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<art>
   <ui>1477-5956-3-1</ui>
   <ji>1477-5956</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Mass spectrometrical analysis of recombinant human growth hormone (Genotropin<sup>&#174;</sup>) reveals amino acid substitutions in 2% of the expressed protein</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Hepner</snm>
               <fnm>Felix</fnm>
               <insr iid="I1"/>
               <email>felix.hepner@meduniwien.ac.at</email>
            </au>
            <au id="A2">
               <snm>Cszasar</snm>
               <fnm>Edina</fnm>
               <insr iid="I2"/>
               <email>edina.csaszar@univie.ac.at</email>
            </au>
            <au id="A3">
               <snm>Roitinger</snm>
               <fnm>Elisabeth</fnm>
               <insr iid="I2"/>
               <email>elisabeth.roitinger@univie.ac.at</email>
            </au>
            <au id="A4" ca="yes">
               <snm>Lubec</snm>
               <fnm>Gert</fnm>
               <insr iid="I1"/>
               <email>gert.lubec@meduniwien.ac.at</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Pediatrics, Medical University of Vienna, Vienna, Austria</p>
            </ins>
            <ins id="I2">
               <p>Mass Spectrometry Unit, University of Vienna, Austria</p>
            </ins>
         </insg>
         <source>Proteome Science</source>
         <issn>1477-5956</issn>
         <pubdate>2005</pubdate>
         <volume>3</volume>
         <issue>1</issue>
         <fpage>1</fpage>
         <url>http://www.proteomesci.com/content/3/1/1</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">15707495</pubid>
               <pubid idtype="doi">10.1186/1477-5956-3-1</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>22</day>
               <month>9</month>
               <year>2004</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>11</day>
               <month>2</month>
               <year>2005</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>11</day>
               <month>2</month>
               <year>2005</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2005</year>
         <collab>Hepner et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>The structural integrity of recombinant proteins is of critical importance to their application as clinical treatments. Recombinant growth hormone preparations have been examined by several methodologies. In this study recombinant human growth hormone (rhGH; Genotropin<sup>&#174;</sup>), expressed in <it>E. coli K12</it>, was structurally analyzed by two-dimensional gel electrophoresis and MALDI-TOF-TOF, LC-MS and LC-MS/ MS sequencing of the resolved peptides.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Electrospray LC-MS analysis revealed one major protein with an average molecular mass of 22126.8 Da and some additional minor components. Electrospray LC-MS/MS evaluation of the enzymatically digested Genotropin<sup>&#174; </sup>sample resulted in the identification of amino acid substitutions at the residues M<sub>14</sub>, M<sub>125</sub>, and M<sub>170</sub>; di-methylation of K<sub>70 </sub>(or exchange to arginine); deamidation of N<sub>149</sub>, and N<sub>152</sub>, and oxidation of M<sub>140</sub>, M<sub>125 </sub>and M<sub>170</sub>. Peak area comparison of the modified and parental peptides indicates that these changes were present in ~2% of the recombinant preparation.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>Modifications of the recombinant human growth hormone may lead to structural or conformational changes, modification of antigenicity and development of antibody formation in treated subjects. Amino acid exchanges may be caused by differences between human and E. coli codon usage and/or unknown copy editing mechanisms. While deamidation and oxidation can be assigned to processing events, the mechanism for possible di-methylation of K<sub>70 </sub>remains unclear.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>The structural integrity of recombinant products generated by prokaryotic and eukaryotic organisms is a major concern. Modifications such as amino acid sequence substitution/mutations of recombinant proteins may lead to pharmacological inactivation, autoimmune phenomena <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr></abbrgrp> and adverse effects <abbrgrp><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr></abbrgrp>. Human growth hormone (hGH) replacement is a frequent therapeutic intervention <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr></abbrgrp>. Genetic changes in human growth hormone have been linked to biological inactivity and disease: Lewis et al (2004) reported that a growth hormone variant I<sub>179</sub>_M<sub>179</sub> showed decreased ability to activate the extracellular signal-regulated kinase pathway and Binder et al. (2002) described hGH deficiency due to mutations of the coding regions of the growth hormone-1 gene <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr></abbrgrp>. Zhu et al. (2002) reported a case of hGH R<sub>183</sub>_H<sub>183</sub>. This single mutation causes autosomal dominant growth hormone deficiency type II by prolonged retention time of R<sub>183</sub>_H<sub>183</sub> aggregates into secretory granules <abbrgrp><abbr bid="B10">10</abbr></abbrgrp>.</p>
         <p>However, although such changes can be detrimental, non functional sequence alteration induced by poor editing of recombinant proteins may act as a marker of growth hormone abuse in situations such as athlete doping. We therefore were highly interested in the homogeneity and structure of rhGH preparations.</p>
         <p>Genotropin<sup>&#174; </sup>is expressed by <it>E. coli, strain K12</it>. It consists of a single polypeptide chain containing 191 amino acids and two disulfide bonds (C<sub>53</sub>-C<sub>165</sub>; C<sub>182</sub>-C<sub>189</sub>) <abbrgrp><abbr bid="B11">11</abbr></abbrgrp> with a molecular mass of 22 124 Da &#8211; representing the most abundant growth hormone form in humans <abbrgrp><abbr bid="B12">12</abbr></abbrgrp>.</p>
         <p>In humans two major hGH splicing variants have been described, a 22 kDa protein and a 20 kDa protein, that bind different sites at the growth hormone receptor and serve different biological activities <abbrgrp><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr></abbrgrp>.</p>
         <p>The genetic origin of hGH is the hGH-N gene, located on the long arm of chromosome 17, in a 66-kbp cluster region closely related to four other genes: hGH-V, hCS-A, hCS-B and hCS-L. The hGH-N gene is expressed in both, pituitary and several nonpituitary sites <abbrgrp><abbr bid="B12">12</abbr></abbrgrp>, all other gene products are produced by placental syncytio-trophoblasts.</p>
         <p>A series of posttranslational modifications of hGH have been described and range from N-glycosylation, acetylation, deamidation, oxidation at M<sub>14 </sub>and M<sub>125 </sub>to polymerisation <abbrgrp><abbr bid="B12">12</abbr><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp>.</p>
         <p>As mentioned above, Genotropin<sup>&#174; </sup>is expressed by E. coli. Since the fidelity of hGH translation in E. coli cannot rely on copy editing <abbrgrp><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp>, nor on correct codon usage <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr><abbr bid="B23">23</abbr></abbrgrp>, there is a large potential for sequence errors. That's why investigations of structural/sequential integrity, including amino acid exchanges/mutations, and post translational modifications of rhGH Genotropin<sup>&#174; </sup>is of particular interest to for modern medicine and pharmacotherapy.</p>
         <p>The aim of the present study was to investigate the homogeneity of a commercial available rhGH, Genotropin<sup>&#174;</sup>. This was achieved using two dimensional gel electrophoresis (2-DE), matrix-assisted laser desorption/ionisation mass spectrometry (MALDI-MS) followed by tandem mass spectrometry (MALDI-MS/MS) and liquid chromatography mass spectrometry (LC-MS) followed by tandem mass spectrometry (LC-MS/MS). These modern analytical tools provide definitive structural analysis independent of antibody availability and specificity.</p>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Two dimensional gel electrophoresis</p>
            </st>
            <p>Two dimensional gel electrophoresis (2-DE) of 1 mg Genotropin<sup>&#174; </sup>showed a multiple spot pattern with masses between 20 000 and 35 000 Da and pIs from 4.5 to 7.0. Several two dimensional (2D) gels with sample amounts of 0.5, 1, 2, 5, 10, 20, 50, 100, 200 and 500 g of Genotropin<sup>&#174; </sup>were performed. Decreasing protein load showed reduction of spot size and number and finally, limitation to two spots of 22000 Da with pI of 5.3 and 5.4.</p>
            <p>Neither MALDI-TOF-TOF nor LC-MS analysis of picked gel spots indicated any modifications or isoforms in an amount, that would explain differences between the two spots.</p>
         </sec>
         <sec>
            <st>
               <p>Electrospray LC-MS measurements of the Genotropin<sup>&#174; </sup>sample</p>
            </st>
            <p>Electrospray liquid chromatography &#8211; mass spectrometry (LC-MS) measurements of the intact Genotropin<sup>&#174; </sup>have shown that the main product was a molecule with an average molecular weight (MW) of 22126.8 Da. The manufacturers had determined the average MW of Genotropin<sup>&#174; </sup>to be 22124 Da.</p>
            <p>The mass difference of approximately 3 Da may originate from the deconvulation of some broader, lower intensity peaks. Several minor components could be also detected. (Figure <figr fid="F1">1</figr>) The mass differences between the main product (Nr. 1) and components Nr. 2&#8211;5 respectively indicate the oxidation of several amino acid residues. Components Nr.6 and Nr.7 show a mass discrepancy of approximately +268 Da and -19 Da respectively. According to the ratios of peak areas (Table <tblr tid="T1">1</tblr>), the sample consists to 84.4% of the unmodified main component; the oxidation products are present to 13.7% of the whole sample and the ratio of other minor components, which may represent additional modifications or amino acid substitutions, is approximately 2%.</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Reconstructed electrospray LC/MS spectrum of the Genotropin<sup>&#174; </sup>sample</p>
               </caption>
               <text>
                  <p><b>Reconstructed electrospray LC/MS spectrum of the Genotropin<sup>&#174; </sup>sample. </b>The spectrum was recorded in positive ionization modus; 1 pM of the protein was injected. Detected average molecular masses: Nr.1.:22126.8 Da; Nr.2: 22143.5 Da; Nr.3: 22158.7 Da; Nr.4: 22174.4 Da; Nr.5: 22240.7 Da; Nr.6: 22395.9 Da; Nr7.: 22107.6 Da</p>
               </text>
               <graphic file="1477-5956-3-1-1"/>
            </fig>
            <tbl id="T1">
               <title>
                  <p>Table 1</p>
               </title>
               <caption>
                  <p>Relative peak areas of the components detected by electrospray LC/MS measurement</p>
               </caption>
               <tblbdy cols="3">
                  <r>
                     <c ca="center">
                        <p>
                           <b>Molecular mass (Da)</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>Area (cps)</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>Area (%)</b>
                        </p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22126.9</p>
                     </c>
                     <c ca="center">
                        <p>4909.8</p>
                     </c>
                     <c ca="center">
                        <p>84.4</p>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22143.5</p>
                     </c>
                     <c ca="center">
                        <p>479.7</p>
                     </c>
                     <c ca="center">
                        <p>8.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22158.7</p>
                     </c>
                     <c ca="center">
                        <p>121.5</p>
                     </c>
                     <c ca="center">
                        <p>2.1</p>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22174.4</p>
                     </c>
                     <c ca="center">
                        <p>120.8</p>
                     </c>
                     <c ca="center">
                        <p>2.1</p>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22107.6</p>
                     </c>
                     <c ca="center">
                        <p>76.9</p>
                     </c>
                     <c ca="center">
                        <p>1.3</p>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22240.7</p>
                     </c>
                     <c ca="center">
                        <p>69.9</p>
                     </c>
                     <c ca="center">
                        <p>1.2</p>
                     </c>
                  </r>
                  <r>
                     <c ca="center">
                        <p>22395.9</p>
                     </c>
                     <c ca="center">
                        <p>40.4</p>
                     </c>
                     <c ca="center">
                        <p>0.7</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>Average molecular masses of the components detected in the LC/MS spectrum of 1 pM Genotropin<sup>&#174; </sup>sample. The peak areas were calculated from the reconstructed spectrum (Figure 1) recorded in positive ionization.</p>
               </tblfn>
            </tbl>
         </sec>
         <sec>
            <st>
               <p>Electrospray LC-MS/MS measurements following the tryptic digestion of the Genotropin<sup>&#174; </sup>sample</p>
            </st>
            <p>Electrospray tandem liquid chromatography &#8211; mass spectrometry (LC-MS/MS) measurements of the samples prepared from one dimensional SDS-PAGE indicated mass differences at several peptides. Doubly or triply charged ions were chosen for all MS/MS experiments due to their better fragmentation pattern. Table <tblr tid="T2">2</tblr> shows the sequences of the modified peptides and possible explanations for the mass discrepancies.</p>
            <tbl id="T2">
               <title>
                  <p>Table 2</p>
               </title>
               <caption>
                  <p>Results of electrospray LC-MS/MS and MALDI-TOF MS/MS measurements</p>
               </caption>
               <tblbdy cols="5">
                  <r>
                     <c ca="left">
                        <p>
                           <b>Sequence</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>M calculated (Da)</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>M observed (Da)</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>delta M (Da)</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>Modification</b>
                        </p>
                     </c>
                  </r>
                  <r>
                     <c cspan="5">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>EETQQ<b>K</b>SNLELLR</p>
                     </c>
                     <c ca="center">
                        <p>1586.83</p>
                     </c>
                     <c ca="center">
                        <p>1614.74</p>
                     </c>
                     <c ca="center">
                        <p>27.91</p>
                     </c>
                     <c ca="left">
                        <p>K<sub>70</sub>: di-methylation or &#8594; R *</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>FDT<b>N</b>SH<b>N</b>DDALLK</p>
                     </c>
                     <c ca="center">
                        <p>1488.68</p>
                     </c>
                     <c ca="center">
                        <p>1489.60</p>
                     </c>
                     <c ca="center">
                        <p>0.92</p>
                     </c>
                     <c ca="left">
                        <p>N<sub>149 </sub>/ N<sub>152 </sub>deamidation</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p><b>R</b>LEDGSPR</p>
                     </c>
                     <c ca="center">
                        <p>928.47</p>
                     </c>
                     <c ca="center">
                        <p>900.46</p>
                     </c>
                     <c ca="center">
                        <p>-28.01</p>
                     </c>
                     <c ca="left">
                        <p>R<sub>127</sub>&#8594; Q or K *</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>LFDNA<b>M</b>LR</p>
                     </c>
                     <c ca="center">
                        <p>978.50</p>
                     </c>
                     <c ca="center">
                        <p>994.40</p>
                     </c>
                     <c ca="center">
                        <p>15.90</p>
                     </c>
                     <c ca="left">
                        <p>M<sub>14 </sub>: oxidation</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>D<b>M</b>DKVETFLR</p>
                     </c>
                     <c ca="center">
                        <p>1252.61</p>
                     </c>
                     <c ca="center">
                        <p>1268.40</p>
                     </c>
                     <c ca="center">
                        <p>15.79</p>
                     </c>
                     <c ca="left">
                        <p>M<sub>170</sub>: oxidation</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>DLEEGIQTL<b>M</b>GR</p>
                     </c>
                     <c ca="center">
                        <p>1360.61</p>
                     </c>
                     <c ca="center">
                        <p>1376.66</p>
                     </c>
                     <c ca="center">
                        <p>16.05</p>
                     </c>
                     <c ca="left">
                        <p>M<sub>125</sub>: oxidation</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>LFDNA<b>M</b>LR</p>
                     </c>
                     <c ca="center">
                        <p>978.50</p>
                     </c>
                     <c ca="center">
                        <p>960.40</p>
                     </c>
                     <c ca="center">
                        <p>-18.10</p>
                     </c>
                     <c ca="left">
                        <p>M<sub>14 </sub>&#8594; I</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>DLEEGIQTL<b>M</b>GR</p>
                     </c>
                     <c ca="center">
                        <p>1360.61</p>
                     </c>
                     <c ca="center">
                        <p>1342.60</p>
                     </c>
                     <c ca="center">
                        <p>-18.01</p>
                     </c>
                     <c ca="left">
                        <p>M<sub>125 </sub>&#8594; I</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>D<b>M</b>DKVETFLR</p>
                     </c>
                     <c ca="center">
                        <p>1252.61</p>
                     </c>
                     <c ca="center">
                        <p>1234.60</p>
                     </c>
                     <c ca="center">
                        <p>-18.01</p>
                     </c>
                     <c ca="left">
                        <p>M<sub>170 </sub>&#8594; I</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p><b>L</b>FDNAMLR</p>
                     </c>
                     <c ca="center">
                        <p>978.50</p>
                     </c>
                     <c ca="center">
                        <p>1035.40</p>
                     </c>
                     <c ca="center">
                        <p>56.90</p>
                     </c>
                     <c ca="left">
                        <p>Carbamidomethyl &#8211; N terminus</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>&#8226; Nearly isobaric mass differences</p>
                  <p>Sequences and mass differences of modified peptides detected in the Genotropin sample. Column 1: sequence of modified peptides following tryptic digestion of Genotropin<sup>&#174;</sup>; column 2: calculated monoisotopic masses of the unmodified tryptic peptides; column 3: observed monoisotopic masses; column 4: differences of calculated and observed masses; column 5: possible explanations of the mass differences.</p>
               </tblfn>
            </tbl>
            <p>A mass difference of +28 Da was detected at the position K<sub>70 </sub>(Figure <figr fid="F2">2</figr>), could be explained by the di-methylation of this residue, or by the exchange of this lysine to an arginine. These modifications result in a mass difference of 28.03 Da and 28.01 Da respectively. The accuracy of the mass spectrometric detection was not high enough to differentiate between these possibilities. Figure <figr fid="F2">2</figr> shows the fragment spectrum of the peptide EETQQKSNLELLR. Intensive y ions verify that all residues have unchanged masses except of K<sub>70</sub>, which makes the localization of the mass discrepancy on that lysine residue unambiguous.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Electrospray LC-MS/MS spectrum of the modified peptide EETQQK*SNLELLR</p>
               </caption>
               <text>
                  <p><b>Electrospray LC-MS/MS spectrum of the modified peptide EETQQK*SNLELLR. </b>Positive ionization product ion spectrum of the tryptic peptide m/z 808.4 generated by a linear ion trap mass spectrometer. Intensive y fragment ions verify that the K<sub>170 </sub>residue shows a mass increment of 28 Da compared to its theoretical mass.</p>
               </text>
               <graphic file="1477-5956-3-1-2"/>
            </fig>
            <p>Deamidation of the amino acids N<sub>149 </sub>and N<sub>152 </sub>was also detected. The molecular mass of the peptide RLEDGSPR was decreased with 28 Da. The mass difference could be localized to the N terminus of the peptide and might indicate the substitution of R<sub>127 </sub>with a lysine or glutamine. The mass difference of these residues is only 0.04 Da and the accuracy of the mass spectrometric detection was not high enough to differentiate between these amino acids. Residues M<sub>14</sub>, M<sub>125 </sub>and M<sub>170 </sub>were observed partly oxidized and in some cases the non oxidized residue showed a mass discrepancy of -18 Da (Table <tblr tid="T2">2</tblr>). This phenomenon is illustrated by Figure <figr fid="F3">3</figr>, which shows a product ion spectrum of the modified peptide LFDNAMLR. Fragment ions from the y series verify the mass reduction at the M<sub>14 </sub>residue. This mass difference can be explained by the replacement of these methionines with isoleucines, which can be originate from the substitution of the last base in the genetic codon of methionine (M:ATG; I:ATT/C/A). According to the ratios of the peak areas of the peptides containing the unmodified and possibly substituted methionines, these changes were present at &lt; 2% of the whole protein amount. A mass increase of 57 Da was detected at the peptide LFDNAMLR. It could be localized at the N terminus of the peptide and it is supposed to be an artefact of the alkylation step during sample preparation. All modifications were partial; in each case peptides with both modified and unmodified residues were present. LC-MS/MS spectra for all modified peptides are available as supplementary material.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Electrospray LC-MS/MS spectrum of the peptide LFDNAM*LR</p>
               </caption>
               <text>
                  <p><b>Electrospray LC-MS/MS spectrum of the peptide LFDNAM*LR. </b>Positive ionization product ion spectrum of the tryptic peptide m/z 482.3 generated by a linear ion trap mass spectrometer. Ions of the y series verify the mass discrepancy of -18 Da at the M<sub>14 </sub>residue compared to its theoretical value.</p>
               </text>
               <graphic file="1477-5956-3-1-3"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>MALDI analysis of Genotropin<sup>&#174;</sup></p>
            </st>
            <p>Approximately 96 spots were excised from a 2D gel with a sample load of 1 mg Gentotropin<sup>&#174; </sup>and identified by MALDI-TOF on the basis of peptide mass matching <abbrgrp><abbr bid="B24">24</abbr></abbrgrp> following in gel digestion with trypsin. Those samples which were analysed by peptide mass fingerprinting from MALDI-TOF were additionally analysed using LIFT-TOF/TOF MS/MS from the same target. A maximum of three precursor ions per sample were chosen for MS/MS analysis.</p>
            <p>Genotropin<sup>&#174; </sup>was unambiguously identified by MS and MS/MS Data (Figure <figr fid="F4">4</figr> and <figr fid="F5">5</figr>), with a maximum of 24 matching peptides, representing a sequence- coverage of 86% to human growth hormone sequence present in database (Figure <figr fid="F4">4</figr>, Table <tblr tid="T3">3</tblr>). All picked and analysed spots showed similar peptide mass fingerprints. Only the oxidation status of M varied, represented by a mass difference (&#916;M) of 16 Da. Oxidation at M<sub>14 </sub>was demonstrated in 59,52% of analysed spots, 80,91% of M<sub>125 </sub>and 54,87% of M<sub>170 </sub>showed oxidation too (Table <tblr tid="T3">3</tblr>). Neither changes in amino acid sequence, nor post translational modifications like phosphorylation or deamidation could be detected by this method.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>MS spectrum of Genotropin showing oxidation of M<sub>14</sub>, M<sub>125 </sub>and M<sub>170</sub></p>
               </caption>
               <text>
                  <p><b>MS spectrum of Genotropin showing oxidation of M<sub>14</sub>, M<sub>125 </sub>and M<sub>170</sub>.</b>(a) MS spectrum of Genotropin<sup>&#174; </sup>generated by an Ultraflex&#8482; TOF/TOF (Bruker Daltonics) operated in the reflector mode for MALDI-TOF peptide mass fingerprint (PMF). Enlarged sections (b-d) from PMF of Genotropin<sup>&#174; </sup>showing oxidised/non-oxidised status (&#196;M+16Da) of Methionine. (b) first peak: LFDNAMLR (979.529 Da)/ second peak: LFDNAMLR + oxidation of Methionine (995.519 Da); (c) first peak: DMDKVETFLR (1253.587 Da) / second peak: DMDKVETFLR + oxidation of Methionine (1269.572); (d) first peak: SVFANSLVYGASDSNVYDLLKDLEE-GIQTLMGR (3605.040) / second peak: SVFANSLVYGASDSNVYDLLKDLEE-GIQTLMGR + oxidation of Methionine (3621.064)</p>
               </text>
               <graphic file="1477-5956-3-1-4"/>
            </fig>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>MS/MS spectra of Genotropin<sup>&#174;</sup></p>
               </caption>
               <text>
                  <p><b>MS/MS spectra of Genotropin<sup>&#174; </sup>.</b>LIFT-TOF/TOF (MS/MS) (a, b) spectra of Genotropin<sup>&#174; </sup>generated by an Ultraflex&#8482; TOF/TOF (Bruker Daltonics) operated in LIFT mode for MALDI-TOF/TOF fully automated using the FlexControl&#8482; software. The parent ions (m/z 1205.56 and m/z 2342.12) were selected for further analysis by MS/MS and the amino acid sequences NYGLLYCFR (5a) and LHQLAFDTYQEFEEAYIPK (5b) were unambiguously assigned to human growth hormone.</p>
               </text>
               <graphic file="1477-5956-3-1-5"/>
            </fig>
            <tbl id="T3">
               <title>
                  <p>Table 3</p>
               </title>
               <caption>
                  <p>Sequence coverage and peptide masses of Genotropin<sup>&#174; </sup></p>
               </caption>
               <tblbdy cols="7">
                  <r>
                     <c ca="left" cspan="7">
                        <p>Sequence Coverage: 86%</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left" cspan="7">
                        <p>Matched peptides shown in Bold</p>
                     </c>
                  </r>
                  <r>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c cspan="6" ca="left">
                        <p>
                           <b>FPTIPLSRLF DNAMLRAHRL HQLAFDTYQE FEEAYIPKEQ KYSFLQNPQT</b>
                        </p>
                     </c>
                  </r>
                  <r>
                     <c ca="right">
                        <p>51</p>
                     </c>
                     <c cspan="6" ca="left">
                        <p>
                           <b>SLCFSESIPT PSNREETQQK SNLELLRISL LLIQSWLEPV QFLRSVFANS</b>
                        </p>
                     </c>
                  </r>
                  <r>
                     <c ca="right">
                        <p>101</p>
                     </c>
                     <c cspan="6" ca="left">
                        <p><b>LVYGASDSNV YDLLKDLEEG IQTLMGR</b>LED GSPRTGQIFK<b>QTYSKFDTNS</b></p>
                     </c>
                  </r>
                  <r>
                     <c ca="right">
                        <p>151</p>
                     </c>
                     <c cspan="6">
                        <p><b>HNDDALLKNY GLLYCFRKDM DKVETFLR</b>IV QCRSVEGSCG F</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="7">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>Start &#8211; End</p>
                     </c>
                     <c ca="left">
                        <p>Observed</p>
                     </c>
                     <c ca="left">
                        <p>Mr(expt)</p>
                     </c>
                     <c ca="left">
                        <p>Mr(calc)</p>
                     </c>
                     <c ca="center">
                        <p>Delta</p>
                     </c>
                     <c ca="center">
                        <p>Miss</p>
                     </c>
                     <c ca="left">
                        <p>Sequence</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="7">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>1&#8211;8</p>
                     </c>
                     <c ca="left">
                        <p>930.61</p>
                     </c>
                     <c ca="left">
                        <p>929.60</p>
                     </c>
                     <c ca="left">
                        <p>929.53</p>
                     </c>
                     <c ca="right">
                        <p>0.07</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>FPTIPLSR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>1&#8211;16</p>
                     </c>
                     <c ca="left">
                        <p>1906.97</p>
                     </c>
                     <c ca="left">
                        <p>1905.96</p>
                     </c>
                     <c ca="left">
                        <p>1906.01</p>
                     </c>
                     <c ca="right">
                        <p>- 0.05</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>FPTIPLSRLFDNAMLR Oxidation (M)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>9&#8211;16</p>
                     </c>
                     <c ca="left">
                        <p>979.51</p>
                     </c>
                     <c ca="left">
                        <p>978.50</p>
                     </c>
                     <c ca="left">
                        <p>978.50</p>
                     </c>
                     <c ca="right">
                        <p>0.01</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>LFDNAMLR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>17&#8211;38</p>
                     </c>
                     <c ca="left">
                        <p>2706.34</p>
                     </c>
                     <c ca="left">
                        <p>2705.33</p>
                     </c>
                     <c ca="left">
                        <p>2705.32</p>
                     </c>
                     <c ca="right">
                        <p>0.00</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>AHRLHQLAFDTYQEFEEAYIPK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>20&#8211;38</p>
                     </c>
                     <c ca="left">
                        <p>2342.12</p>
                     </c>
                     <c ca="left">
                        <p>2341.11</p>
                     </c>
                     <c ca="left">
                        <p>2341.13</p>
                     </c>
                     <c ca="right">
                        <p>- 0.02</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>LHQLAFDTYQEFEEAYIPK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>20&#8211;41</p>
                     </c>
                     <c ca="left">
                        <p>2727.35</p>
                     </c>
                     <c ca="left">
                        <p>2726.34</p>
                     </c>
                     <c ca="left">
                        <p>2726.32</p>
                     </c>
                     <c ca="right">
                        <p>0.02</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>LHQLAFDTYQEFEEAYIPKEQK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>39&#8211;64</p>
                     </c>
                     <c ca="left">
                        <p>3058.51</p>
                     </c>
                     <c ca="left">
                        <p>3057.50</p>
                     </c>
                     <c ca="left">
                        <p>3057.45</p>
                     </c>
                     <c ca="right">
                        <p>0.05</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>EQKYSFLQNPQTSLCFSESIPTPSNR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>42&#8211;64</p>
                     </c>
                     <c ca="left">
                        <p>2673.26</p>
                     </c>
                     <c ca="left">
                        <p>2672.26</p>
                     </c>
                     <c ca="left">
                        <p>2672.25</p>
                     </c>
                     <c ca="right">
                        <p>0.00</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>YSFLQNPQTSLCFSESIPTPSNR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>42&#8211;70</p>
                     </c>
                     <c ca="left">
                        <p>3416.79</p>
                     </c>
                     <c ca="left">
                        <p>3415.78</p>
                     </c>
                     <c ca="left">
                        <p>3415.60</p>
                     </c>
                     <c ca="right">
                        <p>0.18</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>YSFLQNPQTSLCFSESIPTPSNREETQQK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>65&#8211;77</p>
                     </c>
                     <c ca="left">
                        <p>1587.80</p>
                     </c>
                     <c ca="left">
                        <p>1586.79</p>
                     </c>
                     <c ca="left">
                        <p>1586.83</p>
                     </c>
                     <c ca="right">
                        <p>- 0.03</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>EETQQKSNLELLR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>78&#8211;94</p>
                     </c>
                     <c ca="left">
                        <p>2055.19</p>
                     </c>
                     <c ca="left">
                        <p>2054.18</p>
                     </c>
                     <c ca="left">
                        <p>2054.19</p>
                     </c>
                     <c ca="right">
                        <p>- 0.01</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>ISLLLIQSWLEPVQFLR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>95&#8211;115</p>
                     </c>
                     <c ca="left">
                        <p>2262.09</p>
                     </c>
                     <c ca="left">
                        <p>2261.08</p>
                     </c>
                     <c ca="left">
                        <p>2261.12</p>
                     </c>
                     <c ca="right">
                        <p>- 0.04</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>SVFANSLVYGASDSNVYDLLK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>95&#8211;127</p>
                     </c>
                     <c ca="left">
                        <p>3621.02</p>
                     </c>
                     <c ca="left">
                        <p>3620.02</p>
                     </c>
                     <c ca="left">
                        <p>3619.77</p>
                     </c>
                     <c ca="right">
                        <p>0.25</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>SVFANSLVYGASDSNVYDLLKDLEEGIQTLMGR Oxidation (M)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>116&#8211;127</p>
                     </c>
                     <c ca="left">
                        <p>1377.62</p>
                     </c>
                     <c ca="left">
                        <p>1376.62</p>
                     </c>
                     <c ca="left">
                        <p>1376.66</p>
                     </c>
                     <c ca="right">
                        <p>- 0.05</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>DLEEGIQTLMGR Oxidation (M)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>141&#8211;158</p>
                     </c>
                     <c ca="left">
                        <p>2097.01</p>
                     </c>
                     <c ca="left">
                        <p>2096.00</p>
                     </c>
                     <c ca="left">
                        <p>2095.98</p>
                     </c>
                     <c ca="right">
                        <p>0.02</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>QTYSKFDTNSHNDDALLK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>146&#8211;158</p>
                     </c>
                     <c ca="left">
                        <p>1489.66</p>
                     </c>
                     <c ca="left">
                        <p>1488.65</p>
                     </c>
                     <c ca="left">
                        <p>1488.68</p>
                     </c>
                     <c ca="right">
                        <p>- 0.03</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>FDTNSHNDDALLK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>146&#8211;167</p>
                     </c>
                     <c ca="left">
                        <p>2676.26</p>
                     </c>
                     <c ca="left">
                        <p>2675.25</p>
                     </c>
                     <c ca="left">
                        <p>2675.24</p>
                     </c>
                     <c ca="right">
                        <p>0.01</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>FDTNSHNDDALLKNYGLLYCFR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>159&#8211;167</p>
                     </c>
                     <c ca="left">
                        <p>1205.56</p>
                     </c>
                     <c ca="left">
                        <p>1204.55</p>
                     </c>
                     <c ca="left">
                        <p>1204.57</p>
                     </c>
                     <c ca="right">
                        <p>- 0.02</p>
                     </c>
                     <c ca="right">
                        <p>0</p>
                     </c>
                     <c ca="left">
                        <p>NYGLLYCFR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>159&#8211;168</p>
                     </c>
                     <c ca="left">
                        <p>1333.64</p>
                     </c>
                     <c ca="left">
                        <p>1332.63</p>
                     </c>
                     <c ca="left">
                        <p>1332.66</p>
                     </c>
                     <c ca="right">
                        <p>- 0.03</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>NYGLLYCFRK</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>169&#8211;178</p>
                     </c>
                     <c ca="left">
                        <p>1253.58</p>
                     </c>
                     <c ca="left">
                        <p>1252.57</p>
                     </c>
                     <c ca="left">
                        <p>1252.61</p>
                     </c>
                     <c ca="right">
                        <p>- 0.04</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>DMDKVETFLR</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>169&#8211;178</p>
                     </c>
                     <c ca="left">
                        <p>1269.57</p>
                     </c>
                     <c ca="left">
                        <p>1268.56</p>
                     </c>
                     <c ca="left">
                        <p>1268.61</p>
                     </c>
                     <c ca="right">
                        <p>- 0.04</p>
                     </c>
                     <c ca="right">
                        <p>1</p>
                     </c>
                     <c ca="left">
                        <p>DMDKVETFLR Oxidation (M)</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>Sequence coverage of 86% and 21 matching peptides of Genotropin<sup>&#174; </sup>to human growth hormone could be detected using MALDI MS/ MS-MS data.</p>
               </tblfn>
            </tbl>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>The dominant protein in the Genotropin<sup>&#174; </sup>preparation has an average molecular mass of 22127 Da. Electrospray LC-MS/MS evaluation of the trypsinized recombinant human growth hormone (rhGH) resulted in the identification of amino acid substitutions at residues M<sub>14</sub>, M<sub>125 </sub>and M<sub>170</sub>. Di-methylation of K<sub>70 </sub>or exchange to arginine, deamidation of N<sub>149 </sub>and N<sub>152</sub>, and oxidation of M<sub>14</sub>, M<sub>125 </sub>and M<sub>170 </sub>were also observed. These sequence alteration account for 2% of the recombinant protein.</p>
         <p>Amino acid exchanges of a rhGH has been described before: Gellerfors et al. (1990) describe exchanges rhGH Q<sub>65</sub>_V<sub>65</sub> and rhGH Q<sub>66</sub>_K<sub>66</sub><abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. Since the product was not identified we cannot compare our results. Binding of recombinant human growth hormone to the GH receptor may be modified by the five amino acid exchanges observed in the present study. Pal et al. (2003) calculated binding energy differences between modified human growth hormone (hGHv; M<sub>14</sub>_W<sub>14</sub>) and wild type human growth hormone (hGHwt; M<sub>14</sub>) with the result that the hGHv had more binding affinity to its receptor than hGHwt <abbrgrp><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr></abbrgrp>. Cunningham et al. showed that M<sub>14 </sub>influenced binding, even if it is not a "hot spot" for linkage to its receptor. Furthermore, the amino acid exchanges detected may very well lead to antigenic differences and thus form the molecular basis for eliciting immune responses.</p>
         <p>The underlying cause of amino acid exchanges may be codon usage and/or absence of copy editing in E. coli: The M_I exchanges may be due to miscast of the third nucleoside of the cognate anticodon at the so-called Wobble-position, i.e. switch cytosine to guanine/adenosine, a phenomenon described by Crick as "Wobble- hypothesis <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. Crick (1966) postulated a certain amount of wobble at the third base position of the codon allowing more than one possible codon-anticodon- base pairing. Methionine (M)_I exchange of rhGH Genotropin<sup>&#174; </sup>may have been generated as the base pair G-G / G-A was replacing G-C. Arginine (R)_K/Q and R_G exchanges of rhGH Genotropin<sup>&#174; </sup>may be due to difficulties in translation of the rare codon AGG. Kane et al. (1995) predicted translational problems with an abundant mRNA species containing an excess of rare tRNA codons that may arise after the initiation of transcription of a cloned heterologous gene in the E. coli host <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. Recent studies suggest clusters of AGG/AGA codons can reduce both quantity and quality of the synthesized protein <abbrgrp><abbr bid="B22">22</abbr><abbr bid="B29">29</abbr></abbrgrp>. Translational modification normally does not include amino acid exchanges but rather frameshift mutations/deletions <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B29">29</abbr><abbr bid="B30">30</abbr><abbr bid="B31">31</abbr></abbrgrp>.</p>
         <p>In summary, we found two different pathways for amino acid exchanges in Genotropin<sup>&#174;</sup>: translation errors due to usage of (1) the rare codon AGG in E. coli and (2) incorrect codon usage consisted with Crick's "Wobble-hypothesis".</p>
         <p>Oxidative modification of a recombinant human growth hormone has been described by Karlsson et al. (1999) who demonstrated M<sub>14 </sub>and M<sub>125 </sub>oxidation as detected by LC-MS <abbrgrp><abbr bid="B32">32</abbr></abbrgrp>. No other group have reported oxidation of M<sub>170 </sub>as in our study. Indeed Teh et al. (1987) oxidised natural hGH extracted from pituitary glands and detected M<sub>14 </sub>and M<sub>125 </sub>oxidation by reversed phase chromatography <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>. Gellerfors et al. (1990) oxidised rhGH with hydrogen peroxide but again failed to show oxidation of M<sub>170</sub>, as detected by reversed phase chromatography <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. It is not known whether oxidation of methionines in recombinant human growth hormone leads to functional impairment but conformational changes are unlikely as proposed by circular dichroism and 1H-NMR studies <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>. It is worth mentioning that oxidised methionines are not localised at the receptor binding site.</p>
         <p>Post translational modification such as N-acetylation, N-glycosylation, deamidation and oxidation have been reported for rhGH, hGH and bovine growth hormone (bGH) <abbrgrp><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr><abbr bid="B34">34</abbr></abbrgrp>. Dimethylation of K<sub>70 </sub>in rhGH and hGH have not previously been reported.</p>
         <p>Whether transmethylation occurred during processing or is a post translational event during rhGH production in E. coli is unknown. Nevertheless, Martal et al. (1985) demonstrated reduction of biological activity of hGH and bGH by methylation and ethylation of its residues K<sub>41</sub>, K<sub>70</sub>, and K<sub>115</sub><abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. Therefore, dimethylation of K<sub>70 </sub>in Genotropin<sup>&#174; </sup>could have biological relevance, probably reducing its pharmacotherapeutic activity.</p>
         <p>Deamidation of N<sub>149 </sub>and N<sub>152 </sub>may be due to technical processing, probably by heat treatment or lyophilisation and has already been reported by Gellerfors et al (1990) and Karlsson et al. (1999) <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B32">32</abbr></abbrgrp>. Though these appear to have no function significance <abbrgrp><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr><abbr bid="B36">36</abbr></abbrgrp>.</p>
         <p>Modifications of the recombinant human growth hormone, as shown in this study, may effect functionality and safety depending on the prevalence of such forms in the preparation. As already mentioned above, impaired binding to the receptor, conformational changes leading to impaired function, amino acid exchanges as mutations may well lead to immune phenomena or even disease <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr><abbr bid="B37">37</abbr></abbrgrp>. In addition, such modifications may act as markers of these proteins in situations like rhGH doping.</p>
      </sec>
      <sec>
         <st>
            <p>Conclusions</p>
         </st>
         <p>Using one- and two-dimensional gel electrophoresis, electrospray LC-MS, LC- MS/MS and MALDI-TOF-TOF mass spectrometry we detected a series of modifications of the recombinant human growth hormone (Genotropin<sup>&#174;</sup>) including amino acid exchanges, oxidation, di-methylation and deamidation. This analytical battery is a reliable, specific and sensitive analytical tool for this purpose.</p>
      </sec>
      <sec>
         <st>
            <p>Methods</p>
         </st>
         <sec>
            <st>
               <p>Sample preparation</p>
            </st>
            <p>Genotropin <sup>&#169; </sup>MiniQuick 1,0 mg (Pharmacia &amp; Upjohn; Stockholm, Sweden) was suspended in 0,5 ml of sample buffer consisting of 8 M urea (Merck, Darmstadt, Germany), 4% CHAPS (3- [(3-cholamidopropyl) dimethylammonio]-1-propane-sulfonate) (Sigma, St. Louis, MO, USA), 10 mM 1,4-dithioerythritol (Merck, Germany) and 0,5% carrier ampholytes "Resolyte" 3,5&#8211;10 (BDH Laboratory Supplies, Electran <sup>&#174;</sup>, England). The suspension was transferred into Ultrafree-4 centrifugal filter units (Millipore, Bedford, MA), for desalting and concentrating proteins. Protein content of the supernatant was quantified by the Bradford protein assay system <abbrgrp><abbr bid="B38">38</abbr></abbrgrp>. The standard curve was generated using bovine serum albumin and absorbance was measured at 595 nm.</p>
         </sec>
         <sec>
            <st>
               <p>One-dimensional SDS-polyacrylamide gel electrophoresis</p>
            </st>
            <p>One dimensional SDS-polyacrylamide gel was performed as described by Laemmli <abbrgrp><abbr bid="B39">39</abbr></abbrgrp>. Samples of 0.5, 1, 2, 5, 10, 30, 50 and 100 &#956;g were loaded on the gel. For determination of molecular weight 10 &#956;l of precision plus protein standards, all blue (Bio Rad, California, USA), were applied on the gels.</p>
         </sec>
         <sec>
            <st>
               <p>Two-dimensional gel electrophoresis (2-DE)</p>
            </st>
            <p>2 DE was performed essentially as reported <abbrgrp><abbr bid="B40">40</abbr></abbrgrp>. Samples of 1 mg protein were applied on immobilized pH 3&#8211;10 nonlinear gradient strips in sample cups at their basic and acidic ends. Focusing was started at 200 V and the voltage was gradually increased to 8000 V at 4 V/min and then kept constant for a further 3 h (approximately 150,000 Vh totally). After the first dimension, strips (18 cm) were equilibrated for 15 min in the buffer containing 6 M urea, 20% glycerol, 2% SDS, 2% DTT and then for 15 min in the same buffer containing 2.5% iodoacetamide instead of DDT. After equilibration, strips were loaded on 9&#8211;16% gradient sodium dodecylsulfate polyacrylamide gels for second-dimensional separation. The gels (180 &#215; 200 &#215; 1.5 mm) were run at 40 mA per gel. Immediately after the second dimension run, gels were fixed for 12 h in 50% methanol, containing 10% acetic acid, the gels were stained with Colloidal Coomassie Blue (Novex, San Diego, CA) for 12 h on a rocking shaker. Molecular masses were determined by running standard protein markers (Biorad Laboratories, Hercules, CA) covering the range 10&#8211;250 kDa. pI values were used as given by the supplier of the immobilized pH gradient strips (Amersham Bioscience, Uppsala, Sweden). Excess of dye was washed out from the gels with distilled water and the gels were scanned with ImageScanner (Amersham Bioscience).</p>
            <p>Electronic images of the gels were recorded using Adobe Photoshop and Microsoft Power Point Softwares.</p>
         </sec>
         <sec>
            <st>
               <p>Matrix-assisted laser desorption ionisation mass spectrometry</p>
            </st>
            <p>Spots were excised with a spot picker (PROTEINEER sp&#8482;, Bruker Daltonics, Germany), placed into 96-well microtiter plates and in-gel digestion and sample preparation for MALDI analysis were performed by an automated procedure (PROTEINEER dp&#8482;, Bruker Daltonics) <abbrgrp><abbr bid="B41">41</abbr><abbr bid="B42">42</abbr></abbrgrp>. Briefly, spots were excised and washed with 10 mM ammonium bicarbonate and 50% acetonitrile in 10 mM ammonium bicarbonate. After washing, gel plugs were shrunk by addition of acetonitrile and dried by blowing out the liquid through the pierced well bottom. The dried gel pieces were reswollen with 40 ng/&#956;l trypsin (Promega, U.S.A.) in enzyme buffer (consisting of 5 mM Octyl &#946;-D-glucopyranoside (OGP) and 10 mM ammonium bicarbonate) and incubated for 4 hrs at 30&#176;C. Peptide extraction was performed with 10 &#956;l of 1% TFA in 5 mM OGP. Extracted peptides were directly applied onto a target (AnchorChip&#8482;, Bruker Daltonics) that was load with &#945;-cyano-4-hydroxy-cinnamic acid (Bruker Daltonics) matrix thinlayer. The mass spectrometer used in this work was an Ultraflex&#8482; TOF/TOF (Bruker Daltonics) operated in the reflector mode for MALDI-TOF peptide mass fingerprint (PMF) or LIFT mode for MALDI-TOF/TOF fully automated using the FlexControl&#8482; software. An accelerating voltage of 25 kV was used for PMF. Calibration of the instrument was performed externally with [M+H]<sup>+ </sup>ions of angiotensin I, angiotensin II, substance P, bombesin, and adrenocorticotropic hormones (clip 1&#8211;17 and clip 18&#8211;39). Each spectrum was produced by accumulating data from 200 consecutive laser shots. Those samples which were analysed by PMF from MALDI-TOF were additionally analysed using LIFT-TOF/TOF MS/MS from the same target. A maximum of three precursor ions per sample were chosen for MS/MS analysis. In the TOF1 stage, all ions were accelerated to 8 kV under conditions promoting metastable fragmentation. After selection of jointly migrating parent and fragment ions in a timed ion gate, ions were lifted by 19 kV to high potential energy in the LIFT cell. After further acceleration of the fragment ions in the second ion source, their masses could be simultaneously analysed in the reflector with high sensitivity. PMF and LIFT spectra were interpreted with the Mascot software (Matrix Science Ltd, London, UK). Database searches, through Mascot, using combined PMF and MS/MS datasets were performed via BioTools 2.2 software (Bruker). A mass tolerance of 100 ppm and 2 missing cleavage sites for PMF and MS/MS tolerance of 0.5 Da and 1 missing cleavage sites for MS/MS search were allowed and oxidation of methionine residues was considered. The probability score calculated by the software was used as criterion for correct identification.</p>
            <p>The algorithm used for determining the probability of a false positive match with a given mass spectrum is described elsewhere <abbrgrp><abbr bid="B43">43</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Nano-electrospray LC-MS and LC-MS/MS analysis</p>
            </st>
            <p>Genotropin<sup>&#174; </sup>MiniQuick 0.6 mg (Pharmacia &amp; Upjohn; Stockholm, Sweden) was suspended in the solution provided in the two-chamber cartridge and diluted with 1% formic acid (Merck; Darmstadt, Germany) in water (Maxima, Elga; High Wycombe, UK) to 1 pM/&#956;l. 1 &#956;l of this solution was used for the nano-electrospray LC-MS investigation. The HPLC used was an UltiMate&#8482; system (Dionex Corporation; Sunnyvale, CA, USA) equipped with a PepMap C18 purification column (300 &#956;m &#215; 5 mm) and a 75 &#956;m &#215; 150 mm analytical column of the same material. 0.1% TFA (Pierce Biotechnology Inc.; Rockford, IL, USA) was used on the Switchos module for the binding of the peptides and a linear gradient of acetonitrile (Chromasolv<sup>&#174;</sup>, Sigma-Aldrich; Seelze, Germany) and 0.1% formic acid in water was used for the elution. The gradient was (A = 5% acetonitrile / 0.1% formic acid in water; B = 80% acetonitrile / 0.1% formic acid in water) 0% B for 12 min, 80% B in 30 min, 100 % B in 3 min, 100% B for 10 min, 0% B in 2 min, 0% B for 23 min. The flow rate was 240 nl/min. The LC-system was coupled on-line to a QSTAR Pulsar hybrid mass spectrometer (Applied Biosystems; Foster City, CA, USA). The nanospray source of Proxeon (Odense, Denmark) was used with the distal coated silica nanospray capillaries of New Objective (Woburn, MA, USA). The electrospray voltage was set to 1800 V. Spectra were acquired over the mass range of m/z 600&#8211;1600. The accumulation time was 1 sec. Protein spectra were deconvoluted by Analyst<sup>&#174; </sup>(Applied Biosystems; Foster City, CA, USA). LC-MS/MS analyses were carried out also with the UltiMate&#8482; system interfaced to the QSTAR Pulsar or to an LTQ (Thermo; San Jose, CA, USA) linear ion trap mass spectrometer. The gradient was (A = 5% acetonitrile / 0.1% formic acid in water B = 80% acetonitrile / 0.1% formic acid in water) 0% B for 12 min, 60% B in 88 min, 100 % B in 5 min, 100% B for 10 min, 0% B in 5 min, 0% B for 20 min. Peptide spectra were recorded over the mass range of m/z 450&#8211;1300, MS/MS spectra were recorded in information dependent data acquisition over the mass range of m/z 50&#8211;1600. One peptide spectrum was recorded followed by two MS/MS spectra on the QSTAR Pulsar instrument; the accumulation time was 1 sec for peptide spectra and 2 sec for MS/MS spectra. The collision energy was set automatically according to the mass and charge state of the peptides chosen for fragmentation. One full spectrum was recorded followed by 3 MS/MS spectra on the LTQ instrument, automatic gain control was applied and the collision energy was set to the arbitrary value of 35. Doubly or triply charged ions were selected for product ion spectra. MS/MS spectra were interpreted by Mascot (Matrix Science Ltd, London, UK).</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>The author(s) declare that they have no competing interests.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>Felizardo, Maureen carried out MALDI-TOF-TOF analysis. Raja, Karlin participated in sequence alignments and in the design of the study. All authors read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>We are highly indebted to the Red Bull Company, Salzburg, Austria, for generous financial support and acknowledge the contribution of the Verein zur Durchf&#252;hrung der wissenschaftlichen Forschung auf dem Gebiet der Neonatologie und Kinderintensivmedizin "Unser Kind". We appreciate excellent technical assistance by M. Felizardo and K. Raja.</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>Growth hormone antibodies formation in patients treated with recombinant human growth hormone</p>
            </title>
            <aug>
               <au>
                  <snm>Ahangari</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Ostadali</snm>
                  <fnm>MR</fnm>
               </au>
               <au>
                  <snm>Rabani</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Rashidian</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Sanati</snm>
                  <fnm>MH</fnm>
               </au>
               <au>
                  <snm>Zarindast</snm>
                  <fnm>MR</fnm>
               </au>
            </aug>
            <source>Int J Immunopathol Pharmacol</source>
            <pubdate>2004</pubdate>
            <volume>17</volume>
            <fpage>33</fpage>
            <lpage>38</lpage>
            <xrefbib>
               <pubid idtype="pmpid">15000864</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>Current clinical trials with authentic recombinant human growth hormone in Japan</p>
            </title>
            <aug>
               <au>
                  <snm>Takano</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Shizume</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>Acta paediatr Scand Suppl</source>
            <pubdate>1986</pubdate>
            <fpage>93</fpage>
            <lpage>97</lpage>
            <xrefbib>
               <pubid idtype="pmpid">3296643</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Five-year follow-up of growth hormone antibodies in growth hormone deficient children treated with recombinant human growth hormone</p>
            </title>
            <aug>
               <au>
                  <snm>Massa</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Vanderschueren-Lodeweyckx</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Buillon</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Clin Endocrinol (Oxf)</source>
            <pubdate>1993</pubdate>
            <volume>38</volume>
            <fpage>137</fpage>
            <lpage>142</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8435894</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>Reduced insulin sensitivity during growth hormone therapy for short children born small for gestational age</p>
            </title>
            <aug>
               <au>
                  <snm>Cutfield</snm>
                  <fnm>WS</fnm>
               </au>
               <au>
                  <snm>Jackson</snm>
                  <fnm>WE</fnm>
               </au>
               <au>
                  <snm>Jefferies</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Robinson</snm>
                  <fnm>EM</fnm>
               </au>
               <au>
                  <snm>Breier</snm>
                  <fnm>BH</fnm>
               </au>
               <au>
                  <snm>Richards</snm>
                  <fnm>GE</fnm>
               </au>
               <au>
                  <snm>Hofman</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>J Pediatr</source>
            <pubdate>2003</pubdate>
            <volume>142</volume>
            <fpage>113</fpage>
            <lpage>116</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1067/mpd.2003.8</pubid>
                  <pubid idtype="pmpid" link="fulltext">12584529</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B5">
            <title>
               <p>Aplastic anemia during growth hormone (GH) treatment in a girl with idiopathic GH-deficiency</p>
            </title>
            <aug>
               <au>
                  <snm>Sugimoto</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Hanaki</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Kawashima</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Kinoshita</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Nagaishi</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Hayashi</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kanzaki</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Endocr J</source>
            <pubdate>2003</pubdate>
            <volume>50</volume>
            <fpage>469</fpage>
            <lpage>471</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1507/endocrj.50.469</pubid>
                  <pubid idtype="pmpid" link="fulltext">14599122</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Growth hormone therapy</p>
            </title>
            <aug>
               <au>
                  <snm>Dash</snm>
                  <fnm>RJ</fnm>
               </au>
               <au>
                  <snm>Muralidharan</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Talwar</snm>
                  <fnm>V</fnm>
               </au>
            </aug>
            <source>J Assoc Physicians India</source>
            <pubdate>1999</pubdate>
            <volume>47</volume>
            <fpage>417</fpage>
            <lpage>425</lpage>
            <xrefbib>
               <pubid idtype="pmpid">10778529</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B7">
            <title>
               <p>Growth hormone therapy and Quality of life: possibilities, pitfalls and mechanisms</p>
            </title>
            <aug>
               <au>
                  <snm>Hull</snm>
                  <fnm>KL</fnm>
               </au>
               <au>
                  <snm>Harvey</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>J Endocrinol</source>
            <pubdate>2003</pubdate>
            <volume>179</volume>
            <fpage>311</fpage>
            <lpage>333</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1677/joe.0.1790311</pubid>
                  <pubid idtype="pmpid" link="fulltext">14656202</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>A novel dysfunctional growth hormone variant (Ile179Met) exhibits a decreased ability to activate the extracellular signal-regulated kinase pathway</p>
            </title>
            <aug>
               <au>
                  <snm>Lewis</snm>
                  <fnm>MD</fnm>
               </au>
               <au>
                  <snm>Horan</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Millar</snm>
                  <fnm>DS</fnm>
               </au>
               <au>
                  <snm>Newsway</snm>
                  <fnm>V</fnm>
               </au>
               <au>
                  <snm>Easter</snm>
                  <fnm>TE</fnm>
               </au>
               <au>
                  <snm>Fryklund</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Gregory</snm>
                  <fnm>JW</fnm>
               </au>
               <au>
                  <snm>Norin</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Del Valle</snm>
                  <fnm>CJ</fnm>
               </au>
               <au>
                  <snm>Lopez-Siguero</snm>
                  <fnm>JP</fnm>
               </au>
               <au>
                  <snm>Canete</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Lopez-Canti</snm>
                  <fnm>LF</fnm>
               </au>
               <au>
                  <snm>Diaz-Torrado</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Espino</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Ulied</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Scanlon</snm>
                  <fnm>MF</fnm>
               </au>
               <au>
                  <snm>Procter</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>DN</fnm>
               </au>
            </aug>
            <source>J Clin Endocrinol Metab</source>
            <pubdate>2004</pubdate>
            <volume>89</volume>
            <fpage>1068</fpage>
            <lpage>1075</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1210/jc.2003-030652</pubid>
                  <pubid idtype="pmpid" link="fulltext">15001589</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Isolated growth hormone deficiency and the GH-1 gene: update 2002</p>
            </title>
            <aug>
               <au>
                  <snm>Binder</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>Horm Res</source>
            <pubdate>2002</pubdate>
            <issue>Suppl 3</issue>
            <fpage>2</fpage>
            <lpage>6</lpage>
            <xrefbib>
               <pubid idtype="doi">10.1159/000066476</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>Prolonged Retention after Aggregation into Secretory Granules of Human R183H-Growth Hormone (GH), a Mutant that Causes Autosomal Dominant GH Deficiency Type II</p>
            </title>
            <aug>
               <au>
                  <snm>Zhu</snm>
                  <fnm>YL</fnm>
               </au>
               <au>
                  <snm>Conway-Campbell</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Waters</snm>
                  <fnm>MJ</fnm>
               </au>
               <au>
                  <snm>Dannis</snm>
                  <fnm>PS</fnm>
               </au>
            </aug>
            <source>Endocrinology</source>
            <pubdate>2002</pubdate>
            <volume>143</volume>
            <fpage>4243</fpage>
            <lpage>4248</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1210/en.2002-220575</pubid>
                  <pubid idtype="pmpid" link="fulltext">12399418</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>Characterisation of a secreted form of recombinant derived human growth hormone, expressed in Escherichia coli cells</p>
            </title>
            <aug>
               <au>
                  <snm>Gellerfors</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Eketorp</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Fholenhag</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Pavlu</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Johansson</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Fryklund</snm>
                  <fnm>L</fnm>
               </au>
            </aug>
            <source>J Pharm Biomed Anal</source>
            <pubdate>1989</pubdate>
            <volume>7</volume>
            <fpage>173</fpage>
            <lpage>83</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0731-7085(89)80081-0</pubid>
                  <pubid idtype="pmpid">2488618</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Growth Hormone Heterogeneity: Genes, Isohormones, Variants and Binding proteins</p>
            </title>
            <aug>
               <au>
                  <snm>Baumann</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>Endocr Rev</source>
            <pubdate>1991</pubdate>
            <volume>12</volume>
            <fpage>424</fpage>
            <lpage>449</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1760996</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>22- and 20 kDa- human growth hormones bind to different sites within different cellular receptors</p>
            </title>
            <aug>
               <au>
                  <snm>Longhi</snm>
                  <fnm>SA</fnm>
               </au>
            </aug>
            <source>Growth Horm IGF Res</source>
            <pubdate>2003</pubdate>
            <volume>13</volume>
            <fpage>353</fpage>
            <lpage>60</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S1096-6374(03)00125-4</pubid>
                  <pubid idtype="pmpid" link="fulltext">14624770</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>The 20-kDa human growth hormone reduces body fat by increasing lipolysis and decreasing lipoprotein lipase activity</p>
            </title>
            <aug>
               <au>
                  <snm>Shunichi</snm>
                  <fnm>Takahashi</fnm>
               </au>
            </aug>
            <source>Horm Res</source>
            <pubdate>2002</pubdate>
            <volume>58</volume>
            <fpage>157</fpage>
            <lpage>164</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1159/000065488</pubid>
                  <pubid idtype="pmpid" link="fulltext">12324712</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>Glycosilated human growth hormone: a novel 24 kDa variant</p>
            </title>
            <aug>
               <au>
                  <snm>Haro</snm>
                  <fnm>LS</fnm>
               </au>
               <au>
                  <snm>Lewis</snm>
                  <fnm>UJ</fnm>
               </au>
            </aug>
            <source>Biochem Biophys Res Commun</source>
            <pubdate>1996</pubdate>
            <volume>228</volume>
            <fpage>549</fpage>
            <lpage>56</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/bbrc.1996.1697</pubid>
                  <pubid idtype="pmpid" link="fulltext">8920950</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>A 12 kDa N-glycosilated growth hormone-related peptide is present in human pituitary extracts</p>
            </title>
            <aug>
               <au>
                  <snm>Diaz</snm>
                  <fnm>MJ</fnm>
               </au>
            </aug>
            <source>J Clin Endocrinol Metab</source>
            <pubdate>1993</pubdate>
            <volume>77</volume>
            <fpage>134</fpage>
            <lpage>138</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1210/jc.77.1.134</pubid>
                  <pubid idtype="pmpid">8325936</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>N-glycosilated variants of growth hormone in human pituitary extracts</p>
            </title>
            <aug>
               <au>
                  <snm>Garcia-Barros</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Horm Res</source>
            <pubdate>2000</pubdate>
            <volume>53</volume>
            <fpage>40</fpage>
            <lpage>45</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1159/000023512</pubid>
                  <pubid idtype="pmpid" link="fulltext">10965220</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B18">
            <title>
               <p>Variants of human growth hormone and prolactin and their posttranslational modifications</p>
            </title>
            <aug>
               <au>
                  <snm>Lewis</snm>
                  <fnm>UJ</fnm>
               </au>
            </aug>
            <source>Annu Rev Physiol</source>
            <pubdate>1984</pubdate>
            <volume>46</volume>
            <fpage>33</fpage>
            <lpage>42</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1146/annurev.ph.46.030184.000341</pubid>
                  <pubid idtype="pmpid" link="fulltext">6424559</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>RNA editing</p>
            </title>
            <aug>
               <au>
                  <snm>Brennecke</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Marchfelder</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Binder</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>FEMS Microbiology Reviews</source>
            <pubdate>1999</pubdate>
            <volume>23</volume>
            <fpage>297</fpage>
            <lpage>316</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0168-6445(99)00009-1</pubid>
                  <pubid idtype="pmpid" link="fulltext">10371035</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B20">
            <title>
               <p>Editing of Errors in Selection of Amino Acids for Protein Synthesis</p>
            </title>
            <aug>
               <au>
                  <snm>Jakubowski</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Goldman</snm>
                  <fnm>E</fnm>
               </au>
            </aug>
            <source>Microbiological Reviews</source>
            <pubdate>1992</pubdate>
            <volume>56</volume>
            <fpage>412</fpage>
            <lpage>429</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">372878</pubid>
                  <pubid idtype="pmpid">1406490</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Effects of rare codon clusters on high expression of heterologous proteins in Escherichia coli</p>
            </title>
            <aug>
               <au>
                  <snm>Kane</snm>
                  <fnm>JF</fnm>
               </au>
            </aug>
            <source>Current Opinion in Biotechnology</source>
            <pubdate>1995</pubdate>
            <volume>6</volume>
            <fpage>494</fpage>
            <lpage>500</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0958-1669(95)80082-4</pubid>
                  <pubid idtype="pmpid">7579660</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B22">
            <title>
               <p>Translation of the sequence AGG-AGG yields 50% ribosomal frameshift</p>
            </title>
            <aug>
               <au>
                  <snm>Spanjaard</snm>
                  <fnm>RA</fnm>
               </au>
               <au>
                  <snm>Van Duin</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci USA</source>
            <pubdate>1988</pubdate>
            <volume>85</volume>
            <fpage>7967</fpage>
            <lpage>7971</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">282334</pubid>
                  <pubid idtype="pmpid">3186700</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B23">
            <title>
               <p>Low-usage codons in Escherichia coli, yeast, fruit fly and primates</p>
            </title>
            <aug>
               <au>
                  <snm>Zhang</snm>
                  <fnm>SP</fnm>
               </au>
               <au>
                  <snm>Zubay</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Goldman</snm>
                  <fnm>E</fnm>
               </au>
            </aug>
            <source>Gene</source>
            <pubdate>1991</pubdate>
            <volume>105</volume>
            <fpage>61</fpage>
            <lpage>72</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0378-1119(91)90514-C</pubid>
                  <pubid idtype="pmpid">1937008</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B24">
            <title>
               <p>Identifying proteins from two-dimensional gels by molecular mass searching of peptide fragments in protein sequence databases</p>
            </title>
            <aug>
               <au>
                  <snm>Henzel</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>Billeci</snm>
                  <fnm>TM</fnm>
               </au>
               <au>
                  <snm>Stults</snm>
                  <fnm>JT</fnm>
               </au>
               <au>
                  <snm>Wong</snm>
                  <fnm>SC</fnm>
               </au>
               <au>
                  <snm>Grimley</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Watanabe</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci USA</source>
            <pubdate>1993</pubdate>
            <volume>90</volume>
            <fpage>5011</fpage>
            <lpage>5015</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">46643</pubid>
                  <pubid idtype="pmpid" link="fulltext">8506346</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B25">
            <title>
               <p>Separation and identification of growth hormone variants with high performance liquid chromatography techniques</p>
            </title>
            <aug>
               <au>
                  <snm>Gellerfors</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Pavlu</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Axelsson</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Nyhlen</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Johansson</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Acta Paediatr Scand Suppl</source>
            <pubdate>1990</pubdate>
            <volume>370</volume>
            <fpage>93</fpage>
            <lpage>100</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2260463</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B26">
            <title>
               <p>Comparison of a Structural and a Functional Epitope</p>
            </title>
            <aug>
               <au>
                  <snm>Cunningham</snm>
                  <fnm>BC</fnm>
               </au>
               <au>
                  <snm>Wells</snm>
                  <fnm>JA</fnm>
               </au>
            </aug>
            <source>J Mol Biol</source>
            <pubdate>1993</pubdate>
            <volume>234</volume>
            <fpage>554</fpage>
            <lpage>563</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/jmbi.1993.1611</pubid>
                  <pubid idtype="pmpid" link="fulltext">7504735</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B27">
            <title>
               <p>The Functional Binding Epitope of a High Affinity Variant of Human Growth Hormone Mapped by Shotgun Alanin-scanning Mutagenesis: Insights into the Mechanisms Responsible for Improved Affinity</p>
            </title>
            <aug>
               <au>
                  <snm>Pal</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Kossiakoff</snm>
                  <fnm>AA</fnm>
               </au>
               <au>
                  <snm>Sidhu</snm>
                  <fnm>SS</fnm>
               </au>
            </aug>
            <source>J Mol Biol</source>
            <pubdate>2003</pubdate>
            <volume>332</volume>
            <fpage>195</fpage>
            <lpage>204</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0022-2836(03)00898-2</pubid>
                  <pubid idtype="pmpid" link="fulltext">12946357</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B28">
            <title>
               <p>Codon-anticodon pairing: the wobble hypotheses</p>
            </title>
            <aug>
               <au>
                  <snm>Crick</snm>
                  <fnm>FHC</fnm>
               </au>
            </aug>
            <source>J Mol Biol</source>
            <pubdate>1966</pubdate>
            <volume>19</volume>
            <fpage>548</fpage>
            <lpage>555</lpage>
            <xrefbib>
               <pubid idtype="pmpid">5969078</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B29">
            <title>
               <p>The AAG codon is translated slowly in E. coli even at very low expression levels</p>
            </title>
            <aug>
               <au>
                  <snm>Bonekamp</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Jensen</snm>
                  <fnm>KF</fnm>
               </au>
            </aug>
            <source>Nucl Ac Res</source>
            <pubdate>1988</pubdate>
            <volume>16</volume>
            <fpage>3013</fpage>
            <lpage>3024</lpage>
         </bibl>
         <bibl id="B30">
            <title>
               <p>Novel in-frame two codon translational hop during synthesis of bovine placental lactogen in a recombinant strain of E. coli</p>
            </title>
            <aug>
               <au>
                  <snm>Kane</snm>
                  <fnm>JF</fnm>
               </au>
               <au>
                  <snm>Violand</snm>
                  <fnm>BN</fnm>
               </au>
               <au>
                  <snm>Curran</snm>
                  <fnm>DF</fnm>
               </au>
               <au>
                  <snm>Staten</snm>
                  <fnm>NR</fnm>
               </au>
               <au>
                  <snm>Duffin</snm>
                  <fnm>KL</fnm>
               </au>
               <au>
                  <snm>Bogosian</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>Nucl Acid Res</source>
            <pubdate>1992</pubdate>
            <volume>20</volume>
            <fpage>6707</fpage>
            <lpage>6712</lpage>
         </bibl>
         <bibl id="B31">
            <title>
               <p>Effects of Consecutive AGG Codons on Translation in Escherichia coli, Demonstrated with a Versatile Codon Test System</p>
            </title>
            <aug>
               <au>
                  <snm>Rosenberg</snm>
                  <fnm>AH</fnm>
               </au>
               <au>
                  <snm>Goldman</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Dunn</snm>
                  <fnm>JJ</fnm>
               </au>
               <au>
                  <snm>Studier</snm>
                  <fnm>FW</fnm>
               </au>
               <au>
                  <snm>Zubay</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>J Bacteriol</source>
            <pubdate>1993</pubdate>
            <volume>175</volume>
            <fpage>716</fpage>
            <lpage>722</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">196210</pubid>
                  <pubid idtype="pmpid">7678594</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B32">
            <title>
               <p>Separation of oxidized and deaminated human growth hormone variants by isocratic reversed-phase high-performance liquid chromatography</p>
            </title>
            <aug>
               <au>
                  <snm>Karlsson</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Gellerfors</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Persson</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Noren</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Edlund</snm>
                  <fnm>PO</fnm>
               </au>
               <au>
                  <snm>Sandberg</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Birnbaum</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>J Chromatogr A</source>
            <pubdate>1999</pubdate>
            <volume>855</volume>
            <fpage>147</fpage>
            <lpage>155</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0021-9673(99)00669-X</pubid>
                  <pubid idtype="pmpid">10514980</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B33">
            <title>
               <p>Methionine oxidation in human growth hormone and human chorionic somatomammotropin. Effects on receptor binding and biological activities</p>
            </title>
            <aug>
               <au>
                  <snm>Teh</snm>
                  <fnm>LC</fnm>
               </au>
               <au>
                  <snm>Murphy</snm>
                  <fnm>LJ</fnm>
               </au>
               <au>
                  <snm>Huq</snm>
                  <fnm>NL</fnm>
               </au>
               <au>
                  <snm>Surus</snm>
                  <fnm>AS</fnm>
               </au>
               <au>
                  <snm>Friesen</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Lazarus</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Chapman</snm>
                  <fnm>GE</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1987</pubdate>
            <volume>262</volume>
            <fpage>6472</fpage>
            <lpage>6477</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">3571265</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B34">
            <title>
               <p>Isolation of Escherichia coli synthesized recombinant eukaryotic proteins that contain epsilon-N-acetyllysine</p>
            </title>
            <aug>
               <au>
                  <snm>Violand</snm>
                  <fnm>BN</fnm>
               </au>
               <au>
                  <snm>Schlittler</snm>
                  <fnm>MR</fnm>
               </au>
               <au>
                  <snm>Lawson</snm>
                  <fnm>CQ</fnm>
               </au>
               <au>
                  <snm>Kane</snm>
                  <fnm>JF</fnm>
               </au>
               <au>
                  <snm>Siegel</snm>
                  <fnm>NR</fnm>
               </au>
               <au>
                  <snm>Smith</snm>
                  <fnm>CE</fnm>
               </au>
               <au>
                  <snm>Kolodziej</snm>
                  <fnm>EW</fnm>
               </au>
               <au>
                  <snm>Duffin</snm>
                  <fnm>KL</fnm>
               </au>
            </aug>
            <source>Protein Sci</source>
            <pubdate>1994</pubdate>
            <volume>3</volume>
            <fpage>1089</fpage>
            <lpage>1097</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">7920255</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B35">
            <title>
               <p>Involvement of lysine residues in the binding of hGH and bGH to somatotropic receptors</p>
            </title>
            <aug>
               <au>
                  <snm>Martal</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Chene</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>De la Ljosa</snm>
                  <fnm>P</fnm>
               </au>
            </aug>
            <source>FEBS Lett</source>
            <pubdate>1985</pubdate>
            <volume>180</volume>
            <fpage>295</fpage>
            <lpage>299</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0014-5793(85)81089-9</pubid>
                  <pubid idtype="pmpid">2981726</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B36">
            <title>
               <p>Human Growth Hormon and Extracellular Domain of its Receptor: Cristal Structure of the Complex</p>
            </title>
            <aug>
               <au>
                  <snm>De Vos</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Ultsch</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Kossiakoff</snm>
                  <fnm>AA</fnm>
               </au>
            </aug>
            <source>Science</source>
            <pubdate>1991</pubdate>
            <volume>25</volume>
            <fpage>306</fpage>
            <lpage>12</lpage>
         </bibl>
         <bibl id="B37">
            <title>
               <p>Biologically Inactive Growth Hormone Caused by an Amino Acid Substitution</p>
            </title>
            <aug>
               <au>
                  <snm>Yutaka</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Hiroyuki</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Osamu</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kenichi</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Toshihiro</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Junichi</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Hidesuke</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Yasuhiku</snm>
                  <fnm>O</fnm>
               </au>
               <au>
                  <snm>Hiromi</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Toshiaki</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kazuo</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>J Clin Invest</source>
            <pubdate>1997</pubdate>
            <volume>100</volume>
            <fpage>1159</fpage>
            <lpage>1165</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">508291</pubid>
                  <pubid idtype="pmpid" link="fulltext">9276733</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B38">
            <title>
               <p>A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding</p>
            </title>
            <aug>
               <au>
                  <snm>Bradford</snm>
                  <fnm>MM</fnm>
               </au>
            </aug>
            <source>Anal Biochem</source>
            <pubdate>1976</pubdate>
            <volume>72</volume>
            <fpage>248</fpage>
            <lpage>254</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">942051</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B39">
            <title>
               <p>Cleavage of structural proteins during assembly of head of bacteriophage T4</p>
            </title>
            <aug>
               <au>
                  <snm>Laemmli</snm>
                  <fnm>UK</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1970</pubdate>
            <volume>227</volume>
            <fpage>680</fpage>
            <lpage>685</lpage>
            <xrefbib>
               <pubid idtype="pmpid">5432063</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B40">
            <title>
               <p>Reduction of actin-related protein complex 2/3 in fetal down syndrome brain</p>
            </title>
            <aug>
               <au>
                  <snm>Weitzd&#246;rfer</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Fountoulakis</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Lubec</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>Biochem Biophys Res Commun</source>
            <pubdate>2002</pubdate>
            <volume>293</volume>
            <fpage>836</fpage>
            <lpage>841</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0006-291X(02)00291-7</pubid>
                  <pubid idtype="pmpid" link="fulltext">12054546</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B41">
            <title>
               <p>A novel MALDI LIFT-TOF/TOF mass spectrometer for proteomics</p>
            </title>
            <aug>
               <au>
                  <snm>Suckau</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Resemann</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Schuerenberg</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Hufnagel</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Franzen</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Holle</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>Anal Bioanal Chem</source>
            <pubdate>2003</pubdate>
            <volume>376</volume>
            <fpage>952</fpage>
            <lpage>965</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1007/s00216-003-2057-0</pubid>
                  <pubid idtype="pmpid" link="fulltext">12830354</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B42">
            <title>
               <p>Proteomic profiling of human hippocampus</p>
            </title>
            <aug>
               <au>
                  <snm>Yang</snm>
                  <fnm>JW</fnm>
               </au>
               <au>
                  <snm>Czech</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Lubec</snm>
                  <fnm>G</fnm>
               </au>
            </aug>
            <source>Electrophoresis</source>
            <pubdate>2004</pubdate>
            <volume>25</volume>
            <fpage>1169</fpage>
            <lpage>1174</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/elps.200305809</pubid>
                  <pubid idtype="pmpid" link="fulltext">15095461</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B43">
            <title>
               <p>Reliable automatic protein identification from matrix-assisted laser desorption/ionization mass spectrometric peptide fingerprints</p>
            </title>
            <aug>
               <au>
                  <snm>Berndt</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Hobohm</snm>
                  <fnm>U</fnm>
               </au>
               <au>
                  <snm>Langen</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Electrophoresis</source>
            <pubdate>1999</pubdate>
            <volume>20</volume>
            <fpage>3521</fpage>
            <lpage>3526</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/(SICI)1522-2683(19991201)20:18&lt;3521::AID-ELPS3521>3.0.CO;2-8</pubid>
                  <pubid idtype="pmpid" link="fulltext">10612278</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
      </refgrp>
   </bm>
</art>
