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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" xml:lang="en">
	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher-id">AJMB</journal-id>
			<journal-title>Avicenna Journal of Medical Biotechnology</journal-title>
			<issn pub-type="ppub">2008-2835</issn>
			<issn pub-type="epub">2008-4625</issn>
			<publisher>
				<publisher-name>Avicenna Research Institute</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="publisher-id">AJMB-5-193</article-id>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Original Article</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>A Novel Approach for High Level Expression of Soluble Recombinant Human Parathyroid Hormone (rhPTH 1-34) in <italic>Escherichia coli</italic>
				</article-title>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<name>
						<surname>Hamedifar</surname>
						<given-names>Haleh</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Salamat</surname>
						<given-names>Firoozeh</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Saffarion</surname>
						<given-names>Mohammad</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Ghiasi</surname>
						<given-names>Mohammad</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Hosseini</surname>
						<given-names>Alireza</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Lahiji</surname>
						<given-names>Hadi</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Nouri</surname>
						<given-names>Zomorrod</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Arfae</surname>
						<given-names>Hamed</given-names>
					</name>
				</contrib>
				<contrib contrib-type="author" corresp="yes">
					<name>
						<surname>Mahboudi</surname>
						<given-names>Fereidoun</given-names>
					</name>
					<xref ref-type="corresp" rid="cor1">&#x002A;</xref>
				</contrib>
			</contrib-group>
			<aff>Research and Development Department, CinnaGen, Simindasht Industrial Area, Karaj, Iran</aff>
			<author-notes>
				<corresp id="cor1">
					<label>&#x002A;</label>
					<bold>Corresponding author:</bold> Fereidoun Mahboudi, Ph.D., Research and Development Department, CinnaGen, Simindasht Industrial Area, Karaj, Iran. <bold>Tel:</bold> +98 21 42915000, <bold>Fax:</bold> +98 21 88561575. <bold>E-mail:</bold>
					<email xlink:href="mahboudif@cinnagen.com">mahboudif@cinnagen.com</email>
				</corresp>
			</author-notes>
			<pub-date pub-type="ppub">
				<season>Jul-Sep</season>
				<year>2013</year>
			</pub-date>
			<volume>5</volume>
			<issue>3</issue>
			<fpage>193</fpage>
			<lpage>201</lpage>
			<history>
				<date date-type="received">
					<day>10</day>
					<month>03</month>
					<year>2013</year>
				</date>
				<date date-type="accepted">
					<day>13</day>
					<month>05</month>
					<year>2013</year>
				</date>
			</history>
			<permissions>
				<copyright-statement>Copyright &#x00A9; 2013 Avicenna Research Institute</copyright-statement>
				<copyright-year>2013</copyright-year>
				<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
					<p>This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</p>
				</license>
			</permissions>
			<abstract>
				<sec id="st1">
					<title>Background</title>
					<p>Parathyroid hormone (PTH) secreted by parathyroid glands regulates the metabolism of calcium and phosphorus in bone and kidney. Thereby, it can stimulate bone formation, and is a promising agent in the treatment of osteoporosis. Mature form of PTH consists of 84 amino acids; however, the first 34 residues of PTH cover the majority of hormonal action.</p>
				</sec>
				<sec id="st2">
					<title>Methods</title>
					<p>In this study, the fusion form of highly soluble rhPTH was expressed at high level in <italic>Escherichia coli</italic> (<italic>E. coli</italic>). His<sub>6</sub>-thioredoxin as an extension for rhPTH improves the solubility of inclusion body. His<sub>6</sub>-thioredoxin-hPTH (1-34) was ligated into pET32a expression vector. The insertion of 5 amino acids (Asp-Asp-Asp-Asp-Lys) in the N-terminal of PTH made this protein to be digestable specifically by enterokinase enzyme. The fusion form of rhPTH was harvested and purified by immobilized affinity chromatography followed by digestion with enterokinase. Digested rhPTH was purified by applying on size exclusion and ion exchange chromatography to get the highest purity.</p>
				</sec>
				<sec id="st3">
					<title>Results</title>
					<p>The mass spectroscopy analysis shows rhPTH molecular weight was 4117.5 <italic>Da</italic>. The purity was measured by HPLC column which showed more than 97%. Bioassay analysis of rhPTH was performed on rat sarcoma cell UMR-106 in parallel with commercially available rhPTH, Forteo. The result was measured through immunofluorescence detection kit. The data showed that the potency of rhPTH was comparable with commercially available medicine.</p>
				</sec>
				<sec id="st4">
					<title>Conclusion</title>
					<p>Thioredoxin was applied as a fusion partner for production of highly soluble rhPTH. This specific fusion partner increased protein solubility and decreased protease reactivity. Purification process was optimized for high recovery and for purity more than 99%. As its biological activity is comparable with marketed drug, this protein is qualified for biopharmaceutical usage.</p>
				</sec>
			</abstract>
			<kwd-group>
				<kwd>Enterokinase</kwd>
				<kwd>
					<italic>Escherichia coli</italic>
				</kwd>
				<kwd>Fusion protein</kwd>
				<kwd>Gene expression</kwd>
				<kwd>Parathyroid hormone</kwd>
			</kwd-group>
		</article-meta>
	</front>
	<body>
		<sec id="S0001" sec-type="intro">
			<title>Introduction</title>
			<p>Extracellular calcium homeostasis is regulated by Parathyroid hormone (PTH), which acts directly on kidney and bone. In human, PTH is an 84-amino acid polypeptide <sup>(<xref ref-type="bibr" rid="CIT0001">1</xref>)</sup>. The intact protein is composed of 115 amino acid residues. Twenty five N-terminal amino acids are cleaved off when they pass through the lumen of endoplasmic reticulum by signal peptidase <sup>(<xref ref-type="bibr" rid="CIT0001">1</xref>, <xref ref-type="bibr" rid="CIT0002">2</xref>)</sup>. Other 6 amino acid residues are cleaved off in Golgi complex and mature PTH with 84 amino acids is secreted <sup>(<xref ref-type="bibr" rid="CIT0002">2</xref>)</sup>. It is shown that the first 34 N-terminal amino acids cover the most hormonal action of the intact hPTH. This fragment can regulate calcium and phosphate homeostasis and control bone resoprtion as well <sup>(<xref ref-type="bibr" rid="CIT0003">3</xref>)</sup>. Daily subcutaneous injection of human PTH (hPTH) (1-34) stimulates bone formation and intensifies bone mass in osteoporosis <sup>(<xref ref-type="bibr" rid="CIT0004">4</xref>)</sup> and ovariectomized monkeys <sup>(<xref ref-type="bibr" rid="CIT0005">5</xref>)</sup>. Moreover, it is demonstrated that hPTH (1-34) possess anti-apoptotic effects in rat osteosarcoma <sup>(<xref ref-type="bibr" rid="CIT0006">6</xref>)</sup>. These findings reveal that hPTH (1-34) has medical and pharmaceutical applications for osteoporosis treatment <sup>(<xref ref-type="bibr" rid="CIT0007">7</xref>)</sup>. These may be due to the fact that hPTH stimulates cyclic AMP-dependent protein kinase in a group of bone cells bearing PTH receptors and indirect osteoblasts proliferation <sup>(<xref ref-type="bibr" rid="CIT0008">8</xref>)</sup>.</p>
			<p>hPTH (1-34) has been produced in different forms including synthetic and recombinant. Variety of host systems including <italic>E. coli</italic>, <italic>Saccharomyces cerevisiae</italic>, <italic>Pichia pastoris</italic>, and mammalian cell lines have been used to express this protein <sup>(<xref ref-type="bibr" rid="CIT0009">9</xref>, <xref ref-type="bibr" rid="CIT0010">10</xref>)</sup>. Comparing the full length hPTH, recombinant N-terminal fragment (amino acids 1-34) [rhPTH (1-34)] has been shown to have most of the hormonal actions in body <sup>(<xref ref-type="bibr" rid="CIT0010">10</xref>)</sup>.</p>
			<p>One of the obstacles in expression of recombinant hPTH (rhPTH) is digestion by intracellular proteases <sup>(<xref ref-type="bibr" rid="CIT0011">11</xref>)</sup>. A successful scenario to overcome this issue is to produce rhPTH in the fusion form with another polypeptide. There are several reports for application of different fusion partners including Achromobacter protease I, <italic>Staphylococcus aureus</italic> V8 protease <sup>(<xref ref-type="bibr" rid="CIT0012">12</xref>)</sup> and Fc fragment of human IgG1<xref ref-type="bibr" rid="CIT0013">13</xref>. b-galactosidase derivatives are examples of other reported fusion partners <sup>(<xref ref-type="bibr" rid="CIT0012">12</xref>)</sup>. In addition, Chunxiao and his/her co-worker selected the N-terminal Pro-Pro as the fusion partner <sup>(<xref ref-type="bibr" rid="CIT0014">14</xref>, <xref ref-type="bibr" rid="CIT0015">15</xref>)</sup>.</p>
			<p>In this article, thioredoxin was selected as the extension for rhPTH. Thioredoxin makes the expressed protein more soluble and the inclusion body is dissolved in lower urea concentration <sup>(<xref ref-type="bibr" rid="CIT0016">16</xref>)</sup>. In addition, it is possible to obtain higher expression by using this fusion partner and it can be purified using IMAC regarding His<sub>6</sub> tag binding affinity to N terminal of the expression cassette <sup>(<xref ref-type="bibr" rid="CIT0016">16</xref>)</sup>. Liu and co-workers expressed PTH (1-84) using the same fusion partner in <italic>E. coli</italic>
				<sup>(<xref ref-type="bibr" rid="CIT0010">10</xref>)</sup>. However, there is no report on recombinant hPTH (1-34) expression in <italic>E. coli</italic> with present fusion partner design, including specific protease recognition site (Asp-Asp-Asp-Asp-Lys). This fusion polypeptide prevents non-specific digestion of the protein and enables an efficient purification process.</p>
			<p>The purification optimization was performed by using three steps with Ni-NTA resin, size exclusion and ion exchange chromatography using SP sepharose resins. The purification results were analyzed by SDS-PAGE electrophoresis and confirmed by reverse phase analytical high performance liquid chromatography (RP-HPLC).</p>
		</sec>
		<sec id="S0002" sec-type="materials|methods">
			<title>Materials and Methods</title>
			<sec id="S20003">
				<title>Strains, plasmids and enzymes</title>
				<p>
					<italic>E. coli</italic> BL21 (DE3) (Novagen, USA) was used as the host for gene expression. The pET32a(+) expression plasmid was obtained from Novagen, USA. Restriction enzymes and modifying enzymes were purchased from Takara, Japan and enterokinase was obtained from Invitrogen, USA.</p>
			</sec>
			<sec id="S20004">
				<title>Construction of the expression vector</title>
				<p>The gene encoding the first 34 amino acids of PTH, 5 amino acid residues (Asp-Asp-Asp-Asp-Lys), thioredoxin and His<sub>6</sub> tag sequence, were synthesized by CinnaGen, Iran. PTH(1-34) gene was located at the C terminal of Lys. This sequence was ligated into pET32a+ (Invitrogen Co, USA) between Bg1 II -Kpn I site of plasmid, then the pET32a-PTH was transformed into <italic>E. coli</italic> BL21 as cited in the instruction manual of the kit (Invitrogen Co, USA) (<xref ref-type="fig" rid="F0001">Figure 1</xref>). The orientation of the gene was confirmed by restriction enzyme digestion and DNA sequencing (SinaClone, Iran) (data not shown).</p>
				<fig id="F0001">
					<label>Figure 1</label>
					<caption>
						<p>The schematic representation of PTH expression cassette including T7 promoter, thioredoxin coding sequence, His Tag coding sequence, enterokinase recognition site and PTH start coding sequence</p>
					</caption>
					<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJMB-5-193-g001.tif" alt-version="no"/>
				</fig>
			</sec>
			<sec id="S20005">
				<title>Expression in E. coli</title>
				<p>A single colony of the fresh <italic>E. coli</italic> BL21 transformants bearing pET32a-PTH was cultured in 10 <italic>ml</italic> LB media containing Ampicilin (100 <italic>&#x00B5;g/ml</italic>) overnight <sup>(<xref ref-type="bibr" rid="CIT0017">17</xref>)</sup>. The cell suspension, 1 <italic>ml</italic>, was transferred to 300 <italic>ml</italic> of the same media for an additional 18 <italic>hr</italic> at 37<italic>&#x00B0;C</italic> and 160 <italic>rpm</italic>. The harvested cell suspension was diluted 10-fold in fermentation process with LB Broth containing Ampicilin (100 <italic>&#x00B5;g/ml</italic>) and cultured in 5L fermentor at 37<italic>&#x00B0;C</italic> with aeration rate of 1 (<italic>v/v/m</italic>) and agitation rate of 200-600 <italic>rpm</italic>. The expression of the His<sub>6</sub>-Thioredoxin-hPTH (1-34) fusion protein was induced at OD 0.9 by addition of IPTG (CinnaGen Co., Iran) to a final concentration of 1 <italic>mM</italic>. The biomass was harvested after 5 <italic>hr</italic> of fermentation followed by centrifugation at 9500 <italic>rpm</italic> for 10 <italic>min</italic>. The cell pellet was kept frozen at -70<italic>&#x00B0;C</italic>. Polyacrylamidegel electrophoresis in the presence of SDS (SDS-PAGE) was used to determine the expression level of the His<sub>6</sub>-thioredoxin-hPTH (1-34) fusion protein.</p>
			</sec>
			<sec id="S20006">
				<title>Extraction and site-specific cleavage of product</title>
				<p>The frozen biomass of <italic>E. coli</italic> was resuspended in lysis buffer (20 <italic>mM</italic> Tris-HCl pH=8 containing 6 <italic>M</italic> Urea) on ice. The suspended cells were disrupted and homogenized at 1200 Psi, followed by centrifuging at 9500 <italic>rpm</italic>, 4<italic>&#x00B0;C</italic> for 45 <italic>min</italic>. The supernatant containing the fusion protein was collected and applied to Ni-NTA resin (column XK 50/40, GE, USA). The column was equilibrated with 50 <italic>mM</italic> Tris-HCl pH=8 containing 6 <italic>M</italic> Urea followed by washing with wash buffer (20 <italic>mM</italic> Tris-HCl pH=8 containing 6 <italic>M</italic> Urea, 2 <italic>M</italic> NaCl). The fusion protein was eluted with elution buffer (20 <italic>mM</italic> Tris-HCl pH=8 containing 6 <italic>M</italic> Urea, 2 <italic>M</italic> NaCl and 18 <italic>mM</italic> Immidazole). Fractions containing His<sub>6</sub>-Thioredoxin-hPTH (1-34) fusion protein were pooled and desalted by dialyzing for 24 <italic>hr</italic> at 4<italic>&#x00B0;C</italic> in dialysis buffer (20 <italic>mM</italic> Tris-HCl pH=8 containing 10% <italic>w/w</italic> Tween 20,0.1 <italic>M</italic> CaCl<sub>2</sub>).</p>
			</sec>
			<sec id="S20007">
				<title>Proteolytic cleavage of fusion protein with enterokinase</title>
				<p>In order to cleave hPTH from its tag, the desalted fusion protein was digested with enterokinase enzyme (EK MAX, Invitrogen Co., USA) for 16 <italic>hr</italic> at room temperature with different enzyme units. The digestion reaction was terminated by reducing the pH with 2 <italic>M</italic> acetic acid.</p>
			</sec>
			<sec id="S20008">
				<title>Purification of recombinant PTH</title>
				<p>The digested mixture was applied to size exclusion chromatography column (GE, USA) by FPLC (AKTA purifier, GE, USA) that was equilibrated with 20 <italic>mM</italic> sodium acetate and 50 <italic>mM</italic> NaCl Fractions were analyzed by SDS-PAGE. Then hPTH without His<sub>6</sub>-thioredoxin tag was pooled and loaded on ion exchange chromatography column with SP sepharose resin (GE, USA). The column was equilibrated and washed with equilibration buffer (0.01 <italic>M</italic> ammonium acetate pH=4.5 containing 50 <italic>mM</italic> NaCl) and washing buffer (0.02 <italic>M</italic> ammonium acetate pH=5.2 containing 0.1 <italic>M</italic> NaCl), respectively. The recombinant hPTH (1-34) peptide was eluted with 0.02 <italic>M</italic> Ammonium Acetate and 1 <italic>M</italic> NaCl. The fractions were collected and kept at 4<italic>&#x00B0;C</italic>.</p>
			</sec>
			<sec id="S20009">
				<title>Purity analysis</title>
				<p>To estimate the purity of the SP fractions, RP-HPLC analysis (C18, Agilant, USA) was performed. HPLC chromatogram of hPTH (1-34) was performed using a linear gradient of 100% A, 0% B solutions in 25 <italic>min</italic>, flow rate 1 <italic>ml/min</italic>. Solution A contained acetonitril and 0.2 <italic>M</italic> Na<sub>2</sub>SO<sub>4</sub> (1:9 <italic>w/w</italic>) and solution B contained acetonitril and 0.2 <italic>M</italic> Na<sub>2</sub>SO<sub>4</sub> (1:1 <italic>w/w</italic>). Sample, rhPTH (1-34), and standard hPTH (Forteo) (Eli Lilly, France) were diluted with dilution buffer (acetonitril and 0.3 <italic>M</italic> Na<sub>2</sub>SO<sub>4</sub>, 31/69 <italic>w/w</italic>) to the final concentration of 0.1 <italic>mg/ml</italic>. Then 25 <italic>&#x00B5;l</italic> of each diluted samples were applied to HPLC column. Proteins were monitored by UV detection at 214 <italic>nm</italic>.</p>
				<p>Mass spectrometry was performed to obtain the molecular weight of the protein on a Finnigan LCQ-Classic MALDITOF mass spectrometer.</p>
			</sec>
			<sec id="S20010">
				<title>Biological activity</title>
				<p>
					<italic>
						<bold>Preparing sample dilution:</bold>
					</italic> Samples containing Forteo (Eli Lilly, France) and rhPTH were diluted to final concentration of 1 <italic>&#x00B5;M/ml</italic> with DMEM-F12, 1% BSA (Bovine Serum Albumin) (Sigma, USA). Then, a series of dilutions, 1:1000-1:8000 final concentration in the assay, were prepared with DMEM with BSA 1%.</p>
			</sec>
			<sec id="S20011">
				<title>Standard preparation</title>
				<p>The 30 <italic>&#x00B5;M</italic> cAMP calibrator (Sigma, USA) was diluted with cAMP Assay Buffer (Catch Point Cyclic-AMP Fluorescent Assay Kit, Molecular Devices, USA) to prepare stock calibrators of 1:1000-1:8000 final concentration in the assay.</p>
			</sec>
			<sec id="S20012">
				<title>Cell preparation</title>
				<p>Flasks containing UMR 106 cells (ATCC, USA) were treated with 1 <italic>ml</italic> trypsin (GIBCO, USA) and resuspended to final concentration of 0.1&#x00D7;10<sup>6</sup> cell/well with DMEM-F12 (GIBCO, USA), 10% FBS (GIBCO, USA). Then 200 <italic>&#x00B5;L</italic> of cell solution, 20000 cell/well, were transferred to each well of 96 well-plate and incubated for 24 <italic>hr</italic>. Wells were washed two times with HBSS buffer (Hank&#x0027;s Balanced Salt Solution). Afterwards, 100 <italic>&#x00B5;l</italic> of each hPTH (1-34) and Forteo, reference standard, (Eli Lilly, France) dilutions were separately added to each well and incubated with gentle shaking at 25<italic>&#x00B0;C</italic> for 20 <italic>min</italic>. Samples were discarded and wells were washed twice with 300 <italic>&#x00B5;l</italic> HBSS. Assay Lysis Solution, 100 <italic>&#x00B5;l</italic> (Catch Point Cyclic-AMP Fluorescent Assay Kit, Molecular Devices, USA) were added to each well and plate was incubated for 30 <italic>min</italic> at 37<italic>&#x00B0;C</italic>.</p>
			</sec>
			<sec id="S20013">
				<title>Cell stimulation and cAMP detection</title>
				<p>Cell lysate was mixed gently with multichannel pipette and 40 <italic>&#x00B5;l</italic> of the solution was transferred to cAMP screen assay plate. Reconstituted Rabbit anti-cAMP antibody, 40 <italic>&#x00B5;l</italic>, was added to each well except control wells. The plate was placed on shaker for 5 <italic>min</italic>. Then 40 <italic>&#x00B5;l</italic> of reconstituted HRP-cAMP conjugate was added to all wells and incubated for 2 <italic>hr</italic> at room temperature. The plate content was aspirated and washed 4 times with 300 <italic>&#x00B5;l</italic> wash buffer (Catch Point Cyclic-AMP Fluorescent Assay Kit, Molecular Devices, USA) for each wash. Then 100 <italic>&#x00B5;l</italic> of Spotlight Red substrate (Catch Point Cyclic-AMP Fluorescent Assay Kit, Molecular Devices, USA) were added to each well. The plate was covered to be protected from light and was incubated in room temperature for 10 <italic>min</italic>. Fluorescent intensity of the plate was read in Excitation filter 525-530 <italic>nm</italic>, Emission filter 590-570 <italic>nm</italic>. The average intensity values (y-axis) were plotted against calibrator concentration (x-axis) to create a calibration or standard curve. To calculate cAMP doses, hPTH samples were interpolated using this curve.</p>
			</sec>
		</sec>
		<sec id="S0014" sec-type="results">
			<title>Results</title>
			<sec id="S20015">
				<title>Expression construct for recombinant hPTH</title>
				<p>As shown in <xref ref-type="fig" rid="F0001">Figure 1</xref>, the gene sequence encoded for amino acids 1-34 from PTH was inserted in the C terminal portion of thioredoxin gene. The DNA sequence for 5 amino acids (Asp-Asp-Asp-Asp-Lys) as a specific recognition site was inserted between PTH gene sequence and the fusion partner DNA sequences. His-tag was added to the downstream of Bgl II site. Two restriction enzyme recognition sequences, BglII and Kpn I, were added to the N terminal and C terminal of the fusion protein, respectively. The construct was inserted into pET32a(+) resulting in pET32a(+)-hPTH34 plasmid.</p>
				<p>The expression vector subsequently was transformed into <italic>E. coli</italic> BL21 (DE3) to form the engineered bacterium. The highest level of expression was obtained 5 <italic>hr</italic> after induction with IPTG. This level of expression usually makes the recombinant protein hard to solubilise and form inclusion bodies. His<sub>6</sub>-Trx fusion partner has beneficial features of high solubility and it provides the possibility of using affinity chromatography for purification. As shown in <xref ref-type="fig" rid="F0002">Figure 2</xref> (lane 1), there is low expression in pre-induction sample. However, the productivity was higher three hours after the induction and reached to the highest level after 5 <italic>hr</italic> (<xref ref-type="fig" rid="F0002">Figure 2</xref>, lane 7).</p>
				<fig id="F0002">
					<label>Figure 2</label>
					<caption>
						<p>SDS PAGE pattern of induction and expression rate of hPTH (1-34) fusion protein. Lane 1: Before induction, Lane 2: Low MW marker, Lane 3: 1 <italic>hr</italic> after induction, Lane 4: 2 <italic>hr</italic> after induction, Lane 5: 3 <italic>hr</italic> after induction, Lane 6: 4 <italic>hr</italic> after induction, Lane 7: 5 <italic>hr</italic> after induction</p>
					</caption>
					<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJMB-5-193-g002.tif" alt-version="no"/>
				</fig>
			</sec>
			<sec id="S20016">
				<title>Cleavage of the product</title>
				<p>The fusion protein was purified using Ni-NTA due to the presence of His<sub>6</sub> tag. Then, the fusion partner with 18 <italic>kDa</italic>, was separated from rhPTH through digestion with enterokinase (<xref ref-type="fig" rid="F0003">Figure 3</xref>). The enzyme to substrate ratio was optimized at lowest level, 0.341 <italic>per/mg</italic> of protein. Two bands, fusion partner 18 <italic>kDa</italic> and rhPTH 4 <italic>kDa</italic>, are clearly demonstrated in the SDS-PAGE. Lane 1 is the undigested fusion protein. Lane 2 is rhPTH standard. Lane 3 shows complete digestion fusion protein. Presence of specific digestion site (Asp-Asp-Asp-Asp-Lys) for enterokinase prevents non-specific digestion of rhPTH.</p>
				<fig id="F0003">
					<label>Figure 3</label>
					<caption>
						<p>SDS-PAGE pattern of the digested fusion protein. Lane 1 is undigested PTH fusion protein, lane 2 is Forteo as the standard and lane 3 is the digested PTH fusion protein with enterokinase. There are two major bonds after digestion, 18 <italic>kDa</italic> and 4 <italic>kDa</italic> represent fusion partner and PTH, respectively</p>
					</caption>
					<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJMB-5-193-g003.tif" alt-version="no"/>
				</fig>
			</sec>
			<sec id="S20017">
				<title>Purification process</title>
				<p>The digested proteins were applied to size exclusion column (Superdex 75) followed by SP sepharose column. The purified rhPTH with more than 97% purity was obtained (<xref ref-type="fig" rid="F0004">Figure 4A</xref>: lanes 2, 3, 4, 5, 6, 7 and 8 different fractions from ion exchange column). These findings are in line with what other researchers have previously found <sup>(<xref ref-type="bibr" rid="CIT0012">12</xref>)</sup>. In our system the purification steps were restricted to three columns. The majority of the impurities were taken during Ni-NTA followed by specific binding to Sp sepharose fast flow column. The final recovery found to be 42% (data not shown) with 99.7% purity. The first 8 N-terminal amino acids of the purified proteins were similar to what was found in standard rhPTH from NIBSC through mass spectroscopy (data not shown).</p>
				<fig id="F0004">
					<label>Figure 4</label>
					<caption>
						<p>SDS-PAGE pattern of size exclusion (a) and ion exchange (b) chromatography fractions; A) SDS-PAGE analysis of size exclusion column fractions. Lane 1 is the digested sample and lanes 2-6 are fractions of SE column. There is some undigested protein in lane 1; B) SDS-PAGE analysis of SP sepharose FF fractions. Lane 1 is pooled SE column fractions, lane 2 is empty and lanes 3-5 are fractions of SP sepharose FF</p>
					</caption>
					<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJMB-5-193-g004.tif" alt-version="no"/>
				</fig>
				<p>The purity of rhPTH was confirmed using RP analysis by analytical HPLC (<xref ref-type="fig" rid="F0005">Figure 5</xref>). A single sharp peak was demonstrated at retention time of around 20 <italic>min</italic>. The RP HPLC diagram was the same as the standard sample from NIBSC (data not shown) and the impurities were less than 0.3%. In addition, Mass spectrophotometry analysis show that the molecular weight of rhPTH was 4117.5 <italic>Da</italic> (<xref ref-type="fig" rid="F0006">Figure 6</xref>). The molecular weight of pro-pro-pro PTH was reported as 4311.46 <sup>(<xref ref-type="bibr" rid="CIT0014">14</xref>)</sup>. If Pro-Pro-Pro is eliminated, the right molecular weight (4117.5 <italic>Da</italic>) will be observed.</p>
				<fig id="F0005">
					<label>Figure 5</label>
					<caption>
						<p>HPLC analysis of SP sepharose pooled fraction. A single peak at 22 <italic>min</italic> retention time represents the purity of rhPTH (more than 99%)</p>
					</caption>
					<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJMB-5-193-g005.tif" alt-version="no"/>
				</fig>
				<fig id="F0006">
					<label>Figure 6</label>
					<caption>
						<p>Mass spectrometry of rhPTH done in Boku University, Austria, is showing 4117.50 <italic>Dalton</italic> molecular weight</p>
					</caption>
					<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="AJMB-5-193-g006.tif" alt-version="no"/>
				</fig>
			</sec>
			<sec id="S20018">
				<title>Biological activity</title>
				<p>The binding of the rhPTH receptors was measured by assaying stimulated cAMP generation by the osteogenic sarcoma cell culture. PTH bioassays <italic>in vitro</italic> have the most commonly utilized cultured animal tissue, and the tissue extract contains adenlate cyclase and animal cells <sup>(<xref ref-type="bibr" rid="CIT0018">18</xref>)</sup>. PTH binds to its receptors causing a complex response in tissues, cells or extracts that can be measured by the stimulated generation of cAMP <sup>(<xref ref-type="bibr" rid="CIT0019">19</xref>, <xref ref-type="bibr" rid="CIT0020">20</xref>)</sup>. In the present study, UMR 106 cells were chosen for <italic>in vitro</italic> determination of rhPTH biological activity.</p>
				<p>The purified rPTH increased the cAMP level in UMR 10<xref ref-type="bibr" rid="CIT0006">6</xref> cells which is rat osteogenic sarcoma cell line by interaction with surface receptors (<xref ref-type="table" rid="T0001">Table 1</xref>). The positive control was the commercially available rPTH, Forteo. The potency of the sample was 99.7% according to the standards and the testing criteria for protein activity. As it is shown in <xref ref-type="table" rid="T0001">Table 1</xref>, the optical density obtained in each dilution was comparable with what was obtained by Forteo. The standard curve demonstrates validation of the test. The potency of rhPTH was similar to Forteo.</p>
				<table-wrap id="T0001">
					<label>Table 1</label>
					<caption>
						<p>Biological activity assay with cAMP production measurement</p>
					</caption>
					<table frame="hsides" rules="groups">
						<thead>
							<tr>
								<th align="left">Sample/Dilution factor</th>
								<th align="center">1:1000</th>
								<th align="center">1:2000</th>
								<th align="center">1:4000</th>
								<th align="center">1:8000</th>
							</tr>
						</thead>
						<tbody>
							<tr>
								<td align="left">Control (-)</td>
								<td align="center">3.255</td>
								<td align="center">3.23</td>
								<td align="center">3.245</td>
								<td align="center">3.25</td>
							</tr>
							<tr>
								<td align="left">Test dilution</td>
								<td align="center">0.53</td>
								<td align="center">0.545</td>
								<td align="center">0.695</td>
								<td align="center">1.355</td>
							</tr>
							<tr>
								<td align="left">Forteo</td>
								<td align="center">0.465</td>
								<td align="center">0.685</td>
								<td align="center">0.84</td>
								<td align="center">1.235</td>
							</tr>
							<tr>
								<td align="left">PTH</td>
								<td align="center">0.465</td>
								<td align="center">0.63</td>
								<td align="center">0.78</td>
								<td align="center">1.22</td>
							</tr>
						</tbody>
					</table>
				</table-wrap>
			</sec>
		</sec>
		<sec id="S0019" sec-type="discussion">
			<title>Discussion</title>
			<p>The successful expression of rhPTH in <italic>E. coli</italic> needs fusion partner, since low molecular weight rhPTH without fusion partner is susceptible to endogenous protease digestion <sup>(<xref ref-type="bibr" rid="CIT0011">11</xref>)</sup>. In addition, the problems encountered in over expression of other proteins in bacteria are overcome through the use of fusion proteins <sup>(<xref ref-type="bibr" rid="CIT0021">21</xref>)</sup>. Therefore, selection of the right fusion partner is a critical issue. Recombinant hPTH (1-34) has been expressed in <italic>E. coli</italic> by fusing to different fusion partners such as asparginase C-terminal fragment and human growth factors <sup>(<xref ref-type="bibr" rid="CIT0022">22</xref>)</sup>, the <italic>E. coli</italic> maltose-binding protein (MBP, 40 <italic>kDa</italic>), the <italic>E. coli</italic> N-utilizing substance A (NusA, 54.8 <italic>kDa</italic>), and thioredoxin (Trx, 11.7 <italic>kDa</italic>) <sup>(<xref ref-type="bibr" rid="CIT0010">10</xref>)</sup>.</p>
			<p>
				<italic>E. coli</italic> Thioridoxin (Trx) is an abundant small (Mr 12,000) redox protein and a catalyst for reducing protein disulfide bonds <sup>(<xref ref-type="bibr" rid="CIT0023">23</xref>)</sup>. Trx takes less energy to obtain a certain number of molecules and reduce steric hindrance, therefore it reduces inclusion body and simplifies downstream applications <sup>(<xref ref-type="bibr" rid="CIT0024">24</xref>)</sup>. It also has been reported that Trx increases the solubility of foreign proteins expressed in <italic>E. coli</italic> as well <sup>(<xref ref-type="bibr" rid="CIT0024">24</xref>)</sup>.</p>
			<p>Liu and colleagues showed that the expression level of 23% of total bacterial protein is high enough for large scale production <sup>(<xref ref-type="bibr" rid="CIT0010">10</xref>)</sup>. In the present study, the level of expression was more than 50% of total bacterial protein.</p>
			<p>Since rhPTH contains Lys, Arg, Glu, Asp and some aromatic amino acids, the selection of a protease that recognizes these amino acids should be avoided. One of the protease specific sites is SVKKR that was ligated in the 5&#x2019; site of rhPTH <sup>(<xref ref-type="bibr" rid="CIT0012">12</xref>)</sup>. Kex2660 and kex2 enzymes have been used for the above protease recognition site which contains RR, KR, and RR sequences <sup>(<xref ref-type="bibr" rid="CIT0008">8</xref>)</sup>. The recognition sequence, Asp-Asp-Asp-Asp-Lys, integrated in the present construct of rhPTH, is shown to be very specific.</p>
			<p>The final yield of rhPTH, after purification, was 100 <italic>mg/l</italic>, higher than 27 <italic>mg/l</italic> of the most efficient direct expression strategy <sup>(<xref ref-type="bibr" rid="CIT0025">25</xref>)</sup> and 5-8 <italic>mg/l</italic> of soluble fusion protein system using the C-terminus of a 15 <italic>kDa</italic> IgG-binding protein from <italic>Staphylococcus aureus</italic> protein A as a fusion partner <sup>(<xref ref-type="bibr" rid="CIT0026">26</xref>)</sup>, and also more than 30 <italic>mg/l</italic> of hPTH tagged with GST and cleaved with Factor Xa <sup>(<xref ref-type="bibr" rid="CIT0027">27</xref>)</sup>.</p>
		</sec>
		<sec id="S0020" sec-type="conclusion">
			<title>Conclusion</title>
			<p>High expression level with high solubility was obtained using thioredoxin as a fusion partner for PTH. This specific fusion partner increased protein solubility and decreased protease reactivity. Purification process was optimized for high recovery and for purity more than 99%. The biological activity and potency were found to be similar to reference standards, Forteo and NIBSC rhPTH. This protein has all the criteria as a good candidate for biopharmaceutical interest since it demonstrates biosimilarity to Forteo, one of the well defined biopharmaceutical proteins which is available in the market.</p>
		</sec>
	</body>
	<back>
		<ack>
			<title>Acknowledgement</title>
			<p>This study was financially supported by CinnaGen Company. The authors wish to thank Dr. Aghajani for critical reviews and final revisions.</p>
		</ack>
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