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Title: Stabilization of cardiac
troponin I subunits and complexes
United States Patent: 6,989,436
Issued: January 24, 2006
Inventors: Davé; Kirti I. (Thousand Oaks,
CA); Fernández; Brian Robert (Tarzana, CA)
Assignee: Medical Analysis Systems, Inc.
(Camarillo, CA)
Appl. No.: 358070
Filed: February 4, 2003
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George Washington University's Healthcare MBA
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Abstract
The present invention provides methods
for preparing, and compositions comprising, stabilized protein-polymer
conjugates. More particularly, the present invention relates to the
stabilization of individual and complexed subunits of multisubunit protein
complexes by conjugation to polymers. Such conjugation acts to stabilize
the specific subunit complexes in their native conformation in liquid
medium.
Description of the Invention
BACKGROUND OF THE
INVENTION
The present invention relates to the
conjugation of individual and complexed subunits of multisubunit protein
complexes with polymers to stabilize their conformation. More
specifically, the present invention describes a method of stabilizing
individual and complexed subunits via covalent conjugation to a natural or
synthetic polymer. The present invention also relates to stabilized
conjugates of cardiac troponin I and C, and methods for its preparation.
SUMMARY OF THE
INVENTION
Proteins are composed of long chains of
amino acids. The structure of proteins can be considered on four different
levels. The primary structure refers to the specific order of amino acids
in the polymer chain. The secondary structure refers to the interactions
among and between the amino acids in the chain to form such structures as
α-helices and β-pleated sheets. The tertiary structure refers to the
three-dimensional structure of the protein, which is also referred to as a
protein's conformation. The quaternary structure refers to the spatial
arrangement of individual polypeptides or subunits of multisubunit
proteins.
The native conformation of a protein is only marginally stable. Thus, many
proteins which are removed from their native environment and purified
undergo conformational changes which can cause a loss of biological
activity, such as enzyme activity or antibody binding capacity. In
particular, the individual (uncomplexed) subunits of multisubunit protein
complexes may undergo dramatic conformational changes when separated from
the other subunits of the complex and stored in a liquid medium.
It is often desirable to separate the individual subunits of a
multisubunit protein complex, for example to study or exploit the
biological activity of each individual subunit. However, this may not be
possible if the individual subunits undergo conformational changes in
their uncomplexed state that alter their biological activity. Therefore,
it is often desirable to stabilize specific subunit complexes of more than
one, but less than all, subunits of a multisubunit protein. Accordingly,
it is an object of the present invention to provide a method for
stabilizing specific subunit complexes of multisubunit proteins.
Troponin is an example of a multisubunit protein complex which consists of
three individual subunits; troponin T, troponin C, and troponin I. The
troponin complex is involved in the calcium-sensitive switch that
regulates the interaction of actin and myosin in striated muscles.
Troponin T binds the troponin complex to tropomyosin, while troponin I is
the inhibitory subunit of the complex, because it inhibits the actomyosin
Mg2+-ATPase. Whereas troponin (TnC), which binds Ca2+,
from skeletal muscle and cardiac muscle is identical, troponin I and T (TnI
and TnT) from these two sources exist as different isoforms, each having a
different amino acid sequences and thus a unique structure. Thus, cardiac
troponin I (cTnI), cardiac troponin T (cTnT), and subunit complexes, such
as cardiac troponin I and C (cTnIC) are of particular interest as
cardiospecific markers.
The majority of the research into the troponin complex has centered around
the regulatory function and structure of the troponin complex in skeletal
muscle. The troponin complex assists in muscle contraction. The TnC
molecule has four binding domains to bind divalent metal ions. The Ca2+/Mg2+
binding sites are in the C-terminal region and the Ca2+ binding
sites are in the N-terminal region. In studies of skeletal muscle, in the
absence of Ca2+, the N-terminus of TnI binds to the C-terminal
region of TnC and to the globular C-terminal region of TnT. Thus, research
indicates that TnI and TnC are anti-parallel and TnI and TnT are
anti-parallel. The presence of calcium ion increases the C-terminal
domain's affinity for the inhibitory and C-terminal regions of TnI. In
addition, there is a hydrophobic surface in the N-terminal domain of TnC
that represents a Ca2+ dependent binding site for TnI and TnT.
It has been proposed that the Ca2+ dependent reactions relate
to the regulatory mechanism and Ca2+ independent interactions
maintain the structural integrity of the complex. In order to study
structure and function of the troponin complex in its regulation of
skeletal muscle, cross-linking studies have been accomplished. See Farah,
C. and Reinach, F. Review: The Troponin complex and regulation of muscle
contraction. FASEB Journal 9 pp. 755-767 (1995). Covalent binding between
TnC and skeletal muscle TnI has been formed between the carboxyl groups in
the TnC and lysine groups in TnI using EDC. See Kobayoshi et al. (1994),
Structure of the troponin complex: implications of photocross-linking of
troponin I to troponin C thiol mutants. J. Biol. Chem. 269, 5725-5729. In
addition, Leszyk et al. (1987) Cross-linking of rabbit skeletal muscle
troponin with the photoactive reagent 4-malemidobenzophenone;
identification of residues in troponin I that are close to cystein-98 of
troponin C. Biochemistry 26, 7042-7047, reported that the main
product of cross-linking between TnC and skeletal muscle TnI comprises
segments derived from the N-terminal regulatory domain of TnC (residues 46
to 78) and the inhibitory region of skeletal TnI (residues 96-116).
U.S. patent application Ser. No.08/865,468, filed on May 29, 1997,
discloses that the majority of native cTnI in human serum after myocardial
infarction (MI) is associated with TnC and TnT. The presence of TnI in a
complex with other troponin subunits in MI patient serum increases its
stability and protects it from further degradation. In addition, the
troponin complex protects the sites where cardiac-specific antibodies
bind. U.S. patent application Ser. No. 08/865,468, filed on May 29, 1997,
also discloses methods to isolate the complex from MI patient serum.
The determination of the presence or amount of certain constituents or
analytes is useful in the diagnosis of disease and physical well-being.
Compositions which behave similarly to how constituents present in human
bodily fluids behave, e.g., blood, blood serum, plasma, spinal fluid, and
urine, are used in clinical laboratories. These compositions assist in the
determination of whether the clinical instrumentation and procedures used
by the laboratory to measure the constituents are accurate. These
compositions are also used to calibrate the clinical devices which measure
the amount or presence of the constituent in a sample. These compositions
will be referred to hereinafter as control compositions or controls.
Rapid and simple tests that can be used to accurately diagnose the
occurrence of myocardial infarction or distinguish other ischemic events
such as unstable angina are extremely important. Cardiac troponin I (cTnI)
and troponin T (cTnT) have recently become established as the markers of
choice in evaluating cardiac distress. See for example, New England
Journal of Medicine Volume 335 No. 18, pages 1342-1349, Antman et al. and
pages 1333-1341, Ohman et al.
A variety of immunoassays have been developed that utilize antibodies that
can distinguish between the three troponin subunits, and also between
their different isoforms. Monoclonal and polyclonal antibodies have been
designed and used in immunoassays which can detect the cardiac-specific
epitopes formed by the unique amino acid sequence of cTnI. See for
example, International Patent Application No. WO 96/10076; European Patent
No. 394,819 B1; and Adams et al., Circulation 88:101-106 (1993). Larue et
al., (Clin. Chem. 39:972-979 (1993)) describe an immunoenzyme assay that
is capable of detecting cTnI in the concentration range of 0.2 to 20 μg/L
in 30 minutes.
Immunoassays have also been described which are specific for TnT. See for
example, Katus, et al., Circulation, 83(3):902-912 (1991). An immunoassay
for TnT is also commercially available from Boehringer Mannheim
Corporation (Indianapolis, Ind.).
Most immunoassays are designed to determine the concentration of a given
marker in a patient's serum by comparing immunoassay results with the
patient's serum to those obtained with controls of known concentration.
One limitation in the development of immunoassays for individual troponin
subunits involves the instability of the troponins in their uncomplexed
state. Accordingly, there is a need for stabilized compositions of
tronponin subunit complexes that can be stored for extended periods of
time, while retaining antibody binding capacity for use as control
reagents in cTnI and/or cardiac troponin IC complex (cTnIC) immunoassays.
In vitro stabilized solutions for cardiac markers have been disclosed.
U.S. Pat. No. 5,583,200 and Bodor et al., (1992) Development of Monoclonal
Antibodies for an Assay of Cardiac Troponin-I and Preliminary Results in
Suspected Cases of Myocardial Infarction, Clin. Chemistry 38, (11)
2203-2214 at 2204 disclose stabilized troponin T and/or troponin I using
troponin C and calcium ion. U.S. Pat. No. 5,583,200 discloses that serum
may be added. U.S. patent application Ser. No. 08/874,566, filed Jun. 13,
1997, discloses improvements in stabilizing the troponin T or troponin IC
complex and discloses solutions useful as calibrators or controls for
diagnostic assays measuring troponin. U.S. patent application Ser. No.
08/564,526 and U.S. patent application Ser. No. 08/865,468, filed May 29,
1997, also disclose the effect of TnC upon the immunological and
biological activity and non-specific binding of the CNBr-cTnI isoform and
other fragments. U.S. patent application Ser. No. 08/564,526 discloses the
activity of the complex formed by the CNBr-cTnI isoform, TnC and TnT as
useful in immunoassays.
The calibrators and controls in Behring's OPUS® assay are a lyophilized
preparation of human cardiac troponin I in processed bovine calf serum
with stabilizers. The reconstituted products are stable for seven days
when stored at 2 to 8° C. The calibrators and controls in Sanofi Pasteur's
troponin I assay are a lyophilized preparation in a buffered human serum
matrix. The reconstituted calibrators must be used within fifteen minutes
after complete reconstitution, but may be aliquoted and stored frozed at
-20° C. for up to about six months. The calibrators and controls in the
Dade troponin I assay are provided frozen. When thawed the product is
stable for thirty days when stored at 2 to 8° C.
Stabilization of proteins via covalent conjugation to various polymers has
been described. See, for example, U.S. Pat. Nos. 4,902,502; 5,468,478;
4,806,524; Katre et al., J. Immunol. 144:209-213 (1990); Abuchowski et
al., J. Biol. Chem. 252:3582-3586 (1977). The properties conferred on the
conjugated protein have been cited as increased in vivo half life,
increased stability in solution, increased solubility, decreased
susceptibility to proteases and decreased immunogenicity and antigenicity.
For example, Nitecki et al. (U.S. Pat. No. 5,089,261) describe conjugating
interleukin-2 to polyethylene glycol (PEG) to reduce immunogenicity.
In addition to stabilization of proteins via covalent conjugations to
polymers, it has also been demonstrated that synthetic polymers are
capable of providing a stabilizing effect via an ionic interaction with
proteins. For example, Marsh and Danielson (Analyst 120:1091-1096 (1995))
have described that the addition of PEG to an aqueous solutions of the
multisubunit enzyme lactate dehydrogenase enhances the ability of the
enzyme subunits to remain complexed.
The present invention relates to the finding that covalent conjugation of
protein individual and complexed subunits of multisubunit proteins to
polymers stabilizes the protein subunits, i.e., the subunit complex
maintains its native conformation in a liquid medium for a longer period
of time than the equivalent unconjugated subunit complex. In a preferred
embodiment, the present invention also relates to cTnIC polymer conjugates
which exhibit stabilized antibody binding capacity.
Claim 1 of 16 Claims
1. A method of stabilizing an
individual subunit of a multisubunit protein complex, wherein the individual
subunit is cardiac troponin I (cTnI) comprising mixing a solution of cTnI
with an active polymer in a molar ratio of CTnI to polymer ranging from
about 1:700 to about 1:11550 to form a stabilized cTnI-polymer conjugate.
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