16
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found

      Isolation and characterization of pharmaceutical grade human pentraxins, serum amyloid P component and C‐reactive protein, for clinical use

      research-article
      a , * , a , b , b , c , a , a , a , d , a , a , a , e , b , b , f , f , a
      Journal of Immunological Methods
      Elsevier
      BVDV, bovine viral diarrhea virus, cGMP, current good manufacturing practice, CRP, C‐reactive protein, ELISA, enzyme linked immunosorbent assay, ESIMS, electrospray ionization mass spectrometry, HBsAg, hepatitis B surface antigen, HCV, hepatitis C virus, HIV, human immunodeficiency virus, IBRV, infectious bovine rhinotracheitis virus, IS, international standards, PBMCs, peripheral blood mononuclear cells, PBS, phosphate buffered saline, SAA, serum amyloid A protein, SAP, serum amyloid P component, C‐reactive protein, Cytokine, Good manufacturing practice, Mononuclear cells, Pharmaceutical, Serum amyloid P component

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The human pentraxin proteins, serum amyloid P component (SAP) and C‐reactive protein (CRP) are important in routine clinical diagnosis, SAP for systemic amyloidosis and CRP for monitoring the non‐specific acute phase response. They are also targets for novel therapies currently in development but their roles in health and disease are controversial. Thus, both for clinical use and to rigorously elucidate their functions, structurally and functionally intact, pharmaceutical grade preparations of the natural, authentic proteins are required. We report here the production from normal human donor plasma and the characterization of the first such preparations. Importantly, we demonstrate that, contrary to reports using recombinant proteins and less well characterized preparations, neither CRP nor SAP stimulate the release by human peripheral blood mononuclear cells in vitro of any TNFα, IL‐6 or IL‐8, nor does SAP cause release of IL‐1β or IL‐10. Furthermore neither of our preparations was pro‐inflammatory in mice in vivo.

          Related collections

          Most cited references73

          • Record: found
          • Abstract: not found
          • Article: not found

          C-reactive protein: a critical update.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            C-reactive protein concentration and risk of coronary heart disease, stroke, and mortality: an individual participant meta-analysis

            Summary Background Associations of C-reactive protein (CRP) concentration with risk of major diseases can best be assessed by long-term prospective follow-up of large numbers of people. We assessed the associations of CRP concentration with risk of vascular and non-vascular outcomes under different circumstances. Methods We meta-analysed individual records of 160 309 people without a history of vascular disease (ie, 1·31 million person-years at risk, 27 769 fatal or non-fatal disease outcomes) from 54 long-term prospective studies. Within-study regression analyses were adjusted for within-person variation in risk factor levels. Results Loge CRP concentration was linearly associated with several conventional risk factors and inflammatory markers, and nearly log-linearly with the risk of ischaemic vascular disease and non-vascular mortality. Risk ratios (RRs) for coronary heart disease per 1-SD higher loge CRP concentration (three-fold higher) were 1·63 (95% CI 1·51–1·76) when initially adjusted for age and sex only, and 1·37 (1·27–1·48) when adjusted further for conventional risk factors; 1·44 (1·32–1·57) and 1·27 (1·15–1·40) for ischaemic stroke; 1·71 (1·53–1·91) and 1·55 (1·37–1·76) for vascular mortality; and 1·55 (1·41–1·69) and 1·54 (1·40–1·68) for non-vascular mortality. RRs were largely unchanged after exclusion of smokers or initial follow-up. After further adjustment for fibrinogen, the corresponding RRs were 1·23 (1·07–1·42) for coronary heart disease; 1·32 (1·18–1·49) for ischaemic stroke; 1·34 (1·18–1·52) for vascular mortality; and 1·34 (1·20–1·50) for non-vascular mortality. Interpretation CRP concentration has continuous associations with the risk of coronary heart disease, ischaemic stroke, vascular mortality, and death from several cancers and lung disease that are each of broadly similar size. The relevance of CRP to such a range of disorders is unclear. Associations with ischaemic vascular disease depend considerably on conventional risk factors and other markers of inflammation. Funding British Heart Foundation, UK Medical Research Council, BUPA Foundation, and GlaxoSmithKline.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Targeting C-reactive protein for the treatment of cardiovascular disease.

              Complement-mediated inflammation exacerbates the tissue injury of ischaemic necrosis in heart attacks and strokes, the most common causes of death in developed countries. Large infarct size increases immediate morbidity and mortality and, in survivors of the acute event, larger non-functional scars adversely affect long-term prognosis. There is thus an important unmet medical need for new cardioprotective and neuroprotective treatments. We have previously shown that human C-reactive protein (CRP), the classical acute-phase protein that binds to ligands exposed in damaged tissue and then activates complement, increases myocardial and cerebral infarct size in rats subjected to coronary or cerebral artery ligation, respectively. Rat CRP does not activate rat complement, whereas human CRP activates both rat and human complement. Administration of human CRP to rats is thus an excellent model for the actions of endogenous human CRP. Here we report the design, synthesis and efficacy of 1,6-bis(phosphocholine)-hexane as a specific small-molecule inhibitor of CRP. Five molecules of this palindromic compound are bound by two pentameric CRP molecules, crosslinking and occluding the ligand-binding B-face of CRP and blocking its functions. Administration of 1,6-bis(phosphocholine)-hexane to rats undergoing acute myocardial infarction abrogated the increase in infarct size and cardiac dysfunction produced by injection of human CRP. Therapeutic inhibition of CRP is thus a promising new approach to cardioprotection in acute myocardial infarction, and may also provide neuroprotection in stroke. Potential wider applications include other inflammatory, infective and tissue-damaging conditions characterized by increased CRP production, in which binding of CRP to exposed ligands in damaged cells may lead to complement-mediated exacerbation of tissue injury.
                Bookmark

                Author and article information

                Contributors
                Journal
                J Immunol Methods
                J. Immunol. Methods
                Journal of Immunological Methods
                Elsevier
                0022-1759
                1872-7905
                31 October 2012
                31 October 2012
                : 384
                : 1-2
                : 92-102
                Affiliations
                [a ]Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, Rowland Hill Street, London NW3 2PF, UK
                [b ]Bio Products Laboratory Ltd, Dagger Lane, Estree, Herts WD6 3BX, UK
                [c ]Scottish National Blood Transfusion Service, Castlelaw Building, Pentlands Science Park, Bushloan, Pennicuik, Midlothian EH26 0PZ, UK
                [d ]Department of Molecular Medicine, University of Pavia, Via Taramelli 3b, 27100 Pavia, Italy
                [e ]Pharmacy Department, Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK
                [f ]National Institute for Biological Standards and Control, Blanche Lane, South Mimms, Potters Bar, Herts EN6 3QG, UK
                Author notes
                [* ]Corresponding author at: Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, Rowland Hill Street, London NW3 2PF, UK. Tel.: + 44 20 7433 2801; fax: + 44 20 7433 2803. m.pepys@ 123456ucl.ac.uk
                Article
                S0022-1759(12)00224-4
                10.1016/j.jim.2012.07.013
                4068106
                22867744
                9304532d-509a-4386-9804-21b62251135e
                © 2012 Elsevier B.V.

                This document may be redistributed and reused, subject to certain conditions.

                History
                : 2 May 2012
                : 19 July 2012
                : 23 July 2012
                Categories
                Research Paper

                Immunology
                bvdv, bovine viral diarrhea virus,cgmp, current good manufacturing practice,crp, c‐reactive protein,elisa, enzyme linked immunosorbent assay,esims, electrospray ionization mass spectrometry,hbsag, hepatitis b surface antigen,hcv, hepatitis c virus,hiv, human immunodeficiency virus,ibrv, infectious bovine rhinotracheitis virus,is, international standards,pbmcs, peripheral blood mononuclear cells,pbs, phosphate buffered saline,saa, serum amyloid a protein,sap, serum amyloid p component,c‐reactive protein,cytokine,good manufacturing practice,mononuclear cells,pharmaceutical,serum amyloid p component

                Comments

                Comment on this article