Stamm Serge M, Wagner Roland, Lang Dietmar A, Skerra Arne, Gebauer Michaela
Rentschler Biopharma SE, Erwin-Rentschler-Str. 21, 88471 Laupheim, Germany.
XL-Protein GmbH, Lise-Meitner-Str. 30, 85354 Freising, Germany.
Pharmaceutics. 2024 Jul 22;16(7):967. doi: 10.3390/pharmaceutics16070967.
Cumulative evidence from several pre-clinical studies suggests that restoration of plasma DNase activity in a thrombo-inflammatory state may improve clinical outcomes. Following injury, hyperactivated immune cells release large amounts of granular proteins together with DNA, which often accumulate in the surrounding environment in so-called neutrophil extracellular traps (NETs). Degradation of excess NETs by systemic DNase administration offers a promising therapeutic approach to ameliorate inflammation and dissolve intravascular clots. In order to expand the therapeutic utility of human DNase I, a variant of the enzyme was developed that has both a prolonged systemic half-life and a higher catalytic activity compared to Dornase alfa (Pulmozyme), the recombinant form of DNase I approved for inhaled therapy of cystic fibrosis. The hyperactive enzyme was "PASylated" by genetic fusion with a strongly hydrophilic and biodegradable PAS-polypeptide to increase its hydrodynamic volume and retard kidney filtration. A stable TurboCell™ CHO-K1-based cell line was generated which is suitable for the future production of PASylated DNase I according to good manufacturing practice (GMP). Furthermore, a robust bioprocess strategy was devised and an effective downstream process was developed. The final protein product is characterized by excellent purity, favorable physicochemical properties, a 14-fold higher DNA-degrading activity than Dornase alfa and a sustained pharmacokinetic profile, with a 22-fold slower clearance in rats.
多项临床前研究的累积证据表明,在血栓炎症状态下恢复血浆脱氧核糖核酸酶(DNase)活性可能会改善临床结果。损伤后,过度活化的免疫细胞会释放大量颗粒蛋白和DNA,这些物质常常在周围环境中以所谓的中性粒细胞胞外陷阱(NETs)形式积聚。通过全身性给予DNase来降解过量的NETs,为减轻炎症和溶解血管内血栓提供了一种有前景的治疗方法。为了扩大人DNase I的治疗效用,开发了一种该酶的变体,与已被批准用于囊性纤维化吸入治疗的重组DNase I(多黏菌素)相比,它具有更长的全身半衰期和更高的催化活性。通过与一种强亲水性且可生物降解的聚唾液酸(PAS)多肽进行基因融合,使这种高活性酶“PAS化”,以增加其流体动力学体积并延缓肾脏过滤。生成了一种稳定的基于TurboCell™ CHO-K1的细胞系,该细胞系适合未来按照良好生产规范(GMP)生产PAS化的DNase I。此外,还设计了一种稳健的生物工艺策略并开发了一种有效的下游工艺。最终的蛋白质产品具有优异的纯度、良好的物理化学性质、比多黏菌素高14倍的DNA降解活性以及持续的药代动力学特征,在大鼠体内的清除速度慢22倍。