Abstract

Native α1‐antitrypsin (AAT) is a 52‐kDa glycoprotein that acts as an antiprotease and is the physiological inhibitor of neutrophil serine proteases. The main function of AAT is to protect the lung from proteolytic damage induced by inflammation. AAT deficiency (AATD) is a codominant autosomal disorder caused by pathogenic mutations in SERPINA1 gene, leading to reduced levels of serum AAT. The deficiency is known to increase the risk of pulmonary emphysema and chronic obstructive pulmonary disease as a consequence of proteolytic imbalance induced by inflammation, associated in many instances with cigarette smoking and other environmental hazards. Currently, the available therapy for lung disease associated with AATD is serum purified human AAT injected into patients on a weekly basis. It would be advantageous to replace serum‐derived AAT with a recombinant version which is stable and resistant to oxidation. We have expressed AAT in Escherichia coli as inclusion bodies and developed a highly efficient refolding and purification process. We engineered a series of mutant forms of AAT to achieve enhance thermostability and oxidation resistance. Moreover, we synthesized an active form of AAT via cysteine‐pegylation to achieve a markedly extended half‐life in vivo. The resulting molecule, which retains comparable activity to the wild‐type form, is expected to be an improved therapeutic agent for treating hereditary emphysema. In addition, the molecule may also be used to treat other types of emphysema caused by smoking, cystic fibrosis, pulmonary hypertension, pulmonary fibrosis, and chronic obstructive pulmonary disease.

Highlights

  • Native a1-antitrypsin (AAT) is a 52-kDa glycoprotein that acts as an antiprotease and is the physiological inhibitor of neutrophil serine proteases

  • The deficiency is known to increase the risk of pulmonary emphysema and chronic obstructive pulmonary disease as a consequence of proteolytic imbalance induced by inflammation, associated in many instances with cigarette smoking and other environmental hazards

  • The molecular pathology of the cirrhosis and emphysema associated with AAT deficiency (AATD) has been extensively studied [4], with better understanding of the genetic disorder as contributing factors to the development of chronic obstructive pulmonary disease (COPD), bronchiectasis, liver cirrhosis, and panniculitis [5]

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Summary

Introduction

Native a1-antitrypsin (AAT) is a 52-kDa glycoprotein that acts as an antiprotease and is the physiological inhibitor of neutrophil serine proteases. The main function of AAT is to protect the lung from proteolytic damage induced by inflammation. Abbreviations AAT, alpha-1 antitrypsin; CatG, cathepsin G; COPD, chronic obstructive pulmonary disease; HLE, human leukocyte elastase; mutein, mutant protein; PPE, porcine pancreatic elastase; Pr3, proteinase 3. The molecular pathology of the cirrhosis and emphysema associated with AATD has been extensively studied [4], with better understanding of the genetic disorder as contributing factors to the development of chronic obstructive pulmonary disease (COPD), bronchiectasis, liver cirrhosis, and panniculitis [5]. Previous research has established that human leukocyte elastase (HLE) is a serine protease released from the azurophilic granules of the neutrophil as part of the normal inflammatory response [6]. Besides HLE, AAT inhibits two other proteases released into the lungs by neutrophils, namely cathepsin G (CatG) and proteinase 3 (Pr3). The normal biological function of AAT is essential for human health and has been called ‘a guardian of vascular tissue’ [9]

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