title: Recombinant clotting factor VIII concentrates: Heterogeneity and high-purity evaluation.
abstract: Factor VIII is an important glycoprotein involved in hemostasis. Insertion of expression vectors containing either the full-length cDNA sequence of human factor VIII (FLrFVIII) or B-domain deleted (BDDrFVIII) into mammalian cell lines results in the production of recombinant factor VIII (rFVIII) for therapeutic usage. Three commercially available rFVIII concentrates (Advate, Helixate NexGen and Refacto), either FLrFVIII or BDDrFVIII, were investigated by 1- and 2-DE and MS. The objective of this study was to compare the heterogeneity and the high purity of both rFVIII preparations before and after thrombin digestion. In particular, the 2-D gel was optimized to better highlight the presence of contaminants and many unexpected proteins. Recombinant strategies consisting of insertion of expression vectors containing BDDrFVIII and FLrFVIII resulted in homogeneous and heterogeneous protein products, respectively, the latter consisting in a heterogeneous mixture of various B-domain-truncated forms of the molecule. Thrombin digestion of all the three rFVIII gave similar final products, plus one unexpected fragment of A2 domain missing 11 amino acids. Regarding the contaminants, Helixate NexGen showed the presence of impurities, such as Hsp70 kDa, haptoglobin and proapolipoprotein; Refacto showed glutathione S-transferase and beta-lactamase, whereas Advate apparently did not contain any contaminants. The proteomic approach will contribute to improving the quality assurance and manufacturing processes of rFVIII concentrates. In this view, the 2-DE is mandatory for revealing the presence of contaminants.
authors.affiliation: Department of Environmental Sciences, Tuscia University, Viterbo, Italy.
authors.forename: Gian Maria
authors.initials: GM
authors.lastname: D'Amici
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Timperio
authors.forename: Federica
authors.initials: F
authors.lastname: Gevi
authors.forename: Giuliano
authors.initials: G
authors.lastname: Grazzini
authors.forename: Lello
authors.initials: L
authors.lastname: Zolla
mesh_terms: D000595:Amino Acid Sequence; D001777:Blood Coagulation; D015180:Electrophoresis, Gel, Two-Dimensional; D004591:Electrophoresis, Polyacrylamide Gel; D005169:Factor VIII / Q000032:analysis* / Q000737:chemistry / Q000235:genetics / Q000302:isolation & purification / Q000627:therapeutic use; D006467:Hemophilia A / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D013058:Mass Spectrometry; D008969:Molecular Sequence Data; D017384:Sequence Deletion; D013917:Thrombin
chemical_list: C078147:F8 protein, human; D005169:Factor VIII; D013917:Thrombin