BCH3052 Lecture 18: Redesigning Proteins for Improved Human Therapy

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Lecture 18 Redesigning Proteins for Improved Human Therapy
To improve stability (shelf life or in vivo stability)
o To permit oral administration
To improve activity/specificity for target
To improve all aspects of ADME (Absorption, distribution, metabolism and
excretion)
Case Study: Insulin
Insulin: protein hormone produced in pancreas
Regulates carbohydrate uptake and release
Used medically in some forms of diabetes mellitus (injectable molecule)
Diabetes mellitus
o Type 1: patients have no insulin
Rely entirely on
subcutaneous injections for
survival
o Type 2: patients either have low
insulin or insulin resistance
Require insulin
administration as well
Binds to insulin receptor influx of
glucose from blood, glycogen synthesis, glycolysis and fatty acid synthesis
Structure
o Small protein made of two chains
Alpha residue: 21 chains
Beta residue: 30 chains
Linked together by 3 disulphide bonds
Forms trimers of dimers
Initial source of insulin for clinical use in humans was sourced from cow, pig
or fish pancreases
o Get e.colli to make protein for us
Inulin is secreted by the pancreas (immediate response) after a meal in
response to the rise in plasmas glucose
o Helps maintain the plasmas glucose concenetration throughout the day
o Pattern is difficult to replicate by insulin injection (problem 1)
Need to anticipate a meal
Injected insulin peaks in plasma 1-3 hours after injection and
returns to basal levels in 6-8 hours
Problem 2: storage life: insuline changes during storage
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