Subscribe to RSS

DOI: 10.1055/a-2642-2305
High-Yield Biosynthesis Process and Characterization of Brolucizumab
Funding None.

Abstract
Brolucizumab was the first single-chain fragment variable (scFv) antibody approved by the FDA for the treatment of age-related macular degeneration (AMD). However, the manufacturing process of brolucizumab remains rarely reported. This study aimed to explore a bioprocess for the production of brolucizumab, where it is expressed as inclusion bodies (IBs) in Escherichia coli (E. coli) BL21 (DE3) cells. In this work, IBs were initially obtained via high cell density fermentation (HCDF) at a high expression level of 30 g/L, followed by denaturation, refolding, and purification to obtain brolucizumab. The refolding parameters were systematically optimized to ensure a high yield of brolucizumab, with 413 mg of the target protein from a 1-L fermentation broth, and purity exceeding 98%. In addition, the amino acid sequence coverage and disulfide bond pairing of the protein were further verified. The results confirmed that brolucizumab has excellent structural integrity, high purity, and notable biological activity. The biosynthetic process holds significant potential for therapeutic applications of brolucizumab and provides valuable insights for the further development of additional scFv bioprocesses.
Keywords
age-related macular degeneration - brolucizumab - inclusion bodies refolding - recombinant expressionSupporting Information
Effects of denaturant type and concentration on inclusion bodies solubilization ([Supplementary Fig. S1] [available in the online version]); RP-HPLC analysis of refolding yield before and after optimization, HPLC spectrum of brolucizumab ([Supplementary Fig. S2] [available in the online version]); purification process of brolucizumab and optimization, screening of chromatographic resins and mobile phase pH for primary ion-exchange chromatography ([Supplementary Table S1] [available in the online version]); as well as screening chromatography for the secondary purfication experiments ([Supplementary Table S2] [available in the online version]); brolucizumab undergoing tryptic digestion under non-reducing conditions to preserve disulfide bonds, with resultant fragments confirmed by LC-MS/MS analysis ([Supplementary Fig. S3] [available in the online version]), are included in “[Supplementary Material], available in the online version” section of this article's webpage.
Publication History
Received: 18 February 2025
Accepted: 24 June 2025
Article published online:
18 July 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
References
- 1 Van Cleemput L, Peeters F, Jacob J. Brolucizumab for neovascular age-related macular degeneration (BEL Study). Clin Ophthalmol 2023; 17: 1077-1085
- 2 Kazemi MS, Shoari A, Salehibakhsh N. et al. Anti-angiogenic biomolecules in neovascular age-related macular degeneration; therapeutics and drug delivery systems. Int J Pharm 2024; 659: 124258
- 3 Tan CS, Ngo WK, Chay IW, Ting DS, Sadda SR. Neovascular age-related macular degeneration (nAMD): a review of emerging treatment options. Clin Ophthalmol 2022; 16: 917-933
- 4 Ghanchi F, Bourne R, Downes SM. et al. An update on long-acting therapies in chronic sight-threatening eye diseases of the posterior segment: AMD, DMO, RVO, uveitis and glaucoma. Eye (Lond) 2022; 36 (06) 1154-1167
- 5 Apte RS, Chen DS, Ferrara N. VEGF in signaling and disease: beyond discovery and development. Cell 2019; 176 (06) 1248-1264
- 6 Bressler SB. Introduction: understanding the role of angiogenesis and antiangiogenic agents in age-related macular degeneration. Ophthalmology 2009; 116 (10) S1-S7
- 7 Nguyen QD, Das A, Do DV. et al. Brolucizumab: evolution through preclinical and clinical studies and the implications for the management of neovascular age-related macular degeneration. Ophthalmology 2020; 127 (07) 963-976
- 8 Jiang D, Xu T, Zhong L. et al. Research progress of VEGFR small molecule inhibitors in ocular neovascular diseases. Eur J Med Chem 2023; 257: 115535
- 9 Sharma A, Kumar N, Parachuri N. et al. Understanding retinal vasculitis associated with brolucizumab: complex pathophysiology or occam's razor?. Ocul Immunol Inflamm 2022; 30 (06) 1508-1510
- 10 Enríquez AB, Baumal CR, Crane AM. et al. Early experience with brolucizumab treatment of neovascular age-related macular degeneration. JAMA Ophthalmol 2021; 139 (04) 441-448
- 11 Markham A. Brolucizumab: first approval. Drugs 2019; 79 (18) 1997-2000
- 12 Ferro Desideri L, Traverso CE, Nicolò M. Brolucizumab: a novel anti-VEGF humanized single-chain antibody fragment for treating w-AMD. Expert Opin Biol Ther 2021; 21 (05) 553-561
- 13 Tadayoni R, Sararols L, Weissgerber G, Verma R, Clemens A, Holz FG. Brolucizumab: a newly developed anti-VEGF molecule for the treatment of neovascular age-related macular degeneration. Ophthalmologica 2021; 244 (02) 93-101
- 14 Siddiqui ZA, Dhumal T, Patel J, LeMasters T, Almony A, Kamal KM. Cost impact of different treatment regimens of brolucizumab in neovascular age-related macular degeneration: a budget impact analysis. J Manag Care Spec Pharm 2022; 28 (12) 1350-1364
- 15 Sandomenico A, Sivaccumar JP, Ruvo M. Evolution of Escherichia coli expression system in producing antibody recombinant fragments. Int J Mol Sci 2020; 21 (17) 6324
- 16 Rosano GL, Morales ES, Ceccarelli EA. New tools for recombinant protein production in Escherichia coli: a 5-year update. Protein Sci 2019; 28 (08) 1412-1422
- 17 Rosano GL, Ceccarelli EA. Recombinant protein expression in Escherichia coli: advances and challenges. Front Microbiol 2014; 5: 172
- 18 Yamaguchi H, Miyazaki M. Refolding techniques for recovering biologically active recombinant proteins from inclusion bodies. Biomolecules 2014; 4 (01) 235-251
- 19 Sarker A, Rathore AS, Gupta RD. Evaluation of scFv protein recovery from E. coli by in vitro refolding and mild solubilization process. Microb Cell Fact 2019; 18 (01) 5
- 20 Khanchezar S, Hashemi-Najafabadi S, Shojaosadati SA, Babaeipour V. High cell density culture of recombinant E. coli in the miniaturized bubble columns. Bioprocess Biosyst Eng 2021; 44 (10) 2075-2085
- 21 Burgess RR. Refolding solubilized inclusion body proteins. Methods Enzymol 2009; 463: 259-282
- 22 Tungekar AA, Fulewar P, Kumthekar R, Bhambure R. Understanding in-vivo refolding of antibody fragments (Fab): biosimilar ranibizumab a case study. Process Biochem 2024; 146: 484-497
- 23 Farokhi-Fard A, Bayat E, Beig Parikhani A. et al. Bacterial production and biophysical characterization of a hard-to-fold scFv against myeloid leukemia cell surface marker, IL-1RAP. Mol Biol Rep 2023; 50 (02) 1191-1202
- 24 Vagenende V, Yap MGS, Trout BL. Mechanisms of protein stabilization and prevention of protein aggregation by glycerol. Biochemistry 2009; 48 (46) 11084-11096
- 25 Kachhawaha K, Singh S, Joshi K, Nain P, Singh SK. Bioprocessing of recombinant proteins from Escherichia coli inclusion bodies: insights from structure-function relationship for novel applications. Prep Biochem Biotechnol 2023; 53 (07) 728-752
- 26 Manissorn J, Tonsomboon K, Wangkanont K, Thongnuek P. Effects of chemical additives in refolding buffer on recombinant human BMP-2 dimerization and the bioactivity on SaOS-2 osteoblasts. ACS Omega 2023; 8 (02) 2065-2076
- 27 Mousavi SB, Davarpanah SJ. Solvent extraction of recombinant interferon alpha-2b from inclusion bodies and efficient refolding at high protein concentrations. Protein Expr Purif 2022; 197: 106110
- 28 Yu L, Liang XH, Ferrara N. Comparing protein VEGF inhibitors: in vitro biological studies. Biochem Biophys Res Commun 2011; 408 (02) 276-281
- 29 Wong RS, Liew MWO, Ong EBB. Production of recombinant human epidermal growth factor in Escherichia coli: strategic upstream and downstream considerations for high protein yield. Process Biochem 2024; 146: 81-96
- 30 Zhao Y, Wang ZS, Wang Q. et al. Efficient transformation and genome editing in a nondomesticated, biocontrol strain, Bacillus subtilis GLB191. Phytopathol Res 2024; 6 (01) 69
- 31 Zhang Y, Wang Y, Lu J. et al. High-yield and cost-effective biosynthesis process for producing antimicrobial peptide AA139. Protein Expr Purif 2024; 219: 106475
- 32 Gutiérrez-González M, Farías C, Tello S. et al. Optimization of culture conditions for the expression of three different insoluble proteins in Escherichia coli . Sci Rep 2019; 9 (01) 16850
- 33 Moghadam M, Ganji A, Varasteh A, Falak R, Sankian M. Refolding process of cysteine-rich proteins: chitinase as a model. Rep Biochem Mol Biol 2015; 4 (01) 19-24
- 34 Basak P, Kundu N, Pattanayak R, Bhattacharyya M. Denaturation properties and folding transition states of leghemoglobin and other heme proteins. Biochemistry (Mosc) 2015; 80 (04) 463-472
- 35 Paladino A, Vitagliano L, Graziano G. The action of chemical denaturants: from globular to intrinsically disordered proteins. Biology (Basel) 2023; 12 (05) 754
- 36 Bhat N, Roy T, Sengupta S. et al. Degradation and molecular docking of Curli to scout aggregation complexion. Bioresour Technol Rep 2024; 26: 101830
- 37 Andlinger DJ, Röscheisen P, Hengst C, Kulozik U. Influence of pH, temperature and protease inhibitors on kinetics and mechanism of thermally induced aggregation of potato proteins. Foods 2021; 10 (04) 796
- 38 Bauer KC, Suhm S, Wöll AK, Hubbuch J. Impact of additives on the formation of protein aggregates and viscosity in concentrated protein solutions. Int J Pharm 2017; 516 (1-2): 82-90
- 39 Leibly DJ, Nguyen TN, Kao LT, Hewitt SN, Barrett LK, Van Voorhis WC. Stabilizing additives added during cell lysis aid in the solubilization of recombinant proteins. PLoS One 2012; 7 (12) e52482
- 40 Chen J, Liu Y, Li X. et al. Cooperative effects of urea and L-arginine on protein refolding. Protein Expr Purif 2009; 66 (01) 82-90
- 41 Wang Y, van Oosterwijk N, Ali AM. et al. A systematic protein refolding screen method using the DGR approach reveals that time and secondary TSA are essential variables. Sci Rep 2017; 7 (01) 9355
- 42 Ryan BJ, Kinsella GK, Henehan GT. Protein extraction and purification by differential solubilization. In: Loughran ST, Milne JJ. eds. Protein Chromatography. Methods in Molecular Biology. New York, NY: Humana; 2023. ;2699: 349-368
- 43 Lowe J, Araujo J, Yang J. et al. Ranibizumab inhibits multiple forms of biologically active vascular endothelial growth factor in vitro and in vivo . Exp Eye Res 2007; 85 (04) 425-430