Departments of Drug Disposition Development/Commercialization
(V.J.W., C.M., K.D.), and Bioresearch Technologies/Proteins (J.M.,
R.M., D.R.W.), Lilly Research Laboratories, Lilly Corporate Center,
Indianapolis, Indiana
Decoy receptor 3 (DcR3) is a novel member of the tumor necrosis
factor receptor superfamily, which binds to and blocks the activities of the ligands, FasL and LIGHT (a cellular ligand for herpes virus entry mediator and lymphotoxin receptor), that play an
important role in regulating apoptosis in normal physiology. DcR3 was
rapidly degraded to a major circulating metabolic fragment, DcR3(1-218), after subcutaneous administration in primates and mice.
DcR3 was molecularly engineered by changing the arginine residue at
position 218 to glutamine to generate a potentially stable analog,
DcR3(R218Q), which we termed FasLigand inhibitor protein [FLINT
(LY498919)]. The influence of this modification on the kinetics and
bioavailability of DcR3 was evaluated in primates and mice. After i.v.
administration of FLINT and DcR3, both compounds were cleared from the
plasma in a bi-phasic manner, with the terminal phase half-life being
somewhat longer for FLINT than for DcR3. After s.c. administration, the
exposure to the full-length form of FLINT was 5.7- to 6-fold greater
than for DcR3. In both primates and mice, greater than 90% of
circulating immunoreactivity after s.c. administration of FLINT was
associated with intact molecule, whereas only 17 to 37% was associated
with intact molecule after administration of DcR3. The absolute s.c.
bioavailability of intact FLINT was approximately 4- to 6-fold higher
than for DcR3. The improved s.c. bioavailability of FLINT is related to
the increased metabolic stability afforded to the molecule as a result
of the amino acid mutation at position 218 of the primary sequence of DcR3 and may translate to the need for lower therapeutic doses in a
number of disease indications.
 |
Introduction |
Fas ligand
(FasL1) and Fas receptor are members of the tumor
necrosis factor receptor superfamily that play an important role in
regulating apoptosis in normal physiology (Armitage, 1994
; Smith et
al., 1994
; Torcia et al., 1996
). DcR3 (TR6) is a novel member of the
TNF receptor superfamily, and in agreement with previous literature
reports (Kramer et al., 1994
, Yu et al., 1999
; Zhang et al., 2001
), we
have demonstrated that DcR3 binds both FasL and LIGHT and blocks both
sFasL-mediated apoptosis of human Jurkat cells and the LIGHT-mediated
inhibition of HT-29 cell growth, in a dose-dependent fashion (data not
shown). Subsequent to these observations DcR3 has been shown to
also bind TL1A, another member of this family, which appears to play a
role in apoptosis and immune regulation (Migone et al., 2002
).
While Fas/FasL-mediated apoptosis is believed to be important in the
maintenance of normal physiological processes, excessive or
inappropriate apoptosis induced by the Fas/FasL system has been
proposed to be key factor in the pathogenesis of autoimmune disease,
cancer, and diseases of the liver, lung, kidney, and central nervous
systems (Maggi, 1998
; Patel et al., 1998
; O'Connell et al., 2001
). The
application of DcR3 to disrupt FasL or LIGHT-mediated signaling
pathways may thus provide a novel pharmacological approach in the
treatment of a number of human diseases in which FasL-induced apoptosis
plays a significant role.
The processed, soluble form of DcR3 is a 271 amino acid polypeptide
having one N-linked glycosylation site. We have previously reported that DcR3 is susceptible to proteolytic cleavage in vivo and
in vitro at the Arg218-Ala219 peptide bond to yield a primary metabolite DcR3(1-218) (Wroblewski et al., 2003
). DcR3(1-218) was
able to bind LIGHT and block its activities in vitro but unlike the
parent molecule, no longer bound sFasL or inhibited FasL mediated apoptosis in vitro. In an effort to create a molecule that was less
susceptible to proteolysis, the primary sequence of DcR3 was engineered
by changing the arginine at position 218 to a glutamine. The analog,
DcR3(R218Q), which we have termed FLINT (LY498919), was more stable to
proteolytic degradation in vitro and maintained its ability to bind
both FasL and LIGHT (Wroblewski et al., 2003
). FLINT also retained its
capacity to block both sFasL-mediated apoptosis of human Jurkat cells
and the LIGHT-mediated inhibition of HT-29 cell growth, in a
dose-dependent fashion.
The efficacy of DcR3 administered as a therapeutic protein could be
limited by the proteolysis occurring at position 218 since the
metabolic fragment resulting from this cleavage no longer binds sFasL
or inhibits sFasL-mediated apoptosis. Theoretically, an analog of DcR3,
which was resistant to proteolysis at this site, could have more
favorable pharmacologic and pharmacokinetic properties that may
translate to the need for a lower dose to obtain a desired effect. The
current study examined this possibility by comparing the
pharmacokinetics and bioavailability of FLINT and DcR3 in cynomolgus
monkeys and mice.
 |
Materials and Methods |
Production and Purification of DcR3 and FLINT.
Production of DcR3 and FLINT was carried out by expressing these
proteins in both AV12 RGT cells and DG44 cells media containing DcR3 or
FLINT was adjusted to 0.1% CHAPS and concentrated in an Amicon ProFlux
M12 tangential filtration system to 350 ml. The concentrated media was
adjusted to pH 6.0 and passed over a SP Sepharose Fast Flow (50 ml;
Pharmacia, Peapack, NJ), followed by fractionation of the DcR3
or FLINT containing pool by reverse phase-HPLC on a Vydac C4
column (1 × 15 cm). Fractions containing DcR3 were pooled,
concentrated under vacuum, and applied to a Superdex 75 (Hi Load 16/60,
Pharmacia) size exclusion column. Fractions containing DcR3 or FLINT
were analyzed by SDS-PAGE and found to be greater than 95% pure. The
N-terminal sequence of these proteins were confirmed on the purified polypeptide.
Production and Purification of the DcR3(1-218).
DcR3 purified from AV12 RGT 18 cells was incubated with thrombin at an
enzyme to substrate ratio of 1:100 (w/w) for 3 h at room
temperature. The reaction solution was then dialyzed against 20 mM
MOPS, 0.1% CHAPS, pH 6.5, and fractionated on a SP Sepharose column at
a flow rate of 1 ml/min. The bound metabolite (amino acids 1 to 218)
was eluted and fractions were analyzed by SDS-PAGE and mass
spectrometry. Fractions containing only the DcR3(1-218) were pooled
and concentrated in Millipore Ultrafree centrifugal filter (Millipore
Corporation, Bedford, MA). The concentrated DcR3(1-218) was again
analyzed by SDS-PAGE and mass spectrometry to assess purity. The
N-terminal of the DcR3 metabolite was also confirmed by Edman sequencing.
Animal Experiments.
DcR3 or FLINT was administered as a single bolus i.v. or single s.c.
injection in phosphate-buffered saline (pH 7.4).
Primate Studies.
FLINT or DcR3, derived from CHO-cells, was administered as a single
intravenous bolus, via the saphenous vein, or single subcutaneous injection. Two male cynomolgus monkeys (Maccaca fasicularis,
2.5-3.5 kg) were used for each compound by each route of
administration. Compounds were administered at a dose level of 0.5 or 1 mg/kg for the intravenous and subcutaneous routes, respectively. Blood samples (1 ml) were collected from the femoral vein into tubes containing potassium EDTA as anticoagulant prior to dosing and at 0.25, 0.5, 1, 2, 4, 8, 12, 24, and 30 h after s.c. administration and
0.083, 0.25, 0.5, 1, 3, 6, 12, 24, and 30 h after i.v. administration.
Mouse Studies.
FLINT or DcR3, derived from AV12 cells, was administered as a single
i.v. bolus, via the tail vein, or single subcutaneous injection to male
CD-1 mice (25-30 g) at a dose level of 0.5 mg/kg. Blood samples were
collected by cardiac puncture into tubes containing potassium EDTA as
anticoagulant from two animals per treatment group per time point at
0.25, 0.5, 1, 3, 6, 10 h after administration.
Bioanalytical Assays.
Plasma samples were analyzed for concentrations of DcR3, FLINT, or
DcR3(1-218) using sandwich ELISA methods employing affinity purified
rabbit polyclonal anti-DcR3 antibodies.
Specific ELISA.
This method was used to selectively recognize intact DcR3 or FLINT with
minimal cross-reactive interference by the fragment, DcR3(1-218).
Polyclonal antisera were generated in rabbits using DcR3 in a standard
hyperimmunization protocol. In this method, protein A purified
polyclonal antibodies were affinity purified over a column generated
using a synthetically prepared peptide corresponding to the C-terminal
50 amino acids in DcR3. The flow through from this column recognizes
the N-terminal portion of DcR3 or FLINT and was used as the coating
antibody (WQR-066A). The antibodies eluted from this column,
which recognize the C-terminal 52 amino acids of FLINT or DcR3 were
biotinylated and used as the sandwich antibody in this assay
(WQR-066B). In brief, 0.1 ml of coating antibody (2 µg/ml) was added
to the wells of an Immunlon 4 microtiter plate and allowed to bind at
4°C overnight. After washing and blocking steps, standards and
samples were added to the wells in a volume of 0.05 ml and incubated
for 1 h at room temperature. Standards (DcR3 or FLINT) were
prepared in either cynomolgus monkey or CD-1 mouse plasma (EDTA), study
samples were diluted in the appropriate matrix. After washing,
biotinylated antibodies were added and incubated for 1 h at room
temperature, followed by an additional 1-h incubation with conjugated
streptavidin. The standard curve range was from 0.125 to 8 ng/ml. The
lower limit of quantitation was defined as 0.5 ng/ml. As formatted, measurement in this ELISA relies on the presence of full-length DcR3,
FLINT, or molecules with minimal degradation at the N- or C-terminal
regions and does not cross-react significantly with DcR3(1-218) (Fig.
1A).

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Fig. 1.
Selectivity of ELISA methods used for plasma
measurement of DcR3, FLINT, and DcR3(1-218).
Panel A, assay for full-length DcR3 or FLINT, showing minimal
cross-reactivity with DcR3(1-218). Panel B, assay for DcR3(1-218),
showing minimal cross-reactivity with intact DcR3. Data are the
mean ± standard deviation of responses from three standard
curves.
|
|
Metabolite ELISA.
This assay used the same coating antibody (WQR-066A) as used in the
specific ELISA. For the detection reagent, polyclonal antisera were
generated in rabbits using the C-terminal 100 amino acids of DcR3 in a
standard hyperimmunization protocol. The sera were protein A purified
and antibodies affinity purified over a column prepared using a
synthetically produced peptide corresponding to the C-terminal 50 amino
acids in DcR3. Interestingly, this batch of affinity purified
antibodies had an unanticipated selectivity recognizing DcR3(1-218)
but not full-length DcR3 by immunoblotting (not shown). The reason for
this is not clear but may be related to unique conformational epitopes
generated with the fragment immunogen compared with the intact protein.
When this affinity purified antibody preparation was biotinylated and
used in a sandwich ELISA, the assay showed selectivity toward
DcR3(1-218) and had minimal reactivity with intact DcR3 or FLINT (Fig.
1B). This method was applied to selectively recognize DcR3(1-218) in
plasma after administration of DcR3 or FLINT in vivo. DcR3(1-218),
produced as previously described, was used as the standard in this
assay with a range from 0.16 to 10 ng/ml. Standards were prepared in either cynomolgus monkey or CD-1 mouse plasma (EDTA); study samples were diluted in the appropriate matrix. The lower limit of quantitation was defined as 0.5 ng/ml.
Pharmacokinetics.
Pharmacokinetic parameters were calculated using WinNonlin Professional
version 3.1 software package (Pharsight Corporation, Mountain View,
CA). Intravenous plasma concentration data were modeled using a two
compartment model with a first order elimination rate constant and a
weighting function of Y
2. The parameters that
were calculated include maximum plasma concentrations (Cmax),
AUC0-
, elimination half-life
(t1/2;
), clearance (CL), and steady-state volume
of distribution (Vss). Subcutaneous plasma concentration data were described using a noncompartment model
to calculate the basic pharmacokinetic parameters of
Cmax, Tmax, AUC0-
,
and t1/2. Absolute bioavailability was calculated using the following relationship: (mean
AUCs.c.0-
/mean AUCi.v.0-
) × (dose i.v./dose s.c.) × 100.
 |
Results |
Pharmacokinetics in Primates.
After i.v. administration to cynomolgus monkeys, FLINT and DcR3 were
cleared from the plasma in a bi-phasic manner. The clearance of both
compounds was characterized by a rapid distribution phase (Fig.
2), with approximately 20% of the 5-min
levels remaining 1 h after administration. The clearance of FLINT
from the plasma was approximately 2-fold slower after i.v.
administration compared with DcR3 (Table
1; Fig. 2). This is reflected in the
approximately 2-fold greater area under the plasma concentration curve
(AUC0-
), or overall exposure to FLINT,
compared with DcR3 at equivalent doses (Table 1; Fig. 2). The terminal
phase half-life was slightly longer for FLINT than for DcR3 (12.9 versus 9 h, respectively).

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Fig. 2.
Kinetics of DcR3 and FLINT in cynomolgus
monkeys after intravenous administration.
Compounds were administered intravenously at a dose of 0.5 mg/kg.
Immunoreactivity was determined using an ELISA that selectively
recognizes full-length DcR3 and FLINT. Data are from individual
animals.
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|
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TABLE 1
Pharmacokinetic parameters for FLINT and DcR3 in cynomolgus
monkeys and CD-1 mice after intravenous administration of 0.5 mg/kga
|
|
After s.c. administration of FLINT or DcR3 to primates, exposure
(AUC0-
) for FLINT was 6-fold greater than
exposure for DcR3 (Table 2; Fig.
3). After s.c. administration of FLINT, over 90% of the
circulating immunoreactivity was represented by full-length FLINT as
determined by ELISA (Table 3). In
contrast, after s.c. administration of DcR3 only 17% of overall
exposure was related to the intact version of the molecule with 83% of circulating immunoreactivity represented by the metabolic fragment, DcR3(1-218) (Table 3; Fig. 4). The
absolute s.c. bioavailability for FLINT was approximately 4-fold
greater than for DcR3, 21.9 versus 5.7% (Table 2). As a result, for
the same absolute dose, FLINT provided a greater overall exposure to
the intact version of the molecule than DcR3.
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TABLE 2
Pharmacokinetic parameters for FLINT and DcR3 in cynomolgus
monkeys and CD-1 mice after subcutaneous
administrationa
|
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Fig. 3.
Kinetics of DcR3 and FLINT in cynomolgus
monkeys after subcutaneous administration.
Compounds were administered as a single 1 mg/kg subcutaneous dose.
Immunoreactivity was determined using an ELISA, which selectively
recognizes the full-length molecules. Data are from individual
animals.
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TABLE 3
Pharmacokinetic parameters for DcR3(1-218) immunoreactivity in
cynomolgus monkeys and CD-1 mice after subcutaneous administration of
FLINT or DcRa
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Fig. 4.
Kinetics of DcR3(1-218) immunoreactivity
after subcutaneous administration of DcR3 or FLINT to cynomolgus
monkeys.
DcR3 or FLINT were administered as a single 1 mg/kg subcutaneous dose.
Immunoreactivity was determined using an ELISA, which selectively
recognizes the N-terminal 218 amino acids of DcR3. Data are from
individual animals.
|
|
Pharmacokinetics in Mice.
FLINT and DcR3 were also very rapidly cleared after i.v. administration
to CD-1 mice, however, the somewhat more rapid clearance of DcR3 was
not evident in this species (Table 1; Fig.
5). The terminal phase half-life was
longer for FLINT than for DcR3, (3.1 versus 1.2 h, respectively).

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Fig. 5.
Kinetics of DcR3 and FLINT in CD-1 mice
after intravenous administration.
Compounds were administered intravenously at a dose of 0.5 mg/kg.
Immunoreactivity was determined using an ELISA that selectively
recognizes full-length DcR3 and FLINT. Data represent the mean from two
animals per time point.
|
|
After s.c. administration of FLINT or DcR3 to mice, exposure
(AUC0-
) for FLINT was 4.7-fold greater than
exposure for DcR3 (Table 2; Fig. 6).
After s.c. administration of FLINT, over 90% of the circulating
immunoreactivity was represented by full-length FLINT as determined by
ELISA (Table 3; Fig. 7). In contrast, after s.c. administration of DcR3 only 37% of overall exposure was
related to the intact version of the molecule with 63% of circulating
immunoreactivity represented by the metabolic fragment, DcR3(1-218)
(Table 3). As in the primate, for the same absolute dose, FLINT
provided a greater overall exposure to the intact version of the
molecule than DcR3. The absolute s.c. bioavailability for FLINT was
approximately 6-fold greater than for DcR3, 77.8 versus 12.5% (Table
2).

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Fig. 6.
Kinetics of DcR3 and FLINT in CD-1 mice
after subcutaneous administration.
Compounds were administered intravenously at a dose of 0.5 mg/kg.
Immunoreactivity was determined using an ELISA that selectively
recognizes full-length DcR3 and FLINT. Data represent the mean from two
animals per time point.
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Fig. 7.
Kinetics of DcR3(1-218) immunoreactivity
after subcutaneous administration of DcR3 or FLINT to CD-1 mice.
DcR3 or FLINT was administered as a single 0.5 mg/kg subcutaneous dose.
Immunoreactivity was determined using an ELISA that selectively
recognizes the N-terminal 218 amino acids of DcR3. Data represent the
mean from two animals per time point.
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|
 |
Discussion |
DcR3 binds to specifically to FasL and LIGHT and inhibits the
activities of both of these TNF receptor family ligands. These ligand
systems have been implicated in modulating cell survival, cell
proliferation, and cell death (Armitage, 1994
; Yu et al., 1999
; Zhang
et al., 2001
). As such, regulation of the expression of mediator
molecules such as the soluble forms of FasL, Fas, and antagonistic
decoy receptors such as DcR3 may be involved in the tight control of
these biological functions, which are integral to both normal
physiology and pathophysiology. The application of DcR3 as a
pharmacological agent designed to modulate the biological events
triggered by either FasL or LIGHT may have therapeutic benefit in human
diseases in which the pathogenesis is believed to be related to
excessive or inappropriate apoptosis or inflammation (Maggi, 1998
).
In an earlier report, we demonstrated that DcR3 is proteolytically
cleaved in a specific manner to yield a major metabolic fragment,
DcR3(1-218), which does not inhibit sFasL-mediated apoptosis of human
Jurkat cells but maintains its ability to inhibit the activities of
LIGHT (Wroblewski et al., 2003
). In vitro and in vivo studies indicated
that the R218-A219 bond was uniquely sensitive to proteolysis and is
one of the primary sites of degradation of DcR3 when administered in
vivo by the subcutaneous route. Since the proteolysis of DcR3 resulted
in a fragment, DcR3(1-218), which did not bind FasL, cleavage at
position R218 would be considered detrimental to the pharmacologic
potency of DcR3 if efficacy required the interruption of the
interaction of both FasL and LIGHT with their cognate receptors or
relied upon inhibition of events elicited specifically by FasL. In the
present study, we demonstrated that after s.c. administration of DcR3,
exposure in both rodents and primates was accounted for almost
exclusively by the DcR3(1-218) fragment. Modification of DcR3 to FLINT
resulted in a 6-fold increase in exposure after s.c. administration,
accounted for by the fully active intact form molecule. This benefit is
most likely a result of the stability afforded to the molecule by the
R218Q mutation. The increase in the absolute s.c. bioavailability of
FLINT may translate to a requirement for a lower s.c. dose to obtain a
therapeutic effect. Interestingly, while intravenous administration of
a DcR3-Fc fusion protein provided survival benefit in a murine model of acute fulminant hepatic apoptosis, induced specifically by FasL; no
benefit was observed when DcR3-Fc was administered by the subcutaneous route even at a 4-fold higher dose (Connolly et al., 2001
). It is
likely that the lack of subcutaneous efficacy observed in this model
was related to the s.c. proteolysis of DcR3 as described in this
report, and is consistent with our observation that the proteolytic
fragment does not bind FasL or inhibit FasL mediated apoptosis.
The serine protease responsible for the proteolysis of DcR3 at position
R218 has not been identified but appears to be acting at the s.c. site
of administration. We have not been able to clearly demonstrate the
specific proteolysis of DcR3 after intravenous administration to normal
animals, although we have demonstrated that the R218-A219 bond was
specifically cleaved by purified bovine thrombin in vitro (Wroblewski
et al., 2003
). This observation suggests that cleavage and inactivation
of DcR3 could occur after i.v. administration via the
expression/release of proteases in conditions of unregulated
inflammatory response, which are potential therapeutic indications for
intervention at the Fas-FasL system (Papathanassoglou et al., 2000
;
Dhainaut et al., 2001
; Esmon, 2001
).
The targeted modification of a single amino acid residue has been an
approach successfully applied to generate stable peptide analogs of
growth hormone releasing hormone and glucagon-like intestinal peptide,
the biological and functional half lives of which are negatively
affected after cleavage by dipeptidyl aminopeptidase (Frohman et al.,
1989
; Burcelin et al., 1999
; Sharpe and DeMeester, 2001
). Knowing the
specificity and nature of the exopeptidase involved, combined with the
relatively simple structure of these smaller peptides, makes the
strategy for directed engineering for increased stability somewhat more
obvious. On the other hand, successful identification of a single
cleavage event important to the in vivo metabolic stability of a large
glycoprotein such as DcR3 is not intuitively obvious. Therapeutically
administered proteins are often extensively degraded either locally or
at peripheral organs of clearance leading to inactivation via
hydrolysis of a multitude of peptide bonds. DcR3 is also extensively
degraded upon s.c. administration, but we were able to identify a
highly sensitive cleavage site that appears to be a major initial event in the degradation of this molecule, at least when injected into the
subcutaneous space. Characterizing the mechanism of the limited proteolysis of DcR3 involved the application of a number of analytical approaches along with a correlation of data obtained in vivo with that
from in vitro models (Wroblewski et al., 1991
, 1993a
, 2003
). Physiologically, limited proteolysis may lead to inactivation of the
parent protein, but has been shown to yield variants having altered
receptor affinities and enhanced or selective biological activities
(Korc and Finman, 1989
; Powers and Hatala, 1990
; Wroblewski et al.,
1993b
; Angelloz-Nicoud et al., 1998
; Bergsten et al., 2001
;
Sharpe and DeMeester, 2001
). In addition to the biological relevance,
characterizing the preferred cleavage bonds and the sequence of
proteolytic events involved in protein degradation may help in the
engineering of molecules having improved pharmacological properties
(Bryant et al., 1996
; Authier et al., 1999
).
In conclusion, the findings in this report indicate that the
molecularly engineered version of DcR3, FLINT (LY498919), is more
stable to proteolytic degradation upon s.c. administration than DcR3
itself in both rodents and primates. The stability afforded to FLINT
results in higher bioavailability from the s.c. site, which may
translate to lower doses and a superior pharmacological effect in the
therapeutic intervention of diseases in which the pathogenesis is
linked to FasL mediated apoptotic or inflammatory events.
The authors thank Don McClure for expression of DcR3. Gene Seno, Laura
Myers, Bruce Glover, Chris Mundy, Chad Geringer, Jeff Arnold, Wendy
Fuller, Joe Berry, Christopher Frye, and Sheng-Hung Tscang for their
molecular biology efforts and Paul Atkinson and Yu Tian for
purification of DcR3 and FLINT.
Received November 4, 2002; accepted January 15, 2003.
Abbreviations used are:
FasL, Fas ligand;
DcR3, decoy receptor 3;
TNF, tumor necrosis factor;
HPLC, high performance
liquid chromatography;
PAGE, polyacrylamide gel electrophoresis;
MOPS, 3-(N-morpholino)propanesulfonic acid;
CHAPS, 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonic acid;
CHO, Chinese hamster ovary;
ELISA, enzyme-linked immunosorbent assay;
AUC, area under the curve;
LIGHT, a cellular ligand for herpes virus entry
mediator and lymphotoxin receptor;
FLINT, FasLigand inhibitor
protein.