APC Mutants with Reduced Bleeding Risk
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Solution Overview
Problem
Current recombinant activated protein C (APC) therapies for conditions like severe sepsis are limited by an increased risk of bleeding due to its potent anticoagulant activity, while its anti-inflammatory and anti-apoptotic effects are beneficial but not fully understood, suggesting a need for variants with reduced anticoagulant activity to maintain cytoprotective benefits.
Innovation Solution
Development of recombinant APC mutants with specific amino acid mutations, such as KKK191-193AAA-APC and RR229/230AA-APC, which significantly reduce anticoagulant activity while retaining normal anti-apoptotic activity, thereby increasing the ratio of anti-apoptotic to anticoagulant activity, making them safer for therapeutic use.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If recombinant activated protein C is used for severe sepsis treatment, then anti-inflammatory and anti-apoptotic activities are improved, but anticoagulant activity increases causing bleeding risk
Solution Approach 1:
The patent applies local quality by creating specific amino acid mutations at defined locations in the protein sequence (residues 191-193 and 229-230) to selectively alter anticoagulant activity while preserving anti-apoptotic activity. This localized modification allows different regions of the protein to have different functional properties.
Solution Approach 2:
The patent changes the amino acid sequence parameters at specific positions (Lys191-193 and Arg229-230) to modify the protein's biological activity. By altering these specific residues, the anticoagulant activity is reduced while maintaining cytoprotective functions, thereby changing the activity parameters to achieve desired therapeutic profile.
2Reliability
If wild-type activated protein C is used, then anticoagulant activity is high providing thrombus inhibition, but cytoprotective benefits are limited by bleeding side effects
Solution Approach 1:
The patent extracts the harmful anticoagulant activity from the protein by introducing mutations that specifically reduce this function while leaving the cytoprotective activity intact. The mutations at residues 191-193 and 229-230 selectively impair anticoagulant function, effectively separating this harmful property from the beneficial cytoprotective properties.
Solution Approach 2:
The patent converts the potentially harmful high anticoagulant activity into a benefit by selectively reducing it through mutation, thereby creating a protein variant where the remaining activity is sufficient for thrombus inhibition but not excessive enough to cause harmful bleeding effects.
3Object-affected harmful factors
If amino acid mutations are introduced to reduce anticoagulant activity, then bleeding risk is reduced, but protein structure and function may be altered
Solution Approach 1:
The patent maintains local quality by introducing mutations only at specific, well-defined locations (residues 191-193 and 229-230) that are known to be involved in anticoagulant activity, while leaving the rest of the protein structure intact and unchanged, thereby preserving overall structural stability.
Solution Approach 2:
The patent creates protein variants that copy the overall structure and cytoprotective function of wild-type activated protein C while introducing specific local differences (mutations) that reduce anticoagulant activity. The variants maintain the fundamental protein fold and functional domains while having modified regions.
Data Source
AI summary
Variants (mutants) of recombinant activated protein C (APC) or recombinant protein C (prodrug, capable of being converted to APC) that have substantial reductions in anticoagulant activity but that retain normal levels of anti-apoptotic activity are provided. Three examples of such recombinant APC mutants are KKK191-193AAA-APC, RR229/230AA-APC, and RR229/230AA plus KKK191-193AAA-APC. APC variants and prodrugs of the invention have the desirable property of being cytoprotective (anti-apoptotic effects), while having significantly reduced risk of bleeding. The invention also provides a method of using the APC variants or prodrugs of the invention to treat subjects who will benefit from APC's cytoprotective activities that are independent of APC's anticoagulant activity. These subjects include patients at risk of damage to blood vessels or tissue in various organs caused, at least in part, by apoptosis. At risk patients include, for example, those suffering (severe) sepsis, ischemia/reperfusion injury, ischemic stroke, acute myocardial infarction, acute or chronic neurodegenerative diseases, or those undergoing organ transplantation or chemotherapy, among other conditions. Methods of screening for variants of recombinant protein C or APC that are useful in accordance with the invention are also provided.


