Id |
Subject |
Object |
Predicate |
Lexical cue |
T12 |
0-2 |
Sentence |
denotes |
1. |
T13 |
3-15 |
Sentence |
denotes |
Introduction |
T14 |
16-134 |
Sentence |
denotes |
Thymosin α1 (Tα1) is an immunostimulatory peptide initially isolated from calf thymus [1] and also abundant in humans. |
T15 |
135-424 |
Sentence |
denotes |
Tα1 is synthesized as the N-terminal moiety of the highly acidic (pI = 3.7) prothymosin α (ProTα), a peculiar cytoplasmic protein due to the absence of any sulfur-containing as well as aromatic side chains and, in particular, its random coil structure under physiological conditions [2,3]. |
T16 |
425-570 |
Sentence |
denotes |
Cleaved by the lysosomal asparaginyl endopeptidase (legumain; δ-secretase), the N-terminally acetylated 28-residue peptide Tα1 gets released [4]. |
T17 |
571-843 |
Sentence |
denotes |
Tα1 plays a significant role in activating and regulating various cells of the immune system [5], e.g., by stimulating toll-like receptor (TLR)-2 and TLR-9 on myeloid and plasmacytoid dendritic cells (DCs), which results in the secretion of immune-related cytokines [6,7]. |
T18 |
844-1011 |
Sentence |
denotes |
Furthermore, Tα1 increases the number of activated T helper (Th) cells and provokes a shift towards the Th1 subclass, thus promoting the cell-mediated immune response. |
T19 |
1012-1206 |
Sentence |
denotes |
In addition, Tα1 was reported to reduce apoptosis of immune cells [8] and to upregulate the expression of major histocompatibility complex I (MHC I) molecules [9] as well as tumor antigens [10]. |
T20 |
1207-1516 |
Sentence |
denotes |
Interestingly, Tα1 mediates increased intracellular glutathione (GSH) levels [11], which not only inhibits the growth of certain cancer cells in vitro [7,12], but also blocks the assembly of virus particles by hindering disulfide bond formation that is required for envelope glycoprotein oligomerization [13]. |
T21 |
1517-1590 |
Sentence |
denotes |
These features offer a broad range of clinical applications for Tα1 [14]. |
T22 |
1591-1739 |
Sentence |
denotes |
In fact, a chemically synthesized Tα1 peptide drug has been marketed for more than 20 years under the trade name Zadaxin™ in more than 30 countries. |
T23 |
1740-1942 |
Sentence |
denotes |
Zadaxin™ is clinically approved for the treatment of chronic hepatitis B (HBV), chronic hepatitis C (HCV), as a vaccine adjuvant, and as adjuvant therapy for chemotherapy-induced immune suppression [7]. |
T24 |
1943-2134 |
Sentence |
denotes |
Of note, the use of Tα1 has recently undergone reassessment in the context of modern cancer immunotherapies, as there is indication that this peptide may support immune checkpoint inhibition. |
T25 |
2135-2352 |
Sentence |
denotes |
Preclinical data provide evidence that Tα1 transforms so called cold tumors, which poorly respond to immune checkpoint inhibitors, into highly lymphocyte-infiltrated tumors and, thus, boosts therapeutic efficacy [15]. |
T26 |
2353-2624 |
Sentence |
denotes |
Indeed, a retrospective study evaluating clinical phase II data reported an increase in overall survival of melanoma patients receiving sequentially Tα1 and the immune checkpoint inhibitor ipilimumab, a CTLA-4-blocking antibody, compared to ipilimumab therapy alone [16]. |
T27 |
2625-2816 |
Sentence |
denotes |
Moreover, Tα1 was shown to prevent intestinal toxicity in a murine model of anti-CTLA-4-induced colitis, hence contributing to an improved safety profile of immune checkpoint inhibitors [17]. |
T28 |
2817-2993 |
Sentence |
denotes |
Beyond that, emerging indications such as cystic fibrosis [18], multiple sclerosis [19], and sepsis [20] further emphasize the huge potential of this small therapeutic peptide. |
T29 |
2994-3093 |
Sentence |
denotes |
Finally, with the outbreak of the COVID-19 pandemic, Tα1 recently gained new attention in virology. |
T30 |
3094-3227 |
Sentence |
denotes |
Clinical symptoms of COVID-19 to some extent resemble a pathogen-induced sepsis, which justifies immunomodulatory Tα1 treatment [21]. |
T31 |
3228-3443 |
Sentence |
denotes |
Along these lines, Chinese medical staff members at high risk of COVID-19 infection already received a weekly Tα1 injection in combination with human interferon 1 (hIFN-α) nasal drops as a prophylactic measure [22]. |
T32 |
3444-3661 |
Sentence |
denotes |
Furthermore, a recent retrospective study in treated Chinese patients revealed that Tα1 significantly reduced the mortality of severe COVID-19 by restoration of lymphocytopenia and reversion of exhausted T cells [23]. |
T33 |
3662-3781 |
Sentence |
denotes |
However, there are two major drawbacks of the currently marketed Tα1, both of which are related to its peptidic nature. |
T34 |
3782-3844 |
Sentence |
denotes |
First, the biopharmaceutical production of Tα1 is challenging. |
T35 |
3845-4102 |
Sentence |
denotes |
Apart from the posttranslational modification via N-terminal acetylation, chemical synthesis of Tα1 is complex, and obstacles comprise the large number of required protecting groups as well as the aggregation tendency of intermediates during synthesis [24]. |
T36 |
4103-4211 |
Sentence |
denotes |
Furthermore, the overall yield of the solid-phase synthesis is low, typically reaching only around 25% [25]. |
T37 |
4212-4328 |
Sentence |
denotes |
On the other hand, the biotechnological production as a recombinant peptide in an economic manner has failed so far. |
T38 |
4329-4483 |
Sentence |
denotes |
Short peptides, in general, are quickly degraded in the bacterial cytoplasm; thus, efficient one-step production of mature Tα1 in E. coli is not feasible. |
T39 |
4484-4714 |
Sentence |
denotes |
An alternative would be expression as part of a larger protein such as natural ProTα [26], as artificial concatamers [27], in fusion with an intein [28] or in fusion with a highly expressed bacterial protein like thioredoxin [29]. |
T40 |
4715-4864 |
Sentence |
denotes |
In each case, enzymatic or chemical cleavage is necessary to liberate the mature peptide, which complicates the biopharmaceutical downstream process. |
T41 |
4865-5033 |
Sentence |
denotes |
Second, after administration in vivo, the small peptide Tα1 is quickly eliminated via renal filtration with a terminal plasma half-life in humans of less than 3 h [30]. |
T42 |
5034-5138 |
Sentence |
denotes |
This limits its clinical efficacy and, to maintain viable drug levels, would require twice daily dosing. |
T43 |
5139-5427 |
Sentence |
denotes |
In the present study, we applied the PASylation® technology in order to overcome both of these obstacles of the currently available Tα1 drug and to create a long-lasting N-terminally acetylated therapeutic peptide, also offering cheap and efficient biotechnological production in E. coli. |
T44 |
5428-5646 |
Sentence |
denotes |
To this end, we combined fusion with a 600-residue polypeptide comprising the small natural L-amino acids Pro, Ala, and Ser [31] with in situ N-acetylation by overexpressing the host cell N-acetyltransferase RimJ [32]. |
T45 |
5647-6002 |
Sentence |
denotes |
The genetically encoded uncharged “PAS” sequence is highly soluble and structurally disordered, with an expanded hydrodynamic volume, thus showing a biophysical behavior very similar to the chemical polymer polyethylene glycol (PEG), which has been utilized for plasma half-life extension of a series of other therapeutic peptides and proteins [33,34,35]. |