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968 Biotechnol. Prog.

2004, 20, 968−974

NOTES
Reduction of Active Elastase Concentration by Means of
Immobilized Inhibitors: A Novel Therapeutic Approach
Valentina Grano,†,‡ Gianluca Tasco,§ Rita Casadio,§ Nadia Diano,†,‡
Marianna Portaccio,† Sergio Rossi,‡ Umberto Bencivenga,‡ Mario Compiani,|
Anna De Maio,† and Damiano Gustavo Mita*,†,‡
Department of Experimental Medicine, Second University of Naples, Via S. M. di Costantinopoli 16,
80138 Naples, Italy, Institute of Genetics and Biophysics “A. Buzzati Traverso” of CNR, Via G. Marconi 12,
80125 Naples, Italy, Laboratory of Biocomputing, Centro Interdipartimentale per le Ricerca Biotecnologica
(CIRB), Bologna, Italy, and Department of Chemical Sciences, University of Camerino, Camerino, Italy

The inhibitory power of three different active Nylon membranes, separately loaded
with three different protease inhibitors, was studied with the aim of reducing the
increased elastase concentration occurring during hemodialysis or extracorporeal blood
circulation in patients undergoing cardiopulmonary bypass. Chemical grafting was
carried out to make the inert Nylon membrane suitable for the immobilization of the
inhibitors. The behavior of immobilized R1-antitrypsin, bovine pancreatic trypsin
inhibitor (BPTI), or elastatinal was separately studied. R1-Antitrypsin and BPTI were
covalently immobilized by means of a diazotization process, whereas elastatinal was
covalently attached via a condensation process mediated by glutaraldehyde. The
inhibitory power of each membrane type was studied as a function of the amount of
immobilized inhibitor and temperature. All active membranes have shown good
inhibitory power. The most efficient membrane was that loaded with R1-antitrypsin,
the less efficient that with BPTI.

1. Introduction synergistic role in pulmonary injury. Therefore, in some


clinical conditions it is important to reduce the protease
The knowledge of the interactions between proteases concentrations in blood.
and antiproteases and the understanding at a molecular
More recently (4, 5) it has been demonstrated that it
level of the pathologies related to these interactions are
is possible to reduce the concentration of active elastase
of fundamental relevance in clinical investigations (1, 2).
in an aqueous solution interacting with a modified
It is well-known, indeed, that several acute diseases occur
polyethersulfone membrane loaded with R1-antitrypsin.
when the natural balance between proteases and anti-
Elastase was chosen as protease model, because it
proteases is altered in blood. Hemodialysis (HE) or
represents one of the main proteolytic enzymes released
extracorporeal blood circulation (EBC) during cardio-
during HE or CPB (6, 7). R1-Antitrypsin from human
pulmonary bypass (CPB) are recognized among the main
plasma was chosen as protease inhibitor, because its
causes responsible for the alteration of this physiological
primary function in vivo is to control the activity of
equilibrium. To give an example, it has been recently
neutrophil elastase (8). In refs 4 and 5 it was demon-
found (3) that in patients undergoing CPB, the concen-
strated that the reduction of elastase concentration was
tration of plasma matrix metalloproteases-9 (MMP-9)
dependent (a) on the initial elastase concentration, when
changed from the initial value of 28.3 mg/mL to the value
the amount of immobilized inhibitor was kept constant,
of 44.3 mg/mL after 5 min from the beginning of the
or (b) on the amount of immobilized R1-antitrypsin, when
operation, to reach the value of 191 mg/mL at the end of
the initial elastase concentration was kept constant.
the operation. Increased plasma levels of neutrophil
elastase (NE) have also been found in patients undergo- This paper concerns the results obtained with three
ing CPB. Moreover, it is well documented that the Nylon porous membranes, grafted with glycidyl meth-
increased concentration of NE and MMP-9 have a acrylate, on which three different protease inhibitors
were separately immobilized. Nylon was chosen in place
of the polyethersulfone owing to its better biocompatibil-
* To whom correspondence should be addressed. Tel/Fax: 0039- ity and its availability in different forms, such as beads,
081-2395887. E-mail address: mita@iigb.na.cnr.it. hollow-fibers, etc. R1-Antitrypsin, bovine pancreatic trypsin
† Second University of Naples.
‡ Institute of Genetics and Biophysics “A. Buzzati Traverso”of inhibitor (BPTI), and elastatinal were the inhibitors. The
CNR. inhibitory power of each membrane type was studied as
§ Centro Interdipartimentale per le Ricerca Biotecnologica. a function of the amount of immobilized inhibitor and
| University of Camerino. temperature. Results are discussed in view of the valida-
10.1021/bp034304b CCC: $27.50 © 2004 American Chemical Society and American Institute of Chemical Engineers
Published on Web 02/11/2004
Biotechnol. Prog., 2004, Vol. 20, No. 3 969

Scheme 1. Structural Formula of Elastatinal then treated for 16 h at 4 °C with the same buffer solution
containing R1-antitrypsin or BPTI at the requested
concentration. At the end of this step, membranes were
washed with the Tris/HCl buffer solution to remove the
unbound inhibitor.
(b.2) Inhibitor Immobilization via Condensation. The
only way to immobilize the elastatinal was to use
tion of this technology for the reduction of the increase glutaraldehyde in a condensation process (Figure 1c)
of the protease concentrations during HE or CPB. involving the NH2 group of glutamine. To this aim HMDA
was used as a spacer. Nylon-poly(GMA)-HMDA mem-
2. Materials and Methods branes were obtained by immersing the GMA grafted
membranes in a 1% (v/v) HMDA aqueous solution for 15
2.1. Materials. Hydrolon Nylon membranes from Pall min at room temperature. After this step, the membranes
(Pall Italia, Milano, Italy) were used as solid support to were washed with water to remove the unreacted amines
be grafted with glycidyl methacrylate (GMA). 1,4-Phen- and then treated for 1 h at 30 °C with a 2.5% (v/v) GA
ylenediamine (PDA) or hexamethylenediamine (HMDA) aqueous solution. After further washings with double
were separately employed as spacers between the grafted distilled water and 0.1 M Tris/HCl buffer solution, pH
membrane and the protease inhibitor, according to the 7.4, the membranes were treated for 16 h at 4 °C with
immobilization method used. Glutaraldehyde (GA) was the same buffer solution containing elastatinal at the
employed as bifunctional agent coupling elastatinal to requested concentration. At the end of this step, mem-
the graft membrane. branes were washed with the Tris/HCl buffer solution
Elastase (EC 3.4.21.36) from porcine pancreas was to remove the unbound inhibitor.
purchased from Roche (Roche Diagnostic GmbH, Man- 2.2.2. Measurements of the Amount of Immobilized
nheim, Germany). To measure the elastase activity Inhibitor. The amount of the immobilized inhibitor was
N-succinyl-Ala-Ala-Ala-p-nitroanilide was used as sub- measured by the difference in the inhibitor concentration
strate. in the solution used for the immobilization before and
R1-Antitrypsin, BPTI, and elastatinal were separately after the immobilization process. Protein concentration
used as inhibitors. All of these inhibitors are irreversible was measured according to the Lowry method (8).
inhibitors. R1-Antitrypsin and BPTI are proteic molecules 2.2.3. Membrane Efficiency Measurements. Mem-
of large molecular mass, whereas elastatinal is a small brane efficiency, i.e., its inhibitory power toward elastase
peptide aldehyde, as can see in Scheme 1. activity, was determined by measuring as a function of
2.2. Methods. 2.2.1. Preparation of Active Mem- time the elastase activity in the solution in contact with
branes. Preparation of active membranes was carried the activated membrane by using N-succinyl-Ala-Ala-Ala-
out by means of two steps: (a) grafting copolymerization p-nitroanilide as substrate. Elastase hydrolyses this
and (b) inhibitor immobilization. substrate to N-succinyl-Ala-Ala-Ala and p-nitroaniline.
(a) Grafting Copolymerization. Grafting copolymeriza- The reaction rate, expressed as mM/min, is obtained by
tion (Figure 1a) was carried out by using K2S2O8/Na2S2O3 spectrophotometrically measuring at 410 nm the p-
as initiating system. Membranes were immersed, for 70 nitroaniline production as a function of time. The cata-
min at 40 °C, in a reaction vessel filled with a 1/1 water/ lytic reaction starts by adding directly 20 µL of elastase
ethanol solution containing 4% (v/v) GMA, 0.012 M solution into a cuvette containing the reaction mixture
K2S2O8, and 0.008 M Na2S2O3 and in the presence of 0.5% constituted by 900 µL of 0.1 M Tris/HCl buffer solution,
(w/v) CuCl2. Membranes were then washed with double pH 7.4, plus 80 µL of 3 mM N-succinyl-Ala-Ala-Ala-p-
distilled water to remove the unbound homopolymer and nitroanilide solution in the same buffer solution. The
left to dry until a constant weight was measured. At this volume of elastase solution in contact with the membrane
point, a Hydrolon/polyGMA membrane was obtained. For loaded with the inhibitor was 10 mL. From this volume
the measures of percent degree of grafting we adopted samples of 20 µL were withdrawn at regular time
the classical definition for this parameter. The grafting intervals and processed according to the described meth-
degree (X, %) was determined by the difference between odology to assess the concentration of active elastase. The
the membrane masses before, GB, and after, GA, the elastase solution contained a 10% (v/v) glycerol concen-
grafting process according to the formula tration, since in the absence of glycerol we have found
some loss of elastase activity. All experiments were
GA - GB
X (%) ) × 100 carried out at room temperature, i.e., at 23 ( 0.5 °C, or
GB at 37 ( 0.5 °C, i.e., the human body temperature.
The experimental apparatus is represented in Figure
With membranes used in this experimentation, average 2. It is constituted by a cylindrical silicone module, 5.5
grafting percentage was 26 ( 2%. cm in length and 0.8 cm in diameter, containing the
(b.1) Inhibitor Immobilization via Diazotization. R1- membrane, in series with a hydraulic circuit (T) starting
Antitrypsin and BPTI were immobilized through a dia- and ending in a common reservoir R. The hydraulic
zotization process (Figure 1b) involving the phenolic circuit is driven by a peristaltic pump (PP) and is
group of tyrosine residues. PDA was used to obtain constituted by silicone tubes (34 cm in length and 0.4 cm
aminoaryl derivatives on the Nylon/polyGMA mem- in diameter), usually used for blood circulation during
branes. Grafted membranes were treated for 90 min at hemodialysis. The solution is kept at the requested
room temperature, with a 2% (w/v) PDA solution in 0.1 temperature by means of a thermostatic bath. Every
M sodium carbonate buffer, pH 9.0. Once washed with experimental point reported in the figures represents the
water, the aminoaryl derivatives were treated for 40 min average value of five experiments performed under the
at 0 °C with an aqueous solution containing 2 M HCl and same conditions. Each experiment lasted 300 min. Ex-
4% NaNO2. At the end of this treatment, membranes perimental errors did not exceed 4%. Only in the mea-
were washed at room temperature with double distilled surements of the amount of immobilized inhibitor the
water and 0.1 M Tris/HCl buffer solution, pH 7.4 and error was higher, but within 6%.
970 Biotechnol. Prog., 2004, Vol. 20, No. 3

Figure 1. Schematic representation of the preparation of active membranes: (a) grafting copolymerization; (b) diazotization process;
(c) condensation process.
3. Results and Discussions using RASMOL (9), is presented. The amino acidic
3.1. Study of Elastase-Inhibitor Interactions. We residues of the catalytic triad are highlighted with a
first take advantage of a computational approach in order spacefill representation and colored as follows: aspartic
to determine the ligand-protein interactions and to acid 102 in violet, histidine 57 in blue, and serine 195 in
highlight the residues that could be used to immobilize red.
the inhibitor. In Figure 4a the 3D structure of R1-antitrypsin/elastase
In Figure 3, the 3D structure of elastase, taken from complex is reported. The elastase is in orange, and the
the Protein Data Bank (PDB ID 1BOE) and visualized R1-antitrypsin is in gray. Methionyl residue 358 of R1-
Biotechnol. Prog., 2004, Vol. 20, No. 3 971

Figure 2. Schematic (not to scale) representation of the


experimental apparatus: T, hydraulic circuit; PP, peristaltic
pump; R, reservoir; W, working volume; B, thermostatic bath.

Figure 4. 3D structures of the elastase/inhibitor complexes.


The elastase is in orange and the inhibitors are in gray. The
catalytic triad of elastase is represented as in Figure 3. (a)
Elastase/R1-antitrypsin complex. The interaction residue of the
Figure 3. 3D structure of elastase. The catalytic triad is shown inhibitor, methionine 358, is evidenced in spacefill form and
under spacefill form and colored as follows: serine 195 in red; colored in yellow, and tyrosine residues, employed in the
aspartic acid 102 in violet; histidine 57 in blue. attachment to the membrane, are highlighted in green. (b)
Elastase/BPTI complex. The interaction residue of the inhibitor,
lysine 15, is evidenced in spacefill form and colored in yellow,
antitrypsin, involved in the interaction with elastase, is and tyrosine residues are highlighted in green. (c) Elastase/
highlighted with a spacefill representation and colored elastatinal complex. The inhibitor is represented in CPK
in yellow. The tyrosine residues of R1-antitrypsin, in- nomenclature. The green arrow indicates the NH2 group of
volved in the link with the activated support, are green. glutamine involved in the interaction with the carrier, and the
cyan arrow indicates the aldeydic group involved in the inter-
The tyrosine residues are far from the 358 methionyl action with elastase.
active residue, thus preserving the integrity of the
binding site (henceforth the ligand binding interaction)
despite the immobilization process. The protein-ligand ment to the activated support are represented in green
complex was obtained by considering that elastase is and are far from the 15 lysine. The 3D structure of the
similar to trypsin (sequence identity is 34%) and that the complex was computed with a strategy similar to that
latter molecule has been solved with R1-antitrypsin (PDB described for the R1-antitrypsin/elastase. We started with
ID: 1EZX). By superimposing elastase to trypsin we the trypsin-BPTI complex (PDB ID 3BTD) and super-
computed a 3D model of the R1-antitrypsin/elastase imposed elastase to trypsin.
complex. In Figure 4c the elastatinal/elastase complex is re-
In Figure 4b the BPTI/elastase complex is reported. ported. Elastatinal is represented in CPK nomenclature,
BPTI is in gray, and elastase in orange. The 15 lysil and the amino acidic residues of the elastase catalytic
residue involved in the interaction with elastase is triad are represented as in Figure 3. The green arrow
highlighted with a spacefill representation and colored indicates the NH2 group of glutaminyl attached to the
in yellow. The tyrosine residues involved in the attach- carrier, and the blue arrow indicates the aldeydic group
972 Biotechnol. Prog., 2004, Vol. 20, No. 3

Table 1. Elastase Activity after 30 Minutes of Interaction


with the Different Inhibitors in Soluble Forma
inhibitor activity (µM/min) T (°C)
R1-antitrypsin 0 23
R1-antitrypsin 0 37
elastatinal 0 23
elastatinal 0 37
BPTI 8.86 23
BPTI 9.32 37
a Inhibitor concentration was 1 mg/mL, and the elastase

concentration was 0.1 mg/mL. The solution was Tris/HCl buffer,


pH 7.4.

involved in the interaction with elastase. It is evident


that the aldehyde moiety of elastatinal is close to serine
195, while the amino group is free and available for the
interaction with the membrane. For elastatinal no solved
structure was available. Therefore we started with build-
ing the molecule with Molden (10) and then allowing the
molecule to dock in flexible fashion to the putative active
site of elastase, also involving the catalytic triad.
The above results clearly indicate that all of the
inhibitors have free groups, exposed to the solvent and
noninteracting with the binding site of the inhibitor. For
these reasons these molecules can be bound to the
synthetic membrane without hampering their inhibitory
power.
3.2. Inhibitory Power of Activated Membranes.
It is well-known that the immobilization process affects
the activity of an immobilized enzyme since (a) the 3D Figure 5. (a) Elastase activity as a function of contact time
with the active membranes loaded with different amount of R1-
structure of the immobilized macromolecule can be antitrypsin. T ) 37 ( 0.5 °C. Symbols: (O) 0.250 mg im-
modified; (b) the electrostatic or hydrophobic interactions mobilized; (b) 0.766 mg immobilized; (4) 1.231 mg immobilized;
between the carrier and the solution can alter the (2) 1.681 mg immobilized; (0) 2.590 mg immobilized. (b)
concentrations of solute species (also H+ and OH-) in the Elastase activity after 30 min of interaction with the membrane
microenvironment around the enzyme; and (c) the pres- loaded with R1-antitrypsin as a function of the amount of
ence of diffusion limitations reduces the movement of the immobilized inhibitor.
substrate molecules toward the catalytic site. Each of the
three causes has been studied by us (11-14) with graft tive of the procedure followed also for the study of the
Teflon or Nylon membranes. interactions BPTI/elastase and elastatinal/elastase. In
Now we have immobilized the “substrate”, but it is Figure 5a is reported, as a function of the contact time,
reasonable to suppose that also in this case the presence the elastase activity in 10 mL of a solution (Tris/HCl
of the support may alter the interactions between the buffer, pH 7.4) of 0.1 mg/mL elastase interacting with a
immobilized inhibitor and the elastase. For this reason series of Nylon membranes (24 cm2 in surface area)
as a blank we have performed the following experiments, loaded with different amounts of R1-antitrypsin. The
keeping in mind that the initial elastase activity in the temperature was 37 °C. The curve parameter is the
absence of inhibitor was 0.20 or 0.24 mM/min, at 23 or amount of immobilized R1-antitrypsin. The results of
37 °C, respectively. An elastase solution (0.1 mg/mL in Figure 5a show that the rate of the decrease of the
Tris/HCl buffer, pH 7.4) was allowed to react for 30 min elastase activity and the saturation level associated with
with a concentration of soluble inhibitor equal to 1 mg/ the inhibitory process are functions of the amount of
mL. At the end of the experiment the elastase activity immobilized inhibitor.
was assayed (Table 1). Data in the table indicate that at When the values of elastase activity after 30 min of
the end of the experiment no active elastase was present interaction with the membrane loaded with R1-anti-
in the solutions containing R1-antitrypsin or elastatinal, trypsin are plotted as a function of the amount of
whereas a residual elastase activity was present in the immobilized inhibitor, one obtains the results reported
solution containing BPTI. The presence of a higher in Figure 5b. These results clearly indicate that the
elastase activity at 37 °C than at 23 °C, anyway, does reduction of elastase activity, i.e., the residual elastase
not mean that the concentration of active elastase is activity at fixed time, is linearly proportional to the
higher at 37 °C, in so much from calibration curves of amount of immobilized R1-antitrypsin. It is interesting
elastase activity as a function of elastase concentration, to observe that after 30 min of interaction under the same
keeping constant the substrate concentration, we derived experimental conditions (0.1 mg/mL of elastase and 1 mg/
that the active elastase concentration is 4.2 µg/mL at 23 mL of R1-antitrypsin) the residual elastase activity is
°C and 3.9 µg/mL at 37 °C. The indication from this set about 0.17 mM/min with the immobilized inhibitor,
of experiments is that, by using the same amount of whereas by using soluble R1-antitrypsin it is zero (see in
soluble inhibitors, BPTI has the smallest inhibitory Table 1). This means that the immobilization procedure
power toward elastase. reduces the number of active R1-antitrypsin molecules,
Let us examine the behavior of immobilized inhibitors. so that same amounts of inhibitor exhibit a higher
The first lot of experiments (from Figures 5a-7) refers inhibitory power when used in soluble form than when
to the R1-antitrypsin/elastase interaction and it is indica- immobilized. At the same time one concludes that the
Biotechnol. Prog., 2004, Vol. 20, No. 3 973

Figure 6. (a) Relative elastase activity as a function of contact


time with the active membranes loaded with different amount Figure 8. Absolute inhibitory power (A.I.P.) of each of the three
of R1-antitrypsin. T ) 37 ( 0.5 °C. Symbols: (O) 0.250 mg active membranes as a function of the amount of immobilized
immobilized; (b) 0.766 mg immobilized; (4) 1.231 mg im- inhibitor. (a) T ) 37 ( 0.5 °C. Symbols: (9) R1-antitrypsin; (2)
mobilized; (2) 1.681 mg immobilized; (0) 2.590 mg immobilized. elastatinal; (b) BPTI. (b) T ) 23 ( 0.5 °C. Symbols: (0) R1-
(b) Elastase activity as a function of the contact time (during antitrypsin; (4) elastatinal; (O) BPTI.
the first 30 min) with the active membrane loaded with
R1-antitrypsin. T ) 37 ( 0.5 °C. Symbols: (O) 0.250 mg To know the initial rate of elastase activity decrease
immobilized; (b) 0.766 mg immobilized; (4) 1.231 mg im- we have plotted in Figure 6b the values of elastase
mobilized; (2) 1.681 mg immobilized; (0) 2.590 mg immobilized. activity during the first 30 min. The experimental points
have been taken from Figure 5a. The slope of each
straight line, divided by the initial value of elastase
activity and multiplied for 30 min and by 100, give the
value of the initial percentage reduction of the elastase
activity, (I.I.P. ) initial inhibitory power), according to
the equation

At)30 - At)0
I.I.P. (%) ) | |‚100
At)0

The initial percentage reductions of elastase activity


in the case of the experiments of Figure 5a are reported
in Figure 7. Data in this figure clearly show that the
initial reduction of elastase activity exhibits a saturation
Figure 7. Initial percentage reductions of elastase activity trend with the increase of the amount of immobilized
(I.I.P.) as a function of the amount of immobilized R1-antitrypsin. inhibitor.
To know the absolute inhibitory power (A.I.P.) of our
diffusion limitations affect the interaction R1-antitrypsin/ active membranes toward elastase it is appropriate to
elastase, as well as the changes in the affinity between determine this value when the process is at saturation.
the two macromolecules introduced by the immobilization In our case we have taken 300 min as saturation time.
process. The A.I.P., therefore, is defined as
In Figure 6a the data of Figure 5a are reported in the
form of relative residual elastase activity as a function
At)300 - At)0
A.I.P. (%) ) | |‚100
of contact time. The value of elastase activity at zero time At)0
is taken as 100%. Data in Figure 6a confirm that the rate
of elastase activity decrease (and hence the decrease of In Figure 8a the A.I.P. values relative to the experi-
the active elastase concentration) is proportional to the ments of Figure 5a are reported with the symbol (9).
amount of immobilized inhibitor. Figure 6a, in addition, When experiments similar to the ones discussed in
gives direct information of the inhibitory power of each Figures 5a-7 are carried out with 0.1 mg/mL elastase
active membrane during time. solutions in contact with Nylon membranes (24 cm2 in
974 Biotechnol. Prog., 2004, Vol. 20, No. 3

surface area) loaded with the different amounts of BPTI References and Notes
or elastinal immobilized, one obtains the results reported
in Figure 8a and indicated by symbols (2) and (b) for (1) Stockley, R. A. Proteases and antiproteases. Novartis Found.
Symp. 2001, 234, 189-204.
elastatinal and BPTI, respectively. The temperature also
(2) Kotyza, J. Proteinases and antiproteinases: biomedical
in this case was 37 °C and the pH of the Tris/HCl buffer
correlations. Bratisl. Lek. Listy. 2000, 101 (8), 445-449.
containing the elastase was 7.4. Results in Figure 8a
(3) Steinberg, J.; Fink, G.; Picone, A.; Searles, B.; Schiller, H.;
show that the absolute reduction of elastase activity by Lee, H. M.; Nieman, G. Evidence of increased matrix metal-
means of immobilized R1-antitrypsin or BPTI or elasta- loprotease-9 concentration in patients following cardiopul-
tinal exhibits a saturation trend with the increase of the monary bypass. J. Extra Corpor. Technol. 2001, 33 (4), 218-
amount of immobilized inhibitors. Data in the figure also 222.
show that the immobilized BPTI, among the three (4) Grano, V.; Diano, N.; Portaccio, M.; Bencivenga, U.; De Maio,
inhibitors, exhibits the smallest inhibitory power toward A.; De Santo, N.; Perna, A.; Salamino, F.; Mita, D. G. The
elastase. This result agrees with that reported in Table R1-antitrypsin/elastase complex as an experimental model for
1. hemodialysis in acute catabolic renal failure, extracorporeal
In Figure 8b we have reported with open symbols the blood circulation and cardiocirculatory bypass. Int. J. Artif.
values of the absolute inhibiting power of each membrane Organs 2002, 25, 297-305.
type when experiments, similar to the ones performed (5) Grano, V.; Diano, N.; Portaccio, M.; De Santo, N.; Di
at 37 °C, were carried out at 23 °C. Results at 23 °C when Martino, S.; Rossi, S.; De Santo, L. S.; Salamino, F.; Mattei,
A.; Mita, D. G. Protease removal by means of antiproteases
compared with those at 37 °C show (a) for each mem- immobilized on supports as a potential tool for hemodialysis
brane type the same saturation trend with the increase or extracorporeal blood circulation. Int. J. Artif. Organs 2003,
of the amount of immobilized inhibitors; (b) a lower 26, 39-45.
inhibitory power of each membrane at lower temperature; (6) Hörl, W. H.; Jochum, M.; Heidland, A.; Fritz, H. Release of
(c) the same relative inhibitory power, i.e., A.I.P.R1-antitrypsin granulocyte proteases during hemodialysis. Am. J. Nephrol.
> A.I.P.elastatinal > A.I.P.BPTI. 1983, 3, 213-217.
(7) Schaefer, R. M.; Heidland, A.; Hörl, W. H. Release of
4. Conclusions leukocyte elastase during hemodialysis. Contrib. Nephrol.
1985, 46, 109-117.
Before concluding, some general remarks relative to
(8) Lowry, O. H.; Rosebrough, N. J.; Farr, A. L.; Randall, R. J.
the molecular mechanism underlying the interactions of Protein measurement with the Folin-Phenol reagents. J. Biol.
each inhibitor type with elastase are necessary. The Chem. 1951, 193, 265-275.
amino acidic residue of R1-antitrypsin involved in the (9) Sayle, R. A.; Milner-White, E. J. RASMOL: biomolecular
interaction with elastase is the 358 methionyl residue, graphics for all. TIBS 1995, 20, 374-376.
which has a polarizable side chain, assuming a positive (10) Schaftenaar, G.; Noordik, J. H. Molden: a pre- and
charge in accommodating the active site of trypsin-like postprocessing program for molecular and electronic struc-
enzymes or to fit equally well into the hydrophobic tures. J. Comput.-Aided Mol. Des. 2000, 14, 123-134.
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residues acting as a bait for the target protease. The M.; Gaeta, F. S.; Mita, D. G. Modulation of immobilized
interaction with the protease leads to the formation of enzyme activity by altering the hydrophobicity of nylon
an irreversible R1-antitrypsin-enzyme complex, which is grafted membranes. Part 1: Isothermal conditions. J. Mol.
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antitrypsin/elastase is 1:1 (15). Moustafa, A. B.; Rossi, S.; Mita D. G. Influence of the
immobilization process on the activity of beta galactosidase
The inhibition of elastase by BPTI is a competitive bound to Nylon membranes grafted with glycidyl methacry-
inhibition mediated by the lysine 15 at the P1 position late. Part 1: Isothermal behaviour. J. Mol. Catal. B: Enzym.
of the inhibitor (16). BPTI forms a loose complex with 2001, 16, 175-189.
serine proteases, blocking their active centers. Also in (13) Travascio, P.; Zito, E.; Portaccio, M.; Diano, N.; Grano, V.;
this case the stoichiometry of the interaction is 1:1. Di Martino, S.; Bertolini, T.; Rossi, S.; Mita, D. G. Enzyme
The molecular mechanism responsible for the elastase reaction engineering: effect of methanol on the synthesis of
inhibition by elastatinal consists of the formation of a antibiotics catalyzed by immobilized penicillin G acylase
hemiacetal adduct between the aldehyde group of the under isothermal and nonisothermal conditions. Biotechnol.
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Acknowledgment XLV, pp 687-689.
This work was partially supported by MIUR, through
Accepted for publication January 7, 2004.
a Research Programme of National Interest (PRIN)-
funds 2002. BP034304B

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