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Title: Enterotoxin adsorbent, method of adsorptive
removal, and adsorption apparatus United States Patent:
6,969,616
Issued: November 29, 2005
Inventors: Hirai; Fumiyasu (Ibaraki, JP); Fujimoto; Tamiji
(Settsu, JP); Furuyoshi; Shigeo (Kobe, JP)
Assignee: Kaneka Corporation (Osaka, JP)
Appl. No.: 961414
Filed: September 25, 2001
Abstract
The present invention is directed to an enterotoxin adsorbent comprising
a compound having a log P (P denotes a partition coefficient in an octanol-water
system) value of not less than 2.50 as immobilized on a water-insoluble
carrier.
Description of the Invention
FIELD OF THE INVENTION
The present invention relates to an enterotoxin adsorbent, a method for
adsorptive removal of an enterotoxin, and an adsorption apparatus comprising
said adsorbent as packed in a housing.
BACKGROUND OF THE INVENTION
Enterotoxins are toxins produced by Staphylococcus aureus, among
other bacteria, which have various biological activities such as emetic,
pyrogenic and mitogenic activities, inducing symptoms of food poisoning or
being causative of toxic shock syndrome (TSS).
Staphylococci are broadly distributed in the skin, nasal cavity, oral
cavity, throat, urinary organs and intestinal canal of various animals
inclusive of man as well as in the air, sewage water, river, foods and so
forth and encompass a broad spectrum of species. Among such numerous species
of staphylococci, the one pathogenic to human beings is Staphylococcus
aureus (hereinafter referred to briefly as S. aureus) which is a
coagulase-positive bacterium. S. aureus induces various infectious
diseases and can be a causative factor in nosocomial infections, thus being
of social concern.
As the enterotoxin produced by S. aureus, the following 10 species
are known to this day: staphylococcal enterotoxins A, B, C1, C2, C3, D, E,
G, H and I (hereinafter referredtobriefly as SEA, SEB, SEC1, SEC2, SEC3, SED,
SEE, SEG, SEH and SEI, respectively).
Enterotoxins are known to have superantigen activity. The ordinary antigen
is taken up by the antigen-presenting cell and the antigen fragments
available on fragmentation (conversion to peptides of 10 to 15 amino acids)
are presented, in the form bound to the pockets of MHC (major
histocompatibility complex) class II molecule, on the surface of the
antigen-presenting cell. These fragments are recognized by the TCR (T cell
receptor) α- and β-chains of certain T cell clones, whereby the T cells are
activated to set an immune reaction going. On the other hand, in the case of
a superantigen, the antigen is not fragmented but directlybound to the MHC
class II molecule on an antigen-presenting cell, and then the complex is
recognized by TCR on the T cell to thereby activate the T cell. In this
process, the antigen is recognized by the Vβ region of the TCR but unlike in
the case of an ordinary antigen, the superantigen is recognized by
substantially the entire population of T cells expressing the specific Vβ
region to induce activation of the T cells and, hence, production of
cytokines. Thus, in an individual exposed to a superantigen, an enormous
population of T cells is activated as compared with the ordinary specific
immune response to consequently release cytokines within a brief time, thus
being suspected to induce abnormal reactions of the living body.
By using a specific antibody against an enterotoxin, an MHC class II protein
or the like, the enterotoxin can be removed from a body fluid such as blood,
plasma or serum, a culture supernatant, a foodstuff or a beverage but such
antibodies are not only expensive but have the drawback that sterilization
causes denaturation and serious decreases in adsorptive capacity.
Therefore, the advent has been awaited of an enterotoxin adsorbent which may
be produced easily at low cost and will be highly effective.
Incidentally, Japanese Kokai Publication Hei-10-290833 discloses an
adsorbent for TSST-1 (toxic shock syndrome toxin-1) comprising a compound
having a log P (P denotes a partition coefficient in an octanol-water
system) value of not less than 2.50 as immobilized but the literature is
reticent about adsorption of an enterotoxin.
SUMMARY OF THE INVENTION
The object of the present invention is to provide an adsorbent with which
enterotoxins in body fluids can be efficiently adsorbed and removed, a
method for adsorptive removal of an enterotoxin from a body fluid which
comprises using said adsorbent, and an enterotoxin adsorption apparatus.
The inventors of the present invention explored in earnest for an adsorbent
which may be capable of removing enterotoxins from body fluids with good
efficiency. As a result, they discovered that the enterotoxin occurring in a
body fluid can be efficiently adsorbed and removed with an adsorbent
comprising a compound having a log P value of not less than 2.50 as
immobilized on a water-insoluble carrier. The present invention has been
developed on the basis of the above finding.
The present invention, therefore, is directed to an enterotoxin adsorbent
comprising a compound with a log P, in which P represents a partition
coefficient in an octanol-water system, value of not less than 2.50 as
immobilized on a water-insoluble carrier.
The present invention is further directed to a method for adsorptive removal
of an enterotoxin in a body fluid
which comprises contacting an enterotoxin-containing body fluid with an
enterotoxin adsorbent,
said adsorbent comprising a compound with a log P, in which P represents a
partition coefficient in an octanol-water system, value of not less than
2.50 as immobilized on a water-insoluble carrier.
The present invention is further directed to an enterotoxin adsorption
apparatus
wherein a housing has an inlet and an outlet for a body fluid as well as a
means for precluding flowing out of an adsorbent therefrom, and is packed
therein an enterotoxin adsorbent,
said adsorbent comprising a compound with a log P, in which P represents a
partition coefficient in an octanol-water system, value of not less than
2.50 as immobilized on a water-insoluble carrier.
DETAILED DESCRIPTION OF THE INVENTION
The enterotoxin in the context of the present invention is a toxin
comprising a soluble protein having a molecular weight of 25,000 to 30,000
as produced by S. aureus.
The body fluid includes blood, plasma, serum, ascites, lympha, synovial
fluid, fractions or components of any of them, and other humoral biological
materials.
The log P value is a parameter of hydrophobicity of a compound and the
partition coefficient P in the representative octanol-water system is
determined in the following manner. Thus, the compound of interest is first
dissolved in octanol (or water), an equal quantity of water (or octanol) is
then added, and the mixture is shaken with Griffin flask shaker
(manufactured by Griffin & George, Ltd.) for 30 minutes. The mixture is then
centrifuged at 2000 rpm for 1 to 2 hours and the concentrations of the
compound in the octanol layer and the water layer are measured
spectrometrically or by GLC at room temperature and atmospheric pressure,
among other techniques. Then, the P value is calculated by means of the
following equation.
P =
Coct/Cw
Coct: concentration of the compound in octanol layer
Cw: concentration of the compound in water layer
The adsorbent of the invention comprises a water-insoluble carrier and, as
supported thereon, a compound having a log P value of not less than 2.50 as
determined by the above method.
The log P values of various compounds have so far been measured by many
workers and such measured log P values have been compiled by C. Hansch et
al. [Partition Coefficients and Their Uses; Chemical Reviews 71, 525
(1971)].
Referring to compounds with unknown measured log P values, the values (Σf)
calculated using the hydrophobic fragmental constant f shown in The
Hydrophobic Fragmental Constant, Elsevier Sci. Pub. Com., Amsterdam (1977)
can be used as a reference. The hydrophobic fragmental constant is a value
representing the hydrophobicity of various fragments as determined
statistically based on a large number of measured log P values. The sum of f
values of various fragments constituting a compound is approximately equal
to the log P value. The term log P as used in this invention for any
compound with an unknown log P value means the Σf value of the compound.
In the screening for compounds effective for adsorption of enterotoxins,
compounds having various log P values were respectively immobilized on a
water-insoluble carrier and evaluated for their adsorptive affinity for
enterotoxins. As a result, it was found that compounds having log P values
not smaller than 2.50, preferably not smaller than 2.80, more preferably not
smaller than 3.00, are effective in the adsorption of enterotoxins, while
compounds with log P values smaller than 2.50 do not appreciably adsorb
enterotoxins. By way of illustration, assuming that an alkylamine is
immobilized as said compound on a water-insoluble carrier, the change from
n-hexylamine (log P=2.06) to n-octylamine (log P=2.90) leads to a phenomenal
increase in the adsorptive affinity for enterotoxins. These findings suggest
that the adsorption of an enterotoxin by the adsorbent of the invention is
attributable to the hydrophobic interaction between the enterotoxin and the
atomic group introduced onto the carrier by immobilization of a compound
having a log P value of not less than 2.50 and that any compound having a
log P value of less than 2.50 is too low in hydrophobicity to exhibit a
sufficiently high adsorptive affinity for enterotoxins.
The compound that can be immobilized on a water-insoluble carrier with
advantage in the practice of the invention is not particularly restricted
only provided that its log P value is not smaller than 2.50. However, when a
compound is immobilized on a carrier by a chemical coupling reaction, a
portion of the compound is eliminated in many instances and in case the
eliminated group contributes a great deal to the overall hydrophobicity of
the compound, that is to say the hydrophobicity of the atomic group
immobilized on the carrier is reduced to a Σf value of less than 2.50 due to
the eliminated group, the particular compound is not suitable in light of
the object and spirit of the invention. A case in point is the
immobilization of isopentyl benzoate (Σf=4.15) on a hydroxyl
group-containing carrier by a transesterification reaction. In this case,
the atomic group actually immobilized on the carrier is C6H5CO—
and this atomic group has a Σf value of less than 1. Whether a compound of
this type is suitable as the compound for use in the invention can be simply
found by checking to see whether the compound obtainable by substituting
hydrogen for the eliminated group has a log P value of not less than 2.50.
The preferred, among compounds having log P values not smaller than 2.50,
are unsaturated hydrocarbons, alcohols, amines, thiols, carboxylic acids and
derivatives thereof, halides, aldehydes, hydrazides, isocyanates, oxirane
ring-containing compounds such as glycidyl ethers, halogenated silanes, and
other compounds having functional groups useful for bonding to the carrier.
As representative examples of such compounds, there can be mentioned amines
such as n-heptylamine, n-octylamine, decylamine, dodecylamine,
hexadecylamine, octadecylamine, 2-aminooctene, naphthylamine, phenyl-n-propylamine,
diphenylmethylamine, etc.; alcohols such as n-heptyl alcohol, n-octyl
alcohol, dodecyl alcohol, hexadecyl alcohol, 1-octen-3-ol, naphthol,
diphenylmethanol, 4-phenyl-2-butanol, etc. and glycidyl ethers of such
alcohols; carboxylic acids such as n-octanoic acid, nonanoic acid,
2-nonenoic acid, decanoic acid, dodecanoic acid, stearic acid, arachidonic
acid, oleic acid, diphenylacetic acid, phenylpropionic acid, etc. and the
corresponding acid halides and derivatives such as esters and amides;
halides such as octyl chloride, octyl bromide, decyl chloride, dodecyl
chloride, etc.; thiols such as octanethiol, dodecanethiol, etc.; halosilanes
such as n-octyltrichlorosilane, octadecyltrichlorosilane, etc., and
aldehydes such as n-octyl aldehyde, n-capryl aldehyde, dodecyl aldehyde, and
so forth.
Aside from the foregoing compounds, compounds such that the hydrogen atom in
the hydrocarbon moiety of any of the compounds mentioned by way of example
above have been substituted by a halogen atom, a substituent group
containing a hetero atom such as N, O or S, a different alkyl group or the
like and having log P values not smaller than 2.50, as well as compounds
having log P values not less than 2.50 among the compounds listed in the
above general review of C. Hansch et al. [Partition Coefficients and Their
Uses: Chemical Reviews 71, 525 (1971), pages 555˜613] can also be mentioned.
For use in the invention, these compounds are not exclusive choices.
These compounds may be used each independently or in a combination of two or
more species, optionally even in combination with a compound having a log P
value smaller than 2.50.
The water-insoluble carrier as a constituent of the adsorbent of the
invention is a material which is solid at atmospheric temperature and
pressure and only sparingly soluble in water.
The shape of the water-soluble carrier in the present invention may for
example be granular, sheet-like, filamentous or hollow fiber-like, although
these are not exclusive choices. The size of the carrier is not particularly
restricted, either.
The water-insoluble carrier as a constituent of the adsorbent of the
invention includes inorganic matrices such as glass beads, silica gel, etc.;
organic matrices such as synthetic polymers, e.g. crosslinked polyvinyl
alcohol, crosslinked polyacrylates, crosslinked polyacrylamide, crosslinked
polystyrene, etc. and polysaccharides, e.g. crystalline cellulose,
crosslinked cellulose, crosslinked agarose, crosslinked dextrin, etc.; and
composite matrices comprising organic-organic, organic-inorganic, or other
combinations of the above-mentioned matrices, to mention typical examples.
Among these, hydrophilic matrices are preferred because of their
comparatively low nonspecific adsorption and good adsorption selectivity for
enterotoxins. The term "hydrophilic carrier" is used herein to mean a
carrier such that when the compound constituting the carrier is made into a
flat plate, the angle of contact between it and water is not greater than 60
degrees. Various techniques are known for measurement of the contact angle
of water but as described by Ikeda in his book Jikken Kagaku Sensho
(Selected readings in Experimental Chemistry), Chemistry of Colloids,
Chapter 4, Thermodynamics of Interfaces, pp. 75 to 104, Mokabo (1986), the
most common method comprises placing a drop of water on a flat plate made of
the compound and measuring the angle of contact with water. The compound
giving such an angle of contact not greater than 60 degrees as measured by
the above method includes cellulose, polyvinyl alcohol, saponified
ethylene-vinyl acetate copolymer, polyacrylamide, polyacrylic acid,
polymethacrylic acid, poly(methyl methacrylate), polyacrylic acid-grafted
polyethylene, polyacrylamide-grafted polyethylene, glass and so forth.
These water-insoluble carrier materials preferably have amultiplicity of
pores of suitable size, that is to say aporous structure. The carrier having
a porous structure includes not only a carrier having spaces (macropores)
defined by clusters of microspheres when a basal carrier polymer forms
single spherical particles by cohesion of microspheres but also a carrier
having micropores formed among the clusters of cores within each microsphere
constituting a basal polymer carrier and a carrier having micropores formed
when a copolymer having a three-dimensional structure (a polymer network) is
swollen in the presence of an organic solvent having an affinity for the
polymer.
Furthermore, in consideration of the adsorptive capacity per unit volume of
the adsorbent, said water-insoluble carrier having a porous structure is
more preferably of the total porosity type than of the surface porosity type
and the void volume and specific surface area are preferably as large as
possible within limits not detracting from adsorption efficiency.
As a carrier satisfying these preferred requirements, a porous cellulose
carrier can be mentioned. The porous cellulose carrier has several
meritorious characteristics. Thus, (1) because it has comparatively high
mechanical strength and toughness, this carrier does not collapse or give
dust in stirring and other operations and even when a body fluid is passed
through a column packed with the carrier at a high speed, the carrier is not
compacted, thus permitting a high flow rate. Furthermore, the porous
structure of the carrier is not easily affected by high-pressure steam
sterilization. (2) Because this carrier is made up of cellulose, it is
hydrophilic, has a large number of hydroxyl groups available for binding a
ligand, and features little nonspecific adsorption. (3) Even if the void
volume is increased, an adsorptive capacity as large as that of a soft
carrier may be insured because of its comparatively high strength. (4) The
carrier ranks high in safety as compared with synthetic polymer and other
matrices. Therefore, this carrier is one of the most favorable matrices for
use in the present invention, although this is not an exclusive choice.
Moreover, the above-mentioned matrices may be used each independently or in
the form of a mixture of two or more species.
More preferably, said water-insoluble carrier having a porous structure is
characterized in that while the adsorption load may enter its pores with a
fairly high probability, the entry of other proteins is precluded as much as
possible. Thus, the enterotoxin to be adsorbed by the adsorbent of the
invention is a protein having a molecular weight within the range of 25,000
to 30,000 and for efficient adsorption of this protein, the carrier is
preferably such that the enterotoxin may find its way into its porous
structure in a large ratio but other proteins are prevented from entering
the pores. As a molecular weight marker of a substance capable of entering a
porous structure, the molecular weight of exclusion limit is generally used.
As described in several books (e.g. Hatano Hiroyuki & Hanai Toshihiko:
Experimental high Performance Liquid Chromatography, Kagaku Dojin), the
molecular weight of exclusion limit means the molecular weight of the
smallest of the molecules prevented from entering the pores (entry rejected)
in gel permeation chromatography. Molecular weights of exclusion limit have
been well documented generally for globular proteins, dextran, polyethylene
glycol, etc. and in the case of the carrier for use in the invention, it is
appropriate to use the value found for globular proteins.
Investigations undertaken by the inventors using matrices varying in
molecular weight of exclusion limit revealed that the range of molecular
weights of exclusion limit for globular proteins which is suitable for
adsorption of enterotoxins is 5,000 to 600,000. Thus, when a carrier having
a molecular weight of exclusion limit of less than 5000 for globular protein
is employed, the amount of adsorption of enterotoxins is too small to
endorse its practical utility. On the other hand, when the molecular weight
of exclusion limit of 600,000 is exceeded, the adsorption of proteins
(mostly albumin) other than enterotoxins is increased so that the practical
utility of the carrier is low in terms of selectivity. Therefore, the
preferred range of molecular weights of exclusion limit for globular protein
as the carrier in the present invention is 5,000 to 600,000, with the range
of 6,000 to 400,000 being the more preferred and the range of 10,000 to
300,000 being particularly preferred.
Furthermore, the carrier preferably has a functional group which can be used
for the ligand-binding reaction. The functional group mentioned above
includes but is not limited to hydroxyl, amino, aldehyde, carboxyl, thiol,
silanol, amido, epoxy, halogen, succinylimino, and acid anhydride.
The carrier which can be used in the present invention includes both a rigid
carrier and a soft carrier. However, when it is used as a constituent of the
adsorbent for extracorporeal circulation, it is important that when the
adsorbent is packed into a column and the body fluid is passed through it,
no plugging should take place. To ensure this, a sufficient mechanical
strength is required of the carrier. Therefore, the carrier for use in the
invention is more preferably a rigid carrier. The rigid carrier mentioned
above means a carrier such that, taking a granular carrier as an example,
when a cylindrical column is evenly packed with the carrier and an aqueous
fluid is passed, the relation between pressure loss ΔP and flow rate is
linear up to 0.3 kg/cm2 as described hereinafter in Reference
Example.
While the adsorbent of the invention can be obtained by immobilizing a
compound having a log P value of not less than 2.50 on a water-insoluble
porous carrier, various known techniques can be liberally used for the
immobilization. However, when the adsorbent of the invention is used for
extracorporeal circulation therapy, it is important from safety points of
view to minimize the risk of elimination and elution of the ligand during
sterilization and therapy and, in this sense, immobilization by covalent
bonding is preferred.
Various techniques are available for the adsorptive removal of an
enterotoxin from body fluids by means of the adsorbent of the invention. The
simplest method comprises withdrawing a body fluid into a bag or the like,
mixing the adsorbent with the body fluid to adsorptively remove enterotoxins,
and filtering off the adsorbent to recover the fluid having eliminated the
enterotoxins. Another method comprises packing the adsorbent into a housing
equipped with an inlet and an outlet for a body fluid and, disposed at the
outlet, further with a filter which allows passage of a body fluid but
intercepts the adsorbent and passing the body fluid through the housing.
Whichever desired of the methods can be utilized but the latter method is
not only expedient but, when the system is built into an extracorporeal
circuit, enables one to remove enterotoxins from a patient's body fluid,
particularly the blood, on line and with good efficiency. The adsorbent of
the invention is suitable for this method.
In the extracorporeal circuit mentioned above, the adsorbent of the
invention may be used independently but may be used in combination with a
different extracorporeal therapeutic system. As an example of such
combination, an artificial dialysis circuit can be mentioned. Thus, the
adsorbent can be used in conjunction with a dialysis treatment.
The enterotoxin adsorption apparatus of the invention, which makes use of
the above-described adsorbent of the invention, is now described with
reference to FIG. 1 which is a schematic cross-section view showing an
embodiment. In FIG. 1, the reference numeral 1 represents a body fluid
inlet, 2 a body fluid outlet, 3 an enterotoxin adsorbent according to the
invention, 4 and 5 each a filter which allows passage of the body fluid and
its components but does not allow passage of said enterotoxin adsorbent, 6 a
column, and 7 an enterotoxin adsorption apparatus. It should, however, be
understood that the enterotoxin adsorption apparatus is not restricted to
such a specific embodiment but may be any apparatus comprising a housing
equipped with an inlet and an outlet for a fluid and a means for precluding
flowing out of an enterotoxin adsorbent therefrom and, as packed therein,
said enterotoxin adsorbent.
The means for precluding flowing out of the adsorbent includes a wire-mesh
filter, a nonwoven cloth filter, a cotton pad filter, and so forth. The
housing is not particularly restricted in geometry, material or size but one
having a columnar configuration is preferred. The preferred housing material
withstands a sterilization procedure, thus including silicon-coated glass,
polypropylene, poly(vinyl chloride), polycarbonate, polysulfone,
polymethylpentene, and so forth. The capacity and size of the housing are
preferably 50 to 1500 ml and 2 to 20 cm in diameter, more preferably 100 to
800 ml and 3 to 15 cm in diameter, still more preferably 150 to 400 ml and 4
to 10 cm in diameter.
By means of the adsorbent comprising a compound having a log P value of not
less than 2.50 as immobilized on a water-insoluble carrier according to the
invention, enterotoxins can be adsorbed and removed from body fluids with
good efficiency.
Claim 1 of 6 Claims
1. A method for adsorptive removal of an enterotoxin in a body fluid which
comprises contacting an enterotoxin-containing body fluid with an
enterotoxin adsorbent to adsorb and remove the enterotoxin, wherein said
enterotoxin is at least one selected from the group consisting of
staphylococcal enterotoxins A, B, C1, C2, C3, D, E, G, H, and I, said
adsorbent comprising a compound with a log P, in which P represents a
partition coefficient in an octanol-water system, value of not less than
3.00 as immobilized on a water-insoluble carrier.
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