Objective: To establish, validate and apply an enzyme-linked immunosorbent assay (ELISA) method for determination of residual human factor Ⅻ(FⅫ) and prekallikrein (PK) in high concentration human intravenous immunoglobulin (10%IVIG). Methods: Microplates were pre-coated with specific antibodies for FⅫ and PK, respectively, and then blocked. The FⅫ and PK in 10%IVIG were allowed to bind with the pre-coated antibodies on the plates. After appropriate washing steps, biotinylated detection antibodies specific for FⅫ and PK were added. Following a second washing, HRP/Streptavidin-Peroxidase conjugates were added and unbound conjugates were washed away with another washing step. After the addition of a chromogenic substrate and a stop solution, the absorbance was measured at 450 nm using a microplate reader. The detection method was validated according to the 2020 edition of Chinese Pharmacopoeia. Then the validated method was used to determine the residual levels of FⅫ and PK in process intermediates and final products 10%IVIG. Results: The dilution linearity results showed a matrix effect and a hook effect in FⅫ and PK detection methods, respectively, which could be solved by diluting 5-20 times and 80-120 times, respectively. The average recoveries in the spiked experiments were 110.3% and 99.1% for FⅫ and PK respectively, with RSD of 3.6% and 2.7%. indicating good accuracy of the method. The RSDs of the repeatability validation were 8.3%、7.7% for both methods, and the RSD of intermediate precision validation were 7.0% and 9.2% for FⅫ and PK, respectively, indicating good precision of the two methods. The limits of quantitation of the two methods were 1.0 ng · mL-1 and 1.25 ng · mL-1 respectively. Both methods exhibited good linearity (r = 0.999 9). The robustness validation, which included incubation time, the effective period of the opened reagent kit, and different batches of reagent kits, showed good robustness of the method. The residues of high concentration human immunoglobulin FⅫ and PK maintained at low levels by using the method, indicating that octanoic acid precipitation combined with two-step anionic exchange chromatography process could effectively remove FⅫ and PK in 10%IVIG. Conclusion: The detection method shows good applicability and can be used for the determination of FⅫ and PK residues in 10%IVIG.
YU Yu-rong
,
LIU Yong
,
YANG Long
,
TANG Liang-yu
,
XIAO Chun-qiao
,
LI Dan
,
JIAN Chang-yong
. Determination of residual human factor Ⅻ and prekallikrein in high concentration human immunoglobulin for intravenous injection by enzyme-linked immunosorbent assay*[J]. Chinese Journal of Pharmaceutical Analysis, 2025
, 45(3)
: 514
-521
.
DOI: 10.16155/j.0254-1793.2024-0235
[1] HONG J,BANG SM,MUN YC,et al.Efficacy and safety of a new 10% intravenous immunoglobulin product in patients with primary immune thrombocytopenia(ITP)[J].J Korean Med Sci,2018,33(19):e142
[2] 曹璟,吴鹏,王斌,等.静注人免疫球蛋白(pH 4)工艺优化后产品的稳定性[J].中国生物制品学杂志,2023,36(11):1319
CAO J,WU P,WANG B,et al.Stability of human immunoglobulin(pH 4)for intravenous injection after process optimization[J].Chin J Biol,2023,36(11):1319
[3] LOZANO-BLASCO J,MARTÍN-MATEOS MA,ALSINA L,et al.A 10% liquid immunoglobulin preparation for intravenous use(Privigen®)in paediatric patients with primary immunodeficiencies and hypersensitivity to IVIG[J].Allergol Immunopath,2014,42(2):136
[4] WASHBURN N,MECCARIELLO R,HU S,et al.High-resolution physicochemical characterization of different intravenous immunoglobulin products[J].PLoS One,2017,12(7):e0181251
[5] LIU XL,TREISTER R,LANG M,et al.IVIG for apparently autoimmune small-fiber polyneuropathy:first analysis of efficacy and safety[J].Ther Adv Neurol Disord,2018,11:1
[6] AGGARWAL R,CHARLES-SCHOEMAN C,SCHESSL J,et al.Prospective,double-blind,randomized,placebo-controlled phase Ⅲ study evaluating efficacy and safety of octagam 10% in patients with dermatomyositis(“ProDERM Study”)[J].Medicine,2021,100(1):e23677
[7] GUO Y,TIAN X,WANG X,et al.Adverse effects of immunoglobulin therapy[J].Front Immunol,2018,9:1299
[8] GERMISHUIZEN WA,GYURE DC,STUBBINGS D,et al.Quantifying the thrombogenic potential of human plasma-derived immunoglobulin products[J].Biologicals,2014,42(5):260
[9] MA LI,SUN PAN,LIN FZ,et al.In vitro evaluation of residual procoagulants in human intravenous immunoglobulins from 11 Chinese blood fractionation companies[J].Thromb Res,2013,132(3):381
[10] WILMOT HV,GRAY E.Enabling accurate measurement of activated factor XI(FXIa)in therapeutic immunoglobulin products[J].Vox Sang,2021,116(6):656
[11] European Medicines Agency.Questions and Answers on the Recommendation to Lift the Suspension of Octagam(Human Normal Immunoglobulin 5% and 10%)[EB/OL].[2024-04-08]https://www.ema.europa.eu/en/documents/referral/questions-and-answers-recommendation-lift-suspension-octagam-human-normal-immunoglobulin-5-and-10_en.pdf Art 31 Q-and-A
[12] EP 8.0[S].2012:2423
[13] RENNÉ T,SCHMAIER AH,NICKEL KF,et al.In vivo roles of factor Ⅻ[J].Blood,2012,120(22):4296
[14] BJÖRKQVIST J,JÄMSÄ A,RENNÉ T,et al.Plasma kallikrein:the bradykinin-producing enzyme[J].Thromb Haemost,2013,110(9):399
[15] 李慧慧,徐鹏飞,张杰,等.血浆前激肽释放酶在血管疾病中的研究进展[J].中国分子心脏病学杂志,2021,21(3):4028
LI HH,XU PF,ZHANG J,et al.Research advances on the plasma kallikrein in vascular disease[J].Mol Cardiol China,2021,21(3):4028
[16] 中华人民共和国药典2020年版.四部[S].2020:480
ChP 2020.Vol Ⅳ[S].2020:480
[17] PARKKINEN J,RAHOLA A,VON BONSDORFF L,et al.A modified caprylic acid method for manufacturing immunoglobulin G from human plasma with high yield and efficient virus clearance[J].Vox Sang,2006,90(2):97
[18] PARK DH,KANG GB,KANG DE,et al.A new manufacturing process to remove thrombogenic factors(Ⅱ,Ⅶ,Ⅸ,Ⅹ,and Ⅺ)from intravenous immunoglobulin gamma preparations[J].Biologicals,2017,45:1
[19] KOMENDA M,STADLER D,MALINAS T,et al.Assessment of the ability of the Privigen® purification process to deplete thrombogenic factor XIa from plasma[J].Vox Sang,2014,107(1):26
[20] BACH J,ENDLER G,WINKELMANN BR,et al.Coagulation factor XII(FXII)activity,activated FXII,distribution of FⅫ C46T gene polymorphism and coronary risk[J].J Thromb Haemost,2008,6(2):291
[21] 中华人民共和国药典2020年版.三部[S].2020:270
ChP 2020.Vol Ⅲ[S].2020:270