“…One approach currently in clinical development is the prevention or treatment of S. aureus pneumonia with a MAb targeting AT, MEDI4893*, and AR-301 (11). AT is a cytolytic pore-forming toxin reported to have a number of effects in S. aureus pneumonia models such as cell death, inducing ADAM10-mediated cleavage of epithelial tight cell junctions, stimulating a damaging proinflammatory cytokine response, and altering bacterial processing within alveolar macrophages (19)(20)(21)(22). Although a definitive role for AT in human pneumonia has yet to be defined, Stulik et al recently reported that AT expression levels by colonizing 10 (CFU/lung) (C), log 10 (CFU/spleen) (D), and log 10 (CFU/kidneys) (E) for rabbits (n ϭ 12 animals per experimental group) that were randomized to receive (i) 30 mpk c-IgG at 1.5 hpi; (ii) 30 mpk MEDI4893* at 1.5 hpi; (iii) 50 mg/kg linezolid at 1.5, 10, 18, and 26 hpi; and (iv) 30 mpk MEDI4893* at 1.5 hpi and 50 mg/kg linezolid at 1.5, 10, 18, and 26 hpi with USA300/SF8300 wild-type strain.…”