28 research outputs found

    Validation of an Immunoassay for anti-thymidine phosphorylase antibodies in patients with MNGIE treated with enzyme replacement therapy

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    Erythrocyte encapsulated thymidine phosphorylase is recombinant Escherichia coli thymidine phosphorylase encapsulated within human autologous erythrocytes and is under development as an enzyme replacement therapy for the ultra-rare inherited metabolic disorder mitochondrial neurogastrointestinal encephalomyopathy. This study describes the method validation of a two-step bridging electrochemiluminescence immunoassay for the detection of anti-thymidine phosphorylase antibodies in human serum according to current industry practice and regulatory guidelines. The analytical method was assessed for screening cut point, specificity, selectivity, precision, prozone effect, drug tolerance, and stability. Key findings were a correction factor of 129 relative light units for the cut-point determination; a specificity cut point of 93% inhibition; confirmed intra-assay and inter-assay precision; assay sensitivity of 356 ng/mL; no matrix or prozone effects up to 25,900 ng/mL; a drug tolerance of 156 ng/mL; and stability at room temperature for 24 hr and up to five freeze-thaws. Immunogenicity evaluations of serum from three patients who received erythrocyte encapsulated thymidine phosphorylase under a compassionate treatment program showed specific anti-thymidine phosphorylase antibodies in one patient. To conclude, a sensitive, specific, and selective immunoassay has been validated for the measurement of anti-thymidine phosphorylase antibodies; this will be utilized in a phase II pivotal clinical trial of erythrocyte encapsulated thymidine phosphorylase

    Erythrocyte Encapsulated Thymidine Phosphorylase for the Treatment of Patients with Mitochondrial Neurogastrointestinal Encephalomyopathy: Study Protocol for a Multi-Centre, Multiple Dose, Open Label Trial

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    Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is an autosomal recessive disorder which primarily affects the gastrointestinal and nervous systems. This disease is caused by mutations in the nuclear TYMP gene, which encodes for thymidine phosphorylase, an enzyme required for the normal metabolism of deoxynucleosides, thymidine, and deoxyuridine. The subsequent elevated systemic concentrations of deoxynucleosides lead to increased intracellular concentrations of their corresponding triphosphates, and ultimately mitochondrial failure due to progressive accumulation of mitochondrial DNA (mtDNA) defects and mtDNA depletion. Currently, there are no treatments for MNGIE where effectiveness has been evidenced in clinical trials. This Phase 2, multi-centre, multiple dose, open label trial without a control will investigate the application of erythrocyte-encapsulated thymidine phosphorylase (EE-TP) as an enzyme replacement therapy for MNGIE. Three EE-TP dose levels are planned with patients receiving the dose level that achieves metabolic correction. The study duration is 31 months, comprising 28 days of screening, 90 days of run-in, 24 months of treatment and 90 days of post-dose follow-up. The primary objectives are to determine the safety, tolerability, pharmacodynamics, and efficacy of multiple doses of EE-TP. The secondary objectives are to assess EE-TP immunogenicity after multiple dose administrations and changes in clinical assessments, and the pharmacodynamics effect of EE-TP on clinical assessments

    Stable isotopic composition of Anguilliform leptocephali and other food web components from west of the Mascarene Plateau

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    Leptocephali are the poorly-understood transparent larvae of elopomorph fishes that live in the ocean surface layer throughout the world's tropical and subtropical oceans. Their feeding ecology has been difficult to understand because they appear to primarily feed on particulate organic material (POM), which contains few identifiable objects, and there have been few studies on their diets or trophic positions. This study presents the first comparative results on the stable isotope ratios of 7 families of leptocephali in relation to the ratios of 30 taxa of other marine animals and POM samples. The carbon and nitrogen stable isotope ratios were analyzed using 50 specimens of leptocephali, 354 specimens of mesozooplankton, cephalopods, fishes, and POM collected west of the Mascarene Plateau in the western Indian Ocean. Nitrogen and carbon isotopic ratio analyses indicated that the 12 taxa of DNA barcoded leptocephali (>= 15 species) could be separated into 2 groups of species with either higher (Group 1: 9 taxa of 7 families, 25-91 mm) or lower (Group 2: 3 taxa of 2 families, 43-275 mm) delta N-15 ranges. Group 2 exclusively included species that reach much larger sizes of >150-200 mm (Nemichthys and Avocettina, 3 species of Ariosoma-type), whereas Group 1 included Anguilla bicolor bicolor, Serrivomeridae, Muraenidae, Congridae (3 species), Chlopsidae, Ophichthidae (2 species), and Thalassenchelys. Differences in feeding depths, the types of POM ingested by preference or because of different jaw morphology, or the transport of larvae from other regions with different isotopic signatures are possible reasons for the differences between the two groups. The isotopic signatures of 14 taxa of copepods had higher but slightly overlapping delta N-15 and delta C-13 signatures compared to leptocephali and most crustaceans and other mezozooplankton, cephalopods and mesopelagic fish taxa had even higher values. The delta N-15 and delta C-13 signatures and composition of POM were variable spatially and with depth and may have been influenced by particulates originating from the shallow banks of the Mascarene Plateau. The two apparent isotopic groups of leptocephali should be examined in relation to their consumption of POM, which can include various proportions of prokaryotes, phytoplankton, protozoans, discarded appendicularian houses and other materials, by conducting further studies in different regions and using a variety of techniques

    New insights into the systematics of North Atlantic Gaidropsarus (Gadiformes, Gadidae): flagging synonymies and hidden diversity

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    Gaidropsarus Rafinesque, 1810 is a genus of marine fishes, commonly known as rocklings, comprising 14 living species and showing a high ecological diversity from the intertidal zone to the deep sea. The systematics of this group has been controversial due to a general lack of representative specimens and the conservative morphology exhibited. A multidisciplinary approach combining the analysis of meristic data and the DNA barcode standard was applied in a species delimitation approach. Individuals representing eight valid and three unnamed species were collected, morphologically identified and archived in several museum collections. Comparison of DNA sequences shows complex results, furthering the idea of the difficult identification of specimens based on traditional taxonomy. DNA barcoding supports synonymies, like G. biscayensis–G. macrophthalmus and G. guttatus–G. mediterraneus, agreeing with the extensive overlaps observed in the meristic variables analysed and suggesting a reduction in the number of species. Genetic distances showed pairs of closely related species like G. granti–G. vulgaris and G. argentatus–G. ensis, the latter being only distinguished by one main distinctive character. Four deep-water specimens, morphologically classified only to the genus level, constituted three independent taxa apart from the ones present in this study and with no barcode matches in the repository databases. They could represent new records for the North Atlantic or unknown species of this genus. The results obtained show that more studies will be necessary to solve the systematics of this branch of the Gadiformes
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