Nosocomial diarrhea and pseudomembranous colitis causing toxins A and B from Clostridium difficile were studied at pH 5-8 and over the temperature range of 10-85 degrees C. The proteins were crosslinked with formaldehyde to inactivate them to toxoid forms and permit their use as vaccines. Structural
Preformulation studies of Clostridium difficile toxoids A and B
β Scribed by Maya S. Salnikova; Sangeeta B. Joshi; J. Howard Rytting; Michel Warny; C. Russell Middaugh
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 274 KB
- Volume
- 97
- Category
- Article
- ISSN
- 0022-3549
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β¦ Synopsis
To enhance the physical stability of Clostridium difficile toxoids A and B, screening for stabilizing compounds was performed. The screening of 30 GRAS compounds at various concentrations and in several combinations was performed in two parts. First, a high-throughput aggregation assay was used to screen for compounds which delayed or prevented aggregation of toxoids under stress conditions (toxoids at pH 5-5.5 were incubated at 55 degrees C for 55 or 75 min). Compounds which stabilized both proteins were further studied for their ability to delay unfolding under conditions leading to a presumably native-like folded state (pH 6.5). The thermal stability of the toxoids on the surface of Alhydrogel was monitored with DSC and also showed significant improvement in the presence of certain excipients. This study has generated information concerning the free and adjuvant bound toxoids behavior under a range of conditions (temperature, solutes) that can be used to design pharmaceutical formulations of enhanced physical stability.
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C difficile toxin B i s a potent cytotoxin known to disrupt the microfilaments of cultured cells We have recently shown also increased phospholipase A2 activity in cells treated with toxin B The activity was detected as a toxin-induced, dose-dependent release of 14C-arachidonic acid from prelabeled
## Abstract ## BACKGROUND: __Clostridium difficile__ colitis (CDC) is the most common cause of hospitalβacquired diarrhea. The increase in the incidence and fatality rate of CDC over the past decade has stimulated a search for new therapies, including intravenous immunoglobulin (IVIG). We report o