TWI226333B - Method for the recovery of fibrinogen, prothrombin complex, immunoglobulin, albumin and antithrombin III from frozen plasma - Google Patents

Method for the recovery of fibrinogen, prothrombin complex, immunoglobulin, albumin and antithrombin III from frozen plasma Download PDF

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TWI226333B
TWI226333B TW87114946A TW87114946A TWI226333B TW I226333 B TWI226333 B TW I226333B TW 87114946 A TW87114946 A TW 87114946A TW 87114946 A TW87114946 A TW 87114946A TW I226333 B TWI226333 B TW I226333B
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immunoglobulin
fibrinogen
albumin
colloid
antithrombin
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TW87114946A
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Chinese (zh)
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Yi-Ping Fu
Li-De Jin
Shu-Jing Shiu
Dung-Ming Li
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Yi-Ping Fu
Li-De Jin
Shu-Jing Shiu
Dung-Ming Li
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Abstract

In this patent application we demonstrate our success in the establishment of a method that could efficiently recovers fibrinogen, prothrombin complex, immunoglobulin, antithrombin III and albumin from frozen plasma. The protein fractions are recovered sequentially in separate steps: fibrinogen is recovered as a precipitate; prothrombin complex and immunoglobulin are recovered by adding 20% ethanol while aqueous supernate remains antithrombin III and albumin. This fraction is further purified into separated proteins by using 40% to 42% ethanol. Each fraction could be purified further, such as antithrombin III is recovered by adsorption to aluminum salt. The combined method described here is highly efficient in retrieving proteins from frozen plasma and those purified proteins are suitable for further method into different biological preparations.

Description

1226333 玖、發明說明: 【發明所屬之技術領域】 本發明係關於一種由血漿中產製血纖維原、原血纖維酵素複體、第三抗凝血 酵素、免疫球蛋白與白蛋白之方法,特別是關於一種由冷凍血漿中產製血纖維原、 原血纖維酵素複體、第三抗凝血酵素、免疫球蛋白與白蛋白之方法。 【先前技術】 1.血漿蛋白之傳統純化方法1226333 发明 Description of the invention: [Technical field to which the invention belongs] The present invention relates to a method for producing fibrinogen, fibrinogen complex, third antithrombin, immunoglobulin, and albumin from plasma, particularly The invention relates to a method for producing fibrinogen, fibrinogen complex, third antithrombin, immunoglobulin and albumin from frozen plasma. [Prior art] 1. Traditional purification method of plasma protein

血液成分複雜,保存不易,尤其利用捐血所得之血漿與血球的儲存條件差異極 大,因而在輸血治療之專一性、方便性上有所缺陷;在血漿方面自1940年代初期 即利用血漿成分在冷酒精中不同之溶解度的原理而分別沉殿(1’2),藉以純化出各種 方便醫療使用之蛋白質。早期因採用此種「冷酒精沉澱法」同時製備第八凝血因子、 第九凝血因子、免疫球蛋白與白蛋白等四種基本血槳製劑,故必須以急速冷凍(於 4小時內結凍於-30°C)的新鮮冷凍血漿(fresh frozen plasma)爲原料,經連續改變酒精 濃度而分別析出上述四種蛋白質;但因近年來第八凝血因子與第九凝血因子已可由 遺傳工程之方式製造(3_6),以血漿蛋白純化產品之需求相對減少,故血漿蛋白純化 的「冷酒精沉澱法」步驟亦須相對地發展改變,才能達到善用珍貴血液資源的目的。The blood components are complex and difficult to store. Especially, the storage conditions of plasma and blood cells obtained by using blood donations are very different, so there is a defect in the specificity and convenience of blood transfusion therapy; since the early 1940s, plasma components have been used in cold alcohol. The different principles of solubility in Shen Dian (1'2), respectively, in order to purify a variety of proteins convenient for medical use. In the early days, this "cold alcohol precipitation method" was used to simultaneously prepare four basic blood paddle preparations, such as the eighth coagulation factor, the ninth coagulation factor, immunoglobulin, and albumin, so it must be rapidly frozen (freezing within 4 hours. -30 ° C) fresh frozen plasma as raw materials, the above four proteins are separated by continuous changes in alcohol concentration; however, in recent years, the eighth and ninth coagulation factors have been manufactured by genetic engineering. (3_6), the demand for plasma protein purification products is relatively reduced, so the "cold alcohol precipitation" steps for plasma protein purification must also be relatively developed and changed to achieve the purpose of making good use of precious blood resources.

2.血漿蛋白純化步驟之困難點 因要同時在血漿中純化多種蛋白質而不影響彼此的產率並不容易,故生產方 法之設計相當重要。此外,必須使用大量的血漿才能純化分離出終產物,但新鮮冷 凍血漿成本較高,數量有限;若採取-18°C之冷凍血漿爲原料,則因儲存前未經急 速冷凍,有效凝血因子量極少;再加上儲存時溫度較高,雜質稍多,故以傳統標準 之「低溫酒精沉澱法」成功分離的生產方法並不多見;或是有些分離方法採用了醫 療上尙未被接受之化學品,使最終產品不能立即應用於臨床。本專利申請內容即在 克服以上之困難建立一種以各種冷凍血漿爲原料的生產方法,來回收血纖維原、原 血纖維酵素複體、第三抗凝血酵素、免疫球蛋白與白蛋白。 【發明内容】 6 1226333 本發明之目的在於建立一生產方法以有效地利用冷凍血漿來分離出各種蛋 白質,用於本發明步驟的冷凍血漿尙可先經溶劑-清潔劑(s〇lvent-detergent)(7)處理 後再行分離,使分離出之血纖維原、原血纖維酵素複體、第三抗凝血酵素、免疫 球蛋白與白蛋白均先經一次去活病毒步驟(8),增進產品之安全性。另國外技術常 以新鮮冷凍血漿爲原料,但是新鮮冷凍血漿價格較爲昂貴,爲了有效利用血液資 源,開發以冷凍血漿爲原料之方法實刻不容緩。 爲解決安全及原料二大問題,吾等建立一新的生產方法(如第一圖),其特點 有三2. Difficulties of the plasma protein purification step Because it is not easy to simultaneously purify multiple proteins in plasma without affecting the yield of each other, the design of the production method is very important. In addition, a large amount of plasma must be used to purify and isolate the final product, but fresh frozen plasma is costly and limited; if frozen plasma at -18 ° C is used as the raw material, the amount of effective coagulation factor is not rapidly frozen before storage. Very few; coupled with the higher temperature during storage and slightly more impurities, there are not many production methods that have been successfully separated by the traditional standard "low-temperature alcohol precipitation method"; or some separation methods use medical treatments that have not been accepted Chemicals that make the final product not immediately available for clinical use. The content of this patent application is to overcome the above-mentioned difficulties and establish a production method using various frozen plasma as raw materials to recover fibrinogen, profibrin complex, third antithrombin, immunoglobulin and albumin. [Summary of the Invention] 6 1226333 The purpose of the present invention is to establish a production method to effectively use frozen plasma to separate various proteins. The frozen plasma used in the step of the present invention may be first subjected to a solvent-detergent. (7) Isolate after treatment, so that the separated fibrinogen, fibrinogen complex, the third antithrombin, immunoglobulin and albumin are first deactivated by the virus step (8) to improve Product safety. In addition, foreign technology often uses fresh frozen plasma as a raw material, but fresh frozen plasma is more expensive. In order to effectively use blood resources, it is urgent to develop a method using frozen plasma as a raw material. In order to solve the two major problems of safety and raw materials, we have established a new production method (such as the first picture), which has three characteristics

1.在安全方面:自1985年來已有多國超過25個血漿分離工廠利用三(正丁基) 磷酸鹽[Tri(n-butyl) phosphate; TNBP]此種有機溶劑配合如Tween 80等之清潔 劑處理血漿分離製劑(9);因其對有膜病毒(enveloped viruses)具獨特之病毒去 活效應,故大爲提高製劑之安全性。而本發明更首先在原料階段即予以處 理,使每項產品均經該病毒去活步驟,因而安全無慮。1. In terms of safety: Since 1985, more than 25 plasma separation plants in many countries have used tri (n-butyl) phosphate [TNBP], an organic solvent such as Tween 80 and other cleaning agents. Agent for treating plasma-separated preparations (9); because of its unique virus inactivation effect on enveloped viruses, it greatly improves the safety of the preparations. Moreover, the present invention is processed first in the raw material stage, so that each product goes through the virus inactivation step, so it is safe and worry-free.

2. 在原料方面:冷凍血漿乃全血經離心分離而得,全血經離心分離後除冷凍血 漿外尙可得到血小板與紅血球,三者之有效期限分別爲自採血後五年、5天 和42天;世界各國均有袋裝冷凍血漿供過於求的困擾,以其爲原料,不但 不慮匱乏,同時較新鮮冷凍血漿便宜1/3以上;此外相同來源之血小板與紅 血球大多已經輸血,若有不良反應,冷凍血漿即遭淘汰,因而更加保障安全。 3. 在原理方面:本生產方法所採用「Cohn氏低溫酒精沉澱法」的原理簡易,僅 需調整溫度、酒精濃度、pH値等三項變數即可將血漿蛋白質分層,爲國際間 大多數血漿分離工廠所使用,本方法依其沉澱原理,調整條件,不僅達成病 毒去活之作用且吾人在此亦證實該反應亦能成功地應用於冷凍血漿原料;對 生物製劑工業界早已發展成熟、廣泛接受並使用多年的製程及現代之要求可 兼籌並顧。 以本生產流程爲基礎,進一步應用各種生化分離技術可將不同之蛋白質分別 精製,再配合其他必須之處理過程,即可製備血漿分離製劑。 【實施方式】 7 1226333 本發明所提供的方法,大致上係包含:以溶劑-清潔劑處理冷凍血漿進行病 毒去活化、低溫酒精沉澱進行初步純化、以及根據產出的血漿蛋白而異所採取的 後續純化等步驟,以下就各步驟進一步詳細說明: 將冷凍血漿於低溫(0〜2°C)解凍後,與TNBP溶劑及Tween 80清潔劑混合,使 其最終濃度爲0.5%〜5%的TNBP溶劑與0.5%〜5%的Tween 80清潔劑(Calbiochem, La Jolla,CA),以振盪器混合均勻後置於水浴槽並將反應溫度增至30°C,持續搖 動六小時後將含有血漿之容器置於冰浴上降溫至〇〜2°C(第一圖),進行病毒的去活2. In terms of raw materials: Frozen plasma is obtained by centrifugation of whole blood. After centrifugation, whole blood can obtain platelets and red blood cells in addition to frozen plasma. The valid periods of the three are five years, five days, and five days after blood collection. 42 days; countries around the world suffer from oversupply of frozen plasma in bags. Using it as a raw material, not only does not worry about scarcity, it is more than 1/3 cheaper than fresh frozen plasma. In addition, most platelets and red blood cells of the same source have been transfused. If there is an adverse reaction Frozen plasma is eliminated, thus ensuring safety. 3. In terms of principle: The principle of the "Cohn's Low-Temperature Alcohol Precipitation Method" used in this production method is simple. It only needs to adjust three variables such as temperature, alcohol concentration, and pH 値, which can stratify plasma proteins, which is the majority in the world. Used in the plasma separation factory, this method adjusts the conditions according to its precipitation principle, not only achieves the function of virus inactivation, but also confirms that this reaction can also be successfully applied to frozen plasma raw materials; the biological agent industry has already developed mature, The process widely accepted and used for many years and modern requirements can be balanced. Based on this production process, further application of various biochemical separation technologies can refine different proteins separately, and then cooperate with other necessary processing processes to prepare plasma separation preparations. [Embodiment] 7 1226333 The method provided by the present invention generally includes: treating frozen plasma with a solvent-detergent for virus deactivation, low-temperature alcohol precipitation for preliminary purification, and different methods based on the plasma protein produced. Subsequent purification and other steps are described in detail below: Thaw frozen plasma at low temperature (0 ~ 2 ° C), mix with TNBP solvent and Tween 80 detergent to make the final concentration of 0.5% ~ 5% TNBP Solvent and 0.5% ~ 5% Tween 80 cleaner (Calbiochem, La Jolla, CA), mixed with a shaker and placed in a water bath and increased the reaction temperature to 30 ° C. After shaking for six hours, the The container was placed on an ice bath and cooled to 0 ~ 2 ° C (first picture), and the virus was inactivated.

化。 本節所述之「離心沉源步驟」皆使用離心機(Beckman J2MC with JA-21 roter) 於各階段之反應溫度以1〇,〇〇〇 xg離心30分鐘而達成;酒精濃度則藉由50% (v/v) 酒精調整,方法請參閱第一圖。以下就第一圖所示詳述如後: 第一階段(1) 一將經過如上所述的溶劑-清潔劑處理步驟或未經此步驟處理過之 血漿經過離心沉澱步驟,分層成第一膠體(11)及第一上清液(12)。 第二階段(2)—將第一階段⑴之第一上清液(I2)中,加入酒精及醋酸緩衝液,使其 最終含有8%〜10%酒精以及0·1Μ的醋酸(acetic acid)緩衝液,Into. The "centrifugation sinking steps" described in this section are all achieved by centrifugation (Beckman J2MC with JA-21 roter) at each stage at a reaction temperature of 10,000 xg for 30 minutes; the alcohol concentration is achieved by 50% (v / v) Alcohol adjustment, please refer to the first picture. The detailed description of the first figure is as follows: Phase 1 (1) The plasma that has undergone the solvent-detergent treatment step described above or that has not been treated in this step is subjected to a centrifugal precipitation step to be separated into the first Colloid (11) and first supernatant (12). The second stage (2)-add the alcohol and acetic acid buffer to the first supernatant (I2) of the first stage, so that it finally contains 8% ~ 10% alcohol and 0.1M acetic acid Buffer,

pH7.3。若血漿未經溶劑-清潔劑之病毒的去活化處理,則上述之 最終酒精濃度爲8%。前述溶液充分混合後,將此混合液急速降溫 至 0°C〜2°C (Stuart Scientific,Surrey, UK),並於 〇°C〜21:中持續攪 拌24分鐘,再經離心沉澱步驟,分層得到第二膠體(21)及第二上 清液(22),其中可由第二膠體(21)以及第一膠體(11)得到血纖維原 (23)。 第三階段(3)—將第二階段(2)之第二上清液(2¾中,加入酒精及醋酸緩衝液,使其 最終含有20%的酒精以及0.1M的醋酸緩衝液,pH7.2〜7.6。充分混 合後,將反應液維持在〇 T〜4 QC並持續攪拌20分鐘,經離心沉 澱步驟分層得到第三膠體(31)及第三上清液(32)。 8 1226333 第四階段(4) 一將第三階段(3)之第三膠體(31)溶於酒精及醋酸緩衝液中,使其最終 含有17%的酒精以及〇·3Μ的醋酸緩衝液,ρΗ5·2〜5·4。充分混合 後,將反應液急速降溫至-5 °C並持續攪拌19分鐘,經離心沉澱步 驟,分層得到第四膠體(41)及第四上清液(42)。 第五階段(5)—將第三階段⑶之第三上清液(32)中加入酒精及碳酸鈉(sodium bicarbonate)緩衝液,使其最終含有40%〜42%的酒精以及0.2M的 碳酸鈉緩衝液,PH5.75。充分混合後,將反應液維持在_5 °C並持 續攪拌14分鐘,經離心沉澱步驟’分層得到第五膠體(51)及第五 上清液(52)。 第六階段⑹一將第五階段(5)之第五上清液(52)中加入酒精及醋酸,使其最終含有 40%〜42%的酒精以及〇·8Μ的醋酸緩衝液,ρΗ4·8 〇充分混合後, 將反應液維持在-5 °c並持續攪拌40分鐘,經離心沉澱步驟,分層 得到第六膠體(61)及第六上清液(62)。 以陰稱子夺麵脂純化原血纖維酵素》 將第四階段(4)沉澱出之第四膠體(41)以陰離子交換樹脂純化(7)進行進一步 的純化,其詳細流程如第二圖所示。將第四階段(4)沉激出之第四膠體(41),完全 溶解於檸檬酸緩衝液(citrate buffer )(ρΗ7·44)後’加入含有PEG 6000之溶液’使其 最終之PEG 6000濃度爲1%,攪拌45分鐘,經離心沉澱後,上清液以陰離子交換 樹脂(DEAE Sepharose Fast Flow (FF)) (Amersham-Pharmacia Biotech,Uppsala, Sweden)進行純化,以2M氯化鈉-檸檬酸鹽緩衝液(NaCl-citrate buffer)將吸附於樹 脂上之原血纖維酵素複體洗出,最後再以截斷(cut-off汾子量爲3〇K之JumbosepTM (Pall Gilman Sciences,Ann Arbor,MI)進行超過濾並去除檸檬酸鹽,即可得到原血 纖維酵素複體(71)。。 I»ei*(gel filtmtiom)及離子交麵脂純化免疫球蛋白 將第四階段(4)之第四上清液(42)以膠體過濾與離子交換樹脂純化(8)的方式 進行進一步的純化,其詳細流程如第三圖所示。將第四階段之第四上清液(42)以 1226333pH7.3. If the plasma is not deactivated by the solvent-detergent virus, the final alcohol concentration described above is 8%. After the foregoing solutions are thoroughly mixed, the mixture is rapidly cooled to 0 ° C ~ 2 ° C (Stuart Scientific, Surrey, UK), and continuously stirred at 0 ° C ~ 21: for 24 minutes, and then subjected to a centrifugal precipitation step, Layer to obtain a second colloid (21) and a second supernatant (22), wherein fibrinogen (23) can be obtained from the second colloid (21) and the first colloid (11). The third stage (3)-add the second supernatant (2¾) of the second stage (2¾) to alcohol and acetic acid buffer so that it finally contains 20% alcohol and 0.1M acetic acid buffer, pH 7.2 ~ 7.6. After thorough mixing, the reaction solution is maintained at 0 ~ 4 QC and continuously stirred for 20 minutes, and the third colloid (31) and the third supernatant (32) are separated through the centrifugal precipitation step. 8 1226333 Fourth Stage (4)-Dissolve the third colloid (31) in the third stage (3) in alcohol and acetic acid buffer so that it finally contains 17% alcohol and 0.3 M acetic acid buffer, ρΗ5 · 2 ~ 5 · 4. After thorough mixing, the reaction solution is rapidly cooled to -5 ° C and continuously stirred for 19 minutes. After the centrifugal precipitation step, the fourth colloid (41) and the fourth supernatant (42) are separated into layers. Fifth stage (5) —Add alcohol and sodium bicarbonate buffer to the third supernatant (32) in the third stage (3), so that it finally contains 40% ~ 42% alcohol and 0.2M sodium carbonate buffer , PH 5.75. After thorough mixing, the reaction solution is maintained at _5 ° C and continuously stirred for 14 minutes, and the fifth colloid (51) and the fifth are obtained through the centrifugal precipitation step. Supernatant (52). In the sixth stage, the fifth supernatant (52) in the fifth stage (5) is added with alcohol and acetic acid, so that it finally contains 40% to 42% alcohol and 0.8M. After the acetic acid buffer solution, ρΗ 4.80, was thoroughly mixed, the reaction solution was maintained at -5 ° C and continuously stirred for 40 minutes. After the centrifugal precipitation step, the sixth colloid (61) and the sixth supernatant (62) were separated by layers. . Purification of fibrinolytic enzymes with yin-named facial fat. The fourth colloid (41) precipitated in the fourth stage (4) is further purified by anion exchange resin purification (7). The detailed process is shown in the second figure. As shown in the figure, the fourth colloid (41) precipitated in the fourth stage (4) was completely dissolved in the citrate buffer (ρΗ7.44), and the solution containing PEG 6000 was added to make it final. The concentration of PEG 6000 was 1%, and it was stirred for 45 minutes. After centrifugation, the supernatant was purified with an anion exchange resin (DEAE Sepharose Fast Flow (FF)) (Amersham-Pharmacia Biotech, Uppsala, Sweden), and 2M sodium chloride. -Citrate buffer (NaCl-citrate buffer) wash out the fibroin enzyme complex adsorbed on the resin, Then to cut (cut-off molecular weight of Fen 3〇K of JumbosepTM (Pall Gilman Sciences, Ann Arbor, MI) ultra-filtration and removal of citrate, to obtain a raw material complex enzyme plasmin (71). . I »ei * (gel filtmtiom) and ion-cross-linked lipid-purified immunoglobulin The fourth supernatant (42) of the fourth stage (4) was further purified by colloid filtration and ion exchange resin purification (8) The detailed process is shown in the third figure. Transfer the fourth supernatant (42) of the fourth stage to 1226333

SephadexG25C樹脂(Amersham-Pharmacia Biotech)進彳了凝膠過據,並將緩衝液置 換成ρΗ6·5及導電度(1.40mS)溶液後,再以陰離子交換樹脂(Q Sepharose FF)(Amersham-Pharmacia Biotech)進行純化,以 0.02M 醋酸鈉緩衝液(ρΗ6·5)將吸 附於樹脂上的免疫球蛋白洗下,再以陽離子交換樹脂(CM Sepharose FF)(Pharmada Biotech)進行純化,藉以吸附掉不純物。最後再以截斷分子量爲30K 之Jumbosep™ (Pall Gilman Sciences)進行超過濾並去除多餘鹽分,即可得到免疫 球蛋白(81)。 以鋁鹽凝膠吸附及熱處理純化第三抗凝血酵素 將第五階段(5)沉澱出之第五膠體(51)以鋁鹽凝膠吸附及熱處理純化(9)的方 式進行進一步的純化,其詳細流程如第四圖所示。將第五階段沉澱出之第五膠體 (51)以檸檬酸鈉與氯化鈉的混合溶液(0.1M檸檬酸鈉與0.15M氯化鈉之體積比 爲1:4, ρΗ7·3)完全溶解後,以56 °C加熱處理三小時,然後與氫氧化鋁凝膠 (aluminum hydroxide gel; Sigma,St. Louis, M0)共同反應以吸附蛋白質,最後以 1M 磷酸鈉緩衝液(sodium phosphate,ρΗ7·0)(1())洗下含有第三抗凝血酵素(91)之音[5分。 以透析過濾及陽離子交換樹脂純化白蛋白 將第六階段(6)沉澱出之第六膠體(61),以透析過濾及陽離子交換樹脂純化 (1〇)的方式進行進一步的純化,其詳細流程如第五圖所示。將第六階段⑹沉澱出 之第六膠體(61)以純水完全溶解後,以截斷分子量爲30Κ之Jmnbosq)™ (Pall Gilman Sciences)做透析過濾,並將緩衝液之濃度調整到0.02M後,以陽離子交換 樹脂(CM Sepharose FF)(Amersham-Pharmacia Biotech)進行純化,藉,再由 〇. 11 Μ 醋酸鈉(NaAc,pH5.5)將樹脂上所吸附的白蛋白沖出,而得到白蛋白(101)。 血纖維酵素凝集時間之測試(11) 將牛的血纖維酵素(bovine thrombin,Sigma),以5 NIH units (in 100 μΐ)之濃度 加入0.2 m啲稀釋新鮮血漿(1:1 in normal saline),並記錄在培養皿上形成透明之血 纖維薄膜所需時間(約爲10分鐘);實驗時則以血纖維原溶液取代稀釋新鮮血漿’ 或是在牛的血纖維酵素中加入第三抗凝血酵素後,測量形成透明之血纖維薄膜所 1226333 需時間,並與稀釋新鮮血漿比較。 酵素免疫分析 以三明治酵素免疫分析法[Sandwich Enzyme-Linked Immunosorbent Assay (ELISA)]與已知濃度的標準溶液比較,來測量免疫球蛋白與白蛋白之產量:以50 mM,pH 9.6之碳酸鹽緩衝液(carbonate buffer) 4,000倍稀釋的兔抗人免疫球蛋白與 白蛋白抗體(rabbit anti-human immunoglobulin and rabbit anti-human albumin, Dakopatts,Copenhagen,Denmark)在 3 7°C 96 孔 ELIS A 盤一小時並加以洗淨,然後 每孔加入50 μΐ之待測液,經37T:反應、室溫沖洗後再加入3,000倍稀釋的兔抗人Sephadex G25C resin (Amersham-Pharmacia Biotech) was gelled, and the buffer was replaced with ρΗ6.5 and a conductivity (1.40mS) solution, and then anion exchange resin (Q Sepharose FF) (Amersham-Pharmacia Biotech) was used. ) Was purified, and the immunoglobulin adsorbed on the resin was washed with 0.02 M sodium acetate buffer solution (ρΗ6.5), and then purified by cation exchange resin (CM Sepharose FF) (Pharmada Biotech) to adsorb impurities. Finally, ultrafiltration with a cut-off molecular weight of 30K in Jumbosep ™ (Pall Gilman Sciences) and removal of excess salts yields immunoglobulin (81). Purification of the third antithrombin by aluminum salt gel adsorption and heat treatment The fifth colloid (51) precipitated in the fifth stage (5) is further purified by aluminum salt gel adsorption and heat treatment purification (9). The detailed process is shown in Figure 4. The fifth colloid (51) precipitated in the fifth stage is completely dissolved in a mixed solution of sodium citrate and sodium chloride (the volume ratio of 0.1M sodium citrate to 0.15M sodium chloride is 1: 4, ρΗ7 · 3) Then, it was heat-treated at 56 ° C for three hours, and then reacted with aluminum hydroxide gel (Sigma, St. Louis, MO) to adsorb proteins. Finally, it was treated with 1M sodium phosphate buffer (sodium phosphate, ρΗ7 ·). 0) (1 ()) Wash the voice containing the third antithrombin (91) [5 points. The sixth colloid (61) precipitated in the sixth stage (6) is purified by diafiltration and cation exchange resin purification, and further purification is performed by diafiltration and cation exchange resin purification (10). The detailed process is as follows: The fifth figure is shown. After completely dissolving the sixth colloid (61) precipitated in the sixth stage with pure water, diafiltration was performed with Jmnbosq) ™ (Pall Gilman Sciences) with a molecular weight cut-off of 30K, and the concentration of the buffer solution was adjusted to 0.02M. Purification was performed with cation exchange resin (CM Sepharose FF) (Amersham-Pharmacia Biotech), and then the albumin adsorbed on the resin was washed out with 0.1 M sodium acetate (NaAc, pH 5.5) to obtain white Protein (101). Test of agglutination time of fibrinase (11) Add bovine thrombin (Sigma) to 5 NIH units (in 100 μΐ) to 0.2 m 啲 diluted fresh plasma (1: 1 in normal saline), And record the time required to form a transparent fibrin film on the petri dish (approximately 10 minutes); in the experiment, replace the diluted fresh plasma with fibrinogen solution or add a third anticoagulant to the cow's fibrinase After the enzyme, the time required to form a transparent blood fibrous film 1226333 was measured and compared with diluted fresh plasma. Enzyme immunoassay The sandwich enzyme immunoassay [Sandwich Enzyme-Linked Immunosorbent Assay (ELISA)] was compared with a standard solution of known concentration to measure the production of immunoglobulin and albumin: 50 mM carbonate buffer, pH 9.6 Solution (carbonate buffer) 4,000-fold diluted rabbit anti-human immunoglobulin and rabbit anti-human albumin (Dakopatts, Copenhagen, Denmark) at 37 ° C 96-well ELIS A dish for one hour After washing, add 50 μΐ of test solution to each well. After 37T: reaction, rinse at room temperature, add 3,000-fold diluted rabbit anti-human

IgG (peroxidase-labeled rabbit anti-human IgG and anti-human albumin; Dakopatts) » 經呈色反應後,於490 nm測其吸光値;免疫球蛋白與白蛋白之標準溶液分別購自 Dakopatts與Sigma。以酵素免疫分析測量免疫球蛋白與白蛋白之量並記錄,其結 果如附表一所示。IgG (peroxidase-labeled rabbit anti-human IgG and anti-human albumin; Dakopatts) »After color reaction, measure its absorbance at 490 nm; standard solutions of immunoglobulin and albumin were purchased from Dakopatts and Sigma, respectively. The amount of immunoglobulin and albumin was measured by enzyme immunoassay and recorded. The results are shown in Table 1.

11 1226333 附表一:以冷凍血漿爲原料產製血纖維原、原血纖維酵素複體、第三抗凝血酵素、 免疫球蛋白與白蛋白之代表性產量 蛋白質產品 產量* (%) 血纖維原# 70.0 原血纖維酵素複體# 30.2 免疫球蛋白 48.0 第三抗凝血酵素# 7.6 白蛋白 76.8 *產量=最終獲得產品量/原料冷凍血漿內各產品含量 #根據測試相同體積之原料冷凍血漿及最終產品之「血纖維酵素凝集時間」之改變而 計算。 12 1226333 參考資料 1. Cohn EJ? Strong LE, Hughes WL Jr, et al Preparation and properties of serum and plasma proteins: IV. A system for the separation into fractions of the protein and lipoprotein components of biological tissues and fluids. J Am Chem Soc 1946; 68:459. 2. Richter P. Present state and perspectives of the farctionation of human plasma, serum and placenta. Ann Immunol Hung 1973; 17:85. 3. Moll S, White GC 2nd. Treatment of the hemophilias. Curr Opin Hematol 1995; 2:386. 4. Green C, Akehurst R. For debate. New therapeutic products and difficult decisions. The case of recombinant factor VIII in the management of haemophilia A· / Public Health Med 1998;20:137. 5. Aygoren-Pursun E, Scharrer I. A multicenter pharmaco-surveillance study for the evaluation of the efficacy and safety of recombinant factor VIII in the treatment of patients with hemophilia A. German Kogenate Study Group. Thromb Haemost 1997;78:1352. 6. White Q Shapiro A, Ragni M, Garzone P, Goodfellow J, Tubridy K, Courier S. Clinical evaluation of recombinant factor IX. Semin Hematol 1998;35(2 Suppl 2):33. 7. Horowitz B. Investigations into the application of tri (nbutyl) phosphate/detergent mixtures to blood derivatives. Curr Studies Hematol Blood Transf\9S9\ 56:83. 8. Peerlinck K, Amout J, Tamise M, Vanherle A, Fondu P, Vermylen J. In vitro and in vivo evaluation of two factor VIII concentrates virally inactivated by solvent-detergent or by pasteurization. Acta11 1226333 Schedule 1: Representative production of fibrinogen, fibrinogen complex, third antithrombin, immunoglobulin and albumin from frozen plasma as raw material Original # 70.0 Original blood fiber enzyme complex # 30.2 Immunoglobulin 48.0 Third anticoagulant enzyme # 7.6 Albumin 76.8 * Yield = final product amount obtained / content of raw materials in frozen plasma # According to testing the same volume of raw material frozen plasma And the change in the "fibrinase agglutination time" of the final product. 12 1226333 References 1. Cohn EJ? Strong LE, Hughes WL Jr, et al Preparation and properties of serum and plasma proteins: IV. A system for the separation into fractions of the protein and lipoprotein components of biological tissues and fluids. J Am Chem Soc 1946; 68: 459. 2. Richter P. Present state and perspectives of the farctionation of human plasma, serum and placenta. Ann Immunol Hung 1973; 17:85. 3. Moll S, White GC 2nd. Treatment of the hemophilias Curr Opin Hematol 1995; 2: 386. 4. Green C, Akehurst R. For debate. New therapeutic products and difficult decisions. The case of recombinant factor VIII in the management of haemophilia A · / Public Health Med 1998; 20: 137 5. Aygoren-Pursun E, Scharrer I. A multicenter pharmaco-surveillance study for the evaluation of the efficacy and safety of recombinant factor VIII in the treatment of patients with hemophilia A. German Kogenate Study Group. Thromb Haemost 1997; 78: 1352 6. White Q Shapiro A, Ragni M, Garzone P, Goodfellow J, Tubr idy K, Courier S. Clinical evaluation of recombinant factor IX. Semin Hematol 1998; 35 (2 Suppl 2): 33. 7. Horowitz B. Investigations into the application of tri (nbutyl) phosphate / detergent mixtures to blood derivatives. Curr Studies Hematol Blood Transf \ 9S9 \ 56:83. 8. Peerlinck K, Amout J, Tamise M, Vanherle A, Fondu P, Vermylen J. In vitro and in vivo evaluation of two factor VIII concentrates virally inactivated by solvent-detergent or by pasteurization . Acta

Clin 5^/g 1991; 46:298. 9. Horowitz MS, Rooks C, Horowitz B, Hilgartner MW. Vims safety of solvent/detergent-treated antihaemophilic factor concentrate. Lancet 1988; 23:186. 13 1226333 10. Seegers WH. Antithrombin III: a backward glance o’er travel’d roads. M以/應 1975; 52:195. 11. Wohllebe W, Taube C, Fiedler H. Behavior of thrombin time, activities of antithrombin II and 3 following administration of cobalt (II) compounds in rabbits. Z Gesamte Inn Med 1968; 23:537.Clin 5 ^ / g 1991; 46: 298. 9. Horowitz MS, Rooks C, Horowitz B, Hilgartner MW. Vims safety of solvent / detergent-treated antihaemophilic factor concentrate. Lancet 1988; 23: 186. 13 1226333 10. Seegers WH Antithrombin III: a backward glance o'er travel'd roads. MYing / Ying 1975; 52: 195. 11. Wohllebe W, Taube C, Fiedler H. Behavior of thrombin time, activities of antithrombin II and 3 following administration of cobalt (II) compounds in rabbits. Z Gesamte Inn Med 1968; 23: 537.

Rosenthal RL? Sloan E. Assay of clotting factors in outdated blood bank plasma and its potenial use for therapy in hemophilia and other hemorrhagic dyscrasias. Transfusion 1966; 6:289.Rosenthal RL? Sloan E. Assay of clotting factors in outdated blood bank plasma and its potenial use for therapy in hemophilia and other hemorrhagic dyscrasias. Transfusion 1966; 6: 289.

14 1226333 【圖式簡單說明】 第一圖:以冷凍血漿爲材料,藉酒精沉澱分層之方式純化回收出血纖維原 (fibrinogen)、原血纖維酵素複體(prothrombin complex)、免疫球蛋白 (immunoglo- bulin)、第三抗凝血酵素(antithrombin III)與白蛋白 (albumin)之示意流程圖。 第二圖:以陰離子交換樹脂進一步純化得到原血纖維酵素複體之流程圖。 第三圖:以凝膠過濾及離子交換樹脂進一步純化得到免疫球蛋白之流程圖。 第四圖:以鋁鹽凝膠吸附及熱處理進一步純化得到第三抗凝血酵素流程圖。 第五圖:以透析過濾及陽離子交換樹脂進一步純化得到白蛋白之流程圖。 第一膠體 12 第一上清液 第二膠體 22 第二上清液 第三階段 31 第三膠體 第四階段 41 第四膠體 第五階段 51 第五膠體 第六階段 61 第六膠體 【元件附號說明】 1 第一階段 11 2 第二階段 21 23 血纖維原 3 32 第三上清液 4 42 第四上清液 5 52 第五上清液 6 62 第六上清液 71 原血纖維酵素複體 81 免疫球蛋白 91 第三抗凝血酵素 101 白蛋白 7 陰離子交換樹脂純化 8 膠體過濾與離子交換樹脂純化 9 鋁鹽凝膠吸附及熱處理純化 10透析過濾及陽離子交換樹脂純化 1514 1226333 [Schematic description] The first picture: using frozen plasma as the material to purify and recover fibrinogen, prothrombin complex, and immunogloblo by immunoprecipitation and stratification. -schematic diagram of bulin), third antithrombin III and albumin. Figure 2: Flow chart for further purification of fibrinase complex by anion exchange resin. Figure 3: Flow chart for further purification of immunoglobulins by gel filtration and ion exchange resin. Figure 4: Flow chart of the third antithrombin enzyme obtained by further purification by aluminum salt gel adsorption and heat treatment. Figure 5: Flow chart of obtaining albumin by diafiltration and further purification of cation exchange resin. The first colloid 12 the first supernatant the second colloid 22 the second supernatant third stage 31 the third colloid fourth stage 41 the fourth colloid fifth stage 51 the fifth colloid sixth stage 61 the sixth colloid [element supplement number Explanation] 1 The first stage 11 2 The second stage 21 23 Fibrinogen 3 32 The third supernatant 4 42 The fourth supernatant 5 52 The fifth supernatant 6 62 The sixth supernatant 71 The original fibrinase complex Body 81 Immunoglobulin 91 Third antithrombin 101 Albumin 7 Purification of anion exchange resin 8 Purification of colloidal filtration and ion exchange resin 9 Purification of aluminum salt gel and heat treatment purification 10 Diafiltration and purification of cation exchange resin 15

Claims (1)

1226333 膠體與第五上清液; (i)將(h)中之第五膠體經鋁鹽凝膠吸附純化及熱處理,回收得到第三抗凝 血酵素; ①將(h)中之第五上清液加入酒精及緩衝溶液,使其最終成爲含有40-42% 的酒精,並且pH値爲4.8之混合液,之後將濫度維持在-5°C並持續攪 拌一段時間,再進行離心沉殿,而後將膠體與上清液分離,得到第六 膠體與第六上清液;以及 (k)將G)中之第六膠體經透析過濾及陽離子交換樹脂純化,回收得到白蛋 白。 2. 如申請專利範圍第1項所述之以冷凍血漿產製血纖維原、原血纖維酵素複 體、免疫球蛋白、第三抗凝血酵素與白蛋白的方法,其中(f)中之陰離子交換 樹脂純化包括: i. 將⑹中之第四膠體加入含有PEG 6000,使其最終成爲含有1%的PEG 6000的混合液,持續攪拌一段時間,再進行離心沉澱,而後將膠體與 上清液分離; ii. 將i所得之上清液經陰離子交換樹脂DEAE Sepharose純化,回收以2M 氯化鈉-檸檬酸鹽緩衝液沖提出之原血纖維原酵素複體; iii. 將ϋ所得含有原血纖維原酵素複體經透析除鹽而得到原血纖維原酵素 複體。 3. 如申請專利範圍第1項所述之以冷凍血漿產製血纖維原、原血纖維酵素複 體、免疫球蛋白、第三抗凝血酵素與白蛋白的方法,其中(g)中之凝膠過濾及 離子交換樹脂純化包括: A. 將(e)中之第四上清液經凝膠過濾樹脂Sephadex G25C,回收含有免疫 球蛋白之溶液; B. 將A之含有免疫球蛋白之溶液之緩衝液置換爲導電渡爲1.40ms,ΡΗ6·5 的緩衝液; C. 將Β經置換緩衝液,含有免疫球蛋白之溶液經陰離子交換樹脂Q 17 1226333 Sephamse純化,回收含有免疫球蛋白之溶液; D. 將C之純化回收液經陽離子交換樹脂CM Sepharose純化,回收含有免 疫球蛋白之溶液;以及 E. 經透析除鹽得到免疫球蛋白。 4. 如申請專利範圍第1項所述之以冷凍血漿產製血纖維原、原血纖維酵素複 體、免疫球蛋白、第三抗凝血酵素與白蛋白的方法,其中⑴中之鋁鹽凝膠吸 附純化及熱處理包括: a) 將(h)中之第五膠體溶於氯化鈉-檸檬酸鹽緩衝液(pH7.3)中; b) 將a)之混合液加熱至56QC,熱處理3小時;以及 c) 以氫氧化鋁凝膠純化經b)熱處理含有第三抗凝血酵素之溶液,並以1M 磷酸鈉緩衝液,PH7.0沖提出含有第三抗凝血酵素之溶液。 5. 如申請專利範圍第1項所述之以冷凍血漿產製血纖維原、原血纖維酵素複 體、免疫球蛋白、第三抗凝血酵素與白蛋白的方法,其中(k)中透析過濾及陽 離子交換樹脂純化包括: I 將(D中之第六膠體溶於純水中; II I之混合液經透析過濾,並將緩衝液濃度調整爲0.02M ;以及 III將II所得之混合液經陽離子交換樹脂CM Sepharose純化,以0.11Μ醋1226333 colloid and fifth supernatant; (i) the fifth colloid in (h) is purified by aluminum salt gel adsorption and heat treatment to recover the third antithrombin; ① the fifth in (h) Add the alcohol and buffer solution to the final solution to make it into a mixed solution containing 40-42% alcohol and pH 4.8. After that, maintain the level of -5 ° C and continue stirring for a period of time, and then perform centrifugation. Then, the colloid is separated from the supernatant to obtain a sixth colloid and a sixth supernatant; and (k) the sixth colloid in G) is purified by diafiltration and cation exchange resin, and albumin is recovered. 2. The method for producing fibrinogen, fibrinogen complex, immunoglobulin, third antithrombin and albumin from frozen plasma as described in item 1 of the scope of patent application, wherein (f) Purification of anion exchange resin includes: i. Adding the fourth colloid in mash to PEG 6000 to make it finally a mixed solution containing 1% PEG 6000, stirring continuously for a period of time, then centrifuging to precipitate, and then colloid and supernatant Liquid separation; ii. The supernatant obtained by i was purified by an anion exchange resin DEAE Sepharose, and the fibrinogen enzyme complex extracted with 2M sodium chloride-citrate buffer was recovered; iii. The fibrinogen enzyme complex is obtained by dialysis and desalting. 3. The method for producing fibrinogen, fibrinogen complex, immunoglobulin, third antithrombin and albumin from frozen plasma as described in item 1 of the scope of the patent application, wherein (g) Gel filtration and ion exchange resin purification include: A. The fourth supernatant in (e) is passed through the gel filtration resin Sephadex G25C to recover the solution containing the immunoglobulin; B. The solution containing the immunoglobulin in A The buffer solution was replaced with a buffer solution with a conductivity of 1.40ms, pH 6.5; C. The B was replaced with a buffer solution, and the solution containing the immunoglobulin was purified by anion exchange resin Q 17 1226333 Sephamse, and the solution containing the immunoglobulin was recovered. D. Purifying the purified recovery solution of C by cation exchange resin CM Sepharose to recover the solution containing the immunoglobulin; and E. Desalting the salt by dialysis to obtain the immunoglobulin. 4. The method for producing fibrinogen, fibrinogen complex, immunoglobulin, third antithrombin, and albumin from frozen plasma as described in item 1 of the scope of the patent application, wherein the aluminum salt in the tincture Gel adsorption purification and heat treatment include: a) dissolving the fifth colloid in (h) in sodium chloride-citrate buffer solution (pH7.3); b) heating the mixed solution of a) to 56QC, heat treatment 3 hours; and c) purification of the solution containing the third antithrombin by b) heat treatment with an aluminum hydroxide gel, and extraction of the solution containing the third antithrombin with 1M sodium phosphate buffer, pH 7.0. 5. The method for producing fibrinogen, fibrinogen complex, immunoglobulin, third antithrombin and albumin from frozen plasma as described in item 1 of the scope of the patent application, wherein (k) is dialysis Filtration and cation exchange resin purification include: I dissolving the sixth colloid in (D) in pure water; diafiltration of the mixed solution of II and adjusting the buffer concentration to 0.02M; and III of the mixed solution obtained from II Purified by cation exchange resin CM Sepharose with 0.11M vinegar 酸鈉緩衝液沖提出並回收白蛋白。 6. 如申請專利範圍第1-5項任一項所述之以冷凍血槳產製血纖維原、原血纖維 酵素複體、免疫球蛋白、第三抗凝血酵素與白蛋白的方法,其中該冷凍血漿 爲儲存於_18 〇c之冷凍血漿。 18Sodium buffer was washed out and albumin was recovered. 6. A method for producing fibrinogen, fibrinogen complex, immunoglobulin, third antithrombin and albumin using frozen blood paddle as described in any one of the scope of application patents 1-5, The frozen plasma is frozen plasma stored at -18 ° C. 18
TW87114946A 1998-09-08 1998-09-08 Method for the recovery of fibrinogen, prothrombin complex, immunoglobulin, albumin and antithrombin III from frozen plasma TWI226333B (en)

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