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2017 ; 9
(2
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Efficacy of Urtoxazumab (TMA-15 Humanized Monoclonal Antibody Specific for Shiga
Toxin 2) Against Post-Diarrheal Neurological Sequelae Caused by Escherichia coli
O157:H7 Infection in the Neonatal Gnotobiotic Piglet Model
#MMPMID28134751
Moxley RA
; Francis DH
; Tamura M
; Marx DB
; Santiago-Mateo K
; Zhao M
Toxins (Basel)
2017[Jan]; 9
(2
): ä PMID28134751
show ga
Enterohemorrhagic Escherichia coli (EHEC) is the most common cause of hemorrhagic
colitis and hemolytic uremic syndrome in human patients, with brain damage and
dysfunction the main cause of acute death. We evaluated the efficacy of
urtoxazumab (TMA-15, Teijin Pharma Limited), a humanized monoclonal antibody
against Shiga toxin (Stx) 2 for the prevention of brain damage, dysfunction, and
death in a piglet EHEC infection model. Forty-five neonatal gnotobiotic piglets
were inoculated orally with 3 × 10? colony-forming units of EHEC O157:H7 strain
EDL933 (Stx1?, Stx2?) when 22-24 h old. At 24 h post-inoculation, piglets were
intraperitoneally administered placebo or TMA-15 (0.3, 1.0 or 3.0 mg/kg body
weight). Compared to placebo (n = 10), TMA-15 (n = 35) yielded a significantly
greater probability of survival, length of survival, and weight gain (p <0.05).
The efficacy of TMA-15 against brain lesions and death was 62.9% (p = 0.0004) and
71.4% (p = 0.0004), respectively. These results suggest that TMA-15 may
potentially prevent or reduce vascular necrosis and infarction of the brain
attributable to Stx2 in human patients acutely infected with EHEC. However, we do
not infer that TMA-15 treatment will completely protect human patients infected
with EHEC O157:H7 strains that produce both Stx1 and Stx2.