Investigation on the Detoxification of Indoxyl Sulfate (IS) and Indole-3-Acetic Acid (IAA) Protein-Bound Uremic Toxins (PBUTs) Using Trametes versicolor Biocompatible Laccase: In Situ Synchrotron Imaging, Experimental and Computational Studies
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Summary
This summary is machine-generated.Laccase enzyme decomposed indole-3-acetic acid (IAA) into less toxic byproducts, but did not affect indoxyl sulfate (IS) removal in hemodialysis (HD). Further research is needed for effective protein-bound uremic toxins (PBUTs) removal.
Area Of Science
- Biochemistry
- Biotechnology
- Nephrology
Background
- Protein-bound uremic toxins (PBUTs), including indoxyl sulfate (IS) and indole-3-acetic acid (IAA), are difficult to remove in hemodialysis (HD) due to strong albumin binding.
- Effective removal of PBUTs is crucial for improving outcomes in HD patients.
Purpose Of The Study
- To investigate the potential of laccase enzyme from Trametes versicolor for decomposing and removing IS and IAA during HD.
- To assess the toxicity of laccase-generated byproducts and their impact on toxin-protein binding.
Main Methods
- Molecular docking to study laccase-toxin interactions.
- Liquid chromatography-mass spectrometry (LC-MS) and gas chromatography-mass spectrometry (GC-MS) for toxin and byproduct analysis.
- Synchrotron radiation micro-computed tomography (SR-µCT) to analyze toxin-albumin binding on HD membranes.
Main Results
- Laccase effectively decomposed IAA into five less toxic byproducts, but IS remained unaffected.
- Laccase treatment reduced albumin-IAA adsorption on HD membranes, but not albumin-IS adsorption.
- The liver's conversion of indole to IS suggests laccase may not be ideal for IAA detoxification in HD.
Conclusions
- Laccase shows limited efficacy for simultaneous removal of IS and IAA in HD.
- Enzyme-based strategies require careful consideration of toxin metabolism and enzyme specificity.
- Further research is needed to develop novel methods for PBUTs removal in hemodialysis.

