Abstract:Apohemoglobin (apoHb) contains vacant hydrophobic heme-binding pockets that can bind to a variety of hydrophobic molecules. Thus, apoHb is a promising protein for drug delivery, bioimaging, and heme scavenging. Unfortunately, apoHb has a short half-life and precipitates at physiological temperature. In this study, apoHb was surface-conjugated with poly(ethylene glycol) (PEG) to improve the therapeutic potential of apoHb. The scalable PEGylation process had >95% protein yield with ∼10 to 12 PEGs attached to ea… Show more
“…PEGylation was performed as previously described (Pires et al, 2020). Briefly, the PolybHb fraction was thawed at 4°C and diluted to approximately 5 mg/ml in PBS.…”
Various types of hemoglobin (Hb)‐based oxygen carriers (HBOCs) have been developed as red blood cell substitutes for treating blood loss when blood is not available. Among those HBOCs, glutaraldehyde polymerized Hbs have attracted significant attention due to their facile synthetic route, and ability to expand the blood volume and deliver oxygen. Hemopure®, Oxyglobin®, and PolyHeme® are the most well‐known commercially developed glutaraldehyde polymerized Hbs. Unfortunately, only Oxyglobin® was approved by the FDA for veterinary use in the United States, while Hemopure® and PolyHeme® failed phase III clinical trials due to their ability to extravasate from the blood volume into the tissue space which facilitated nitric oxide scavenging and tissue deposition of iron, which elicited vasoconstriction, hypertension and oxidative tissue injury. Fortunately, conjugation of poly (ethylene glycol) (PEG) on the surface of Hb is capable of reducing the vasoactivity of Hb by creating a hydration layer surrounding the Hb molecule, which increases its hydrodynamic diameter and reduces tissue extravasation. Several commercial PEGylated Hbs (MP4®, Sanguinate®, Euro‐PEG‐Hb) have been developed for clinical use with a longer circulatory half‐life and improved safety compared to Hb. However, all of these commercial products exhibited relatively high oxygen affinity compared to Hb, which limited their clinical use. To dually address the limitations of prior generations of polymerized and PEGylated Hbs, this current study describes the PEGylation of polymerized bovine Hb (PEG‐PolybHb) in both the tense (T) and relaxed (R) quaternary state via thiol‐maleimide chemistry to produce an HBOC with low or high oxygen affinity. The biophysical properties of PEG‐PolybHb were measured and compared with those of commercial polymerized and PEGylated HBOCs. T‐state PEG‐PolybHb possessed higher hydrodynamic volume and P50 than previous generations of commercial PEGylated Hbs. Both T‐ and R‐state PEG‐PolybHb exhibited significantly lower haptoglobin binding rates than the precursor PolybHb, indicating potentially reduced clearance by CD163 + monocytes and macrophages. Thus, T‐state PEG‐PolybHb is expected to function as a promising HBOC due to its low oxygen affinity and enhanced stealth properties afforded by the PEG hydration shell.
“…PEGylation was performed as previously described (Pires et al, 2020). Briefly, the PolybHb fraction was thawed at 4°C and diluted to approximately 5 mg/ml in PBS.…”
Various types of hemoglobin (Hb)‐based oxygen carriers (HBOCs) have been developed as red blood cell substitutes for treating blood loss when blood is not available. Among those HBOCs, glutaraldehyde polymerized Hbs have attracted significant attention due to their facile synthetic route, and ability to expand the blood volume and deliver oxygen. Hemopure®, Oxyglobin®, and PolyHeme® are the most well‐known commercially developed glutaraldehyde polymerized Hbs. Unfortunately, only Oxyglobin® was approved by the FDA for veterinary use in the United States, while Hemopure® and PolyHeme® failed phase III clinical trials due to their ability to extravasate from the blood volume into the tissue space which facilitated nitric oxide scavenging and tissue deposition of iron, which elicited vasoconstriction, hypertension and oxidative tissue injury. Fortunately, conjugation of poly (ethylene glycol) (PEG) on the surface of Hb is capable of reducing the vasoactivity of Hb by creating a hydration layer surrounding the Hb molecule, which increases its hydrodynamic diameter and reduces tissue extravasation. Several commercial PEGylated Hbs (MP4®, Sanguinate®, Euro‐PEG‐Hb) have been developed for clinical use with a longer circulatory half‐life and improved safety compared to Hb. However, all of these commercial products exhibited relatively high oxygen affinity compared to Hb, which limited their clinical use. To dually address the limitations of prior generations of polymerized and PEGylated Hbs, this current study describes the PEGylation of polymerized bovine Hb (PEG‐PolybHb) in both the tense (T) and relaxed (R) quaternary state via thiol‐maleimide chemistry to produce an HBOC with low or high oxygen affinity. The biophysical properties of PEG‐PolybHb were measured and compared with those of commercial polymerized and PEGylated HBOCs. T‐state PEG‐PolybHb possessed higher hydrodynamic volume and P50 than previous generations of commercial PEGylated Hbs. Both T‐ and R‐state PEG‐PolybHb exhibited significantly lower haptoglobin binding rates than the precursor PolybHb, indicating potentially reduced clearance by CD163 + monocytes and macrophages. Thus, T‐state PEG‐PolybHb is expected to function as a promising HBOC due to its low oxygen affinity and enhanced stealth properties afforded by the PEG hydration shell.
“…As natural mechanisms to remove Hb are limited, cell‐free Hb elicits oxidative damage to proteins, lipids, nucleic acids, and other macromolecules 3 . Free heme is involved in various vascular pathologies and, due to its hydrophobicity, avidly binds to lipid surfaces or plasma proteins, mediating their oxidation 2,4 . Lastly, iron also causes oxidative damage through generation of reactive oxygen species 5–7 .…”
Background
Hemolysis releases toxic cell‐free hemoglobin (Hb), heme, and iron, which overwhelm their natural scavenging mechanisms during acute or chronic hemolytic conditions. This study describes a novel strategy to purify a protein cocktail containing a comprehensive set of scavenger proteins for potential treatment of hemolysis byproducts.
Study Design and Methods
Tangential flow filtration was used to purify a protein cocktail from Human Cohn Fraction IV (FIV). A series of in vitro assays were performed to characterize composition and biocompatibility. The in vivo potential for hemolysis byproduct mitigation was assessed in a hamster exchange transfusion model using mechanically hemolyzed blood plasma mixed with the protein cocktail or a control colloid (dextran 70 kDa).
Results
A basis of 500 g of FIV yielded 62 ± 9 g of a protein mixture at 170 g/L, which bound to approximately 0.6 mM Hb, 1.2 mM heme, and 1.2 mM iron. This protein cocktail was shown to be biocompatible in vitro with red blood cells and platelets and exhibits nonlinear concentration dependence with respect to viscosity and colloidal osmotic pressure. In vivo assessment of the protein cocktail demonstrated higher iron transport to the liver and spleen and less to the kidney and heart with significantly reduced renal and cardiac inflammation markers and lower kidney and hepatic damage compared to a control colloid.
Discussion
Taken together, this study provides an effective method for large‐scale production of a protein cocktail suitable for comprehensive reduction of hemolysis‐induced toxicity.
“…A promising new candidate for transport and delivery of PS molecules is apohemoglobin (apoHb), the apoprotein obtained via removal of the heme groups from hemoglobin (Hb). , The vacant heme-binding pocket of apoHb facilitates binding of hydrophobic molecules, creating an aqueous drug delivery vehicle for hydrophobic molecules such as PS . Therefore, binding of PS to the heme-binding pocket of apoHb should ensure that PS remains in a monomeric state, similar to the role of apoHb in maintaining heme in a nonaggregated form.…”
Section: Introductionmentioning
confidence: 99%
“…However, targeting CD163+ macrophages relies on Hp binding in vivo , and apoHb is unstable at physiological temperature . Fortunately, apoHb is stabilized when bound to Hp, enabling potential biomedical applications .…”
Section: Introductionmentioning
confidence: 99%
“…16,17 The vacant heme-binding pocket of apoHb facilitates binding of hydrophobic molecules, creating an aqueous drug delivery vehicle for hydrophobic molecules such as PS. 18 Therefore, binding of PS to the heme-binding pocket of apoHb should ensure that PS remains in a monomeric state, similar to the role of apoHb in maintaining heme in a nonaggregated form. Moreover, the apoprotein clears via the same pathway as cell-free Hb in which CD163+ macrophages and monocytes uptake the protein after haptoglobin (Hp) binding.…”
Photodynamic therapy
(PDT) has been shown to effectively treat
cancer by producing cytotoxic reactive oxygen species via excitation
of photosensitizer (PS). However, most PS lack tumor cell specificity,
possess poor aqueous solubility, and cause systemic photosensitivity.
Removing heme from hemoglobin (Hb) yields an apoprotein called apohemoglobin
(apoHb) with a vacant heme-binding pocket that can efficiently bind
to hydrophobic molecules such as PS. In this study, the PS aluminum
phthalocyanine (Al-PC) was bound to the apoHb-haptoglobin (apoHb-Hp)
protein complex, forming an apoHb-Al-PC-Hp (APH) complex. The reaction
of Al-PC with apoHb prevented Al-PC aggregation in aqueous solution,
retaining the characteristic spectral properties of Al-PC. The stability
of apoHb-Al-PC was enhanced via binding with Hp to form the APH complex,
which allowed for repeated Al-PC additions to maximize Al-PC encapsulation.
The final APH product had 65% of the active heme-binding sites of
apoHb bound to Al-PC and a hydrodynamic diameter of 18 nm that could
potentially reduce extravasation of the molecule through the blood
vessel wall and prevent kidney accumulation of Al-PC. Furthermore,
more than 80% of APH’s absorbance spectra were retained when
incubated for over a day in plasma at 37 °C. Heme displacement
assays confirmed that Al-PC was bound within the heme-binding pocket
of apoHb and binding specificity was demonstrated by ineffective Al-PC
binding to human serum albumin, Hp, or Hb. In vitro studies confirmed enhanced singlet oxygen generation of APH over
Al-PC in aqueous solution and demonstrated effective PDT on human
and murine cancer cells. Taken together, this study provides a method
to produce APH for enhanced PDT via improved PS solubility and potential
targeted therapy via uptake by CD163+ macrophages and monocytes in
the tumor (i.e., tumor-associated macrophages). Moreover, this scalable
method for site-specific encapsulation of Al-PC into apoHb and apoHb-Hp
may be used for other hydrophobic therapeutic agents.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.