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Characterization of a chemically modified plant cell culture expressed human α-Galactosidase-A enzyme for treatment of Fabry disease.
[fabry disease]
Fabry
disease
is
an
X-
linked
recessive
disorder
caused
by
the
loss
of
function
of
the
lysosomal
enzyme
α-
Galactosidase-
A
.
Although
two
enzyme
replacement
therapies
(
ERTs
)
are
commercially
available
,
they
may
not
effectively
reverse
some
of
the
Fabry
pathology
.
PRX
-
102
is
a
novel
enzyme
for
the
therapy
of
Fabry
disease
expressed
in
a
BY
2
Tobacco
cell
culture
.
PRX
-
102
is
chemically
modified
,
resulting
in
a
cross-linked
homo-dimer
.
We
have
characterized
the
in
-vitro
and
in
-vivo
properties
of
PRX
-
102
and
compared
the
results
with
the
two
commercially
produced
α-
Galactosidase-
A
enzymes
.
Results
show
that
PRX
-
102
has
prolonged
in
-vitro
stability
in
plasma
,
after
1
h
incubation
it
retains
30
%
activity
compared
with
complete
inactivation
of
the
commercial
enzymes
.
Under
lysosomal-like
conditions
PRX
-
102
maintains
over
80
%
activity
following
10
days
of
incubation
,
while
commercial
enzymes
become
inactive
after
2
days
.
Pharmacokinetic
profile
of
PRX
-
102
measured
in
male
Fabry
mice
shows
a
10
fold
increase
in
t
1
/
2
in
mice
(
581
min
)
compared
to
approved
drugs
.
The
enzyme
has
significantly
different
kinetic
parameters
to
the
alternative
ERTs
available
(
p
-value
<
0
.
05
,
one
way
ANOVA
)
,
although
these
differences
do
not
indicate
any
significant
biochemical
variations
.
PRX
-
102
is
uptaken
to
primary
human
Fabry
fibroblasts
.
The
repeat
administration
of
the
enzyme
to
Fabry
mice
caused
significant
reduction
(
p
-value
<
0
.
05
)
of
Gb
3
in
various
tissues
(
the
measured
residual
content
was
64
%
in
kidney
,
liver
was
cleaned
,
23
%
in
heart
,
5
.
7
%
in
skin
and
16
.
2
%
in
spleen
)
.
PRX
-
102
has
a
relatively
simple
glycosylation
pattern
,
characteristic
to
plants
,
having
mainly
tri
-mannose
structures
with
the
addition
of
either
α
(
1
-
3
)
-
linked
fucose
or
β
(
1
-
2
)
-
linked
xylose
,
or
both
,
in
addition
to
various
high
mannose
structures
,
while
agalsidase
beta
has
a
mixture
of
sialylated
glycans
in
addition
to
high
mannose
structures
.
This
study
concludes
that
PRX
-
102
is
equivalent
in
functionality
to
the
current
ERTs
available
,
with
superior
stability
and
prolonged
circulatory
half
-life
.
Therefore
we
propose
that
PRX
-
102
is
a
promising
alternative
for
treatment
of
Fabry
disease
.
Diseases
Validation
Diseases presenting
"liver was cleaned"
symptom
fabry disease
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