Abstract
A noncompetitive enzyme-linked immunosorbent assay that enables the quantitation of toxic shock syndrome toxin 1 (TSST-1) to as little as 30 pg/ml and the detection of TSST-1 to 10 pg/ml in phosphate-buffered saline including 33% human serum or plasma was developed. It takes only 3 h to complete this assay after plate preparation. In this study, 64 human serum samples obtained from 30 patients with toxic shock syndrome or toxic shock syndrome-like symptoms were subjected to testing for the detection of TSST-1. With a cutoff level for TSST-1 of less than 100 pg/ml, 28 samples obtained from 12 patients were positive for TSST-1. The mean and maximum concentrations for these TSST-1-positive samples were 440 and 5,450 pg/ml, respectively. Of these 12 patients, 8 were Staphylococcus aureus culture positive, 3 were negative upon bacterial culturing, and 1 had no cultures done.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bergdoll M. S., Crass B. A., Reiser R. F., Robbins R. N., Davis J. P. A new staphylococcal enterotoxin, enterotoxin F, associated with toxic-shock-syndrome Staphylococcus aureus isolates. Lancet. 1981 May 9;1(8228):1017–1021. doi: 10.1016/s0140-6736(81)92186-3. [DOI] [PubMed] [Google Scholar]
- Blomster-Hautamaa D. A., Novick R. P., Schlievert P. M. Localization of biologic functions of toxic shock syndrome toxin-1 by use of monoclonal antibodies and cyanogen bromide-generated toxin fragments. J Immunol. 1986 Dec 1;137(11):3572–3576. [PubMed] [Google Scholar]
- Fey H., Pfister H., Boerlin P. A modified ELISA for the detection of toxic shock syndrome toxin (TSST-1) in staphylococcal isolates. Zentralbl Bakteriol Mikrobiol Hyg A. 1988 Jan;267(3):363–366. doi: 10.1016/s0176-6724(88)80052-x. [DOI] [PubMed] [Google Scholar]
- Henne E., Campbell W. H., Carlson E. Toxic shock syndrome toxin 1 enhances synthesis of endotoxin-induced tumor necrosis factor in mice. Infect Immun. 1991 Sep;59(9):2929–2933. doi: 10.1128/iai.59.9.2929-2933.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Igarashi H., Fujikawa H., Shingaki M., Bergdoll M. S. Latex agglutination test for staphylococcal toxic shock syndrome toxin 1. J Clin Microbiol. 1986 Mar;23(3):509–512. doi: 10.1128/jcm.23.3.509-512.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Igarashi H., Fujikawa H., Usami H. Effects of drugs on the pyrogenicity of toxic shock syndrome toxin 1 and its capacity to enhance susceptibility to the lethal effects of endotoxic shock in rabbits. Rev Infect Dis. 1989 Jan-Feb;11 (Suppl 1):S210–S213. doi: 10.1093/clinids/11.supplement_1.s210. [DOI] [PubMed] [Google Scholar]
- Igarashi H., Fujikawa H., Usami H., Kawabata S., Morita T. Purification and characterization of Staphylococcus aureus FRI 1169 and 587 toxic shock syndrome exotoxins. Infect Immun. 1984 Apr;44(1):175–181. doi: 10.1128/iai.44.1.175-181.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kuffner T. A., McKinney R. M., Wells D. E., Reeves M. W., Hunter S. B., Plikaytis B. D. Two-site monoclonal antibody quantitative ELISA for toxic shock syndrome toxin-1. J Immunol Methods. 1988 Apr 22;109(1):85–92. doi: 10.1016/0022-1759(88)90445-0. [DOI] [PubMed] [Google Scholar]
- Parsonnet J., Mills J. T., Gillis Z. A., Pier G. B. Competitive, enzyme-linked immunosorbent assay for toxic shock syndrome toxin 1. J Clin Microbiol. 1985 Jul;22(1):26–31. doi: 10.1128/jcm.22.1.26-31.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reeves M. W., Pine L., Feeley J. C., Wells D. E. Presence of toxic shock toxin in toxic shock and other clinical strains of Staphylococcus aureus. Infect Immun. 1984 Nov;46(2):590–597. doi: 10.1128/iai.46.2.590-597.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reiser R. F., Robbins R. N., Khoe G. P., Bergdoll M. S. Purification and some physicochemical properties of toxic-shock toxin. Biochemistry. 1983 Aug 2;22(16):3907–3912. doi: 10.1021/bi00285a028. [DOI] [PubMed] [Google Scholar]
- Rosten P. M., Bartlett K. H., Chow A. W. Detection and quantitation of toxic shock syndrome toxin 1 in vitro and in vivo by noncompetitive enzyme-linked immunosorbent assay. J Clin Microbiol. 1987 Feb;25(2):327–332. doi: 10.1128/jcm.25.2.327-332.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schlievert P. M., Shands K. N., Dan B. B., Schmid G. P., Nishimura R. D. Identification and characterization of an exotoxin from Staphylococcus aureus associated with toxic-shock syndrome. J Infect Dis. 1981 Apr;143(4):509–516. doi: 10.1093/infdis/143.4.509. [DOI] [PubMed] [Google Scholar]
- See R. H., Adilman S., Bartlett K. H., Chow A. W. Colony immunoblot assay for the detection of staphylococcal toxic shock syndrome toxin 1 (TSST-1) with anti-TSST-1 F(ab')2 fragments. J Clin Microbiol. 1989 Sep;27(9):2050–2053. doi: 10.1128/jcm.27.9.2050-2053.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Todd J., Fishaut M., Kapral F., Welch T. Toxic-shock syndrome associated with phage-group-I Staphylococci. Lancet. 1978 Nov 25;2(8100):1116–1118. doi: 10.1016/s0140-6736(78)92274-2. [DOI] [PubMed] [Google Scholar]
- Uchiyama T., Tadakuma T., Imanishi K., Araake M., Saito S., Yan X. J., Fujikawa H., Igarashi H., Yamaura N. Activation of murine T cells by toxic shock syndrome toxin-1. The toxin-binding structures expressed on murine accessory cells are MHC class II molecules. J Immunol. 1989 Nov 15;143(10):3175–3182. [PubMed] [Google Scholar]
- Weckbach L. S., Thompson M. R., Staneck J. L., Bonventre P. F. Rapid screening assay for toxic shock syndrome toxin production by Staphylococcus aureus. J Clin Microbiol. 1984 Jul;20(1):18–22. doi: 10.1128/jcm.20.1.18-22.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wells D. E., Reeves M. W., McKinney R. M., Graves L. M., Olsvik O., Bergan T., Feeley J. C. Production and characterization of monoclonal antibodies to toxic shock syndrome toxin 1 and use of a monoclonal antibody in a rapid, one-step enzyme-linked immunosorbent assay for detection of picogram quantities of toxic shock syndrome toxin 1. J Clin Microbiol. 1987 Mar;25(3):516–521. doi: 10.1128/jcm.25.3.516-521.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- de Azavedo J. C., Arbuthnott J. P. Toxicity of staphylococcal toxic shock syndrome toxin 1 in rabbits. Infect Immun. 1984 Nov;46(2):314–317. doi: 10.1128/iai.46.2.314-317.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]