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Gene & Protein in Disease                                        Oral-ERT in PD knockout mice with tobrhGAA



            gram in dry conditions, and a GC/MS spectral profile was   3.5. Ames mutagenicity test
            generated for future comparisons (data not shown).  The Ames mutagenicity test was performed using E.  coli
            3.2. Long-term stability                           DH5a and DH5a/pUC19 with various amounts of
                                                               tobrhGAA seed lysate. We found no additional bacterial
            We compared tobrhGAA in seeds stored for 9 and 15 years   or plasmid revertant CFUs generated with the tobrhGAA
            at room temperature versus freshly harvested seeds.   lysate by exposure to >10  bacteria. 113-117
                                                                                   4
            We found there was <15% loss in GAA activity, which
            indicated extreme stability (old: 0.20 μg tobrhGAA/g seeds   3.6. In vitro studies in PD fibroblast and lymphoid
            vs. fresh: 0.25 μg tobrhGAA/g seeds).              cell lines
            3.3. Endotoxin levels                              We evaluated tobrhGAA uptake in fibroblast and lymphoid
                                                               cells from infantile, juvenile, and adult-onset patients with
            The endotoxin levels were measured in an extract of   PD and compared it to human placenta GAA and rhGAA.
            tobrhGAA#3 seeds using a LAL endotoxin kit and were   Various equivalent concentrations and time points (2, 24, and
            found to be <0.25 EU/mL endotoxin or ~25  pg/mL.   48 h) exhibited similar uptake and increases in GAA (mean
            These values are lower than the estimate of 300 mg/kg for   ± standard error of the mean [SEM]) (Figure 1  and  2). All
            oral endotoxin toxicity in mammals and humans. 118-120    treatments were significant at P ≤ 0.05.
            Moreover, we found no viable anaerobic or aerobic bacteria
            (data not shown).                                  3.7. Uptake of tobrhGAA in a human PD myoblast
                                                               cell line
            3.4. Effect of the stomach and small intestinal    A human PD myoblast cell line  was exposed to equivalent
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            environments
                                                               amounts of tobrhGAA seed lysate for 48 h and assayed.
            To mimic the stomach and small intestine environments,   Mock-treated  GAA  and  normal  skeletal  muscle  cells  as
            we exposed tobrhGAA to the physiologic conditions and   well as cells treated with rhGAA were used as controls.
            times of pepsin (stomach) and trypsin/chymotrypsin   We found that tobrhGAA increased GAA to 24% – 35%
            (small intestine). 86,95  Lysosomal GAA is stable at low   of normal (mean ± SD) (Figure  3). All treatments were
            pH.  None  of  the  enzymes  had  any  effect  on  tobrhGAA   significant at P ≤ 0.05. Simultaneously, we measured cell
            activity, thus demonstrating that the conditions in the   proliferation using the Cayman MTT assay and found
            digestive tract probably do not affect tobrhGAA (data   that both tobrhGAA doses slightly reduced cell growth by
            not shown). We repeated the conditions with 100 mg of   <10% (data not shown).
            whole or milled seeds. Interestingly, more than double
            the amount of tobrhGAA in the whole and milled seeds   3.8. Biochemical/enzyme kinetic analyses
            (600 μg/g seeds) was lysed, which suggests that the acidic   We compared the enzyme kinetics for a lysate of tobrhGAA
            environment of the stomach more thoroughly disrupts   versus placental human placental GAA and rhGAA, as
            and releases tobrhGAA from the whole or milled seed   well as the limited published data for alglucosidase alfa or
            (data not shown).                                  other rhGAAs 99-107  for K , V , optimal pH, thermal heat
                                                                                  m  max


















            Figure 1. Uptake of tobrhGAA in human lymphoid cell lines. Human lymphoid cell lines from infantile or adult Pompe disease (GM6314, GM13793, and
            GM14450) were exposed to equivalent amounts of mock, tobrhGAA, placental human GAA, or a rhGAA. Cells were harvested after 2, 24, and 48 h and
            assayed for GAA and NAG (mean ± standard deviation)
            Abbreviations: GAA: Acid  a-glucosidase; NAG: Neutral  a-glucosidase; h: Hours; tobrhGAA: Tobacco seeds expressing human acid  a-glucosidase;
            rhGAA: Recombinant human acid a-glucosidase.


            Volume 4 Issue 1 (2025)                         6                               doi: 10.36922/gpd.1760
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