1978
DOI: 10.1111/1523-1747.ep12515105
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The Epidermolytic Toxin of Staphylococcus aureus: Its Failure to Bind to Cells and Its Detection in Blister Fluids of Patients with Bullous Impetigo

Abstract: Radioiodinated staphylococcal epidermolytic toxin was found not to bind to erythrocytes, blood leukocytes, trypsin-dispersed keratinocytes, epidermis or whole skin. Moreover the toxin could not be found to bind to murine epithelia by indirect immunofluorescence methods. However, the toxin, measured by radioimmunoassay, could be eluted from the skin of mice undergoing epidermolysis following intraperitoneal injection of toxinogenic Staphylococcus aureus. Furthermore, epidemolysin was measured in the blister flu… Show more

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Cited by 22 publications
(6 citation statements)
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“…The lowest detection limit of the reference test, the newborn mice assay, was 1 to 5 ,ug/ml as observed in this work and elsewhere (21). For the Mancini test, this limit was the same (5 ,ug/ml) (21), whereas the radioimmunoassay had a considerably lowered limit (5 to 20 ng/ml) (3,21). Our report describes two simple, specific, and sensitive (3 ng/ml) ELISA procedures which require affinity-purified toxin antibodies and which can be used to determine the ET concentration in culture supernatant fluids of Staphylococcus aureus strains or to potentially detect ET in biological fluids (sputum, blood, urine, and blister fluid).…”
Section: Discussionsupporting
confidence: 71%
“…The lowest detection limit of the reference test, the newborn mice assay, was 1 to 5 ,ug/ml as observed in this work and elsewhere (21). For the Mancini test, this limit was the same (5 ,ug/ml) (21), whereas the radioimmunoassay had a considerably lowered limit (5 to 20 ng/ml) (3,21). Our report describes two simple, specific, and sensitive (3 ng/ml) ELISA procedures which require affinity-purified toxin antibodies and which can be used to determine the ET concentration in culture supernatant fluids of Staphylococcus aureus strains or to potentially detect ET in biological fluids (sputum, blood, urine, and blister fluid).…”
Section: Discussionsupporting
confidence: 71%
“…It is noteworthy that the view that epidermolytic toxin acts without binding to cells (Baker et al, 1978) has recently been contradicted by new evidence from an assay procedure in vitro (Nishioka et al, 1981) that has indicated indirectly that lysosomes bind toxins. The rigid conformations detected in the present study should make the toxins proteinase-resistant, a necessary property if a digestive organelle is the target site.…”
Section: E (B)mentioning
confidence: 99%
“…However, the mechanism of action of the toxins has not yet been elucidated. Several binding sites have been proposed involving subcellular fractions of the epidermis (21,22) although negative reports have also been noted (23). Recent studies by Smith (17) indicate that keratohyaline granules may represent a possible site of fixation for the toxins.…”
Section: Discussionmentioning
confidence: 99%