Stepniak Dariusz, Spaenij-Dekking Liesbeth, Mitea Cristina, Moester Martine, de Ru Arnoud, Baak-Pablo Renee, van Veelen Peter, Edens Luppo, Koning Frits
Dept. of Immunohematology and Blood Transfusion, Leiden Univ. Medical Center, P.O. BOX 9600, 2300 RC Leiden, The Netherlands.
Am J Physiol Gastrointest Liver Physiol. 2006 Oct;291(4):G621-9. doi: 10.1152/ajpgi.00034.2006. Epub 2006 May 11.
Celiac disease is a T cell-driven intolerance to wheat gluten. The gluten-derived T cell epitopes are proline-rich and thereby highly resistant to proteolytic degradation within the gastrointestinal tract. Oral supplementation with prolyl oligopeptidases has therefore been proposed as a potential therapeutic approach. The enzymes studied, however, have limitations as they are irreversibly inactivated by pepsin and acidic pH, both present in the stomach. As a consequence, these enzymes will fail to degrade gluten before it reaches the small intestine, the site where gluten induces inflammatory T cell responses that lead to celiac disease. We have now determined the usefulness of a newly identified prolyl endoprotease from Aspergillus niger for this purpose. Gluten and its peptic/tryptic digest were treated with prolyl endoprotease, and the destruction of the T cell epitopes was tested using mass spectrometry, T cell proliferation assays, ELISA, reverse-phase HPLC, SDS-PAGE, and Western blotting. We observed that the A. niger prolyl endoprotease works optimally at 4-5 pH, remains stable at 2 pH, and is completely resistant to digestion with pepsin. Moreover, the A. niger-derived enzyme efficiently degraded all tested T cell stimulatory peptides as well as intact gluten molecules. On average, the endoprotease from A. niger degraded gluten peptides 60 times faster than a prolyl oligopeptidase. Together these results indicate that the enzyme from A. niger efficiently degrades gluten proteins. Future studies are required to determine if the prolyl endoprotease can be used as an oral supplement to reduce gluten intake in patients.
乳糜泻是一种由T细胞驱动的对小麦麸质不耐受的疾病。麸质衍生的T细胞表位富含脯氨酸,因此对胃肠道内的蛋白水解降解具有高度抗性。因此,口服脯氨酰寡肽酶已被提议作为一种潜在的治疗方法。然而,所研究的酶存在局限性,因为它们会被胃中存在的胃蛋白酶和酸性pH不可逆地失活。因此,这些酶在麸质到达小肠之前无法降解它,而小肠是麸质诱导炎症性T细胞反应导致乳糜泻的部位。我们现在已经确定了一种新鉴定的来自黑曲霉的脯氨酰内肽酶在此方面的效用。用脯氨酰内肽酶处理麸质及其胃蛋白酶/胰蛋白酶消化产物,并使用质谱、T细胞增殖试验、ELISA、反相HPLC、SDS-PAGE和蛋白质印迹法测试T细胞表位的破坏情况。我们观察到黑曲霉脯氨酰内肽酶在pH 4-5时活性最佳,在pH 2时保持稳定,并且对胃蛋白酶消化完全抗性。此外,源自黑曲霉的酶有效地降解了所有测试的T细胞刺激肽以及完整的麸质分子。平均而言,黑曲霉的内肽酶降解麸质肽的速度比脯氨酰寡肽酶快60倍。这些结果共同表明,黑曲霉的酶能有效地降解麸质蛋白。未来需要进行研究以确定脯氨酰内肽酶是否可以用作口服补充剂以减少患者的麸质摄入量。