Glycobiology Advance Access originally published online on September 9, 2009
Glycobiology 2010 20(1):24-32; doi:10.1093/glycob/cwp138
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Characterization of gene-activated human acid-β-glucosidase: Crystal structure, glycan composition, and internalization into macrophages
2 Department of Neurobiology, Weizmann Institute of Science, Rehovot 76100, Israel
3 Department of Structural Biology, Weizmann Institute of Science, Rehovot 76100, Israel
4 Shire Human Genetic Therapies, Inc., Cambridge, MA, USA
5 Department of Biological Chemistry, Weizmann Institute of Science, Rehovot 76100, Israel
1 To whom correspondence should be addressed: Tel: +972-8-9342704; Fax: +972-8-9344112; e-mail: tony.futerman{at}weizmann.ac.il
Received on June 1, 2009; revised on August 30, 2009; accepted on September 1, 2009
| Abstract |
|---|
|
|
|---|
Gaucher disease, the most common lysosomal storage disease, can be treated with enzyme replacement therapy (ERT), in which defective acid-β-glucosidase (GlcCerase) is supplemented by a recombinant, active enzyme. The X-ray structures of recombinant GlcCerase produced in Chinese hamster ovary cells (imiglucerase, Cerezyme®) and in transgenic carrot cells (prGCD) have been previously solved. We now describe the structure and characteristics of a novel form of GlcCerase under investigation for the treatment of Gaucher disease, Gene-ActivatedTM human GlcCerase (velaglucerase alfa). In contrast to imiglucerase and prGCD, velaglucerase alfa contains the native human enzyme sequence. All three GlcCerases consist of three domains, with the active site located in domain III. The distances between the carboxylic oxygens of the catalytic residues, E340 and E235, are consistent with distances proposed for acid–base hydrolysis. Kinetic parameters (Km and Vmax) of velaglucerase alfa and imiglucerase, as well as their specific activities, are similar. However, analysis of glycosylation patterns shows that velaglucerase alfa displays distinctly different structures from imiglucerase and prGCD. The predominant glycan on velaglucerase alfa is a high-mannose type, with nine mannose units, while imiglucerase contains a chitobiose tri-mannosyl core glycan with fucosylation. These differences in glycosylation affect cellular internalization; the rate of velaglucerase alfa internalization into human macrophages is at least 2-fold greater than that of imiglucerase.
Key words: Gaucher disease / gene activation / glucocerebrosidase / glycans / mannose-6-phosphate receptor / site-specific glycosylation / X-ray structure
| Introduction |
|---|
|
|
|---|
Gaucher disease is caused by mutations in the gene encoding the lysosomal enzyme, acid-β-glucosidase (glucocerebrosidase, GlcCerase, E.C. 3.2.1.45 [EC] ) (Beutler and Grabowski 2001
15 years. After expression and purification, imiglucerase is modified by exo-glycosidase treatment (Friedman and Hayes 1996
In the current study, we have used gene activation in a well-characterized, continuous human cell line to produce gene-activated human acid-β-glucocerebrosidase (velaglucerase alfa). Gene activation refers to targeted recombination with a promoter that activates the endogenous GlcCerase gene in the selected human cell line. Velaglucerase alfa is secreted as a monomeric glycoprotein of approximately 63 kDa and is composed of 497 amino acids with a sequence identical to that of the natural human protein (Zimran et al. 2007
). Glycosylation of velaglucerase alfa is altered by using kifunensine, a mannosidase I inhibitor, during cell culture, which results in the secretion of a protein containing predominantly high-mannose type glycans (Elbein et al. 1990
).
Herein we describe the crystal structure of velaglucerase alfa, using a preparation that had been partially deglycosylated, and show that it is similar to that of imiglucerase (Dvir et al. 2003
) and prGCD (Shaaltiel et al. 2007
). Velaglucerase alfa differs from imiglucerase and prGCD as the latter two enzymes contain a mutation at residue 495 (an Arg to His substitution: R495H), and prGCD contains seven additional residues at the C terminus (DLLVDTM) and two additional residues at the N terminus (EF). Moreover, the kinetic parameters and specific activity of velaglucerase alfa are very similar to those of imiglucerase. We also compare the glycosylation patterns of velaglucerase alfa and imiglucerase by use of LC-MS and assess the impact of the different glycosylation patterns by analyzing internalization in human macrophages.
| Results and discussion |
|---|
|
|
|---|
X-ray structure
Diffraction-quality crystals of velaglucerase alfa were obtained after partial deglycosylation using N-glycosidase F, by a procedure similar to that previously described for imiglucerase (Dvir et al. 2003
|
|
Velaglucerase alfa thus consists of three noncontiguous domains, with the catalytic site located in domain III (residues 76–381 and 416–430), which is a (β/
)8 (TIM) barrel (Figure 1). A more detailed analysis of the active site reveals that it is virtually identical to that of imiglucerase (Figure 2), with the distances between the carboxylic oxygens of the catalytic residues, E340 and E235 (5.2 Å in molecule A and 5.1 Å in molecule B), similar to those obtained previously (Brumshtein et al. 2006
|
|
|
Imiglucerase and prGCD both contain an Arg to His mutation at residue 495, with H495 making an H-bond (2.6 Å) with the peptide carbonyl of F31. In contrast, velaglucerase alfa contains a sequence identical to that of the natural human enzyme, with an Arg at residue 495, which does not make a similar H-bond. No major structural differences were observed in velaglucerase alfa around residue R495, relative to imiglucerase or prGCD. Two mutations which cause Gaucher disease, R496 and D474 (Figure 4) (Kawame et al. 1992
|
Kinetic analysis
To further compare velaglucerase alfa and imiglucerase, and to determine if the mutation at residue 495 has any effect, kinetic parameters and specific activity were determined using a natural glucosylceramide (GlcCer) substrate, rather than a surrogate substrate typically used to assess enzyme activity. Velaglucerase alfa has a kcat of 2100 min–1, a Km of 19 µM, and a Vmax of 0.61 µM min–1. Imiglucerase has a kcat of 1900 min–1, a Km of 15 µM, and a Vmax of 0.56 µM min–1 (Figure 5). Similar Km values were reported in the literature; GlcCerase derived from brain tissue and fibroblasts both have a Km of 32 µM using GlcCer from Gaucher spleen (Vaccaro et al. 1982
|
Glycan composition
We next examined which sugars could be detected in the crystal structure of velaglucerase alfa. Even after partial deglycosylation using N-glycosidase F, two sugar residues were observed attached to residue N19 in both molecules A and B (Figure 6). One sugar was detected on N146 in molecule A whereas no sugars were detected on N146 in molecule B (Figure 6). As reported previously for imiglucerase, no sugars were detected attached to either N270 or N59 in velaglucerase alfa. It should be noted that sugars attached to N270 have not been seen in any of the crystal structures solved to date, and sugars have been seen only occasionally on N59 (Brumshtein et al. 2006
|
Velaglucerase alfa and imiglucerase bear distinctly different glycan chains due to the differences in their manufacture. In our comparative study of the carbohydrate content of unmodified velaglucerase alfa and imiglucerase by LC-ESI-MS, four of the five potential glycosylation sites, namely, N19, N59, N146, and N270, were observed to be fully occupied in both. As expected from the crystal structures, N462 is fully unoccupied in both, due to its buried location.
According to LC-ESI-MS analysis of glycopeptide maps, velaglucerase alfa contains primarily high-mannose type glycans, consisting of six to nine mannose units. Listed as the predominant structure in Table III, the most abundant ion present in the averaged spectra for each site corresponds to a glycan with nine mannose units. Glycan microheterogeneity was observed at each site and the less abundant structures are listed as other glycans. These other glycans consist of mannose residues with phosphorylation at the C-6 position to create a mannose-6-phosphate (M6P) residue. The lowest levels of M6P were at N19; N59 and N146 had similar but higher levels relative to N19, while N270 had the highest amount of M6P. Despite the site-specific variation in relative levels of M6P, nonphosphorylated glycans remained the predominant species for all four sites. Also observed on N59, N146 and N270 were mono-sialylated mono-antennary hybrid and complex-type structures with core fucosylation, which were quantified by glycan map analysis. These structures are consistent with a low percentage of glycosylation sites escaping kifunensine inhibition, resulting in glycan maturation and core fucosylation. In the case of hybrid-type glycans, only a single antenna maturated.
|
The results from site-specific glycan characterization were corroborated by glycan map analysis (Figure 8), which demonstrates high-mannose type glycans consisting of six to nine mannose units with a predominant nine-mannose structure. Estimates from glycan map analysis show that the mono-sialylated mono-antennary hybrid structures account for
2% of the total glycan pool. The map also demonstrates the presence of high-mannose glycans containing one GlcNAc-capped M6P, a result of incomplete glycan processing, as well as high-mannose glycans bearing a single M6P. Also consistent with these results were data obtained from monosaccharide compositional analysis that demonstrates approximately 0.8 mole of M6P per mole of velaglucerase alfa, and approximately 0.6 moles of M6P per mole of imiglucerase.
|
Site-specific glycan analysis demonstrated that imiglucerase contains primarily complex-type glycans with core fucosylation that terminate with the chitobiose tri-mannosyl core (Table IV), with an exception at the N19 site, which was observed to be devoid of fucose. These structures are as expected for GlcCerase with exoglycosidase treatment to expose the core mannose residues. Imiglucerase also contains glycan microheterogeneity at each site of glycosylation, with lower levels of core structures terminating with N-acetylglucosamine (GlcNAc) that are likely a result of incomplete digestion with N-acetylglucosaminidase. At N146 and N270, high-mannose type glycans were observed containing five to six mannose units with one M6P.
|
The glycan graphics shown in Figure 7 help to visualize the predominant structures for both forms of GlcCerase as described in Tables III and IV. These structures were consistent with glycan types and levels observed with glycan map analysis as well as with previous reports (Van Patten et al. 2007
-(1,2)-xylose and core
-(1,3)-fucose (Shaaltiel et al. 2007
|
Internalization by macrophages
Internalization of proteins by endocytosis is highly dependent upon their carbohydrate composition and has been well characterized (Kornfeld 1986
|
Conclusions
In summary, the X-ray structure of velaglucerase alfa is very similar to those of recombinant GlcCerases produced in other expression systems, with the R495H mutations found in imiglucerase and prGCD having no effect on the secondary structure. The main difference between imiglucerase and velaglucerase alfa concerns their glycan structures, with the latter containing longer chain high-mannose type glycans compared to the core mannose structures found on imiglucerase. This difference in glycosylation appears to lead to the increased cellular uptake of velaglucerase alfa over imiglucerase. The role of protein glycosylation in cellular uptake is widely established in many cell types (Barton et al. 1991
| Material and methods |
|---|
|
|
|---|
Crystallization, structure determination, and refinement
Velaglucerase alfa was partially deglycosylated (Kacher et al. 2008
30 kDa, to give a final concentration of 4–5 mg/mL. Velaglucerase alfa crystals were obtained by micro-batch crystallization under oil (Chayen et al. 1990
Enzyme kinetics and specific activity
The novel enzymatic activity assay described below measures the ability of GlcCerase to release glucose from GlcCer obtained from Gaucher spleen (Matreya LLC, PA, Cat. no. 1057). Velaglucerase alfa (drug substance lot EP06-003) and imiglucerase (commercial product lot C7036C01) were assayed. The released glucose was quantified by anion-exchange chromatography equipped with a pulsed amperometric detector. The appropriate amount of GlcCer in chloroform/methanol (2:1, v/v) was dried by a SpeedVac in the presence of 0.2 M taurocholic acid in methanol and 20% (v/v) oleic acid in chloroform/methanol (2:1). The dried pellet was reconstituted in the 0.1 M citrate/0.2 M phosphate buffer (pH 5.0) and diluted to the desired concentrations. Enzyme samples were diluted to a concentration of 0.2 ng/µL with the dilution buffer (50 mM sodium citrate, pH 6.0 with 0.75 mg/mL BSA) and 2 ng of enzyme was incubated for 30 min at 37°C with serial dilutions of GlcCer in a 110 µL reaction volume. The reaction was stopped by heat denaturing samples at 100°C for 5 min. Sample manipulations were internally controlled by adding 100 µL of a galactosamine (GalN) solution to the reaction mixture. Dionex OnGuard II RP cartridges were used to remove the detergent and lipid. The analysis was carried out on a Dionex high-performance anion-exchange chromatography device, coupled with a pulsed amperometric detection apparatus (HPAE-PAD), using a CarboPac PA-10 analytical column equipped with a CarboPac PA-10 guard column. An isocratic flow of 6 mM NaOH at 0.25 mL/min for 25 min was used to separate monosaccharides (Glc and GalN). The amount of glucose (Glc) was calculated from linear regression analysis of GalN and Glc standards in the range of 10–480 pmol per injection. The assay was carried out in a range of substrate concentrations of 5–150 µM, and obeyed Michaelis–Menten kinetics, thus permitting assignment of Km and Vmax values.
Site-specific characterization of glycans
Velaglucerase alfa (drug substance lot EP06-003, Shire Human Genetic Therapies, Hampshire, UK) and imiglucerase (commercial product lot HA163BL) were prepared for enzymatic digestion by reductive denaturation with DTT, followed by and cysteine alkylation with iodoacetic acid. Alkylated samples were digested first with the endoproteinase Lys-C (Roche Diagnostics GmbH, Mannheim, Germany) (1:42 enzyme to substrate ratio, w/w, for 6 h at 37°C), followed by digestion with endoproteinase Glu-C (1:25 enzyme to substrate ratio, w/w, for 16 h at room temperature). Digested samples were analyzed by peptide mass mapping using reversed phase chromatography with in-line UV (214 nm) and electrospray ionization with mass spectrometric detection (LC-ESI-MS). By comparing the peptide maps before and after glycan release using N-glycosidase F (New England Biolabs, Ipswich, MA), the five potential glycosylation sites were identified. The glycan mass was calculated by subtracting the expected peptide mass from the observed glycopeptide masses. Using software to match the observed glycan masses with potential monosaccharide compositions, glycan compositions for each site were determined. To verify monosaccharide compositions, treatments (according to manufacturer's recommendations) with neuraminidase (Roche Diagnostics GmbH), alkaline phosphatase (Roche Diagnostics GmbH, Mannheim, Germany), and
-mannosidase (Glyko, Inc., Hayward, CA) were used to verify the presence of sialic acid, phosphate, and alpha-linked mannose, respectively. MS/MS fragmentation analysis was used to verify glycan phosphorylation.
Glycan map analysis
The procedure involves heat denaturation of the protein at 100°C for 3–4 min in the presence of 0.5% SDS, followed by enzymatic release of glycans with N-glycosidase F (Prozyme, San Leandro, CA). Velaglucerase alfa (drug substance lot EP06-001, Shire Human Genetic Therapies) was incubated with N-glycosidase F (30 mU/3 µL) for 4–6 h at 37°C with 0.9% NP40, followed by a second addition of N-glycosidase F, and an additional 17–19 h incubation at 37°C. Analysis of the released glycans was performed by HPAE-PAD, using a CarboPac PA-1 analytical column equipped with a CarboPac PA-1 guard column (Dionex, Sunnyvale, CA). Glycans were applied to the column in 12 mM sodium acetate/100 mM NaOH, followed by elution with a 12–300 mM sodium acetate gradient (6.4 mM/min) in 100 mM NaOH in 45 min. Using a flow rate of 1 mL/min and the column at ambient room temperature, glycans elute in the order of increasing negative charge.
Cellular internalization
Human U937 cells were cultured in growth media containing RPMI 1640 with 2 mM L-glutamine, 10 mM HEPES, 1 mM sodium pyruvate, 4.5 g/L glucose, 1.5 g/L sodium bicarbonate, and 10% FBS. Treatment with phorbol myristate acetate (PMA) for 3 days was used to induce differentiation into macrophages (Amento et al. 1984
). The U937-derived macrophages were seeded into 96-well microtiter plates at 50,000 cells per well in growth medium, and allowed to adhere to the plates for 48 h. Seeded macrophages were incubated for 3 h with equimolar preparations of velaglucerase alfa (drug substance lot FEC06-003, Shire Human Genetic Therapies) or imiglucerase (Cerezyme®; commercial product lot C7036C01, Genzyme, Cambridge, MA) at pH 7.5, in growth medium containing RPMI 1640 devoid of phosphate, 0.1% BSA, 10 mM HEPES, pH 7.5, 2 mM L-glutamine, 1 mM DTT, and 10 mM CaCl2. In all assays, the cells were treated with GlcCerase for a 3-h duration which was previously determined to be in the linear range of internalization. For dose response curves utilized to demonstrate mannose-receptor specificity, 10 mg/mL mannan was used to antagonize the receptor. After a series of wash steps (wash buffer: 0.05 M Tris, 0.138 M NaCl, 0.0027 M KCl, with 0.05% Tween 20, 0.5% BSA, pH 8.0), the cells were lysed (lysis buffer: 10 mM Tris pH 8.0, 0.5% NP40, 0.2% deoxycholate, Complete Mini Protease Inhibitor Cocktail Tablets in EASYpacks and PhosSTOP Phosphatase Inhibitor Cocktail Tablets in EASYpacks, Roche Applied Science), and the internalized GlcCerase was quantified by an assay employing the synthetic substrate, 4-methylumbelliferyl-β-D-glucopyranoside (4-MU-glc), which releases a fluorescent product upon cleavage. The protein content in the well was determined (BCA method according to the manufacturer's protocol) and was used to normalize the assay signal to total protein from each sample. The assay signal for the GlcCerase samples was tested in vitro to determine the extent of activity or signal disparity between the two drugs, and there was no difference in activity (data not shown). For these assays, 2-fold serial dilutions of velaglucerase alfa and imiglucerase (starting at 30 nM enzyme) were made in the assay lysis buffer and tested using the 4-MU-glc enzymatic activity assay. Plates were read with a Perkin Elmer Envision multi-label plate reader.
| Funding |
|---|
|
|
|---|
Shire Human Genetic Therapies, Inc.
| Conflict of interest statement |
|---|
|
|
|---|
None declared.
| Acknowledgements |
|---|
J.L. Sussman is the Morton and Gladys Pickman Professor of Structural Biology, and A.H. Futerman is the Joseph Meyerhoff Professor of Biochemistry at the Weizmann Institute of Science. The contribution of Meng Wu, for technical assistance is gratefully acknowledged. We are grateful to Dr. Hilary Voet (Faculty of Agriculture, The Hebrew University, Rehovot) for invaluable discussions concerning the statistical analysis of the choice of space groups.
| Abbreviations |
|---|
CHO, Chinese hamster ovary; ERT, enzyme replacement therapy; GA-GCB, velaglucerase alfa; GlcCer, glucosylceramide; GlcCerase, acid-β-glucosidase; M6P, mannose-6-phosphate; prGCD, GlcCerase expressed in transgenic carrot cells; RMSD, root mean square deviation
| References |
|---|
|
|
|---|
Abe A, Kelly R, Kollmeyer J, Hiraoka M, Lu Y, Shayman JA. The secretion and uptake of lysosomal phospholipase A2 by alveolar macrophages. J Immunol (2008) 181:7873–7881.
Amento EP, Bhalla AK, Kurnick JT, Kradin RL, Clemens TL, Holick SA, Holick MF, Krane SM. 1 alpha,25-dihydroxyvitamin D3 induces maturation of the human monocyte cell line U937, and, in association with a factor from human T lymphocytes, augments production of the monokine, mononuclear cell factor. J Clin Invest (1984) 73:731–739.[CrossRef][Web of Science][Medline]
Aviezer D, Brill-Almon E, Shaaltiel Y, Hashmueli S, Bartfeld D, Mizrachi S, Liberman Y, Freeman A, Zimran A, Galun E. A plant-derived recombinant human glucocerebrosidase enzyme—A preclinical and phase I investigation. PLoS ONE (2009) 4:e4792.[CrossRef][Medline]
Barton NW, Brady RO, Dambrosia JM, Di Bisceglie AM, Doppelt SH, Hill SC, Mankin HJ, Murray GJ, Parker RI, Argoff CE, et al. Replacement therapy for inherited enzyme deficiency—Macrophage-targeted glucocerebrosidase for Gaucher's disease. N Engl J Med (1991) 324:1464–1470.[Abstract]
Beutler E, Gelbart T, West C. Identification of six new Gaucher disease mutations. Genomics (1993) 15:203–205.[CrossRef][Web of Science][Medline]
Beutler E, Grabowski GA. Gaucher disease. In: The Metabolic and Molecular Bases of Inherited Disease—Scriver CR, Sly WS, et al, eds. (2001) New York: McGraw-Hill Inc. 3635–3668.
Brumshtein B, Wormald MR, Silman I, Futerman AH, Sussman JL. Structural comparison of differently glycosylated forms of acid-beta-glucosidase, the defective enzyme in Gaucher disease. Acta Crystallogr D Biol Crystallogr (2006) 62:1458–1465.[CrossRef][Medline]
Chayen NE, Shaw Stewart PD, Maeder DL, Blow DM. An automated system for micro-batch protein crystallization and screening. J Appl Crystallogr. (1990) 23:297–302.[CrossRef][Web of Science]
Choy FY, Humphries ML, Ben-Yoseph Y. Gaucher type 2 disease: Identification of a novel transversion mutation in a French-Irish patient. Am J Med Genet (1998) 78:92–93.[CrossRef][Web of Science][Medline]
DArcy A, Elmore C, Stihle M, Johnston JE. A novel approach to crystallising proteins under oil. J Crystal Growth (1996) 168:175.[CrossRef]
Davies G, Henrissat B. Structures and mechanisms of glycosyl hydrolases. Structure (1995) 3:853–859.[Medline]
Dvir H, Harel M, McCarthy AA, Toker L, Silman I, Futerman AH, Sussman JL. X-ray structure of human acid-beta-glucosidase, the defective enzyme in Gaucher disease. EMBO Rep. (2003) 4:704–709.[CrossRef][Web of Science][Medline]
East L, Isacke CM. The mannose receptor family. Biochim Biophys Acta (2002) 1572:364–386.[Medline]
Elbein AD, Tropea JE, Mitchell M, Kaushal GP. Kifunensine, a potent inhibitor of the glycoprotein processing mannosidase I. J Biol Chem (1990) 265:15599–15605.
Friedman B, Hayes M. Enhanced in vivo uptake of glucocerebrosidase. (1996) US Patent 5549892.
Futerman AH, Zimran A. Gaucher Disease (2006) Boca Raton (FL): Taylor and Francis Group.
Garner RE, Rubanowice K, Sawyer RT, Hudson JA. Secretion of TNF-alpha by alveolar macrophages in response to Candida albicans mannan. J Leukoc Biol (1994) 55:161–168.[Abstract]
Han KK, Martinage A. Post-translational chemical modification(s) of proteins. Int J Biochem (1992) 24:19–28.[CrossRef][Web of Science][Medline]
Kacher Y, Brumshtein B, Boldin-Adamsky S, Toker L, Shainskaya A, Silman I, Sussman JL, Futerman AH. Acid-β-glucosidase: Insights from structural analysis and relevance to Gaucher disease therapy. Biol Chem. (2008) 389:1361–1369.[CrossRef][Web of Science][Medline]
Kang PB, Azad AK, Torrelles JB, Kaufman TM, Beharka A, Tibesar E, DesJardin LE, Schlesinger LS. The human macrophage mannose receptor directs Mycobacterium tuberculosis lipoarabinomannan-mediated phagosome biogenesis. J Exp Med (2005) 202:987–999.
Kawame H, Hasegawa Y, Eto Y, Maekawa K. Rapid identification of mutations in the glucocerebrosidase gene of Gaucher disease patients by analysis of single-strand conformation polymorphisms. Hum Genet (1992) 90:294–296.[Web of Science][Medline]
Kornfeld S. Trafficking of lysosomal enzymes in normal and disease states. J Clin Invest (1986) 77:1–6.[Web of Science][Medline]
Murshudov GN, Vagin AA, Dodson EJ. Refinement of macromolecular structures by the maximum-likelihood method. Acta Crystallogr D Biol Crystallogr (1997) 53:240–255.[CrossRef][Medline]
Ono K, Nishitani C, Mitsuzawa H, Shimizu T, Sano H, Suzuki H, Kodama T, Fujii N, Fukase K, Hirata K, et al. Mannose-binding lectin augments the uptake of lipid A, Staphylococcus aureus, and Escherichia coli by Kupffer cells through increased cell surface expression of scavenger receptor A. J Immunol (2006) 177:5517–5523.
Otwinowski Z, Minor W, Carter CW Jr. Processing of X-ray diffraction data collected in oscillation mode. In: Methods in Enzymology (1997) New York: Academic Press. 307.
Premkumar L, Sawkar AR, Boldin-Adamsky S, Toker L, Silman I, Kelly JW, Futerman AH, Sussman JL. X-ray structure of human acid-beta-glucosidase covalently bound to conduritol-B-epoxide. Implications for Gaucher disease. J Biol Chem (2005) 280:23815–23819.
Shaaltiel Y, Bartfeld D, Hashmueli S, Baum G, Brill-Almon E, Galili G, Dym O, Boldin-Adamsky SA, Silman I, Sussman JL, et al. Production of glucocerebrosidase with terminal mannose glycans for enzyme replacement therapy of Gaucher's disease using a plant-cell system. Plant Biotech J (2007) 5:579–590.[CrossRef]
Vaccaro A, Kobayashi T, Suzuki K. Comparison of a synthetic and natural glucosylceramidase as substrate for glucosylceramidase assay. Clinica Chimica Acta (1982) 118:1–7.[CrossRef][Web of Science][Medline]
Van Patten SM, Hughes H, Huff MR, Piepenhagen PA, Waire J, Qiu H, Ganesa C, Reczek D, Ward PV, Kutzko JP, et al. Effect of mannose chain length on targeting of glucocerebrosidase for enzyme replacement therapy of Gaucher disease. Glycobiology (2007) 17:467–478.
Zimran A, Loveday K, Fratazzi C, Elstein D. A pharmacokinetic analysis of a novel enzyme replacement therapy with gene-activated human glucocerebrosidase (GA-GCB) in patients with type 1 Gaucher disease. Blood Cells Mol Dis (2007) 39:115–118.[CrossRef][Web of Science][Medline]
![]()
CiteULike
Connotea
Del.icio.us What's this?
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||



); contours of the Fo–Fc map are shown in green mesh (at 3




