PMID- 21576491 OWN - NLM STAT- MEDLINE DCOM- 20110823 LR - 20211020 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 108 IP - 22 DP - 2011 May 31 TI - In vivo fluorescence imaging of exogenous enzyme activity in the gastrointestinal tract. PG - 9032-7 LID - 10.1073/pnas.1100285108 [doi] AB - Exogenous enzymes are administered orally to treat several diseases, such as pancreatic insufficiency and lactose intolerance. Due to the proteinaceous nature of enzymes, they are subject to inactivation and/or digestion in the gastrointestinal (GI) tract. Here we describe a convenient fluorescence-based assay to monitor the activity of therapeutic enzymes in real time in vivo in the GI tract. To establish the proof of principle, the assay was applied to proline-specific endopeptidases (PEPs), a group of enzymes recently proposed as adjuvant therapy for celiac disease (a highly prevalent immunogenetic enteropathy). A short PEP-specific peptide sequence which is part of larger immunotoxic sequences of gluten was labeled with a fluorescent dye and a corresponding quencher. Upon enzymatic cleavage, the fluorescence emission was dequenched and detected with an in vivo imaging system. PEPs originating from Flavobacterium meningosepticum (FM) and Myxococcus xanthus (MX) were evaluated after oral administration in rats. While MX PEP could not cleave the peptide in the stomach, FM PEP showed significant gastric activity reaching 40-60% of the maximal in vivo signal intensity. However, both enzymes produced comparable fluorescence signals in the small intestine. Coadministration of an antacid drug significantly enhanced MX PEP's gastric activity due to increased pH and/or inhibition of stomach proteases. With this simple procedure, differences in the in vivo performance of PEPs, which could not be identified under in vitro conditions, were detected. This imaging assay could be used to study other oral enzymes in vivo and therefore be instrumental in improving their therapeutic efficiency. FAU - Fuhrmann, Gregor AU - Fuhrmann G AD - Department of Chemistry and Applied Biosciences, Institute of Pharmaceutical Sciences, ETH Zurich, Wolfgang-Pauli-Strasse 10, 8093 Zurich, Switzerland. FAU - Leroux, Jean-Christophe AU - Leroux JC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110516 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Enzymes) RN - 0 (Peptides) RN - 8002-80-0 (Glutens) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.4.21.26 (Prolyl Oligopeptidases) SB - IM EIN - Proc Natl Acad Sci U S A. 2012 Oct 16;109(42):17141 MH - Anesthesia MH - Animals MH - Celiac Disease/enzymology MH - Chemotherapy, Adjuvant/methods MH - Chryseobacterium/metabolism MH - Enzymes/chemistry MH - Gastrointestinal Tract/*enzymology MH - Glutens/chemistry MH - Microscopy, Fluorescence/*methods MH - Myxococcus xanthus/metabolism MH - Peptides/chemistry MH - Prolyl Oligopeptidases MH - Rats MH - Serine Endopeptidases/chemistry MH - Stomach/enzymology MH - Time Factors PMC - PMC3107327 COIS- The authors declare no conflict of interest. EDAT- 2011/05/18 06:00 MHDA- 2011/08/24 06:00 PMCR- 2011/11/30 CRDT- 2011/05/18 06:00 PHST- 2011/05/18 06:00 [entrez] PHST- 2011/05/18 06:00 [pubmed] PHST- 2011/08/24 06:00 [medline] PHST- 2011/11/30 00:00 [pmc-release] AID - 1100285108 [pii] AID - 201100285 [pii] AID - 10.1073/pnas.1100285108 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2011 May 31;108(22):9032-7. doi: 10.1073/pnas.1100285108. Epub 2011 May 16.