Factor IX R338L Mutation Enhances Coagulation Activity
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Solution Overview
Problem
Current treatments for hemophilia B, including FIX concentrates and gene therapy, face challenges such as low efficiency of FIX expression, immunogenicity, side effects, and increased risk of thrombotic manifestations with elevated FIX levels.
Innovation Solution
Development of a modified FIX polypeptide with a gain-of-function, specifically with amino acid substitutions at position 338, such as leucine, aspartic acid, or glutamine, which enhances its activity levels up to 13 times compared to wild-type FIX, while minimizing side effects.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If FIX levels are elevated to treat severe hemophilia B, then coagulation deficiency is corrected, but risk of thrombotic manifestations increases
Solution Approach 1:
The patent applies parameter changes by modifying the amino acid sequence of FIX at position 338 (R338L mutation) to alter its functional properties. This specific parameter change in the protein structure results in enhanced catalytic activity that achieves therapeutic coagulation correction with potentially lower dosing requirements, thereby reducing thrombotic risk associated with high FIX levels
2Duration of action of stationary object
If gene therapy is used to correct genetic defect, then long-term FIX production is achieved, but immunogenicity and side effects occur
Solution Approach 1:
The patent applies parameter changes by introducing a specific amino acid substitution (R338L) that not only enhances functional activity but may also reduce immunogenicity. The modified protein structure with leucine at position 338 creates a variant that maintains long-term production capability while potentially lowering immune response compared to wild-type FIX
3Reliability
If current FIX concentrates are administered, then coagulation activity is restored, but treatment efficiency is limited
Solution Approach 1:
The patent applies parameter changes by modifying the catalytic efficiency parameter of FIX through the R338L mutation. This amino acid substitution enhances the enzyme's kcat/Km ratio, resulting in improved treatment efficiency where lower doses achieve the same therapeutic effect, thereby increasing productivity in terms of treatment effectiveness per unit dose
Data Source
AI summary
Disclosed are a modified FIX (factor IX) polypeptide comprising a leucine, cysteine, aspartic acid, glutamic acid, histidine, lysine, asparagine, glutamine or tyrosine in position 338; pharmaceutical preparations containing said modified FIX polypeptide; a nucleotide sequence coding for the modified FIX polypeptide; and a method for producing the modified FIX polypeptide.


