This project is intended to determine the feasibility of converting human blood type A and type B erythrocytes to universal donor blood type O erythrocytes by treatment with blood group-specific glycosidases purified from the cell-free culture supernatants of 2 commensal, non-pathogenic strains of human enteric bacteria. The ultimate goal is to provide a safe and cost-effective means of converting erythrocytes from blood type A and B donors, which tend to accumulate in excess of demand, to blood type O erythrocytes, whose demand frequently exceeds supply. The rationale is based upon the fact that human blood type A and type B antigen specificities are conferred by single sugar glycosides: alpha-N-acetyl-D-galactosamine and alpha-D-galactose, respectively, at the outer, non-reducing end of oligosaccharide chains of membrane glycoproteins and glycolipids which confer blood type O(H) antigen specificity to the cell membranes of type O red cells. Cleavage of the linkage between either of these sugars and the underlying O(H) antigenic structure changes the antigen specificity from blood type A or B to O. Cleavage requires 2 glycosidases, one specific for the type A linkage (an alpha-N-acetylgalactosaminidase), and one for the type B linkage (an alpha-D-galactosaminidase). The investigator has isolated 2 strains of fecal bacteria, R. torques strain IX-70 and R. gnavus strain VI-268, each of which produces one of these glycosidases as an extracellular enzyme. The blood group A-degrading enzyme has been purified very nearly to homogeneity while the B-degrading enzyme appears close to being purified.
The specific aims of this project are: 1) to complete the purification of the B-degrading alpha-(1-3)-D-galactosidase and to fully characterize the substrate specificities of both glycosidases; 2) to characterize the actions of each purified glycosidase on blood type A or B erythrocytes with respect to alterations of membrane glycoconjugates, membrane blood group antigens, membrane integrity, and the ability of enzyme treatment to alter binding of complement-activating antibodies to the cell membrane; 3) if warranted by the results in Aim 2, to measure the survival of enzyme-treated cells labelled with 51-Cr in the circulation of a small number of adult volunteers; and 4) to clone the genome of each glycosidase into recombinant DNA for large scale production of each purified enzyme.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL045659-02
Application #
3364753
Study Section
Hematology Subcommittee 2 (HEM)
Project Start
1991-02-01
Project End
1994-01-31
Budget Start
1992-02-15
Budget End
1993-01-31
Support Year
2
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Case Western Reserve University
Department
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106