We report an ELISA method suitable for the large-scale screening of blood bank stores to identify those blood units containing high concentrations of antiendotoxin antibodies. In Natal, 8·3% of total units collected had antiendotoxin antibodies at concentrations greater than 40 μg/ml, values that may be therapeutically useful. We found that one technician could screen enough samples per year to produce 800 litres of such high-titre plasma.
References
1.
McCabeW RKregerBJohnsM. Type specific and cross reactive antibodies in gram negative bacteremia. New Engl J Med1972; 287: 261–8.
2.
ZinnerSMcCabeWR. Effects of IgM and IgG antibody in patients with bacteremia due to gramnegative bacilli. J Inf Dis1976; 133: 37–41.
3.
FineJCaridisDCuevasPTherapeutic implications of new developments in the study of refractory nonseptic shock. Shock in low and high flow states. Excerpta Medica, Amsterdam. 1.
4.
JonesRRoeEGuptaJ. Controlled trial of Pseudomonas immunoglobulin and vaccine in burn patients. Lancet1980; ii: 1263–6.
5.
GaffinSLGrinbergZAbrahamCShechterY. Protection against hemorrhagic shock in the cat by human plasma containing endotoxin specific antibodies. J Surg Res1981; 31: 18–21.
6.
FeingoldDOskiF. Pseudomonas infection. Arch Int Med1965; 116: 326–9.
7.
ZyurkyukinaK. Sepsis in young children and the use of specific gamma globulin and its complex therapy. Vop Redol Okhr Mater in Detst1975; 20: 40–3.
8.
MilnerKC. Patterns of tolerance to endotoxin. J Ing Dis1973; 128: Suppl: 5237–44.
9.
McCutchanJAZeiglerEJBraudeAI. Treatment of gram negative bacteremia with antiserum to coreglycolipid II. A controlled trial of antiserum in patients with bacteremia. Europ J Cancer1979; 15: 77–81.
10.
ItoJ IWunderlichALyonsJRole of magnesium in the enzyme-linked immuno-sorbent assay for lipopolysaccharides of rough Escherichia coli strain J5 and Neisseria gonorrhoeae. J Inf Dis1980; 142: 532–5.
ConradieJDGrayRMbheleBEL. Serum alpha-fetoprotein determination by enzyme linked immunosorbent assay. S A Med Journ1980; 58: 169–72.
13.
VollerABidwellDEBartlettA. Enzyme-linked immunosorbent assay. In RoseNFriedmanH, eds. Manual of clinical immunology; 2nd edition. American Society of Microbiology, Washington DC. 1980, 359.
14.
WilsonMBNakanePK. Recent developments in the periodate method of conjugating horseradish peroxidase (HRPO) to antibodies. Immunofluorescence and related staining techniques (KnappWHolabarKWickG, eds.) Elsevier, Amsterdam. 1978215.
15.
GaffinSLRobins-BrownRMCooperR.Antibiotic effect of human antiendotoxin antibody-rich serum on Klebsiella pneumoniae. Abstr Congr Physiol Soc S Africa Johannesburg. October 1981.