title: Recombinant staphylokinase variants with altered immunoreactivity. I: Construction and characterization.
abstract: BACKGROUND
  Recombinant staphylokinase offers promise for thrombolytic therapy in acute myocardial infarction, but it is immunogenic. Although reduced immunogenicity of heterologous proteinaceous drugs by protein engineering has not previously been reported, an attempt was made to achieve this in staphylokinase by site-specific mutagenesis.
  
  
  RESULTS
  Biospecific interaction analysis of a panel of 17 murine monoclonal antibodies against recombinant staphylokinase (SakSTAR variant) identified three nonoverlapping immunodominant epitopes, two of which could be eliminated by substitution mutagenesis of clusters of two or three charged amino acids with alanine. Circulating anti-staphylokinase antibodies elceted in patients by treatment with SakSTAR were incompletely (< 90%) absorbed by these mutants. Therefore, the combination variants K35A,E38A,K74A,E75A,R77A (SakSTAR.M38) and K74A,E75A,R77A,E80A,D82A (SakSTAR.M89) were constructed, expressed in Escherichia coli, highly purified by ion-exchange and hydrophobic interaction chromatography, and characterized. These variants had specific activities that were approximately half that of SakSTAR, and they combined the reduced reactivity with the panels of monoclonal antibodies of their parent molecules. Absorption of circulating antibodies elicited in patients by treatment with SakSTAR was incomplete in 13 of 16 patients (median values, 68% and 65% with SakSTAR.M38 and SakSTAR.M89, respectively).
  
  
  CONCLUSIONS
  SakSTAR contains three immunodominant epitopes, two of which were eliminated by site-directed mutagenesis, yielding combination mutants with relatively maintained specific activities that were not recognized by a significant fraction of the antibodies elicited in patients by treatment with wildtype SakSTAR. These mutants appear to be suitable for more detailed investigation of their thrombolytic and antigenic properties.
authors.affiliation: Center for Molecular and Vascular Biology, University of Leuven, Belgium. collen@med.kuleuven.ac.be
authors.forename: D
authors.initials: D
authors.lastname: Collen
authors.forename: R
authors.initials: R
authors.lastname: Bernaerts
authors.forename: P
authors.initials: P
authors.lastname: Declerck
authors.forename: F
authors.initials: F
authors.lastname: De Cock
authors.forename: E
authors.initials: E
authors.lastname: Demarsin
authors.forename: S
authors.initials: S
authors.lastname: Jenné
authors.forename: Y
authors.initials: Y
authors.lastname: Laroche
authors.forename: H R
authors.initials: HR
authors.lastname: Lijnen
authors.forename: K
authors.initials: K
authors.lastname: Silence
authors.forename: M
authors.initials: M
authors.lastname: Verstreken
mesh_terms: D000595:Amino Acid Sequence; D000911:Antibodies, Monoclonal; D001483:Base Sequence; D055598:Chemical Phenomena; D002627:Chemistry, Physical; D000939:Epitopes / Q000032:analysis*; D005343:Fibrinolytic Agents / Q000276:immunology*; D006801:Humans; D008666:Metalloendopeptidases / Q000276:immunology* / Q000302:isolation & purification; D008969:Molecular Sequence Data; D016296:Mutagenesis; D011994:Recombinant Proteins / Q000276:immunology / Q000302:isolation & purification
chemical_list: D000911:Antibodies, Monoclonal; D000939:Epitopes; D005343:Fibrinolytic Agents; D011994:Recombinant Proteins; D008666:Metalloendopeptidases; C022653:auR protein, Staphylococcus aureus