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Antimicrobial Agents and Chemotherapy, July 1999, p. 1609-1615, Vol. 43, No. 7
Anthony G. Gristina Institute for Biomedical
Research (formerly Medical Sciences Research
Institute)1 and GAMMA-A
Technologies, Inc.,2 Herndon, Virginia
20170
Received 30 November 1998/Returned for modification 22 January
1999/Accepted 23 April 1999
Infectious peritonitis results from bacterial contamination of the
abdominal cavity. Conventional antibiotic treatment is complicated both
by the emergence of antibiotic-resistant bacteria and by increased
patient populations intrinsically at risk for nosocomial infections. To
complement antibiotic therapies, the efficacy of direct, locally
applied pooled human immunoglobulin G (IgG) was assessed in a murine
model (strains CF-1, CD-1, and CFW) of peritonitis caused by
intraperitoneal inoculations of 106 or 107 CFU
of Pseudomonas aeruginosa (strains IFO-3455, M-2, and
MSRI-7072). Various doses of IgG (0.005 to 10 mg/mouse) administered
intraperitoneally simultaneously with local bacterial challenge
significantly increased survival in a dose-dependent manner. Local
intraperitoneal application of 10 mg of IgG increased animal survival
independent of either the P. aeruginosa or the murine
strains used. A local dose of 10 mg of IgG administered up to 6 h
prophylactically or at the time of bacterial challenge resulted in
100% survival. Therapeutic 10-mg IgG treatment given up to 12 h
postinfection also significantly increased survival. Human IgG
administered to the mouse peritoneal cavity was rapidly detected
systemically in serum. Additionally, administered IgG in peritoneal
lavage fluid samples actively opsonized and decreased the bacterial
burden via phagocytosis at 2 and 4 h post-bacterial challenge.
Tissue microbial quantification studies showed that 1.0 mg of locally
applied IgG significantly reduced the bacterial burden in the liver,
peritoneal cavity, and blood and correlated with reduced levels of
interleukin-6 in serum.
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Efficacy of Locally Delivered Polyclonal
Immunoglobulin against Pseudomonas aeruginosa Peritonitis in
a Murine Model
*
Corresponding author. Mailing address: GAMMA-A
Technologies, Inc., 520 Huntmar Park Dr., Ste. 100, Herndon, VA
20170. Phone: (703) 318-1024. Fax: (703) 318-9799. E-mail:
grainger{at}gamma-a.com.
Dedicated to our mentor, colleague, and friend, Anthony G. Gristina.
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