pfo Antibody

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Description

Antiphospholipid Antibodies (aPL) in PFO-Associated Stroke

Antiphospholipid antibodies (aPL) are autoantibodies targeting phospholipid-binding proteins, associated with hypercoagulability and thrombotic events. In patients with PFO, their presence may exacerbate stroke risk through paradoxical embolism or synergistic thrombotic mechanisms .

Key Pathophysiological Mechanisms:

  • Paradoxical embolism: Venous thrombi traverse the PFO into systemic circulation, amplified by aPL-induced hypercoagulability .

  • Endothelial dysfunction: aPL promote endothelial activation and platelet aggregation, increasing thrombus formation risk .

Clinical Significance of aPL in PFO Patients

Studies highlight the prognostic implications of aPL positivity in PFO populations:

Table 1: aPL Positivity and Stroke Recurrence in PFO Patients

StudyCohort SizeaPL-Positive (%)Stroke Recurrence (aPL+ vs. aPL−)HR (95% CI)
PICSS (2009) 52525.1%23.9% vs. 13.9%1.39 (0.75–2.59)
DEFENSE-PFO (2022) 19643%33.3% vs. 6.7%*0.23 (0.09–0.61)
APS-PFO Case (2024) 1100%Recurrent thrombosis post-closureN/A

*Post-PFO closure recurrent stroke rate in aPL+ patients: 1.1% vs. 33.3% with medical therapy alone .

PFO Closure in aPL-Positive Patients

Current guidelines advise against PFO closure in thrombophilia (e.g., aPL syndrome) due to high recurrence risks despite closure . Data suggest:

  • Post-closure anticoagulation: Required even after device implantation to mitigate thrombosis risks .

  • Meta-analysis findings: aPL+ patients derive greater benefit from combined closure and anticoagulation vs. medical therapy alone (HR: 0.23; P=0.003) .

Table 2: Outcomes by Treatment Modality in aPL+ PFO Patients

TreatmentRecurrent Stroke (%)Major Bleeding (%)Atrial Fibrillation (%)
PFO Closure + Anticoagulation1.12.44.6
Medical Therapy Only33.38.30.9

Data sources:

Research Gaps and Recommendations

  1. Long-term outcomes: Limited data on post-closure atrial fibrillation and bleeding risks in aPL+ cohorts .

  2. Demographic disparities: Underrepresentation of elderly, female, and non-European populations in trials .

  3. Mechanistic studies: Needed to clarify interactions between aPL, endothelial dysfunction, and PFO morphology .

Product Specs

Buffer
Preservative: 0.03% ProClin 300
Components: 50% Glycerol, 0.01M Phosphate Buffered Saline (PBS), pH 7.4
Form
Liquid
Lead Time
Order fulfillment typically takes 1-3 business days. Delivery times may vary depending on the order method and destination. Please contact your local distributor for precise delivery estimates.
Synonyms
pfo antibody; pfoA antibody; pfoR antibody; CPE0163 antibody; Perfringolysin O antibody; Theta-toxin antibody; Thiol-activated cytolysin antibody
Target Names
pfo
Uniprot No.

Target Background

Function
This antibody targets a cholesterol-dependent cytolytic toxin. The toxin forms pores in cholesterol-rich host cell membranes, causing cell lysis. Following membrane binding, the protein assembles into a pre-pore complex. A significant conformational change then facilitates membrane insertion and the formation of an oligomeric pore complex. Cholesterol is essential for membrane binding, insertion, and pore formation; a threonine-leucine pair in the C-terminus mediates cholesterol binding. The toxin can be reversibly inactivated through oxidation.
Database Links

KEGG: cpe:CPE0163

Protein Families
Thiol-activated cytolysin family
Subcellular Location
Secreted. Host cell membrane; Multi-pass membrane protein.

Q&A

What is Perfringolysin O (PFO) and why is it relevant to antibody research?

Perfringolysin O is a member of the cholesterol-dependent cytolysin (CDC) family of bacterial pore-forming proteins. These proteins have garnered significant research interest due to their remarkable efficiency in delivering exogenous proteins to the cytoplasm. The natural cytolytic properties of PFO make it exceptionally effective at membrane disruption, which can be harnessed for therapeutic delivery applications when properly controlled through antibody-mediated mechanisms .

How does PFO differ from other bacterial pore-forming toxins in experimental applications?

PFO belongs to the cholesterol-dependent cytolysin family, which distinguishes it from other pore-forming toxins through its specific binding affinity for cholesterol-rich membranes. This cholesterol dependency provides a unique targeting mechanism that can be leveraged in research applications. Unlike some other bacterial toxins, PFO forms particularly large pores (approximately 25-30 nm), making it especially useful for delivering larger molecular payloads into cells .

What are the primary challenges in utilizing native PFO for research applications?

The principal challenge with native PFO is its indiscriminate and potent cytotoxicity, which severely limits its practical use as an intracellular delivery system. The protein's natural pore-forming activity can cause widespread cellular damage and death, necessitating careful modification and control mechanisms before it can be safely implemented in targeted therapeutic contexts .

How are neutralizing antibodies designed to control PFO activity while maintaining its delivery capabilities?

Researchers have developed innovative bispecific, neutralizing antibodies against PFO that simultaneously neutralize its cytotoxic effects while targeting it to specific cellular compartments. These engineered antibodies function by temporarily attenuating PFO's membrane-disrupting activity during circulation and cellular uptake, then allowing for controlled activation within targeted endocytic compartments. This design approach involves careful epitope selection to ensure the antibody binding interferes with PFO's pore-forming mechanism without completely abolishing its membrane-disruption potential .

What methodological approaches are used to engineer reversibly attenuated PFO systems?

The engineering of reversibly attenuated PFO systems involves a multi-step approach:

  • Structure-function analysis to identify critical domains responsible for cholesterol binding and pore formation

  • Rational antibody design targeting these functional domains

  • Introduction of receptor-binding domains to the antibody construct for cell-specific targeting

  • Development of release mechanisms that respond to endosomal environmental cues (such as pH changes)

  • Validation through controlled release assays to confirm both neutralization and subsequent activation

How can researchers evaluate the specificity of PFO antibody targeting systems?

Evaluation of PFO antibody targeting specificity requires a comprehensive assessment protocol:

  • Cell-type comparative analysis using multiple cell lines with varying target receptor expression levels

  • Flow cytometry and confocal microscopy to track internalization patterns

  • Cytotoxicity assays comparing targeted versus non-targeted cells

  • Payload delivery efficiency measurements across different cell types

  • Competition assays with free receptor ligands to confirm mechanism specificity

What are the optimal methods for measuring the neutralizing capacity of anti-PFO antibodies?

The neutralizing capacity of anti-PFO antibodies can be quantitatively assessed through several complementary approaches:

  • Hemolysis inhibition assays using red blood cells as a sensitive model system

  • Membrane permeabilization studies using calcein release from liposomes

  • Cell viability assays comparing cells exposed to PFO with and without antibody neutralization

  • Direct binding affinity measurements through surface plasmon resonance or bio-layer interferometry

  • Functional studies measuring prevention of pore formation using electrophysiological techniques

How should researchers design experiments to assess the therapeutic window improvement provided by antibody neutralization?

Designing experiments to assess therapeutic window improvements requires systematic comparison of effective delivery versus toxicity across antibody-neutralized and non-neutralized PFO. Research published on PFO-based delivery systems demonstrates that properly designed neutralizing antibodies can improve the therapeutic window by more than 5 orders of magnitude. Experimental designs should include:

  • Dose-response curves comparing cell viability across multiple cell types

  • Parallel assessment of delivery efficiency at each concentration point

  • Calculation of therapeutic indices (ratio of toxic dose to effective dose)

  • Time-course analyses to evaluate duration of the improved safety profile

  • In vivo toxicity and efficacy studies in appropriate animal models

What controls are essential when evaluating PFO antibody-mediated delivery systems?

Essential controls for rigorous evaluation include:

  • Non-targeting antibody controls to assess the specificity of the delivery system

  • Free cargo molecule controls to establish baseline membrane permeability

  • Wildtype versus mutant PFO comparisons to confirm mechanism

  • Antibody concentration titrations to determine optimal neutralization conditions

  • Endosomal escape inhibitors to confirm the proposed mechanistic pathway

  • Cell lines with differential expression of target receptors to validate targeting specificity

How can PFO antibody technology be applied to protein therapeutics delivery?

The application of PFO antibody technology to protein therapeutics delivery represents a significant advancement for drugs that typically cannot access intracellular targets. The system can be specifically designed to:

  • Enable cytosolic delivery of enzymes for lysosomal storage disease treatment

  • Facilitate nuclear delivery of gene-editing proteins by coupling with nuclear localization signals

  • Allow delivery of immunomodulatory proteins to specific immune cell populations

  • Enhance delivery of cytotoxic proteins specifically to cancer cells

  • Provide a platform for vaccination strategies requiring cytosolic antigen presentation

What methods can researchers use to track the intracellular fate of PFO antibody delivery systems?

Tracking the intracellular fate of these sophisticated delivery systems requires advanced imaging and biochemical techniques:

  • Fluorescence resonance energy transfer (FRET) between labeled antibody and PFO components

  • Live-cell confocal microscopy with pH-sensitive fluorophores to monitor endosomal escape

  • Subcellular fractionation followed by western blotting to quantify protein distribution

  • Correlative light and electron microscopy to visualize membrane disruption events

  • Functional readouts specific to the delivered cargo (enzymatic activity, reporter gene expression)

How does co-targeting gelonin with PFO antibody enhance cytotoxic potential in research applications?

The co-targeting strategy leveraging gelonin (a ribosome-inactivating protein) with PFO antibody systems demonstrates the versatility of this approach. Gelonin is highly potent but normally cannot access the cytosol where its ribosomal targets reside. Research has shown that PFO-based delivery systems efficiently mediate the endosomal release of co-targeted gelonin constructs with high specificity and minimal toxicity. This approach allows researchers to:

  • Achieve selective cytotoxicity in targeted cells while sparing non-targeted cells

  • Utilize significantly lower doses of the toxic payload due to enhanced delivery efficiency

  • Create bifunctional therapeutic constructs that combine targeting and delivery in one system

  • Study intracellular trafficking pathways through observation of payload localization

  • Develop models for testing other potential protein therapeutics that require cytosolic delivery

How might researcher differentiate between PFO (Perfringolysin O) antibodies and research related to Patent Foramen Ovale (PFO)?

It's crucial for researchers to recognize that the abbreviation "PFO" appears in multiple scientific contexts. In cardiovascular literature, PFO refers to Patent Foramen Ovale, a common cardiac condition affecting 20-34% of adults that involves a hole between the heart's atrial chambers . To avoid confusion:

  • Always clearly define PFO as Perfringolysin O in abstracts and introductions

  • Use the full name "Perfringolysin O" at first mention before employing the acronym

  • Include appropriate keywords and classification terms in database submissions

  • Consider using alternative terms like "CDC family toxins" when appropriate

  • Be aware that literature searches may return cardiovascular results when researching bacterial toxins

What are the critical parameters that affect reproducibility in PFO antibody neutralization studies?

Ensuring reproducibility in this complex research area requires careful attention to several parameters:

  • PFO source and purification methods significantly impact activity and batch-to-batch consistency

  • Antibody production systems (hybridoma vs. recombinant) affect binding characteristics

  • Cholesterol content and membrane composition of target cells influence PFO binding

  • Buffer composition, particularly calcium and pH levels, modulates PFO-membrane interactions

  • Temperature conditions during experiments alter membrane fluidity and PFO insertion kinetics

  • Storage conditions of both PFO and antibody preparations affect long-term stability and activity

How should researchers address potential immunogenicity concerns with PFO-based delivery systems?

Addressing immunogenicity represents a significant challenge for translational applications of PFO-based systems:

  • Employ computational and experimental epitope mapping to identify and modify immunogenic regions

  • Consider PEGylation strategies to reduce immune recognition while preserving function

  • Evaluate pre-existing antibodies in human serum samples against the PFO construct

  • Conduct dose-fractionation studies to determine if immune tolerance can be induced

  • Develop humanized antibody components to minimize immune response to the delivery system

  • Design appropriate immunogenicity assays for preclinical testing, including repeat-dose studies

What emerging technologies might enhance the specificity and efficiency of PFO antibody delivery systems?

Several cutting-edge approaches show promise for next-generation PFO antibody systems:

  • CRISPR-Cas9 engineered PFO variants with reduced immunogenicity and enhanced specificity

  • Stimulus-responsive antibody linkers allowing for environmental triggering of activation

  • Nanobody and single-domain antibody formats for improved tissue penetration

  • Machine learning algorithms to predict optimal antibody-antigen binding configurations

  • Biodegradable polymer conjugation for controlled release and extended circulation

How might PFO antibody research intersect with other intracellular delivery technologies?

The integration of PFO antibody approaches with complementary delivery technologies represents a fertile area for innovation:

  • Combination with lipid nanoparticle systems for sequential membrane penetration

  • Integration with cell-penetrating peptides for enhanced endosomal escape

  • Coupling with exosome-based delivery for improved biocompatibility

  • Incorporation into DNA origami structures for precise spatial control of delivery

  • Combination with ultrasound or photodynamic therapy for spatiotemporal activation

What methodological advances are needed to better characterize the structural dynamics of PFO-antibody interactions?

Future progress in this field will depend on advanced structural and dynamic characterization:

  • Time-resolved cryo-electron microscopy to capture conformational changes during pore formation

  • Hydrogen-deuterium exchange mass spectrometry to map antibody binding interfaces

  • Advanced molecular dynamics simulations incorporating membrane interactions

  • Single-molecule FRET studies to measure real-time conformational changes

  • In-cell structural biology techniques to observe PFO-antibody complexes in native environments

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