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Infection and Immunity, May 2000, p. 3048-3052, Vol. 68, No. 5
Departments of
Pediatrics1 and Microbiology and
Immunology,2 University of Miami School of
Medicine, Miami, Florida 33101
Received 2 November 1999/Returned for modification 15 December
1999/Accepted 3 February 2000
Staphylococcal scalded-skin syndrome is an exfoliative dermatitis
characterized by the separation of the epidermis at the stratum
granulosum. This disruption is mediated by one of two Staphylococcus aureus exotoxins, exfoliative toxins A and B
(ETA and ETB). Both ETA and ETB have been reported to be bacterial superantigens. A controversy exists, however, as other data indicate that these exotoxins are not superantigens. Here we demonstrate that
recombinant exfoliative toxins produced in Escherichia coli do not act as T-cell mitogens and thus are not bacterial superantigens. These data fit the clinical profile of the disease, which is not associated with the classic symptoms of a superantigen-mediated syndrome.
0019-9567/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Recombinant Staphylococcus aureus
Exfoliative Toxins Are Not Bacterial Superantigens
*
Corresponding author. Mailing address: Department of
Microbiology and Immunology, P.O. Box 016960 (R-138), Miami, FL 33101. Phone: (305) 243-6118. Fax: (305) 243-4623. E-mail:
ccollins{at}med.miami.edu.
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