (P = 0.05). The CHO assay with 72-h culture washes was positive in 42 (75%) of 57 culture-positive cases (P less than 0.001 compared with DFA). The CHO assay was more specific than DFA; all five CHO-positive, culture-negative cases were confirmed as true positives by serologic or toxin neutralization assays. In contrast, only 4 (36%) of 11 DFA-positive, culture-negative cases were confirmed as pertussis by serologic methods (P = 0.03). Combining the CHO assay with culture significantly decreased the delay in laboratory diagnosis of pertussis (3.30 versus 4.54 days; P = 0.01). The CHO assay is a sensitive and specific assay for the rapid diagnosis of pertussis.

Monoclonal Antibodies to Pertussis Toxin: Utilization as Probes of Toxin Function

Six monoclonal antibodies (MAbs) to pertussis toxin (PT) have been generated and characterized. Five of these MAbs (3CX4, 3C4D, 6D11C, 6FX1, and X2X5) interact with determinants on the catalytic subunit (S1) of PT, and one (6DX3) is specific for subunit S4. The MAbs are divided into three groups based upon their ability to neutralize the effects of PT in a Chinese hamster ovary (CHO) cell assay. Three of the MAbs (3CX4, 3C4D and 6D11C) had high neutralization titers, one MAb (6FX1) displayed weak neutralizing activity, and two MAbs (X2X5 and 6DX3) had no neutralizing ability. The combination of one of the high titer MAbs (3CX4) with the low titer MAb (6FX1) resulted in a synergistic enhancement of neutralizing capability. F(ab')2 fragments prepared from MAb's 3CX4 and X2X5 displayed activities in the CHO-cell assay which were identical to the native MAb's. The ability of the MAbs to neutralize PT in the CHO-cell toxin neutralization assay correlated with their ability to inhibit the in vitro ADP-ribosylation of PT. A competition ELISA method demonstrated that this panel of MAbs recognizes at least four separate epitopes on the PT molecule. Biotin-conjugated MAbs were shown to be useful reagents to probe the interaction of pertussis toxin with fetuin.

In vitro induction of antigen specific antibody synthesis and proliferation of T lymphocytes with acellular pertussis vaccines, pertussis toxin and filamentous haemagglutinin in humans

The in vitro response of human B- and T-lymphocytes to the acellular vaccines JNIH-6 (containing pertussis toxoid and filamentous hemagglutinin), and JNIH-7 (containing pertussis toxoid), and to the purified components JNIH-4 (filamentous hemagglutinin) and JNIH-5 (pertussis toxin) was investigated. Pertussis toxoid and filamentous hemagglutinin induced specific Ig synthesis in vitro in lymphocytes obtained from convalescent pertussis patients as target cells. The antigen-dependent Ig production was demonstrated in lymphocyte culture supernatants by ELISA techniques and by a Chinese hamster ovary cell toxin neutralization assay. Particularly with JNIH-4, -6 and -7, high antibody titers were obtained. At optimal antigen concentrations a marked lymphocyte blast transformation was found in lymphocyte cultures from whooping cough patients, but not in cultures of lymphocytes obtained from healthy volunteers. At high concentrations native pertussis toxin as well as the B oligomer (S2–5) of the toxin induced a strong proliferation of patient as well as control lymphocytes, indicating non-specific mitogenic activity. At lower concentrations lymphocyte blast transformation was seen in patient cultures only, which indicates an antigen-specific T-cell response. The A protomer (S1), dimer 1(S2 + 4) and dimer 2(S3 + 4) induced proliferation of patient lymphocytes, which demonstrates the presence of T-cell epitopes on these peptides. The in vitro B-cell response and the lymphocyte blast transformation assay are both useful tools for estimating the potency of acellular pertussis vaccines in man. Spontaneously acquired and vaccine induced immunity to Bordetella pertussis can be investigated at the level of B- and T-lymphocytes.

Determination of tetanus and diphtheria antitoxin content in dried samples of capillary blood: a convenient method applied to infants.

To assess the effect of vaccination of infants against tetanus and diphtheria capillary blood was drawn from 51 randomly selected healthy infants 2 years of age. The blood was applied directly to filter paper. In the laboratory the blood dots were eluted in phosphate buffered saline for 2 h at room temperature yielding 100% recovery of antitoxin activity. Serum volume in the blood dots was determined by calculation of dot area or by measuring albumin content in the eluted samples by means of rocket immunoelectrophoresis. These approaches were found to be equally applicable. Concentration of antitoxin to tetanus and diphtheria was assessed with ELISA and in vitro toxin neutralization assay respectively. Mean diphtheria antitoxin concentration was 0.53 IU/ml, and mean tetanus antitoxin concentration 4.1 IU/ml. Low initial immune response to diphtheria vaccination may be responsible for the risk among school children to have antitoxin concentration below protective level (reported elsewhere). In environments where diphtheria is disappearing a lowered vaccination response may be expected.

Dépistage et titrage des anticorps antitétaniques par une méthode d'hémagglutination passive automatisée

An automated reversed passive haemagglutination technique is described, using human erythrocytes sensitized by the chromic chloride method with higly purified tetanus toxoid. Such erythrocytes are agglutinated by the specific antibodies in a Technicon autoanalyzer. Clots are decanted, supernatant is hemolyzed and optical density is measured at 550 millimicron. Assay standards for comparison, ranging from 5 to 25 UI/ml, are prepared from human antitetanus immunoglobulins titrated by toxin neutralisation assay in mice. This method allows to screen donors' sera for presence of high titers of tetanus antibodies (larger than or equal to 5 UI) suitable for preparation of antitetanus immunoglobulins. 4,4% of donors have circulating antitetanus antibody levels corresponding to 5 UI/ml or more, by this method. The specificity of antibodies has been confirmed by the neutralisation assay in mice. The results obtained among 1.000 donors well agree with those of the counter-immuno-electrophoresis technique (C.E.P.). But, when, compared with C.E.P., the haemagglutination assay appears more objective, more quantitative and sensitive, and allows to get not only a rapid screening test but also a precise titration simultaneously.

In Vitro Detection of Antibody to Cholera Enterotoxin in Cholera Patients and Laboratory Animals

Two new in vitro microtests for anticholeragen (cholera exo-enterotoxin) antibodies are described and compared. In both tests, choleragen and choleragenoid, antigenically identical purified moieties which differ in size, charge, and toxicity, may be used as sensitizing antigens with apparently equal facility. The passive hemagglutination (PHA) test in which sensitized tanned chicken erythrocytes are used was found to be more sensitive than the sensitized bentonite flocculation test. Tests with sera from cholera patients almost invariably demonstrated a rise in titer on convalescence. Results with the PHA test were directly correlated with results derived from in vivo toxin neutralization assays involving inhibition of skin reactivity and the ileal loop reaction. These observations strengthen the hypothesis that choleragen is involved in the pathogenesis of cholera in man and support the unitarian concept that skin reactivity and choleragenesis are manifestations of the same toxin acting in different tissues. Both of the tests described have been modified and used as inhibition tests in the detection and assay of choleragen antigen.