GOLD NANOPARTICLE-BASED HOMOGENEOUS COLORIMETRIC DIAGNOSTIC ASSAY FOR THE DETECTION OF PROTEASES AND PROTEASE INHIBITORS
20170226560 · 2017-08-10
Inventors
Cpc classification
International classification
Abstract
In the present invention, a method and assay for the detection of proteases and protease inhibitors using colloidal gold nanoparticles and peptide substrates, which are selectively recognized and cleaved by proteases being assayed, is disclosed. In this assay, the mechanism of signal generation relies on peptide sequence induced aggregation of gold nanoparticles, which are used as signal reporters. The peptide sequences that induce aggregation are either the intact peptide substrates or proteolytic fragments of the intact peptide substrate wherein the proteolytic fragments are produced by the protease being assayed. The present invention provides a novel, simple, sensitive, and inexpensive colloidal gold nanoparticle-based colorimetric assay that allows both visual and quantitative detection of proteases and protease inhibitors.
Claims
1. A method for detecting hydrolytic activity of a protease comprising the following steps: a) providing a solution of non-aggregated colloidal gold nanoparticles, said colloidal gold nanoparticles having a surface charge and a property of a visible pink-red color when non-aggregated and a visible violet-blue color when aggregated; b) providing a peptide substrate having the following properties: at least one first functional group that bonds to said gold nanoparticles independently of the surface charge on said gold nanoparticles, at least one second functional group that can form an ionic bond with the surface charge of said gold nanoparticles, located between said first functional group and said second functional group an amino acid sequence having at least one cleavage site for said protease, wherein said peptide substrate aggregates said gold nanoparticles when intact through crosslinking of said gold nanoparticles by said first and said second functional groups and does not aggregate said gold nanoparticles following cleavage by said protease at said cleavage site; c) forming a first mixture by adding to a solution of said gold nanoparticles a solution of said peptide substrate and detecting a color change in said first mixture indicative of aggregation of said gold nanoparticles; d) forming a reaction mixture by adding to a solution of said peptide substrate a solution of said protease and incubating said reaction mixture at a predetermined temperature for a predetermined amount of time, wherein said predetermined temperature and said predetermined time are sufficient to permit cleavage of said cleavage site in said peptide substrate by said protease; e) forming a second mixture by adding to a solution of said gold nanoparticles said reaction mixture after incubation in step d) and detecting a color change in said second mixture indicative of aggregation of said gold nanoparticles; and f) comparing the color of said second reaction mixture to the color of said first mixture to determine a reduction in aggregation of said gold nanoparticles indicative of proteolytic activity of said protease on said peptide substrate.
2. A method for detecting hydrolytic activity of a protease comprising the following steps: a) providing a solution of non-aggregated colloidal gold nanoparticles, said colloidal gold nanoparticles having a surface charge and a property of a visible pink-red color when non-aggregated and a visible violet-blue color when aggregated; b) providing a peptide substrate having the following properties: at least one first functional group that bonds to said gold nanoparticles independently of the surface charge on said gold nanoparticles, at least one second functional group that is capable of forming an ionic bond with the surface charge of said gold nanoparticles, located outside the peptide sequence between said first functional group and said second functional group an amino acid sequence having at least one cleavage site for said protease, wherein said peptide substrate does not aggregate said gold nanoparticles when intact and wherein at least one proteolytic fragment containing said first functional group and said second functional group does aggregate said gold nanoparticles following cleavage by said protease at said cleavage site; c) forming a first mixture by adding to a solution of said gold nanoparticles a solution of said peptide substrate and detecting a color of said first mixture indicative of non-aggregation of said gold nanoparticles; d) forming a reaction mixture by adding to a solution of said peptide substrate a solution of said protease and incubating said reaction mixture at a predetermined temperature for a predetermined amount of time, wherein said predetermined temperature and said predetermined time are sufficient to permit cleavage of said cleavage site in said peptide substrate by said protease; e) forming a second mixture by adding to a solution of said gold nanoparticles said reaction mixture after incubation in step d) and detecting a color change in said second mixture indicative of aggregation of said gold nanoparticles; and f) comparing the color of said second reaction mixture to the color of said first mixture to determine a degree of aggregation of said gold nanoparticles indicative of proteolytic activity of said protease on said peptide substrate.
3. An assay kit for detecting proteolytic activity of a protease comprising: a) a plurality of non-aggregated gold nanoparticles, each of said gold nanoparticles having a surface charge; b) a peptide substrate comprising a peptide sequence, said peptide substrate comprising: at least one first functional group capable of covalently bonding to one of said gold nanoparticles; at least one second functional group capable of forming an ionic bond with said surface charge of one of said gold nanoparticles; and a cleavage site for said protease, said cleavage site at a location either in a peptide sequence between said first and said second functional groups or outside said peptide sequence between said first and said second functional groups, wherein when said cleavage site is at a location in said peptide sequence between said first and said second functional groups then said peptide substrate is capable of crosslinking said gold nanoparticles and aggregating said nanoparticles and no hydrolytic fragments of said peptide substrate formed following cleavage of said peptide substrate by said protease are capable of crosslinking said gold nanoparticles, and wherein when said cleavage site is at a location outside said peptide sequence between said first and said second functional groups then said peptide substrate is not capable of crosslinking said gold nanoparticles and cannot aggregate said nanoparticles and a hydrolytic fragment containing said first and said second functional groups is capable of crosslinking said gold nanoparticles after formation following cleavage of said peptide substrate by said protease and said hydrolytic fragment causes aggregation of said gold nanoparticles; c) said non-aggregated gold nanoparticles having an absorbance spectrum with a maximum absorbance peak at 520 nanometers±5 nanometers, wherein a solution of said non-aggregated gold nanoparticles has a visible color of pink-red; and wherein aggregation of said gold nanoparticles causes a shift in said absorbance spectrum with formation of a new absorbance peak in the range of from 600 nanometers to 750 nanometers and a decrease of said absorbance at 520 nanometers±5 nanometers, said shift leading to a change in said visible color to a violet-blue color; and d) optionally, including a standardized preparation of said protease that cleaves said peptide substrate, said standardized preparation being useful for preparing standard curves of proteolytic activity of said protease.
4. An assay kit as recited in claim 3, wherein said gold nanoparticles have a size in at least one dimension of from 1 to 200 nanometers and a shape selected from the group consisting of a sphere, a rod, a prism, a cube, a disk, a core-shell structure, a frame, a cage, a mixture thereof.
5. An assay kit as recited in claim 3, wherein said gold nanoparticles are provided as a solution in one of water, methanol, ethanol, acetone, a biological buffer, or a mixture thereof.
6. An assay kit as recited in claim 3, wherein said gold nanoparticles are provided as a nanostructure at least partially covered by said gold nanoparticles.
7. An assay kit as recited in claim 3, wherein said at least one first functional group comprises a thiol group, an amine group, a phosphine group, a disulfide group or a mixture thereof.
8. An assay kit as recited in claim 3, wherein said at least one second functional group comprises arginine, lysine, histidine, aspartic acid, glutamic acid, or a mixture thereof.
9. An assay kit as recited in claim 3, wherein if said surface charge is negative then said at least one second functional group is selected from the group consisting of lysine, arginine, histidine, and mixtures thereof and wherein if said surface charge is positive then said at least one second functional group is selected from the group consisting of aspartic acid, glutamic acid, and mixtures thereof.
10. An assay kit as recited in claim 3, wherein said cleavage site is cleavable by at least one of a serine protease, a threonine protease, a cysteine protease, an aspartate protease, a glutamic acid protease, a metalloprotease, or a mixture thereof.
11. An assay kit as recited in claim 3 wherein said cleavage site is cleavable by at least one of trypsin, chymotrypsin, thrombin, prostrate-specific antigen, HIV-1 protease, elastase, a metalloendopeptidase, subtilisin, or a mixture thereof.
12. An assay kit as recited in claim 3 further comprising said standardized preparation of said protease, said protease capable of cleaving said peptide substrate, wherein said kit is usable to detect the activity of a protease inhibitor of said standardized protease, said protease inhibitor activity measured by monitoring a reduction in the proteolytic activity of said standardized protease when in the presence of said protease inhibitor.
13. An assay kit as recited in claim 12, wherein said protease inhibitor comprises at least one of saquinavir, ritonavir, indinavir, nelfinavir, amprenavir, boceprevir, telaprevir, bovine pancreatic trypsin inhibitor, serine protease inhibitor Kazal-type 1, Alpha-1 antitrypsin, or mixtures thereof.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0035] Proteases are a class of enzymes that cleave other proteins at specific sites within peptide recognition sequences, or remove amino acids from the ends of peptide sequences. The recognition sequence for a protease can be a single amino acid or it can be a sequence of amino acids. Many proteases are capable of recognizing several amino acid sequences and thus can cut a peptide bond next to one of several amino acids; others can be very specific and require a longer recognition sequence to maintain enzymatic specificity. For example, digestive enzymes like trypsin can act on a wide variety of protein substrates since it cuts on the carboxyl side of all arginine or lysines in an amino acid sequence unless they are bound to a C-terminal proline. On the other hand, the proteases involved in blood clotting have very specific and long recognition sequences to maintain their specificity. In the present specification and claims it is to be understood that the recognition sequence for a protease may comprise several structurally related sequences and that the cleavage of the peptide may occur at an amino acid adjacent to or within the sequence depending on the protease. Proteases are estimated to comprise 2% of the human genome and control a diverse array of biological processes in living organisms by playing pivotal roles in protein activation, cell regulation and signaling, as well as in the generation of amino acids for protein synthesis or utilization in other metabolic pathways. There are currently six broadly defined groups of proteases: serine proteases, threonine proteases, cysteine proteases, aspartate proteases, glutamic acid proteases, and metalloproteases. Within each group there are hundreds of proteases grouped by their structure, mechanism and catalytic residue order and sequence similarity. Because of their great relevance to biology, medicine, and biotechnology, a sensitive assay method capable of detecting a variety of proteases will be extremely valuable and have broad applications in drug screening, diagnosis, and the development of effective and selective therapeutics. Several current standard assays, including enzyme-linked immunosorbent assays, radioisotope-based assays, and fluorogenic substrate-based assays, can suffer from radioisotope safety issues, lack of sufficient sensitivity, lack of the ability for the specific detection, and they can be laboriously time-consuming. Thus, there is an urgent demand for simple, low-cost, highly sensitive assays capable of on-site detection of protease activity with high specificity.
[0036] Because of their unique optical and electronic properties, such as size and shape-dependent localized surface plasmon resonance (LSPR), which is tunable from ultraviolet (UV) wavelengths all the way to near infrared (NIR) wavelengths, gold nanoparticles have attracted substantial interest from scientists for over a century and are now being widely investigated for their potential use in a variety of biological and medical applications, including as imaging contrast agents (Nat. Biotechnol. 2008, 26, 83 and Nano Lett. 2005, 5, 829), therapeutic agents (Nano Lett. 2007, 7, 1929 and Sci. Transl. Med. 2010, 2), biological sensors (Chem. Soc. Rev. 2008, 37, 2028), and cell-targeting vectors (Nano Lett. 2007, 7, 247).
[0037] The physical origin of the LSPR is associated with coherent oscillations of conduction-band electrons on the gold nanoparticle surface upon interaction with light with the exact LSPR band being extremely sensitive to not only the size and shape of gold nanoparticles but also the aggregation state of the gold nanoparticles. For example, after aggregation, the localized surface plasmon resonance of a gold (Au) nanocolloid with an average particle diameter of 20 nm is significantly modified with a decrease of the absorption band at 520 nm±5 nm and an appearance of new absorption band at longer wavelengths between 600 to 700 nm due to dipole coupling between the localized surface plasmon resonance (LSPR) of neighboring particles forming the aggregates, thus leading to color changes of the solution from pink-red to violet-blue. Taking advantage of the color changes of a gold nanocolloid solution from pink-red to violet-blue arising from the inter-particle localized surface plasmon resonance (LSPR) coupling during gold nanoparticle aggregation, an absorption-based colorimetric assay with gold nanoparticles as signal reporters could be designed for the detection of a target analyte or a biological process that is able to directly or indirectly trigger gold nanoparticle aggregation.
[0038] Trypsin is a pancreatic serine protease with a molecular weight of 24 kilo Daltons (kDa). Detection of trypsin has clinical significance since augmented levels of immunoreactive trypsin in the bloodstream can indicate pancreatic malfunction and this indicator is used to screen for and diagnose Cystic Fibrosis in newborns. Using the detection of proteases such as trypsin, thrombin and protease K as examples, we disclose in the present invention a colloidal gold nanoparticle-based colorimetric assay that provides a simple, sensitive, specific, and inexpensive approach for both visual and quantitative detection of proteases and protease inhibitors. Due to the biological significance of serine proteases we choose trypsin as one model for testing in the present invention; however, the results are applicable to all proteases and protease inhibitors. We have also tested aspects of the present invention using the proteases thrombin and protease K as discussed below. We believe the assay methods described can be used to detect activity of all known proteases and protease inhibitors. In addition, the inventive assay methods provide a means for detection of new proteases in samples and for detection of new protease inhibitors. The detection of new proteases and new protease inhibitors using the present methods would not necessarily be quantitative initially, but the qualitative nature of the assay methods would allow one to determine if there was proteolytic activity on a test peptide substrate and inhibition of the activity of a known or unknown protease using the methods described herein. Subsequent assays according to the present invention can be used to make quantitative measurements. We also believe that the present methods will be useful in testing for the active site specificity of proteases. For example, using a variety of peptide substrates with different sequences one can investigate the amino acid sequence requirements and specificity of a protease of interest, potential inhibitory amino acids, like a carboxyl terminal proline is for the activity of trypsin, can also be detected. Knowing the sequence requirements can help in elucidating the active site sequence of a protease. The present methods by providing a rapid visual signal and by allowing for quantitative data will be a valuable tool for investigating both proteolytic activity and inhibition of proteolytic activity and also in the development of assays for a wide variety of proteases.
[0039] As shown in
[0040] In the present specification and claims either the accepted three letter abbreviations for each amino acid or their single letter abbreviations will be used and any sequences are written via the convention that the left end of the sequence is the amino terminal end while the right end is the carboxyl terminal end. Although the exact nature of the induced aggregation is not known, as stated above, it is theorized to involve both covalent bonding of the aggregation-inducing species to the surface of a gold nanoparticle and electrical charge interactions between the surface charges of the nanoparticles and opposite charges on the aggregation-inducing species that leads to formation of an ionic bond between the nanoparticles and the particular amino acid sequence. So for example, as discussed below, the peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys induces the aggregation of gold nanoparticles having a negative surface charge. After exposure of the peptide substrate to the protease trypsin the induced aggregation is reduced demonstrating that the hydrolytic fragments are not able to crosslink the nanoparticles. The peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys will be cleaved by the protease trypsin into the following fragments after complete digestion: SEQ ID NO: 2 Lys, Lys, SEQ ID NO: 3 Gly-Phe-Pro-Arg, and Gly-Gly-Asp-Cys. The Cys will bind to the surface of gold nanoparticles with very high affinity via covalent thiol bonding. It is expected that each gold nanoparticle can accommodate a plurality of peptide substrates bound to it through the Cys via a thiol bond. At a neutral, physiological pH of 7.4 the amino acids Asp and Glu are expected to have a net negative charge on their side chains. The amino acids Arg, Lys, and His are expected to have a net positive charge on their side chains at a pH of 7.4; however, given its pKa His is expected to carry a positive charge on only about 10% of the available side chains with 90% being neutral. So for practical purposes the majority of the His side chains in a sequence will be electrically neutral at a neutral pH. Thus, at a neutral pH the peptide substrate Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys is expected to bond to gold nanoparticles via a thiol bond from the Cys and will have positive charges from 2 Lys and 1 Arg for a total of three positive charges wherein two are at the amino terminal end of the peptide substrate. The Asp is expected to provide a negative charge to the peptide substrate. The second bond is theorized to occur as an ionic bond between one or more amino acids and the surface charges of the nanoparticle. Therefore, in the present example the second bond(s) will be ionic most likely through the two terminal end Lys, which each carry a positive charge, and the negative surface charge of the gold nanoparticles. Although there might be some interaction with the internal Arg, it is theorized that this is minimal compared to the terminal Lys. As trypsin cleaves the peptide substrate the fragments have greatly reduced or no ability to form an ionic bond to the nanoparticles. The loss of a single Lys still leaves one Lys to bond, but after loss of the second Lys the internal Arg is unlikely to form much of a bond so crosslinking and aggregation is lost. The final peptide substrate bound to the gold nanoparticle, assuming complete cleavage, is SEQ ID NO: 3 Gly-Gly-Asp-Cys. Since the Asp will be carrying net negative charge this means nanoparticles with bound peptide fragment will be even more repelled from each other than the original nanoparticles, which carry a net negative surface charge. Following in the current theory one can envision creating a peptide substrate having on one of its terminal ends one or more of the amino acids Glu or Asp and on the other end a Cys. This peptide substrate should be able to induce aggregation of gold nanoparticles that have a positive surface charge through a similar mechanism to that discussed above. The only difference is that now the peptide substrate has a negative charge and can form an ionic bond with a positively charged nanoparticle. Again, if one designs the peptide substrate with appropriately placed Lys and Arg one can cause cleavage of the Asp and Glu by trypsin and loss of the ability of the peptide substrate to cross link and aggregate the gold nanoparticles.
[0041] Following in the same theoretical vein as above, one can envision creating a peptide substrate wherein the sequence might be, for example, SEQ ID NO: 4 Cys-Gly-Phe-Pro-Arg-Gly-Gly-Ser-Asp-Glu. This would be expected to covalently bond to gold nanoparticles having a negative surface charge through the amino acid Cys; however, the terminal Asp and Glu would prevent the intact peptide from forming ionic bonds to other gold nanoparticles having a negative surface charge. Therefore the intact peptide should not be able to cause aggregation of the gold nanoparticles. Following exposure to trypsin and after complete cleavage the resulting proteolytic fragments should comprise: SEQ ID NO: 5 Cys-Gly-Phe-Pro-Arg and SEQ ID NO: 6 Gly-Gluy-Ser-Asp-Glu. It is expected that the first fragment will now cause aggregation of the gold nanoparticles. One bond will be a covalent thiol linkage between the Cys and the nanoparticle and the other will be ionic between the terminal Arg carrying a positive charge and the negative surface charge of the gold nanoparticles. Now one can also envision a peptide substrate with a sequence to allow the same aggregation principals to apply except one uses gold nanoparticles having a positive surface charge and the intact peptide has one or more Arg on a terminal end and the action of the enzyme removes the Arg exposing negatively charged amino acids such as Asp or Glu.
[0042] To further illustrate the invention as described above, several of the concepts are shown schematically in
[0043] In
[0044] As discussed above, the overwhelming majority of commercially available gold nanocolloids are prepared by the standard sodium citrate reduction reaction. This method is a bottom-up method and allows for the synthesis of spherical gold nanoparticles with diameters ranging from 1 to 200 nanometers (nm) which are capped with negatively charged citrate ions. The capping controls the growth of the nanoparticles in terms of rate, final size, geometric shape and electrostatic repulsion stabilizes the nanoparticles against aggregation.
[0045] In contrast to the prior process of bottom-up fabrication using wet chemical processes, gold nanocolloids used in the present invention are preferably produced by a top-down nanofabrication approach. The top-down fabrication methods of the present invention start with a bulk material in a liquid and then break the bulk material into nanoparticles in the liquid by applying physical energy to the material. The physical energy can be mechanical energy, heat energy, electric field arc discharge energy, magnetic field energy, ion beam energy, electron beam energy, or laser beam energy including laser ablation of the bulk material. The top-down process produces a pure, bare colloidal gold nanoparticle that is stable in the ablation liquid and avoids the wet chemical issues of residual chemical precursors, stabilizing agents and reducing agents. These particles tend to carry a negative surface charge naturally. They can be converted to a positive surface charges through use of surfactants to coat the nanoparticles as known to those of ordinary skill in the art.
[0046] The top-down nanofabrication approaches all require that the generation of the nanoparticles from the bulk material occur in the presence of a suspension medium. In one embodiment, the process comprises a one step process wherein the application of the physical energy source, such as mechanical energy, heat energy, electric field arc discharge energy, magnetic field energy, ion beam energy, electron beam energy, or laser energy to the bulk gold occurs in the suspension medium. The bulk source is placed in the suspension medium and the physical energy is applied thus generating nanoparticles that are immediately suspended in the suspension medium as they are formed. In another embodiment, the present invention is a two-step process including the steps of: 1) fabricating gold nanoparticle arrays on a substrate by using photo, electron beam, focused ion beam, nanoimprint, or nanosphere lithography as known in the art; and 2) removing the gold nanoparticle arrays from the substrate into the suspension liquid using one of the above described physical energy methods. Tabor, C., Qian, W., and El-Sayed, M. A., Journal of Physical Chemistry C, Vol 111 (2007), 8934-8941; Haes, A. J.; Zhao, J.; Zou, S. L.; Own, C. S.; Marks, L. D.; Schatz, G. C.; Van Duyne, R. P. Journal Of Physical Chemistry B, Vol 109 (2005), 11158. In both the one step and two step methods the colloidal gold is formed in situ by generating the nanoparticles in the suspension medium using one of the physical energy methods.
[0047] In at least one embodiment of the present invention, gold nanocolloids were produced by pulsed laser ablation of a bulk gold target in deionized water as the suspension medium.
[0048] The following laser parameters were used to fabricate gold (Au) nanocolloids by pulsed laser ablation of a bulk gold target in deionized water: a pulse energy of 10 micro Joules (μJ), a pulse repetition rate of 100 kHz, a pulse duration of 700 femtoseconds (fs), and a laser spot size on the ablation target of about 50 microns (μ). For the preparation of Au nanocolloids according to the present invention, a 16 millimeter (mm) long, 8 mm wide, and 0.5 mm thick rectangular target of Au from Alfa Aesar was used. For convenience, the Au target materials can be attached to a bigger piece of a bulk material such as a glass slide, another metal substrate, or a Si substrate.
[0049] More generally, for the fabrication of gold nanocolloids used in the present invention, the suitable laser ablation parameters are as follows: a pulse duration in a range of from about 10 fs to about 500 picoseconds (ps), preferably from about 100 fs to about 30 ps; a pulse energy in the range of from about 1 μJ to about 100 μJ; a pulse repetition rate in the range of from about 10 kHz to about 10 MHz; and the laser spot size may be less than about 100 μm. The target material has a size in at least one dimension that is greater than a spot size of a laser spot at a surface of the target material.
[0050] Samples of colloidal gold nanoparticles prepared by laser ablation in deionized water were characterized by an array of commercially available analytic instruments and techniques, including UV-VIS absorption spectra, dynamic light scattering (DLS), and transmission electron microscopy (TEM). UV-VIS absorption spectra were recorded with a Shimadzu UV-3600 UV-VIS-NIR spectrophotometer. DLS measurements were performed using a Nano-ZS90 Zatasizer (Malvern Instrument, Westborough, Mass.). Gold nanoparticles were visualized using transmission electron microscopy (TEM; JEOL 2010F, Japan) at an accelerating voltage of 100 kilovolts (kV). All measurements and processes were carried out at room temperature, approximately 20° C.
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[0052] Since trypsin, a pancreatic serine protease with molecular weight of 24 kDa, has great clinical significance in terms of the diagnosis of pancreatic malfunction and as a screening marker for the diagnosis of Cystic Fibrosis, the detection of trypsin activity was used as one of the model systems for demonstrating the embodiments of the present invention. In addition, the present invention was demonstrated using the proteases thrombin and protease K as described below. Other proteases are believed to work equally well for the development and application of the inventive colloidal gold nanoparticle-based colorimetric assay for the detection of their proteolytic activity. The discussed detection strategies for use of the present inventive colloidal gold nanoparticle-based assay are however of a general nature and apply in the same way to the detection of other proteases such as those comprising, but not limited to, chymotrypsin, thrombin, prostate-specific antigen, HIV-1 protease, elastase, metalloendopeptidases, and subtilisin.
[0053] A first step in the present invention is the design and preparation of a peptide substrate specific for the protease of interest, for example trypsin. A suitable peptide substrate needs to meet several criteria. First, it needs to include at least one first functional group on or near its amino or carboxyl terminus that covalently binds to gold nanoparticles. As discussed above, thiol groups, amine functions, phosphine functions and disulfide functions all covalently bond to various degrees to gold nanoparticles. Thiol groups are considered to show the highest affinity for gold surfaces, approximately 200 kiloJoules/mole (kJ/mol), and therefore a majority of gold nanoparticle surface functionalization occurs through using ligand molecules having thiol groups which bond to the surfaces of gold nanoparticles via a thiol-Au bond. Therefore, in our design of the peptide substrate which could be selectively recognized and cleaved by trypsin, cysteine, a small thiol-containing amino acid, was included at the amine or carboxyl-terminus and the peptide substrates were bound onto the surface of the gold nanoparticles via the thiol group of the cysteine residue. As discussed above, in the embodiment wherein one or more hydrolytic fragments cause the aggregation the Cys could be located internally in the peptide substrate. Another thiol-containing amino acid that could have been used is methionine. Other functional groups could be used, however, cysteine has the advantage of being a high affinity binder to gold with a relatively low cost and thus it was chosen. The rest of the peptide substrate needs to accomplish two tasks, it needs to have the cleavage site recognized by the protease and either the intact peptide substrate or one or more of its hydrolytic fragments need to cause aggregation of the gold nanoparticles. As discussed above the aggregation is theorized to occur via an ionic bond in conjunction with the covalent bond in the present invention. Thus the surface charge on the gold nanoparticles, either positive or negative, can influence the design of the rest of the peptide substrate sequence by determining what charged amino acids need to be in the peptide substrate to form the ionic bond. The cleavage site for trypsin, the model protease used in the present experiments, is the carboxyl side of arginine and lysine residues that are not adjacent to a carboxyl-terminal proline. The non-aggregated gold nanoparticles having a size of 20 nm have a pink-red color and an absorbance band maximum near 520 nm±5 nm. As these nanoparticles aggregate the color shifts to a violet-blue and the absorbance band moves to a new maximum absorbance at a wavelength of about 650 nm, depending on the peptide substrate.
[0054]
[0055] Based on the design criteria for the peptide substrate mentioned above, a sequence of amino acids in the peptide substrate of SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys was used in an assay method patterned after
[0056] After confirming that the peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys did induce the aggregation of negative surface charged gold nanoparticles, we carried out another experiment of examining the ultraviolet-visible spectra of solutions of colloidal gold nanoparticles after they were added to solutions of peptide substrates that had been pre-exposed for different time periods of from 0 minutes (min) to 60 min to trypsin. The purposes of this experiment were to confirm that the proteolyzed peptide fragments after hydrolytic cleavage of peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys by trypsin could not cross-link negatively charged gold nanoparticles and to determine the kinetics of the hydrolytic cleavage of the peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys by trypsin. Since concentrations of both the peptide substrate and the trypsin control the kinetics of reaction of the hydrolytic cleavage, the concentrations of peptide substrate and trypsin used in this experiment were fixed at 1000 nM and 200 picomolar (pM), respectively, and the temperature was kept at 20° C. The results of this experiment are shown in the
[0057] The results discussed above confirm that the peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys could induce aggregation of negatively charged gold nanoparticles; that proteolyzed peptide fragments of the peptide substrate after hydrolytic cleavage of it by trypsin could not cross-link negatively charged gold nanoparticles; and show the kinetics of the hydrolytic cleavage of peptide substrate by trypsin.
[0058] Next we were interested in the limits of detection of this colloidal gold nanoparticle-based colorimetric assay for the detection of trypsin. The method of detecting a protease using this assay comprises a series of steps. First, a fluid, which may be a biological fluid, containing or suspected to contain trypsin is mixed with an aqueous solution of the peptide substrate to generate a mixture and this is incubated at room temperature, which is about 20° Celsius, for a sufficient amount of time, for example between 0.5 to 3 hours, to enable hydrolytic cleavage of a portion of the peptide substrate by the trypsin. It is important for the determination to be accurate that one not run out of substrate or move into a non-linear portion of the hydrolytic reaction kinetics. In a second step after incubation for the selected time a colloidal suspension of gold nanoparticles with a pink-red color, meaning non-aggregated, is added to the mixture and depending on the amount of peptide substrate remaining uncleaved, which depends on the amount of trypsin in the fluid, a particular state of aggregation of the gold nanoparticles is induced, resulting in the formation of a final solution with a characteristic color in 30 minutes or less. The third step is qualitatively detecting the amount of trypsin in the biological fluid via comparing the characteristic color of the final solution to the colors of standard samples containing known amounts of trypsin and peptide substrate exposed to the same conditions. The last step is quantitatively detecting the amount of trypsin in the fluid by examining the ultraviolet-visible spectrum of the final solution and comparing the ratio of the absorbance at 650 nm to the absorbance at 520 nm of the final solution to ratios of the absorbance at 650 nm to the absorbance at 520 nm of standard samples containing known amounts of trypsin and peptide substrate exposed to the same conditions.
[0059] The experimental results shown in
[0060] In the experiment described above, the peptide substrate SEQ ID NO: 1 Lys-Lys-Gly-Phe-Pro-Arg-Gly-Gly-Asp-Cys was exposed to the trypsin for 60 minutes. In an attempt to extend the range of the assay sensitivity, we carried out another experiment wherein the time of pre-exposure to the trypsin was increased from 1 hour to 3 hours using the same levels of peptide substrate, gold nanoparticles and the same temperature. The experimental data shown in the
[0061] In the experiments described and shown in
[0062] In the experiments described above in this specification, the detection strategy shown in the
[0063] The assay can be readily adapter for use with other proteases, such as protease K. Protease K has a broad ability to degrade proteins, the main site of cleavage is the peptide bond adjacent to the carboxyl group of aliphatic and aromatic amino acids with blocked alpha amino groups. The peptide substrate used to test the assay for its ability to detect protease K activity is shown in
[0064]
[0065] For the detection strategy shown in
[0066] For the detection strategy shown in
[0067] Based on the observations in our studies, we believe the discussed detection strategies of the colloidal gold nanoparticle-based assay shown in the
[0068] Generally to achieve the best results in this sort of a scheme the levels of peptide substrate and gold nanoparticles are selected to cause near maximal aggregation of the gold nanoparticles by the level of peptide substrate. Then several levels of protease are chosen to give a range of cleavage, generally so that near maximal cleavage occurs at the highest level of the protease and using the results from the presence and absence of the protease gives the widest range for the standards. Then several levels of suspected protease inhibitor are chosen for each level of protease so that the results with one or more of the inhibitor levels fall within the range of the standards. As would be understood after the above explanation the inventive assay methods of the present invention can also be used to detect new previously unknown protease inhibitors by determining the effect of adding a series of levels of the liquid containing the suspected protease inhibitor to a standard curve of the protease and peptide substrate on the measured aggregation state of the gold nanoparticles.
[0069] Protease inhibitors of special interest which could be detected by the colloidal gold nanoparticle-based colorimetric assay developed in the present invention comprise, but are not limited to, saquinavir, ritonavir, indinavir, nelfinavir, amprenavir, boceprevir, telaprevir, bovine pancreatic trypsin inhibitor, serine protease inhibitor Kazal-type 1, and Alpha-1 antitrypsin.
[0070] The present assay methods can also be used to probe the active sites of proteases by taking a known peptide substrate, altering the proposed recognition sequence or amino acid sequence on either side of a cleavage site and determining how this effects the ability to cleave the peptide substrate as seen by changes in the measured aggregation state of the gold nanoparticles. In addition, the assay method can be used to determine cleavage sites by altering the amino acid sequence and determining the effect on the measured aggregation state of the gold nanoparticles.
[0071] In the experiments described in this specification, deionized water was selected as the liquid medium for the gold nanoparticles, protease, protease inhibitor, peptide substrate and the assay process. However, other more biological fluids can also be used as dissolution media for any of these components and for the reactions. For example, biological fluids can be chosen from, but not limited to, blood, plasma, saliva, urine, distilled water, a phosphate buffer saline (PBS) solution, a buffer for High Performance Capillary Electrophoresis, a hydroxyethyl piperazineethanesulfonic acid (HEPES) sodium salt solution, a citrate-phosphate-dextrose solution, a phosphate buffer solution, a sodium acetate solution, a sodium chloride solution, a sodium DL-lactate solution, a tris(hydroxymethyl) aminomethane ethylenediaminetetraacetic acid (Tris-EDTA) buffer solution, a tris(hydroxymethyl) aminomethane (Tris) buffered saline, or mixtures thereof. For some of the biological fluids, such as serum, one may have to engage in some pre-purification to remove serum proteins which can themselves cause aggregation of the gold nanoparticles. In some cases it may be necessary to extract the proteases or protease inhibitors from the original biological fluids prior to analysis in the present assay systems.
[0072] In the experiments described in this specification, gold nanoparticles used in the experiments are spherical gold nanoparticles with an average diameter of 20 or 30 nm. However, colloidal gold nanoparticles with other shapes and configurations, including rods, prisms, disks, cubes, core-shell structures, cages, and frames, wherein they have at least one dimension in the range of from 1 to 200 nm, could also work for the colloidal gold nanoparticle-based colorimetric assay developed in the present invention for the detection of the proteases and protease inhibitors. In addition, nanostructures which have outer surfaces that are only partially covered with gold should also work for the gold colorimetric assay developed in the present invention.
[0073] Although the described process of fabrication of colloidal gold nanoparticles by laser ablation of bulk gold target in a colloidal suspension liquid was illustrated in embodiments wherein the liquid was deionized water, it is possible to carry out the processes described in other liquids. For example, laser ablation of a bulk gold target can be carried out in water, methanol, ethanol, acetone, and other organic solvents.
[0074] In the experiments described in this specification, the mixtures were incubated at a temperature of approximately 20° C. In principle this temperature could vary between about 20 to 50° Celsius for optimizing the efficiency of the hydrolytic cleavage of the peptide substrate by the protease when the protease is any other mammalian enzyme. As discussed above temperature ranges outside this range can be used when assays are conducted on proteases from either heat-tolerant or cold-tolerant sources. The same considerations apply to use of the present assay methods for determination of protease inhibitor activity.
[0075] In an embodiment the present invention is a method for detecting hydrolytic activity of a protease comprising the following steps: providing a solution of non-aggregated colloidal gold nanoparticles, the colloidal gold nanoparticles having a surface charge and a property of a visible pink-red color when non-aggregated and a visible violet-blue color when aggregated; providing a peptide substrate having the following properties: at least one first functional group that bonds to the gold nanoparticles independently of the surface charge on the gold nanoparticles, at least one second functional group that can form an ionic bond with the surface charge of the gold nanoparticles, located between the first functional group and the second functional group an amino acid sequence having at least one cleavage site for the protease, wherein the peptide substrate aggregates the gold nanoparticles when intact through crosslinking of the gold nanoparticles by the first and the second functional groups and does not aggregate the gold nanoparticles following cleavage by the protease at the cleavage site; forming a first mixture by adding to a solution of the gold nanoparticles a solution of the peptide substrate and detecting a color change in the first mixture indicative of aggregation of the gold nanoparticles; forming a reaction mixture by adding to a solution of the peptide substrate a solution of the protease and incubating the reaction mixture at a predetermined temperature for a predetermined amount of time, wherein the predetermined temperature and the predetermined time are sufficient to permit cleavage of the cleavage site in the peptide substrate by the protease; forming a second mixture by adding to a solution of the gold nanoparticles the reaction mixture after incubation and detecting a color change in the second mixture indicative of aggregation of the gold nanoparticles; and comparing the color of the second reaction mixture to the color of the first mixture to determine a reduction in aggregation of the gold nanoparticles indicative of proteolytic activity of the protease on the peptide substrate.
[0076] In one or more embodiments the present invention comprises providing gold nanoparticles have at least one dimension in the range of from 1 to 200 nanometers.
[0077] In one or more embodiments the present invention comprises providing gold nanoparticles having a shape selected from the group consisting of a sphere, a rod, a prism, a disk, a cube, a core-shell structure, a cage, a frame, or a mixture thereof.
[0078] In one or more embodiments the present invention comprises providing a solution of gold nanoparticles suspended in one of water, methanol, ethanol, acetone, a biological buffer, or a mixture thereof.
[0079] In one or more embodiments the present invention comprises providing the gold nanoparticles as a nanostructure at least partially covered by said gold nanoparticles.
[0080] In one or more embodiments the present invention comprises providing a peptide substrate having as the first functional group a thiol group, an amine group, a phosphine group, a disulfide group, or a mixture thereof.
[0081] In one or more embodiments the present invention comprises providing a peptide substrate wherein the first functional group comprises at least one of a cysteine, a methionine, or a mixture thereof.
[0082] In one or more embodiments the present invention comprises providing a peptide substrate wherein the second functional group comprises at least one of an arginine, a lysine, a histidine, an aspartic acid, a glutamic acid, or a mixture thereof.
[0083] In one or more embodiments the present invention comprises providing gold nanoparticles having a negative surface charge and further comprises providing a peptide substrate wherein the second functional group comprises at least one of an arginine, a lysine, a histidine, or a mixture thereof.
[0084] In one or more embodiments the present invention comprises providing gold nanoparticles having a positive surface charge and further comprises providing a peptide substrate wherein the second functional group comprises at least one of an aspartic acid, a glutamic acid, or a mixture thereof.
[0085] In one or more embodiments the present invention comprises providing a peptide substrate having a cleavage site cleaved by at least one of a serine protease, a threonine protease, a cysteine protease, an aspartate protease, a glutamic acid protease, a metalloprotease, or a mixture thereof.
[0086] In one or more embodiments the present invention comprises providing a peptide substrate having a cleavage site cleaved by at least one of trypsin, chymotrypsin, thrombin, prostrate-specific antigen, HIV-1 protease, elastase, a metalloendopeptidase, subtilisin, or a mixture thereof.
[0087] In one or more embodiments the present invention comprises incubating the reaction mixture at a temperature of from 10° C. to 65° C. for a period of time of from 10 minutes to 3 hours.
[0088] In one or more embodiments the present invention comprises visually detecting a color change in the first and the second mixtures and further comprises comparing the color of the second mixture to the color of the first mixture visually.
[0089] In one or more embodiments the present invention comprises detecting a color change in the first and the second mixtures by measuring an ultraviolet-visible spectrum of the first and the second mixtures and further comprises comparing the spectrum of the second mixture to the spectrum of the first mixture.
[0090] In one or more embodiments the present invention comprises preparing an aggregation standard curve by adding a series of different peptide substrate concentrations to a series of gold nanoparticles each at the same concentration and further comprises comparing the color of the second reaction mixture to the standard curve to determine the reduction of aggregation and to determine quantitatively a proteolytic activity of the protease.
[0091] In one or more embodiments the present invention comprises visually detecting a color change in the first and the second mixtures and further comprises comparing the color of the second mixture to the colors of the standard curve visually.
[0092] In one or more embodiments the present invention comprises detecting a color change in the first and the second mixtures by measuring an ultraviolet-visible spectrum of the first and the second mixtures and further comprises comparing the spectrum of the second mixture to the spectra of the standard curve.
[0093] In one or more embodiments of the present invention the solution of the protease comprises one of deionized water, distilled water, phosphate buffered saline, a High Performance Capillary Electrophoresis solution, a 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid buffer (HEPES) solution, a citrate-phosphate-dextrose solution, a phosphate buffer, a sodium acetate solution, a sodium chloride solution, a sodium DL-lactate solution, a tris(hydroxymethyl) aminoethane ethylenediaminetetraacetic acid Tris-EDTA buffer solution, a tris(hydroxymethyl) aminomethane (Tris) buffered saline solution, blood, plasma, saliva, urine, or a mixture thereof.
[0094] In one or more embodiments the present invention comprises the further steps of detecting an inhibitor of the protease by incubating a solution of the protease inhibitor with the solution of the protease at a predetermined temperature for a predetermined period of time to form an inhibited protease solution, then adding the inhibited protease solution as the solution of the protease and then comparing the color of the second reaction mixture formed from the inhibited protease solution to a second reaction mixture formed with the same amount of the protease that was not incubated with the protease inhibitor to detect a decrease in the reduction in aggregation caused by the protease.
[0095] In one embodiment the present invention is a method for detecting hydrolytic activity of a protease comprising the following steps: providing a solution of non-aggregated colloidal gold nanoparticles, the colloidal gold nanoparticles having a surface charge and a property of a visible pink-red color when non-aggregated and a visible violet-blue color when aggregated; providing a peptide substrate having the following properties: at least one first functional group that bonds to the gold nanoparticles independently of the surface charge on the gold nanoparticles, at least one second functional group that is capable of forming an ionic bond with the surface charge of the gold nanoparticles, located outside the peptide sequence between the first functional group and the second functional group an amino acid sequence having at least one cleavage site for the protease, wherein the peptide substrate does not aggregate the gold nanoparticles when intact and wherein at least one proteolytic fragment containing the first functional group and the second functional group does aggregate the gold nanoparticles following cleavage by the protease at the cleavage site; forming a first mixture by adding to a solution of the gold nanoparticles a solution of the peptide substrate and detecting a color of the first mixture indicative of non-aggregation of the gold nanoparticles; forming a reaction mixture by adding to a solution of the peptide substrate a solution of the protease and incubating the reaction mixture at a predetermined temperature for a predetermined amount of time, wherein the predetermined temperature and the predetermined time are sufficient to permit cleavage of the cleavage site in the peptide substrate by the protease; forming a second mixture by adding to a solution of the gold nanoparticles the reaction mixture after incubation and detecting a color change in the second mixture indicative of aggregation of the gold nanoparticles; and comparing the color of the second reaction mixture to the color of the first mixture to determine a degree of aggregation of the gold nanoparticles indicative of proteolytic activity of the protease on the peptide substrate.
[0096] In one or more embodiments of the present invention the protease inhibitor comprises at least one of saquinavir, ritonavir, indinavir, nelfinavir, amprenavir, boceprevir, telaprevir, bovine pancreatic trypsin inhibitor, serine protease inhibitor Kazal-type 1, Alpha-1 antitrypsin, and mixtures thereof.
[0097] In one or more embodiments the present invention is an assay kit for detecting proteolytic activity of a protease comprising: a plurality of non-aggregated gold nanoparticles, each of the gold nanoparticles having a surface charge; a peptide substrate comprising a peptide sequence, the peptide substrate comprising: at least one first functional group capable of covalently bonding to one of the gold nanoparticles; at least one second functional group capable of forming an ionic bond with the surface charge of one of the gold nanoparticles; and a cleavage site for the protease, the cleavage site at a location either in a peptide sequence between the first and the second functional groups or outside the peptide sequence between the first and the second functional groups, wherein when the cleavage site is at a location in the peptide sequence between the first and the second functional groups then the peptide substrate is capable of crosslinking the gold nanoparticles and aggregating the nanoparticles and no hydrolytic fragments of the peptide substrate formed following cleavage of the peptide substrate by the protease are capable of crosslinking the gold nanoparticles, and wherein when the cleavage site is at a location outside the peptide sequence between the first and the second functional groups then the peptide substrate is not capable of crosslinking the gold nanoparticles and cannot aggregate the nanoparticles and a hydrolytic fragment containing the first and the second functional groups is capable of crosslinking the gold nanoparticles after formation following cleavage of the peptide substrate by the protease and the hydrolytic fragment causes aggregation of the gold nanoparticles; and the non-aggregated gold nanoparticles having an absorbance spectrum with a maximum absorbance peak at 520 nanometers±5 nanometers, wherein a solution of the non-aggregated gold nanoparticles has a visible color of pink-red; and wherein aggregation of the gold nanoparticles causes a shift in the absorbance spectrum with formation of a new absorbance peak in the range of from 600 nanometers to 750 nanometers and a decrease of the absorbance at 520 nanometers±5 nanometers, the shift leading to a change in the visible color to a violet-blue color.
[0098] In one or more embodiments the present invention comprises gold nanoparticles have a size in at least one dimension of from 1 to 200 nanometers.
[0099] In one or more embodiments the present invention comprises gold nanoparticles have a shape selected from the group consisting of a sphere, a rod, a prism, a cube, a disk, a core-shell structure, a frame, a cage, a mixture thereof.
[0100] In one or more embodiments the present invention comprises gold nanoparticles provided as a solution in one of water, methanol, ethanol, acetone, a biological buffer, or a mixture thereof.
[0101] In one or more embodiments the present invention comprises gold nanoparticles provided as a nanostructure at least partially covered by the gold nanoparticles.
[0102] In one or more embodiments of the present invention the at least one first functional group comprises a thiol group, an amine group, a phosphine group, a disulfide group or a mixture thereof.
[0103] In one or more embodiments of the present invention the at least one first functional group comprises a cysteine, a methionine, or a mixture thereof.
[0104] In one or more embodiments of the present invention the at least one second functional group comprises arginine, lysine, histidine, aspartic acid, glutamic acid, or a mixture thereof.
[0105] In one or more embodiments the present invention comprises gold nanoparticles wherein the surface charge is negative and the at least one second functional group is selected from the group consisting of lysine, arginine, histidine, and mixtures thereof.
[0106] In one or more embodiments the present invention comprises gold nanoparticle wherein the surface charge is positive and the at least one second functional group is selected from the group consisting of aspartic acid, glutamic acid, and mixtures thereof.
[0107] In one or more embodiments the present invention comprises a peptide substrate wherein the cleavage site is cleaved by at least one of a serine protease, a threonine protease, a cysteine protease, an aspartate protease, a glutamic acid protease, a metalloprotease, or a mixture thereof.
[0108] In one or more embodiments the present invention comprises a peptide substrate wherein the cleavage site is cleaved by at least one of trypsin, chymotrypsin, thrombin, prostrate-specific antigen, HIV-1 protease, elastase, a metalloendopeptidase, subtilisin, or a mixture thereof.
[0109] In one or more embodiments the present invention further comprises a buffer solution comprising deionized water, distilled water, phosphate buffered saline, a High Performance Capillary Electrophoresis solution, a 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid buffer (HEPES) solution, a citrate-phosphate-dextrose solution, a phosphate buffer, a sodium acetate solution, a sodium chloride solution, a sodium DL-lactate solution, a tris(hydroxymethyl) aminoethane ethylenediaminetetraacetic acid Tris-EDTA buffer solution, a tris(hydroxymethyl) aminomethane (Tris) buffered saline solution, or a mixture thereof.
[0110] In one embodiment the present invention is an assay kit for detecting inhibition of a proteolytic activity of a protease comprising: a protease; a plurality of non-aggregated gold nanoparticles, each of the gold nanoparticles having a surface charge; a peptide substrate comprising a peptide sequence, the peptide substrate comprising: at least one first functional group capable of covalently bonding to one of the gold nanoparticles; at least one second functional group capable of forming an ionic bond with the surface charge of one of the gold nanoparticles; and a cleavage site for the protease, the cleavage site at a location either in a peptide sequence between the first and the second functional groups or outside the peptide sequence between the first and the second functional groups, wherein when the cleavage site is at a location in the peptide sequence between the first and the second functional groups then the peptide substrate is capable of crosslinking the gold nanoparticles and aggregating the nanoparticles and no hydrolytic fragments of the peptide substrate formed following cleavage of the peptide substrate by the protease are capable of crosslinking the gold nanoparticles, and wherein when the cleavage site is at a location outside the peptide sequence between the first and the second functional groups then the peptide substrate is not capable of crosslinking the gold nanoparticles and cannot aggregate the nanoparticles and a hydrolytic fragment containing the first and the second functional groups is capable of crosslinking the gold nanoparticles after formation following cleavage of the peptide substrate by the protease and the hydrolytic fragment causes aggregation of the gold nanoparticles; and the non-aggregated gold nanoparticles having an absorbance spectrum with a maximum absorbance peak at 520 nanometers±5 nanometers, wherein a solution of the non-aggregated gold nanoparticles has a visible color of pink-red; and wherein aggregation of the gold nanoparticles causes a shift in the absorbance spectrum with formation of a new absorbance peak in the range of from 600 nanometers to 750 nanometers and a decrease of the absorbance at 520 nanometers±5 nanometers, the shift leading to a change in the visible color to a violet-blue color.
[0111] In one or more embodiments of the present invention the protease inhibitor comprises at least one of saquinavir, ritonavir, indinavir, nelfinavir, amprenavir, boceprevir, telaprevir, bovine pancreatic trypsin inhibitor, serine protease inhibitor Kazal-type 1, Alpha-1 antitrypsin, or mixtures thereof.
[0112] It is intended that the invention be limited only by the claims which follow, and not by the specific embodiments and their variations and combinations as described herein-above.