Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion

Abstract Transfusion safety and blood typing continue to present significant challenges in clinical practice, including risks of incorrect blood transfusions and blood shortages. One promising solution is the enzymatic conversion of all red blood cell (RBC) types into universal O-type RBCs. However,...

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Main Authors: Meiling Zhou, Kaishan Luo, Chao Su, Yan Sun, Zuyan Huang, Shuo Ma, Xun Gao, Jiwei Wang, Chen Zhang, Pengcheng Han, Guoqiu Wu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Experimental Hematology & Oncology
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Online Access:https://doi.org/10.1186/s40164-025-00599-7
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author Meiling Zhou
Kaishan Luo
Chao Su
Yan Sun
Zuyan Huang
Shuo Ma
Xun Gao
Jiwei Wang
Chen Zhang
Pengcheng Han
Guoqiu Wu
author_facet Meiling Zhou
Kaishan Luo
Chao Su
Yan Sun
Zuyan Huang
Shuo Ma
Xun Gao
Jiwei Wang
Chen Zhang
Pengcheng Han
Guoqiu Wu
author_sort Meiling Zhou
collection DOAJ
description Abstract Transfusion safety and blood typing continue to present significant challenges in clinical practice, including risks of incorrect blood transfusions and blood shortages. One promising solution is the enzymatic conversion of all red blood cell (RBC) types into universal O-type RBCs. However, the major obstacle to this strategy is the relatively low catalytic efficiency of the enzymes involved. In this study, we investigated two enzymes from Flavonifractor plautii, N-acetylgalactosamine deacetylase (FpGalNAcDeAc) and galactosaminidase (FpGalNase), which demonstrate synergistic activity in efficiently converting A-type RBCs to O-type. We optimized treatment conditions, achieving over 99% conversion in just five minutes using phosphate buffer saline and a 16 nM enzyme concentration. Additionally, we engineered two fusion proteins, FpGalNAcDeAc-FpGalNase and FpGalNase-FpGalNAcDeAc, which showed a 28-fold increase in catalytic efficiency compared to the enzyme mixture. Using cryo-electron microscopy, we resolved the full-length structure of FpGalNase, identifying critical active site residues involved in its catalytic mechanism. This study provides essential structural and biochemical insights for clinical applications in blood group conversion, offering a promising approach for producing universal O-type RBCs.
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series Experimental Hematology & Oncology
spelling doaj-art-2fdedcd4ab0f43df93dadd0c91c827ef2025-01-26T12:18:59ZengBMCExperimental Hematology & Oncology2162-36192025-01-011411410.1186/s40164-025-00599-7Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversionMeiling Zhou0Kaishan Luo1Chao Su2Yan Sun3Zuyan Huang4Shuo Ma5Xun Gao6Jiwei Wang7Chen Zhang8Pengcheng Han9Guoqiu Wu10Jiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityJiangsu Provincial Key Laboratory of Critical Care Medicine, Advanced Institute for Life and Health, Center of Clinical Laboratory Medicine, Department of Pharmacy, School of Medicine, Zhongda Hospital, Southeast UniversityAbstract Transfusion safety and blood typing continue to present significant challenges in clinical practice, including risks of incorrect blood transfusions and blood shortages. One promising solution is the enzymatic conversion of all red blood cell (RBC) types into universal O-type RBCs. However, the major obstacle to this strategy is the relatively low catalytic efficiency of the enzymes involved. In this study, we investigated two enzymes from Flavonifractor plautii, N-acetylgalactosamine deacetylase (FpGalNAcDeAc) and galactosaminidase (FpGalNase), which demonstrate synergistic activity in efficiently converting A-type RBCs to O-type. We optimized treatment conditions, achieving over 99% conversion in just five minutes using phosphate buffer saline and a 16 nM enzyme concentration. Additionally, we engineered two fusion proteins, FpGalNAcDeAc-FpGalNase and FpGalNase-FpGalNAcDeAc, which showed a 28-fold increase in catalytic efficiency compared to the enzyme mixture. Using cryo-electron microscopy, we resolved the full-length structure of FpGalNase, identifying critical active site residues involved in its catalytic mechanism. This study provides essential structural and biochemical insights for clinical applications in blood group conversion, offering a promising approach for producing universal O-type RBCs.https://doi.org/10.1186/s40164-025-00599-7Blood transfusionFpGalNAcDeAcFpGalNaseGalactosaminidaseN-acetylgalactosamine deacetylasecryo-EM structure
spellingShingle Meiling Zhou
Kaishan Luo
Chao Su
Yan Sun
Zuyan Huang
Shuo Ma
Xun Gao
Jiwei Wang
Chen Zhang
Pengcheng Han
Guoqiu Wu
Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion
Experimental Hematology & Oncology
Blood transfusion
FpGalNAcDeAc
FpGalNase
Galactosaminidase
N-acetylgalactosamine deacetylase
cryo-EM structure
title Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion
title_full Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion
title_fullStr Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion
title_full_unstemmed Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion
title_short Structural basis of FpGalNase and its combination with FpGalNAcDeAc for efficient A-to-O blood group conversion
title_sort structural basis of fpgalnase and its combination with fpgalnacdeac for efficient a to o blood group conversion
topic Blood transfusion
FpGalNAcDeAc
FpGalNase
Galactosaminidase
N-acetylgalactosamine deacetylase
cryo-EM structure
url https://doi.org/10.1186/s40164-025-00599-7
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