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J. Biol. Chem., Vol. 280, Issue 5, 3208-3216, February 4, 2005
Molecular Characterization of Major Cat Allergen Fel d 1EXPRESSION OF HETERODIMER BY USE OF A BACULOVIRUS EXPRESSION SYSTEM*![]() ¶![]() ![]() ![]() ![]() ![]() ||
From the
Received for publication, September 16, 2004 , and in revised form, November 15, 2004.
Fel d 1 is a major cat allergen inducing allergic rhinitis and asthma in sensitized individuals. It has a more complex structure when compared with other allergens and therefore expression of recombinant Fel d 1 has been considered a challenge. The present study shows for the first time that a Baculovirus expression system is able to produce an intact rFel d 1 molecule that is glycosylated and structurally equivalent to the natural cat allergen, nFel d 1. Enzymatic digestion of rFel d 1 and further analysis by use of matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) resulted in a complete coverage of the amino acid sequence of rFel d 1. In addition, the three disulfide bridges at the positions 70- 7, 44- 48, and 3- 73 were verified. The N-glycan structure of rFel d 1 was investigated by a combination of MALDI-TOF MS and monosaccharide analysis by high performance anion exchange chromatography with pulsed amperometric detection (HPAEC-PAC). The N-glycosylation analyses of rFel d 1 refer to a pattern of glycoforms including core 1.3-fucosylation that is different from nFel d 1. Further characterization by use of human serum IgE, histamine release, and lymphocyte proliferation assays demonstrated that the immunological characteristics of rFel d 1 are similar to those of nFel d 1. Detailed characterization of both natural and recombinant allergens provides tools to explore immunological mechanisms associated with allergen sensitization and desensitization.
Domestic cat (Felis domesticus) is one of the most common household pets, and cat dander is a significant source of indoor allergens. Approximately 2030% of individuals suffering from allergic asthma respond in vitro and/or in vivo to cat allergens (1). Sensitization to cat allergens leads into formation of allergen-specific IgE antibodies. Allergic reaction arises when these antibodies are able to facilitate activation of effector cells within the immune system. Activation of effector cells in return leads into release of histamine, eicosanoid synthesis, and cytokine gene expression (2). The subsequent immunological response per se is an outcome of cell mediators rather than allergen(s). Specific allergen immunotherapy has been shown to be effective in modulating allergic responses and resulting in down-regulation of allergen-specific T-cell responses (3). Conventional specific allergen immunotherapy is performed by the use of standardized natural allergen extracts (4). Cat allergen extract contains a number of allergenic molecules, such as Fel d 1 (57), cat albumin (Fel d 2) (8), and cystatin (Fel d 3) (9). Fel d 1, however, has been considered to be the major allergen (1). Immunodominant characteristics have made it a prominent candidate in efforts to develop novel vaccines for treatment of cat allergy (1014). A foremost ongoing approach is the development of hypoallergenic vaccines, which are based on recombinant technology (3).
Natural Fel d 1 is a noncovalently linked
The anti-parallel orientation of the Here we report the results of the structural characterization of rFel d 1 that was expressed in Trichoplusia ni insect cells. In the present study mass spectrometry (MS)1 and Edman degradation was combined to analyze the amino acid sequence and disulfide bridge formation in rFel d 1. The N-glycan structure of rFel d 1 was investigated by combination of MALDI-TOF MS and monosaccharide analysis by HPAEC-PAD. The immunobiological characterization and comparison with nFel d 1 was performed in vitro using IgE inhibition, histamine release, and lymphocyte proliferation assays.
Construction of the Synthetic Genes Encoding Fel d 1 Polypeptide ChainsSynthetic genes encoding Fel d 1 - and -chains ( : M74952
[GenBank]
/ : M77341
[GenBank]
) were assembled by PCR using overlapping oligonucleotides (Table I). In short, primers A1+A2 and A3+A4 for the -chain and B1+B2 and B3+B4 for the -chain were annealed and amplified in six cycles. Extension primers -chain (ARF/ARR) and -chain (BRF/BRR) with specific restriction sites were used to rescue the full-length products. The fragments were then cloned into pCR4-TOPO vector (Invitrogen), and their sequences were confirmed (ABI PRISM® 377 DNA sequencer; Applied Biosystems, Framingham, MA).
Construction of Recombinant Baculovirus VectorThe construction of the recombinant Baculovirus vector and the expression of the rFel d 1 was performed by CeNeS Pharmaceuticals plc (Cambridge, UK). The cDNA encoding the mature - and -chains were subcloned into Baculovirus shuttle vector pFastBacDUAL (Invitrogen). The mellitin signal sequence was engineered to the N-terminal of both genes by PCR (Fig. 1). The recombinant dual vector was then transformed into MAX efficiency DH10BacTM competent cells (Invitrogen) containing the baculovirus genome. Within the cell a transposition takes place between a mini-attTn7 target site and the mini-Tn7 element on the vector when recombinant virus is generated. The resulting recombinant bacmid was confirmed according to the suppliers' manual (Invitrogen).
Expression of the rFel d 1Spodoptera frugiperda (Sf21) (Invitrogen) cells were used to generate the primary virus titer for the expression of rFel d 1. The Sf21 cells were grown in 47.5% ExCell 401(JHR Biosciences), 47.5% TC100 (Invitrogen) and 5% heat-inactivated fetal bovine serum (Invitrogen) as suspension cultures in shaker flask(s) (24). Sf21 cells were transfected with recombinant bacmid DNA in the presence of Lipofectin (Invitrogen) according to the supplier's manual (Invitrogen). The culture medium was collected 7 days post-transfection. The virus titer was assessed by plaque assay (29). For large virus stock production SF21 cells were infected with the recombinant virus at a multiplicity of infection of 0.5 at a cell density of 1 x 106 cells/ml in a spinner bottle. The virus was harvested 7 days post-infection and titered again by plaque assay. High FiveTM cells (Invitrogen) were used for protein production and cultured according to the manufacturer's instruction. For protein production the cells were infected at a multiplicity of infection of 10. The cell supernatant was harvested 96 h post-infection. Purification of Natural and rFel d 1Natural Fel d 1 was isolated by use of monoclonal immunoaffinity chromatography from dried cat allergen extract (ALK-Abelló) as described (20). Natural Fel d 1 was then subjected to HR 5/5 Mono Q (Amersham Biosciences) column and eluted with a linear gradient of 0100% 20 mM Tris-Cl, 0.5 M NaCl, pH 7.5, in 20 min. Eluted fractions containing nFel d 1 were pooled and subjected to size exclusion chromatography (Amersham Biosciences) in a 10 mM NH4(HCO)2 buffer and freeze dried. For the immunological assays, nFel d 1 was dissolved into sterile Dulbecco's phosphate-buffered saline (Invitrogen). Endotoxin levels in the purified Fel d 1 preparations were <15 EU/mg as determined by Limulus amoebocyte lysate assay (Bio Whittaker, Walkersville, MD). Recombinant Fel d 1 was isolated from the High FiveTM cell culture supernatant. The cells were gently centrifuged, and the culture supernatant was collected and sterile filtrated. The purification of rFel d 1 followed the protocol described for the nFel d 1. SDS-PAGE Analysis of Affinity Purified rFel d 116% Tris-Tricine SDS-PAGE (Invitrogen) was used to analyze collected fractions (10 µl/10 ml) from monoclonal affinity chromatography. The electrophoresis was performed in reducing conditions according to the manufacturer's instructions and stained with silver (Invitrogen). Protein MeasurementsA Lambda 800 UV-visible spectrophotometer (PerkinElmer Life Sciences) was used to measure protein concentration at 280 nm using the absorption coefficient A280 (1 mg·ml1 cm1) = 0.356 for both rFel d 1 and nFel d 1. Reversed-phase ChromatographyLyophilized rFel d 1 was first dissolved (47 pmol/µl) into Milli-Q grade water (Millipore, Bedford, MA). 5 nmol of rFel d 1 in 0.06% trifluoroacetic acid (Rathburn Chemicals, Peebleshire, UK) was subjected to a 4.6 x 250-mm Jupiter, C5 reversed-phase column (Phenomenex, Torrence, CA). The column was equilibrated with 0.06% trifluoroacetic acid, and the sample was eluted with 0.05% trifluoroacetic acid, 80% acetonitrile (Riedel-de-Hein, Seelze, Germany) in a gradient of 2555% in 15 column volume and 5580% in 5 column volume. Recombinant Fel d 1 eluted as a single peak and was collected and dried in a Speedvac. The dried fraction was redissolved into water, divided into 1-nmol aliquots, dried, and stored at 20 °C. The fractionation of the peptide mixtures were performed in a 4.6 x 250-mm Jupiter C18 (Phenomenex) column. The peptides were eluted with 0.05% trifluoroacetic acid, 80% acetonitrile in a gradient of 545% in 30 column volume or 4580% in 5 column volume. The separated peptides were dried in a vacuum Speedvac, redissolved into water, and stored at 20 °C. Mass Spectrometric AnalysesMass spectrometric analysis was performed on a Voyager-DETM STR BiospectrometryTM (Applied Biosystems, Foster City, CA) MALDI-TOF MS instrument by use of acceleration voltage of 25 kV and a nitrogen laser at 337 nm. The spectra were acquired in the positive ion mode and calibrated externally. MS/MS of selected peptides was performed on a Micromass® Q-Tof Ultima MALDI mass spectrometer (Waters Corporation, Manchester, UK).
20 pmol of intact rFel d 1 was desalted by custom-made micro columns packed with POROS R1/50 (Applied Biosystems, Framington, MA) reversed-phase resin (30). The samples were eluted directly on MALDI targets with 1.0 µl of matrix solution containing 10 µg/µl Proteolytic Digestions500 pmol of rFel d 1 was reduced and alkylated as described above. The sample(s) were dissolved into 50 mM Tris-HCl, 0.2 M NaCl, 1 M urea, pH 8.5, and incubated with 3% (w/w) endoproteinase Asp-N (Calbiochem, Sunnyvale, CA) at 37 °C for 18 h (20). Assignment of the disulfide bridges was performed by enzymatic digestion employing endoproteinase Asp-N (Calbiochem) in 50 mM Tris-HCl, 0.2 M NaCl, 1 M urea, pH 8.5, and by sequential digestion with 3% (w/w) trypsin (Sequencing Grade Modified Trypsin, Promega, Madison, WI) and 3% (w/w) chymotrypsin (Wako Chemicals GmbH, Richmond, VA) (20) in 50 mM NH4Ac, pH 6.0. Edman DegradationSequencing of the rFel d 1-derived peptides was performed with Hewlett Packard G1000A sequencer (Palo Alto, CA) equipped with a Hewlett Packard 1090 series II liquid chromatograph and run as described by the manufacturer. Acid Hydrolysis and Monosaccharide Analysis 1 mg of rFel d 1 was hydrolyzed in 2 M trifluoroacetic acid at 100 °C for 4 h, subsequently lyophilized in a Speedvac, and resuspended in water. The monosaccharides were analyzed by HPAEC-PAD using a Dionex (Sunnyvale, CA) P-500 chromatographic system consisting of Carbo PacPA-10 preanalytical and analytical columns, an AS50 auto sampler, a GP40 gradient pump, and an ED40 electrochemical detector. The flow rate was 1 ml/min, and the injection volume was 10 µl. Separation was achieved isocratically with water as eluent. A pump with 600 mM NaOH as eluent was used to improve the sensitivity of detection. L-fucose (Merck), D-xylose (Fluka), D-mannose (Merck), D-glucose (Merck), D-galactose (BDH Chemicals Ltd., Poole, UK), GlcNAc (BDH Chemicals Ltd.), N-acetylgalactosamine (BDH Chemicals Ltd.), and D-arabinose (Sigma) were treated as described above and used as standards. Structural Analysis of the N-GlycanRemoval of N-glycan was assessed with recombinant N-glycosidase F from Flavobacterium meningosepticum (Roche Applied Science) and N-glycosidase A from almonds (Roche Applied Science) at 37 °C for 18 h. The resulting products were then analyzed by MALDI-TOF MS (Applied Biosystems) (30). The sequential digestions with glycosidases were performed following the procedure of Kroll-Kristensen et al. (20). IgE Inhibition AnalysesThe IgE inhibition experiments were performed on an ADVIA Centaur Immunoassay system (Bayer Diagnostics, Denmark) (31). Pooled human serum IgE from cat-allergic individuals (n = 4) was coupled to the solid phase (ADVIA Centaur Universal Reagent Pack, no. 123736), after which the surface was washed with 0.01 M sodium phosphate, 0.1% (w/v) human serum albumin, pH 7.4 (ADIVIA Centaur reagent, no. 1011132). Mixtures of a constant amount of biotinylated cat allergen extract and diluted allergen preparations were added. The amount of biotinylated Fel d allergens bound to the solid phase absorbed IgE was determined as the number of relative light units after the addition of ADVIA Centaur Lite reagent (Universal reagent pack). All of the inhibition experiments were performed as triplicates, and the data sets (log10(concentration), mean (DoB)) were fitted to a four-parameter logistic function using GraphPad Prism version 4.01 (GraphPad Software, San Diego, CA). Histamine Release AssayHistamine release assay was performed using freshly drawn blood from cat-allergic individuals (n = 4) and controls (n = 4). The tested individuals gave their informed consent to donate blood for research purposes. The antigens, rFeld1 and nFeld1, were diluted into Pipes buffer (Invitrogen). Antigens were then mixed with the blood samples and incubated for 30 min at 37 °C. Analyses were performed in a final concentration ranging from 1.5 pg/ml to 500 ng/ml of antigen(s). The samples were then centrifuged, and the supernatants were analyzed by enzyme-linked immunosorbent assay (kit IM 2015; Immunotech). The release of histamine was measured at 405 nm by an EL 340 Biokinetics reader (Bio-Tek Instruments, Winooski, VT). Lymphocyte ProliferationT-cell lines specific to Fel d 1 were established from peripheral blood mononuclear cells (PBMCs) of cat-allergic patients (n = 5) as described previously for grass allergen-specific T-cell lines (32). In short, freshly isolated PBMCs (2 x 106/ml) were stimulated in 1-ml bulk cultures with natural or rFel d 1 (2 µg/ml) for 14 days with the addition of recombinant interleukin-2 from day 5. After 14 days T-cells were restimulated with irradiated autologous PBMCs, Fel d 1 (2 µg/ml), and 0.05 µg/ml phytohemagglutinin-P (Difco, Detroit, MI), and recombinant interleukin 2 was added at days 3, 4, and 5. T-cell Stimulation AssayOn day 10 after restimulation, T-cells (2 x 104/well) were cultured with autologous PBMCs (105/well, irradiated 2500 Rad) in 200 ml of RPMI 1640 medium supplemented with 5% v/v AB serum (Cambrex Bio Sciences), 100 units/ml penicillin, and 0.1 mg/ml streptomycin (Sigma). The culturing was performed with or without antigen in 96-well round-bottomed microtiter plates (Nunc). The cells were cultured for 72 h in a humidified atmosphere at 37 °C and 5% CO2, followed by a 16-h pulse with 0.5 C [3H]thymidine/well, and thymidine incorporation was determined by scintillation counting. The results are expressed as the mean cpm values of four replicate cultures.
Purification of rFel d 1Expression of rFel d 1 was demonstrated from the insect cell culture supernatant by SDS-PAGE and Western blotting (data not shown). Monoclonal affinity chromatography was used to capture rFel d 1 from culture supernatant. SDS-PAGE analysis showed that rFel d 1 was bound to the monoclonal antibody column and eluted in a single step. Both - and the -chain were detected when stained with silver (Fig. 2). Affinity purified native rFel d 1 was then analyzed by MALDI-TOF MS, which revealed a major peak in the m/z ranging from 18,000 to 19,000. In addition, a peak at m/z 8000 was seen, indicating overexpression and co-purification of free -chain (data not shown). Anion exchange and size exclusion chromatography were used to remove the free -chain and other impurities. For MS analyses, rFel d 1 was subjected to reversed-phase chromatography. The total yield of purified dry weight rFel d 1 was from 1 to 3 mg/liter of culture supernatant. The purity of reduced and nonreduced natural and rFel d 1 was verified by MALDI-TOF MS as described below.
Analysis of Native and Reduced rFel d 1Analysis of rFel d 1 by MALDI-TOF MS revealed several peaks in the m/z range from 18353.48 to 19377.20 (Fig. 3a). A closer inspection of the mass spectrum revealed spacing between peaks that is diagnostic of glycosylation. In addition, a minor peak (Fig. 3a, asterisk) at m/z 17,700 referring to nonglycosylated rFel d 1 was detected. Following reduction and S-carboxyamidomethylation a peak appeared at 8043.60, and several minor peaks appeared at in the mass range from 10700.40 to 11385.68 (Fig. 3b). The observed signal at 8043.60 was in agreement with the theoretical value m/z 8043.25 for the -chain. This result indicates to a correct cleavage at the N terminus and overall homogeneous expression of the -chain.
The peaks in the m/z range 10,700.40 to 11,385.68 showed similar spacing as the native molecule, indicating glycosylation of the -chain (Fig. 3b). As described below, subsequent digestion with N-glycosidase A confirmed glycosylation at Asn33.
Primary Sequence Analysis and Orientation the rFel d 1
Partial oxidation of the methionine residues was detected in peptides F-7, F-12, and F-13 when analyzed by MALDI-TOF MS, and partial deamidation was found in peptides F-16/F-17. In addition, recombinant Fel d 1 was found to be expressed as a mixture of glycosylated (F-7) and nonglycosylated (F-9) -chain (Table II). Analyses of the N-glycan will be described below. Modification referring to -carboxylation was found from the N terminus of the -chain (F-2). In N-terminal sequencing, the peptide was found to be blocked, and it was subsequently identified by MS-MS (data not shown). This finding suggests that a subpopulation of rFel d 1 would have modified N termini.
To determine the positions of the disulfide bond linkages, native rFel d 1 was digested with endoproteinase Asp-N and a combination of trypsin and chymotrypsin. Separation of the peptides was performed by reversed-phase chromatography, and all of the resulting peptides were analyzed by MALDI-TOF MS. The combined digestion with trypsin and chymotrypsin revealed disulfide bond linkages between residue(s)
Analyses of the N-Glycan StructureDeglycosylation of the rFel d 1 glycopeptide F-7 (Table II) was achieved using N-glycosidase A (Fig. 4). Analysis by MALDI-TOF MS revealed that the expected nonglycosylated peptide was released along with several glycans of different m/z values (Fig. 4a). Deglycosylation of the same glycopeptide (F-7) using N-glycosidase F was not detected. N-Glycosidase A is found active on glycans carrying a 1.3-linked fucose residue attached to the innermost GlcNAc residue (Fig. 4b). These results suggest that the glycan core is carrying 1.3-fucosylation, which is in correlation with the previous studies of T. ni-expressed recombinant proteins (33).
To further determine the composition of the glycan moiety of rFel d 1, the sample was hydrolyzed, and the released monosaccharides were analyzed by HPAEC-PAD. Fig. 5 shows the HPAEC-PAD chromatogram of monosaccharides released from rFel d 1. The results indicate that the N-glycan is composed of mannose, fucose, GlcNAc, and N-acetylgalactosamine residues. The m/z values and monosaccharide composition of the released glycans was used to predict their structures using GlycoMod (Expasy). The proposed structures are presented in Table IV. Supplementary characterization of the N-glycosidic glycans was performed by MALDI-TOF MS in combination with sequential glycosidase treatment. Removal of the terminal galactose residue was demonstrated by the sequential digestion; however, no evidence of sialic acids was detected (data not shown).
Competition for Allergen-specific IgE AntibodiesThe presence of conformational specific IgE epitopes on recombinant Fel d 1 was addressed in an IgE inhibition assay using a serum pool derived from four cat-allergic patients. Serum IgE was captured by anti-IgE immobilized on paramagnetic beads. After washing, the binding of biotinylated cat extract to captured IgE was inhibited by the addition of dilution series of recombinant Fel d 1, natural Fel d 1, and extract, respectively. The inhibition curves determined for cat allergen extract, nFel d 1 and rFel d 1 are shown in Fig. 6. Natural Fel d 1 and rFel d 1 exhibit parallel inhibition curves indicating that the epitope structures of the natural and recombinant allergens are similar. Inhibition by cat allergen extract showed 100% inhibition, and both recombinant and natural Fel d 1 allergens exhibited equal inhibitions (87%) of the interaction between pooled serum IgE and the cat allergen extract. The EC50 (inhibitor concentration at 50% inhibition) values determined for the natural and recombinant Fel d 1 preparations differ by EC50(rFel d 1) = 1.7 x EC50(nFel d 1), indicating a difference in the concentration of recombinant and nFel d 1 determined at A280.
Histamine Release AssayTo investigate the biological effect of recombinant and natural Fel d 1 to stimulate basophil, degranulation was tested in histamine release assay using human basophiles derived from individual cat-allergic patients. The release of histamine was found consistent for both recombinant and nFel d 1 in all the four cat-allergic individuals tested, whereas the controls suffering from pollen allergies showed no release. Even though the molar amount of released histamine varied from patient to patient, the histamine response within the patients remained equal between the recombinant and the natural antigen (Fig. 7).
T-cell ProliferationAllergen-specific T-cell cultures were obtained in most cases when PBMC established from cat-allergic patients were stimulated with natural and recombinant Fel d 1. However, initial stimulation with nFel d 1 resulted in specific T-cell lines in five of five patients, whereas lines were obtained from three of five patients with rFel d 1. When the individual T-cell lines were stimulated with either natural or recombinant Fel d 1, comparable responses were generally obtained even though the response differed between natural and recombinant Fel d 1 in some T-cell lines (Fig. 8). In addition, all lines examined showed a clear Th2 cytokine profile with a high interleukin 5/interferon- ratio (CBA assay; BD Biosciences) (data not shown).
The ability to produce recombinant allergens with intact immunochemical properties and correct amino acid sequence and structure is of major importance for their potential use as diagnostic agents and as active ingredients in vaccines. Here we demonstrate the expression of recombinant Fel d 1 as a heterodimer that is structurally and immunochemically equivalent to the naturally occurring cat allergen Fel d 1.
The successful expression of rFel d 1 heterodimer was obtained by cloning the genes encoding Fel d 1
The MS analyses of rFel d 1 were designed based on the methods that were previously optimized for nFel d 1 (20). We presumed that expressed as a glycosylated heterodimer, rFel d 1 would show structural characteristics similar to nFel d 1. This was first demonstrated when the three disulfide bridges were assessed. Only after sequential cleavage by trypsin and chymotrypsin were two of the rFel d 1 disulfide bridges ( Detailed characterization of post-translational modifications from the natural allergen source is necessary before the expression of recombinant allergens. Post-translational modifications can affect the specific activity, recovery, half-life in the circulation, and immunogenicity of proteins (28). Sequence analysis of rFel d 1 by MS showed few but significant modifications within the molecule (Table II, footnote a). Partial deamidation of the asparagine residue was found from peptide F-16 (Table II). Previously deamidation was considered to be a purification artifact. Currently, it is viewed as a signal for protein aging or damage (34). Furthermore, in individuals suffering from celiac disease, deamidation induced by tissue transglutaminase is found to be clinically significant, resulting from immunomodulation of gliadin peptides (35). In the present study, partial deamidation in rFel d 1 may result from extended expression time (96 h). However, considerable changes for the immunogenicity in vitro were not detected either in IgE inhibition and/or histamine release assays. Deamidation of rFel d 1 may, however, have influenced the initial stimulation of some T-cell lines, modifying T-cell-specific epitopes (34, 36). On the other hand, comparable results were obtained in many cases when the lines were tested with the two Fel d 1 preparations.
Few groups have explored receptor-specific interactions between allergens and cells that are involved with allergen uptake (37).
Numerous allergens are glycoproteins; however, the role of glycosylation versus allergenicity is poorly understood. Furthermore, the studies of glycosylation have mainly been focused on IgE or IgG binding and/or histamine release responses (2223, 40). In the present study, the rFel d 1
* This work was part of the Therapeutic recombinant allergens from structural allergology (TRAFSA) project, funded by European Union 5th Framework Programme Grant QLK3-CT-1999-00620. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
¶ Supported by a long term postdoctoral fellowship from the Federation of European Biochemical Societies. || To whom correspondence should be addressed. Tel.: 45-45-74-81-56; Fax: 45-45-74-86-42; E-mail:. MSp{at}dk.alk-abello.com.
1 The abbreviations used are: MS, mass spectrometry; MALDI-TOF, matrix-assisted laser desorption ionization time-of-flight; HPAEC-PAC, high performance anion exchange chromatography with pulsed amperometric detection; Tricine, N-[2-hydroxy-1,1-bis(hydroxymethyl)ethyl]-glycine; Pipes, 1,4-piperazinediethanesulfonic acid; PBMC, peripheral blood mononuclear cell.
We thank Gitte Lund from ALK-Abelló, Lene Skov, and Inger Christiansen (University of Southern Denmark) for technical assistance. We thank Dr. Henrik Stålbrand (Department of Biochemistry, Center for Chemistry and Chemical University, Lund University) for access to the HPAEC-PAD system. We also thank Drs. Henrik Jacobi and Kaare Lund from (ALK-Abelló, Research Department) for support for this study.
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