The analysis of recombinant insulin production technologies

Authors

DOI:

https://doi.org/10.24959/nphj.24.158

Keywords:

insulin, recombinant DNA technology, expression system.

Abstract

Aim. To analyze current trends in insulin production and expression systems used to obtain recombinant proteins.

Materials and methods. The specified goal was achieved using the methods of content analysis, comparative, logical, analytical and generalization of information. The research materials were publications in scientific periodicals, official websites of manufacturing companies.

Results. It has been found that the following expression systems are traditionally used for the commercial production of recombinant human insulins: bacterial – Escherichia coli, and yeast – Saccharomyces cerevisiae. But to meet the global need for insulin, it is necessary to develop new effective expression systems. Therefore, the use of other eukaryotic insulin expression systems that would be suitable for large-scale production is currently being studied. Among such systems, transgenic plants, which are characterized by the absence of potential human pathogens and the presence of post-translational protein modification mechanisms similar to human ones, are promising for introduction into insulin production. Currently, studies using Arabidopsis thaliana, tobacco, lettuce and strawberry plants are successful. Stem cells – embryonic, mesenchymal and induced pluripotent are also considered promising. The methods used in the large-scale production of recombinant insulin based on the synthesis of proinsulin and the two-chain method have been characterized. The technological flowcharts of both technologies have been drawn up, the advantages and disadvantages of each are given.

Conclusions. The analysis of data from the scientific literature has shown that the main methods of producing insulin preparations since the 1980s remain pro-insulin and two-chain methods, which are based on recombinant DNA technologies. The pro-insulin method is considered more efficient and cost-effective compared to the two-chain method since this technology consists of working with a single recombinant strain. The choice between these two methods depends on the specific needs of the manufacturer: for some cases a fast method with proinsulin synthesis is rational, for others – a more accurate and controlled two-chain method. The bacteria – Escherichia coli and yeast – Saccharomyces cerevisiae remain the expression systems used in the existing large-scale production technologies. But using E. coli, insulin precursors are produced in inclusion bodies, and fully functional polypeptides are obtained by solubilization and refolding steps. The yeast-based system yields a soluble insulin precursor that is secreted into the culture fluid, but requires prior humanization due to the risks of an immune response in humans. Thus, current production technologies cannot meet the growing demand for available insulin due to limited production capacity and high production costs, so research is being conducted to find new efficient expression systems, such as plant and mammalian cells, including Arabidopsis thaliana, tobacco, lettuce, strawberry, stem cells.

Author Biographies

O. S. Kaliuzhnaia, National University of Pharmacy of the Ministry of Health of Ukraine, Kharkiv

Candidate of Pharmacy, associate professor of the Department of Biotechnology

N. V. Khokhlenkova, National University of Pharmacy of the Ministry of Health of Ukraine, Kharkiv

Doctor of Pharmacy, professor, head of the Department of Biotechnology

M. V. Panenko, Kharkiv National Medical University of the Ministry of Health of Ukraine

student, field of knowledge 22 "Health care", speciality 221 "Dentistry"

References

The WHO Global Diabetes Compact. World Health Organization, WHO. 2021. Available at: https://www.who.int/initiatives/the-who-global-diabetes-compact.

U.S. Human insulin market size, share & COVID-19 impact analysis, by type (analogue insulin and traditional human insulin), by diabetes type (diabetes 1 and diabetes type 2), by distribution channel (hospital pharmacy and retail and online pharmacy), and regional forecast, 2023-2030. Available at: https://www.fortunebusinessinsights.com/u-s-human-insulin-market-107469.

International Diabetes Federation. Available at: https://idf.org/.

Human insulin market size, share & industry analysis, by type (analogue insulin, traditional human insulin), by diabetes type (type 1, type 2), by distribution channel (retail pharmacy, hospital pharmacy, online pharmacy), and regional forecast, 2019-2026. Fortune Business Insights. 2020. Available at: https://www.fortunebusinessinsights.com/industry-reports/human-insulin-market-100395.

Lyumjev® (insulin lispro-aabc) Injection Approved by U.S. FDA for Children with Diabetes. Available at: https://www.lilly.com/news/media/media-kits/lyumjev.

Elli Lily and Company. Available at: https://www.lilly.com/our-medicines/current-medicines.

Zhuravlova, L. V., Kryvonosova, O. M. (2019). Aktualni pidkhody do likuvannia khvorykh na tsukrovyi diabet: navch. posib. dlia studentiv, likariv-interniv terapevtiv, endokrynolohiv ta likariv zahalnoi praktyky. Kharkiv: KhNMU.

Kyselov, S. M., Kadzharian, V. H., Soloviuk, O. O., Hura, E. Yu., Kapshytar, N. I. (2021). Vnutrishnia medytsyna: modul 1, zmistovyi modul 1 «Osnovy diahnostyky, likuvannia ta profilaktyky osnovnykh khvorob endokrynnoi systemy»: navch. posib. dlia studentiv 4 kursu med. f-tiv v haluzi znan 22 «Okhorona zdorovia», spets. 222 «Medytsyna» , 228 «Pediatriia». Zaporizhzhia: ZDMU.

Lewis, G. F., Brubaker, P. L. (2021). The discovery of insulin revisited: lessons for the modern era. The Journal of Clinical Investigation, 131(1), 142239. doi: 10.1172/JCI142239.

Alyas, J., Rafiq, A., Amir, H., Khan, S. U., Sultana, T., Ali, A. et al. (2021). Human Insulin: History, Recent Advances, and Expression Systems for Mass Production. Biomedical Research and Therapy, 8(9), 4540-4561. doi: 10.15419/bmrat.v8i9.692.

Jorgensen-Earp, C. R., Jorgensen, D. D. (2020). «To Fly Under Borrowed Colours»: Insulin Discovery Accounts, Scientific Credit, and the Nobel Prize. Rhetoric and Public Affairs, 23(1), 1-45. doi: 10.14321/rhetpublaffa.23.1.0001.

Vecchio, I., Tornali, C., Bragazzi, N. L., Martini, M. (2018). The discovery of insulin: an important milestone in the history of medicine. Frontiers in Endocrinology, 9, 613. doi: 10.14321/rhetpublaffa.23.1.0001.

Strakosch, C. The discovery of Insulin. 2000. Ramsay Health Care. Available at: https://web.archive.org/web/20140125100917/http:/historicgreenslopes.com/documents/Booklet_The%20Discovery%20of%20Insulin%2006.pdf.

The Nobel Prize in Chemistry 1980. Available at: https://www.nobelprize.org/prizes/chemistry/1980/summary/.

Riggs, A. D. (2021). Making, Cloning, and the Expression of Human Insulin Genes in Bacteria: The Path to Humulin. Endocrine Reviews, 42(3), 374-380. doi: 10.1210/endrev/bnaa029.

Sugumar, V., Ang, K. P., Alshanon, A. F., Sethi, G., Chen Yong, P. V., Looi, C. Y., Wong, W. F. (2022). Comprehensive Review of the Evolution of Insulin Development and Its Delivery Method. Pharmaceutics, 14, 1406. doi: 10.3390/ pharmaceutics14071406.

Baeshen, M. N., Al-Hejin, A. M., Bora, R. S., Ahmed, M. M. M., Ramadan, H. A. I., Saini, K. S. et al. (2015). Production of biopharmaceuticals in E. coli: current scenario and future perspectives. Journal of Microbiology and Biotechnology, 25(7), 953-962. doi: 10.4014/jmb.1412.12079.

Zielinski, M., Romanik-Chruścielewska, A., Mikiewicz, D., Łukasiewicz, N., Sokołowska, I., Antosik, J. et al. (2019). Expression and purification of recombinant human insulin from E. coli 20 strain. Protein Expression and Purification, 157, 63-69. doi: 10.1016/j.pep.2019.02.002.

Hegele, R. A., Maltman, G. M. (2020). Insulin’s centenary: the birth of an idea. The Lancet. Diabetes and Endocrinology, 8(12), 971-977. doi: 10.1016/S2213-8587(20)30337-5.

Baghban, R., Farajnia, S., Rajabibazl, M., Ghasemi, Y., Mafi, A. Ali., Hoseinpoor, R. et al. (2019). Yeast expression systems: overview and recent advances. Molecular Biotechnology, 61(5), 365-384. doi: 10.1007/s12033-019-00164-8.

Wildt, S., Gerngross, T. U. (2005). The humanization of N-glycosylation pathways in yeast. Nature Reviews. Microbiology, 3(2), 119-28. doi: 10.1038/nrmicro1087.

Khan, A. H., Bayat, H., Rajabibazl, M., Sabri, S., Rahimpour, A. (2017). Humanizing glycosylation pathways in eukaryotic expression systems. World Journal of Microbiology and Biotechnology, 33(1), 4. doi: 10.1007/s11274-016-2172-7.

Safder, I., Khan, S., Islam, Iram-us, Kazim Ali, M., Bibi, Z., Waqas, M. (2018). Pichia pastoris expression system: a potential candidate to express protein in industrial and biopharmaceutical domains. Biometrical Letters, 4(1), 1-14.

Karbalaei, M., Rezaee, S. A., Farsiani, H. (2020). Pichia pastoris: A highly successful expression system for optimal synthesis of heterologous proteins. Journal of Cellular Physiology, 235(9), 5867-5881. doi: 10.1002/jcp.29583.

Sahoo, A., Das, P. K., Dasu, V. V., Patra, S. (2024). Insulin evolution: A holistic view of recombinant production advancements. International Journal of Biological Macromolecules, 277(1), 133951. doi: 10.1016/j.ijbiomac.2024.133951

Schillberg, S., Raven, N., Spiegel, H., Rasche, S., Buntru, M. (2019). Critical analysis of the commercial potential of plants for the production of recombinant proteins. Frontiers in Plant Science, 10, 720. doi: 10.3389/fpls.2019.00720.

Nemati, M., Omrani, G. H. R., Ebrahimi, B., Alizadeh, A. (2021). Efficiency of Stem Cell (SC) Differentiation into Insulin-Producing Cells for Treating Diabetes: a Systematic Review. Stem cells international, 25, 6652915. doi: 10.1155/2021/6652915.

Prabakar, K. R., Domínguez-Bendala, J., Molano, R. D., Pileggi, A., Villate, S., Ricordi, C., Inverardi, L. (2012). Generation of glucose-responsive, insulin-producing cells from human umbilical cord blood-derived mesenchymal stem cells. Cell Transplantation, 21(6), 1321-1339. doi: 10.3727/096368911X612530.

Negi, N., Griffin, M. D. (2020). Effects of mesenchymal stromal cells on regulatory T cells: current understanding and clinical relevance. Stem Cells, 38(5), 596-605. doi: 10.1002/stem.3151.

Govender, K., Naicker, T., Lin, J., Baijnath, S., Chuturgoon, A. A., Abdul, N. S. et al. (2020). A novel and more efficient biosynthesis approach for human insulin production in Escherichia coli (E. coli). AMB Express, 10(1), 43. doi: 10.1186/s13568-020-00969-w.

Wang, J., Wang, X., Shi, L., Qi, F., Zhang, P., Zhang, Y. et al. (2017). Methanol-independent protein expression by AOX1 promoter with trans-acting elements engineering and glucose-glycerol-shift induction in Pichia pastoris. Scientific Reports, 7(1), 41850. doi: 10.1038/srep41850.

Dong, O. X., Ronald, P. C. (2019). Genetic engineering for disease resistance in plants: recent progress and future perspectives. Plant Physiology, 180(1), 26-38. doi: 10.1104/pp.18.01224.

Tavizi, A., Javaran, M. J., Moieni, A., Mohammadi-Dehcheshmeh, M., Mohebodini, M., Ebrahimie, E. (2015). Root and shoot parts of strawberry: factories for production of functional human pro-insulin. Molecular Biology Reports, 42(5), 1013-1023. doi: 10.1007/s11033-014-3837-7.

Shi, Y., Inoue, H., Wu, J. C., Yamanaka, S. (2017). Induced pluripotent stem cell technology: a decade of progress. Nature Reviews Drug Discovery, 16(2), 115-130. doi: 10.1038/nrd.2016.245.

Beghini, D. G., Horita, S. I., Cascabulho, C. M., Alves, L. A., Henriques-Pons, A. (2020). Induced pluripotent stem cells: hope in the treatment of diseases, including muscular dystrophies. International Journal of Molecular Sciences, 21(15), 5467. doi: 10.3390/ijms21155467.

Sandow, J. Landgraf, W., Becker, R., Seipke, G. (2015). Equivalent Recombinant Human Insulin Preparations and their Place in Therapy. European Journal of Endocrinology, 11(1), 10-16. doi: 10.17925/EE.2015.11.01.10.

Published

2024-11-27

Issue

Section

Articles