Mutant C. difficile toxins reduce cytotoxicity
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Solution Overview
Problem
Current treatments for Clostridium difficile infections, particularly recurrences, are ineffective, with high recurrence rates and limited therapeutic options for managing the cytotoxic effects of toxins A and B, which cause significant gastrointestinal disease.
Innovation Solution
Development of mutant Clostridium difficile toxins A and B with specific mutations at residues 285, 287, 700, 972, and 978 for toxin A, and 286, 288, 698, 970, 976 for toxin B, which are less cytotoxic and used in immunogenic compositions to elicit neutralizing antibodies, along with optimized culture media using soy hydrolysate and yeast extract for toxin production.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Object-affected harmful factors
If wild-type C. difficile toxins A and B are used, then strong cytotoxic effect is achieved, but high harmfulness to host cells occurs
Solution Approach 1:
The patent applies parameter changes by introducing specific point mutations at residues 285, 287, 700, 972, and 978 in toxin A, and residues 286, 288, 698, 970, and 976 in toxin B. These mutations alter the amino acid sequence and biochemical properties of the toxins, reducing their cytotoxic activity while preserving their immunogenicity. The mutations specifically affect the glucosyltransferase domain and cysteine protease domain, modifying the toxins' ability to glucosylate host cell proteins and cause cell death.
2Reliability
If mutant toxins with reduced cytotoxicity are created, then therapeutic safety is improved, but immunogenicity may be compromised
Solution Approach 1:
The patent applies local quality by making targeted mutations at specific residue positions while maintaining the overall structure and immunogenic epitopes of the toxins. The mutations are localized to specific regions (residues 285-287 in the glucosyltransferase domain and residues 700, 972-978 in other domains) that are less critical for immune recognition, thereby preserving the toxin's ability to elicit neutralizing antibodies while reducing cytotoxicity.
3Ease of manufacture
If standard culture media are used for toxin production, then manufacturing simplicity is maintained, but toxin yield and purity are insufficient
Solution Approach 1:
The patent applies parameter changes by modifying the composition of the culture medium, specifically using soy hydrolysate as the carbon source instead of traditional glucose or other simple sugars. This parameter change in the culture medium composition optimizes the metabolic pathway of C. difficile, enhancing toxin production yield and purity while maintaining reasonable manufacturing simplicity. The soy hydrolysate provides a more suitable carbon source that promotes efficient toxin synthesis.
Data Source
AI summary
In one aspect, the invention relates to an immunogenic composition that includes a mutant Clostridium difficile toxin A and/or a mutant Clostridium difficile toxin B. The mutant toxin may include a glucosyltransferase domain having at least one mutation and a cysteine protease domain having at least one mutation, relative to the corresponding wild-type C. difficile toxin. The mutant toxins may include at least one amino acid that is chemically crosslinked. In another aspect, the invention relates to methods and compositions for use in culturing Clostridium difficile and in producing C. difficile toxins.


