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Table 2 Selected in vitro biological activities of AAT.

From: Expanding the Clinical Indications for α1-Antitrypsin Therapy

In vitro assay

Cellular targets

Source and concentration

Outcomes

Reference

Cell function

    

Glucose-stimulated insulin secretion

Mouse islets

Aralast, 0.25–0.5 mg/mL

Cytokine-dampened insulin release restored

10

 

Human islets

Aralast, 0.5 mg/mL

Impure islet culture insulin release improved

160

 

β-cell lines

Prolastin, 0.125-1 mg/mL

Insulin release improved

82

Collagen I production during wound healing

Skin fibroblasts

Human AAT (Calbiochem), 0.1 ng/mL

Production increased

161

Cell survival

    

Proinflammatory cytokine toxicity

Primary mouse islets

Aralast, 0.25–0.5 mg/mL

LDH release diminished

10

 

Rat INS-1 cell line

Prolastin, 0.5 mg/mL

Cell death reduced

82

β-cell-specific toxin

Murine MIN-6 cell line

Prolastin, 0.5 mg/mL

Apoptosis reduced

98

(streptozotocin)

    

Caspase-3-induced apoptosis

Primary lung alveolar endothelial cells

hAAT (Calbiochem), 0.05 mg/mL

Apoptosis reduced

60

LPS and ischemia-induced injury

Adult cardiac myocyte cell line HL-1

Aralast, 4.0 mg/mL

Cell death reduced

125

Immune cell cytokine production

    

LPS stimulation

Human PBMC

Prolastin, 0.5 mg/mL

Reduced proinflammatory cytokine release

162

Heat-inactivated S. epi. stimulation

Human PBMC

Aralast, 8.0 mg/mL

Reduced proinflammatory cytokine release

4

Steady-state

Nonstimulated murine B cells

Prolastin, 0.5 mg/mL

Steady-state BAFF production decreased

114

LPS stimulation

Human neutrophils

Human neuronal cell line-derived recombinant hAAT 0.5 mg/mL; prolastin, 0.25 mg/mL

Reduced TNF-α release,

163

Mixed lymphocyte reaction

Human PBMC

Aralast, 0.1–0.5 mg/mL

Reduced IL-32

11

Mixed lymphocyte-DC reaction

Murine OT-II T cells and OVA-loaded DC

Aralast, 0.5 mg/mL

Reduced IL-6, elevated IL-2 and elevated IL-10

9

Immune cells not directly targeted by AAT

    

In vitro immunization

Mouse splenocytes

Prolastin, 0.5 mg/mL

Intact T-cell clumping, proliferation, response to IL-2 and IFNγ release

114

Concanavalin A stimulation

Mouse splenocytes

Aralast, 0.5 mg/mL

 

10

CD3/CD28 stimulation

Purified mouse T cells

Aralast, 0.5 mg/mL

 

7,12

  1. BAFF, B-cell activating factor; DC, dendritic cell; S. epi.; Staphylococcus epidermidis.