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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.
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
At)30 - At)0
I.I.P. (%) ) | |‚100
At)0
surface area) loaded with the different amounts of BPTI References and Notes
or elastinal immobilized, one obtains the results reported
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amount of immobilized inhibitors. Data in the figure also 222.
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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.
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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
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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