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Initial Screening of Poly(ethylene glycol) Amino Ligands for Affinity Purification of Plasmid DNA in Aqueous Two-Phase Systems. Life (Basel) 2021; 11:life11111138. [PMID: 34833014 PMCID: PMC8619368 DOI: 10.3390/life11111138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 10/19/2021] [Accepted: 10/21/2021] [Indexed: 12/12/2022] Open
Abstract
Gene therapy and DNA vaccination are among the most expected biotechnological and medical advances for the coming years. However, the lack of cost-effective large-scale production and purification of pharmaceutical-grade plasmid DNA (pDNA) still hampers their wide application. Downstream processing, which is mainly chromatography-based, of pDNA remains the key manufacturing step. Despite its high resolution, the scaling-up of chromatography is usually difficult and presents low capacity, resulting in low yields. Alternative methods that are based on aqueous two-phase systems (ATPSs) have been studied. Although higher yields may be obtained, its selectivity is often low. In this work, modified polymers based on poly(ethylene glycol) (PEG) derivatisation with amino groups (PEG–amine) or conjugation with positively charged amino acids (PEG–lysine, PEG–arginine, and PEG–histidine) were studied to increase the selectivity of PEG–dextran systems towards the partition of a model plasmid. A two-step strategy was employed to obtain suitable pure formulations of pDNA. In the first step, a PEG–dextran system with the addition of the affinity ligand was used with the recovery of the pDNA in the PEG-rich phase. Then, the pDNA was re-extracted to an ammonium-sulphate-rich phase in the second step. After removing the salt, this method yielded a purified preparation of pDNA without RNA and protein contamination.
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2
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Černigoj U, Vidič J, Ferjančič A, Sinur U, Božič K, Mencin N, Martinčič Celjar A, Gagnon P, Štrancar A. Guanidine improves DEAE anion exchange-based analytical separation of plasmid DNA. Electrophoresis 2021; 42:2619-2625. [PMID: 34569093 DOI: 10.1002/elps.202100210] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 09/04/2021] [Accepted: 09/17/2021] [Indexed: 11/10/2022]
Abstract
Elution of strong and weak anion exchangers with sodium chloride gradients is commonly employed for analysis of sample mixtures containing different isomers of plasmid DNA. Gradient elution of a weak anion exchanger (diethylaminoethyl) in the presence of guanidine hydrochloride (Gdn) roughly doubles resolution between open-circular (oc) and supercoiled (sc) isomers. It also improves resolution among sc, linear, and multimeric/aggregated forms. Sharper elution peaks with less tailing increase sensitivity about 30%. However, elution with an exclusively Gdn gradient to 900 mM causes more than 10% loss of plasmid. Elution with a sodium chloride gradient while maintaining Gdn at a level concentration of 300 mM achieves close to 100% recovery of sc plasmid while maintaining the separation improvements achieved by exclusively Gdn elution. Corresponding improvements in separation performance are not observed on a strong (quaternary amine) anion exchanger. Other chaotropic salts do not produce a favorable result on either exchanger, nor does the inclusion of surfactants or EDTA. Selectivity of the diethylaminoethyl-Gdn method is orthogonal to electrophoresis, but with better quantification than agarose electrophoresis, better quantitative accuracy than CE, and resolution approaching CE.
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Affiliation(s)
- Urh Černigoj
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | - Jana Vidič
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | - Ana Ferjančič
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | - Urša Sinur
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | - Klemen Božič
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | - Nina Mencin
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | | | - Pete Gagnon
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
| | - Aleš Štrancar
- BIA Separations d.o.o., a Sartorius company, Ajdovščina, Slovenia
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3
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Quality assessment of supercoiled minicircle DNA by cadaverine-modified analytical chromatographic monolith. J Pharm Biomed Anal 2020; 180:113037. [DOI: 10.1016/j.jpba.2019.113037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 12/05/2019] [Accepted: 12/07/2019] [Indexed: 01/19/2023]
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4
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Matos T, Bülow L. Separation of Nucleic Acids Using Single- and Multimodal Chromatography. Curr Protein Pept Sci 2018; 20:49-55. [DOI: 10.2174/1389203718666171024112556] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 07/01/2017] [Accepted: 09/22/2017] [Indexed: 12/23/2022]
Abstract
The needs for purified nucleic acids for preparative and analytical applications have increased
constantly, demanding for the development of new and more efficient methods for their recovery and
isolation. DNA molecules harbour some intrinsic chemical properties that render them suitable for
chromatographic separations. These include a negatively charged phosphate backbone as well as a hydrophobic
character originating mainly from the major groove of DNA which exposes the base pairs on
the surface of the molecule. In addition, single stranded DNA often allows for a free exposure of the hydrophobic
aromatic bases. In this review, multimodal chromatography (MMC) has been evaluated as an
alternative tool for complex separations of nucleic acids. MMC embraces more than one kind of interaction
between the chromatographic ligand and the target molecules. These resins have often proved superior
to conventional single-mode chromatographic materials for DNA isolation, including, e.g., the purification
of plasmid DNA from crude cell lysates and for the preparation of DNA fragments before or
after a polymerase chain reaction (PCR).
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Affiliation(s)
- Tiago Matos
- Pure and Applied Biochemistry, Chemical Center, Lund University, Lund, Sweden
| | - Leif Bülow
- Pure and Applied Biochemistry, Chemical Center, Lund University, Lund, Sweden
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5
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Matos T, Mohamed ET, Queiroz JA, Bülow L. Capto™ Resins for Chromatography of DNA: A Minor Difference in Ligand Composition Greatly Influences the Separation of Guanidyl-Containing Fragments. Chromatographia 2016. [DOI: 10.1007/s10337-016-3148-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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6
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Santos T, Carvalho J, Corvo MC, Cabrita EJ, Queiroz JA, Cruz C. L-tryptophan and dipeptide derivatives for supercoiled plasmid DNA purification. Int J Biol Macromol 2016; 87:385-96. [PMID: 26952704 DOI: 10.1016/j.ijbiomac.2016.02.079] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2015] [Revised: 02/28/2016] [Accepted: 02/29/2016] [Indexed: 12/30/2022]
Abstract
The present study focus on the preparation of chromatography supports for affinity-based chromatography of supercoiled plasmid purification. Three l-tryptophan based supports are prepared through immobilization on epoxy-activated Sepharose and characterized by HR-MAS NMR. The SPR is employed for a fast screening of l-tryptophan derivatives, as potential ligands for the biorecognition of supercoiled isoform, as well as, to establish the suitable experimental conditions for the chromatography. The results reveal that the overall affinity is high (KD=10(-9) and 10(-8)M) and the conditions tested show that the use of HEPES 100mM enables the separation and purification of supercoiled at T=10°C. The STD-NMR is performed to accomplish the epitope mapping of the 5'-mononucleotides bound to l-tryptophan derivatives supports. The data shows that the interactions between the three supports and the 5'-mononucleotides are mainly hydrophobic and π-π stacking. The chromatography experiments are performed with l-tryptophan support and plasmids pVAX-LacZ and pPH600. The supercoiled isoform separation is achieved at T=10°C by decreasing the concentration of (NH4)2SO4 from 2.7 to 0M in HEPES for pVAX-LacZ and 2.65M to 0M in HEPES for pPH600. Overall, l-tryptophan derivatives can be a promising strategy to purify supercoiled for pharmaceutical applications.
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Affiliation(s)
- Tiago Santos
- CICS-UBI-Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior, Av. Infante D. Henrique, 6200-506 Covilhã, Portugal
| | - Josué Carvalho
- CICS-UBI-Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior, Av. Infante D. Henrique, 6200-506 Covilhã, Portugal
| | - Marta C Corvo
- UCIBIO, REQUIMTE, Departamento de Química, Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, 2829-516 Caparica, Portugal; CENIMAT/I3N, Departamento de Ciência dos Materiais, Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, 2829-516 Caparica, Portugal
| | - Eurico J Cabrita
- UCIBIO, REQUIMTE, Departamento de Química, Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, 2829-516 Caparica, Portugal
| | - J A Queiroz
- CICS-UBI-Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior, Av. Infante D. Henrique, 6200-506 Covilhã, Portugal
| | - C Cruz
- CICS-UBI-Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior, Av. Infante D. Henrique, 6200-506 Covilhã, Portugal.
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Martins L, Pedro A, Oppolzer D, Sousa F, Queiroz J, Passarinha L. Enhanced biosynthesis of plasmid DNA from Escherichia coli VH33 using Box–Behnken design associated to aromatic amino acids pathway. Biochem Eng J 2015. [DOI: 10.1016/j.bej.2015.02.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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8
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Mota E, Sousa F, Sousa A, Queiroz JA, Cruz C. Molecular recognition of oligonucleotides and plasmid DNA by l-methionine. J Mol Recognit 2015; 27:588-96. [PMID: 25178854 DOI: 10.1002/jmr.2382] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2014] [Accepted: 04/10/2014] [Indexed: 12/27/2022]
Abstract
The present study explores the effect of oligonucleotide composition on the mechanism of retention to l-methionine agarose support by chromatography and saturation transfer difference (STD)-nuclear magnetic resonance (NMR) techniques. All chromatographic experiments were performed using 1.5 M (NH4 )2 SO4 . The binding profiles obtained by chromatography show that oligonucleotides with thymine had the highest retention time. In general, the larger homo-oligonucleotides are more retained to the l-methionine agarose support. Moreover, the study with hetero-oligonucleotides confirms that the presence of guanine reduces the retention on the l-methionine chromatographic support. These results are in accord with STD-NMR experiments, which show that the strongest signals were observed for the methyl group of thymine, and no STD signals were observed for the guanosine protons. Finally, the retention behaviour of linear plasmid DNA (pDNA) with different sizes and base composition (2.7-kbp pUC19, 6.05-kbp pVAX1-LacZ, 7.4-kbp pVAX1-LacZgag and 14-kbp pcDNA-based plasmid) was also evaluated by chromatography. The results indicate that the underlying mechanism of retention involves not only hydrophobic interactions but also other elementary interactions responsible for the biorecognition of pDNA molecules by l-methionine ligands.
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Affiliation(s)
- Elia Mota
- CICS-UBI-Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior, Av. Infante D. Henrique, 6200-506, Covilhã, Portugal
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Silva MS, Graça VC, Reis LV, Santos PF, Silvestre S, Granadeiro L, Almeida P, Queiroz JA, Sousa F. 3,3'-Diamino-N-methyldipropylamine as a versatile affinity ligand. J Sep Sci 2015; 38:732-40. [PMID: 25556997 DOI: 10.1002/jssc.201400656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2014] [Revised: 12/07/2014] [Accepted: 12/18/2014] [Indexed: 11/10/2022]
Abstract
Currently, in biomedicine and biotechnology fields, there is a growing need to develop and produce biomolecules with a high degree of purity. To accomplish this goal, new purification methods are being developed looking for higher performance, efficiency, selectivity, and cost-effectiveness. Affinity chromatography is considered one of the most highly selective methods for biomolecules purification. The purpose of this work is to explore a new type of a structurally simple ligand immobilized onto an agarose matrix to be used in affinity chromatography. The ligand in this study, 3,3'-diamino-N-methyldipropylamine has shown low toxicity and low cost of preparation. Moreover, the ability of the ligand to be used in affinity chromatography to purify proteins and nucleic acids was verified. An increasing sodium chloride gradient, using salt concentrations up to 500 mM, was suitable to accomplish the purification of these biomolecules, meaning that the new support allows the recovery of target biomolecules under mild conditions. Thus, the 3,3'-diamino-N-methyldipropylamine ligand is shown to be a useful and versatile tool in chromatographic experiments, with very good results either for proteins or supercoiled plasmid isoform purification.
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Affiliation(s)
- Marta S Silva
- CICS-UBI-Centro de Investigação em Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal
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Aguilar P, Twarda A, Sousa F, Dias-Cabral A. Thermodynamic study of the interaction between linear plasmid deoxyribonucleic acid and an anion exchange support under linear and overloaded conditions. J Chromatogr A 2014; 1372C:166-173. [DOI: 10.1016/j.chroma.2014.11.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Revised: 10/30/2014] [Accepted: 11/02/2014] [Indexed: 12/24/2022]
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11
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Pereira P, Sousa Â, Queiroz J, Figueiras A, Sousa F. New approach for purification of pre-miR-29 using lysine-affinity chromatography. J Chromatogr A 2014; 1331:129-32. [DOI: 10.1016/j.chroma.2014.01.033] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2013] [Revised: 01/06/2014] [Accepted: 01/10/2014] [Indexed: 11/29/2022]
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12
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Caramelo-Nunes C, Almeida P, Marcos J, Tomaz C. Aromatic ligands for plasmid deoxyribonucleic acid chromatographic analysis and purification: An overview. J Chromatogr A 2014; 1327:1-13. [DOI: 10.1016/j.chroma.2013.12.057] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2013] [Revised: 12/19/2013] [Accepted: 12/20/2013] [Indexed: 12/25/2022]
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13
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Gabor B, Černigoj U, Barut M, Štrancar A. Reversible entrapment of plasmid deoxyribonucleic acid on different chromatographic supports. J Chromatogr A 2013; 1311:106-14. [DOI: 10.1016/j.chroma.2013.08.075] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Revised: 08/02/2013] [Accepted: 08/19/2013] [Indexed: 12/11/2022]
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14
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Matos T, Queiroz JA, Bülow L. Binding and elution behavior of small deoxyribonucleic acid fragments on a strong anion-exchanger multimodal chromatography resin. J Chromatogr A 2013; 1302:40-4. [DOI: 10.1016/j.chroma.2013.05.044] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2013] [Revised: 05/15/2013] [Accepted: 05/16/2013] [Indexed: 11/25/2022]
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15
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van der Heijden I, Gomez-Eerland R, van den Berg JH, Oosterhuis K, Schumacher TN, Haanen JBAG, Beijnen JH, Nuijen B. Transposon leads to contamination of clinical pDNA vaccine. Vaccine 2013; 31:3274-80. [PMID: 23707695 DOI: 10.1016/j.vaccine.2013.05.022] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Revised: 05/02/2013] [Accepted: 05/08/2013] [Indexed: 11/17/2022]
Abstract
We report an unexpected contamination during clinical manufacture of a Human Papilomavirus (HPV) 16 E6 encoding plasmid DNA (pDNA) vaccine, with a transposon originating from the Escherichia coli DH5 host cell genome. During processing, presence of this transposable element, insertion sequence 2 (IS2) in the plasmid vector was not noticed until quality control of the bulk pDNA vaccine when results of restriction digestion, sequencing, and CGE analysis were clearly indicative for the presence of a contaminant. Due to the very low level of contamination, only an insert-specific PCR method was capable of tracing back the presence of the transposon in the source pDNA and master cell bank (MCB). Based on the presence of an uncontrolled contamination with unknown clinical relevance, the product was rejected for clinical use. In order to prevent costly rejection of clinical material, both in-process controls and quality control methods must be sensitive enough to detect such a contamination as early as possible, i.e. preferably during plasmid DNA source generation, MCB production and ultimately during upstream processing. However, as we have shown that contamination early in the process development pipeline (source pDNA, MCB) can be present below limits of detection of generally applied analytical methods, the introduction of "engineered" or transposon-free host cells seems the only 100% effective solution to avoid contamination with movable elements and should be considered when searching for a suitable host cell-vector combination.
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Affiliation(s)
- I van der Heijden
- Department of Pharmacy & Pharmacology, Slotervaart Hospital/The Netherlands Cancer Institute, Amsterdam, The Netherlands.
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16
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Mota É, Sousa Â, Černigoj U, Queiroz JA, Tomaz CT, Sousa F. Rapid quantification of supercoiled plasmid deoxyribonucleic acid using a monolithic ion exchanger. J Chromatogr A 2013; 1291:114-21. [DOI: 10.1016/j.chroma.2013.03.070] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2012] [Revised: 02/08/2013] [Accepted: 03/26/2013] [Indexed: 02/05/2023]
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17
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Current trends in separation of plasmid DNA vaccines: A review. Anal Chim Acta 2013; 760:1-15. [DOI: 10.1016/j.aca.2012.11.006] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2012] [Revised: 10/22/2012] [Accepted: 11/06/2012] [Indexed: 11/20/2022]
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18
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Nunes JC, Morão AM, Nunes C, Pessoa de Amorim MT, Escobar IC, Queiroz JA. Plasmid DNA recovery from fermentation broths by a combined process of micro- and ultrafiltration: Modeling and application. J Memb Sci 2012. [DOI: 10.1016/j.memsci.2012.04.055] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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19
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Martins R, Maia CJ, Queiroz JA, Sousa F. A new strategy for RNA isolation from eukaryotic cells using arginine affinity chromatography. J Sep Sci 2012; 35:3217-26. [DOI: 10.1002/jssc.201200338] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2012] [Revised: 05/28/2012] [Accepted: 06/02/2012] [Indexed: 12/17/2022]
Affiliation(s)
- Rita Martins
- CICS-UBI-Health Sciences Research Centre; University of Beira Interior; Covilhã Portugal
| | - Cláudio J. Maia
- CICS-UBI-Health Sciences Research Centre; University of Beira Interior; Covilhã Portugal
| | - João A. Queiroz
- CICS-UBI-Health Sciences Research Centre; University of Beira Interior; Covilhã Portugal
| | - Fani Sousa
- CICS-UBI-Health Sciences Research Centre; University of Beira Interior; Covilhã Portugal
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20
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Sousa Â, Sousa F, Queiroz JA. Advances in chromatographic supports for pharmaceutical-grade plasmid DNA purification. J Sep Sci 2012; 35:3046-58. [DOI: 10.1002/jssc.201200307] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2012] [Revised: 05/28/2012] [Accepted: 06/02/2012] [Indexed: 01/04/2023]
Affiliation(s)
- Ângela Sousa
- CICS-UBI - Centro de Investigação em Ciências da Saúde; Universidade da Beira Interior; Covilhã Portugal
| | - Fani Sousa
- CICS-UBI - Centro de Investigação em Ciências da Saúde; Universidade da Beira Interior; Covilhã Portugal
| | - João A. Queiroz
- CICS-UBI - Centro de Investigação em Ciências da Saúde; Universidade da Beira Interior; Covilhã Portugal
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21
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Silva F, Queiroz JA, Domingues FC. Evaluating metabolic stress and plasmid stability in plasmid DNA production by Escherichia coli. Biotechnol Adv 2012; 30:691-708. [DOI: 10.1016/j.biotechadv.2011.12.005] [Citation(s) in RCA: 101] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2011] [Revised: 12/01/2011] [Accepted: 12/29/2011] [Indexed: 01/26/2023]
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22
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Martins R, Queiroz JA, Sousa F. Histidine affinity chromatography-based methodology for the simultaneous isolation of Escherichia coli small and ribosomal RNA. Biomed Chromatogr 2011; 26:781-8. [DOI: 10.1002/bmc.1729] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2011] [Accepted: 09/11/2011] [Indexed: 01/26/2023]
Affiliation(s)
- Rita Martins
- CICS-UBI, Health Sciences Research Centre; University of Beira Interior; Av. Infante D. Henrique; 6200-506; Covilhã; Portugal
| | - João António Queiroz
- CICS-UBI, Health Sciences Research Centre; University of Beira Interior; Av. Infante D. Henrique; 6200-506; Covilhã; Portugal
| | - Fani Sousa
- CICS-UBI, Health Sciences Research Centre; University of Beira Interior; Av. Infante D. Henrique; 6200-506; Covilhã; Portugal
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