Characterization of serum anti-diphtheria antibody activity following administration of equine anti-toxin for suspected diphtheria

There is a global shortage of equine-derived diphtheria anti-toxin (DAT) for diphtheria treatment. There are few existing data on serum antibody concentrations and neutralizing activity post-treatment to support development of new therapeutics. Antibody concentrations were quantified by ELISA and an...

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Bibliographic Details
Main Authors: Heidi L. Smith (Author), Greg Saia (Author), Maria Lobikin (Author), Tejpratap Tiwari (Author), Su-Chun Cheng (Author), Deborah C. Molrine (Author)
Format: Book
Published: Taylor & Francis Group, 2017-11-01T00:00:00Z.
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Summary:There is a global shortage of equine-derived diphtheria anti-toxin (DAT) for diphtheria treatment. There are few existing data on serum antibody concentrations and neutralizing activity post-treatment to support development of new therapeutics. Antibody concentrations were quantified by ELISA and anti-toxin neutralizing activity by cytotoxicity assay in serum from 4 patients receiving DAT for suspected diphtheria. Using linear mixed effects modeling, estimated mean (SE) half-life was 78.2 (20.0) hours. Maximum serum neutralizing activity ranged from 28.42-38.64 AU/mL with an estimated mean AUC1-72 of 1396.7 (399.3) AU/mL*hr. These data provide a standard of comparison for development of novel anti-toxins to replace DAT.
Item Description:2164-5515
2164-554X
10.1080/21645515.2017.1362516