throbber
Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`Patterns of Nonelectrolyte
`Permeability in Human
`Red Blood Cell Membrane
`
`P. NACCACHE and R. I. SHA'AFI
`
`From the Department of Physiology, The University of Connecticut School of Medicine,
`Farmington, Connecticut 06032
`
`ABSTRACT The permeability of human red cell membrane to 90 different
`molecules has been measured. These solutes cover a wide spectrum of non-
`electrolytes with varying chemical structure, chain length, lipid solubility,
`chemical reactive group, ability to form hydrogen bonds, and other properties.
`In general, the present study suggests that the permeability of red cell membrane
`to a large solute is determined by lipid solubility, its molecular size, and its
`hydrogen-bonding ability. The permeability coefficient increases with increas-
`ing lipid solubility and decreasing ability to form hydrogen bonds, whereas it
`decreases with increasing molecular size. In the case of small solutes, the pre-
`dominant diffusion factor is steric hindrance augmented by lipid solubility. It
`is also found that replacement of a hydroxyl group by a carbonyl group or an
`ether linkage tends to increase permeability. On the other hand, replacement of
`a hydroxyl group by an amide group tends to decrease the permeability coeffi-
`cient.
`
`INTRODUCTION
`
`Recently, the permeability coefficients of a series of amide, ureas, and diols
`have been measured on human red cells (1). Based on these studies, it was
`postulated that there are three important variables which need to be consid-
`ered separately in understanding the permeation process across human red
`cell membranes. The first is a parameter describing lipid solubility, the second
`a parameter depending on molecular size, and the third a parameter which is
`concerned with the chemical nature of the solute. Although this conclusion is
`in general agreement with earlier studies of nonelectrolyte permeations in red
`cells, particularly by Jacobs and H6ber and
`rskov (See Danielli [2]), it is
`based only on the measurements of the permeability of human red cell mem-
`branes to 14 solutes. In order to extend this further and to gain a better under-
`standing of the parameter which is concerned with the chemical nature of the
`solute, we have measured the permeability of human red cell membranes to 90
`
`714
`
`THE JOURNAL OF GENERAL PHYSIOLOGY - VOLUME 62, 1973
`
`pages 714-736
`
`Novo Nordisk Ex. 2037, P. 1
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`NACCACHE AND SHA'AFI Human Red Cell Membrane Permeability
`
`7'5
`
`molecules. These molecules cover a wide spectrum of nonelectrolytes with
`varying chemical structure, chain length, degree of branching, type of bond,
`chemical reactive group, position of reactive group, lipid solubility, ability to
`form hydrogen bonds, and other properties. In selecting among the various
`solutes we were guided by the excellent study of Wright and Diamond which
`deals with the measurement of the reflection coefficients of various nonelectro-
`lytes in rabbit gallbladder (3).
`
`MATERIALS AND METHODS
`
`Human blood obtained by venipuncture was used throughout this study, with
`EDTA as an anticoagulant. The blood was kept refrigerated at 4°C for at most 48 h.
`Both the isotonic buffer (whose composition in millimoles/liter was: NaCl, 150;
`KCI, 5.0; MgC12, 1.0; CaC12, 0.25; NaH2 PO 4, 1.0; Na 2HPO 4, 5; pH = 7.4) and the
`test solutions were prepared on the day of the experiment. The experiments were
`carried out at room temperature (19-24°C) and at pH 7.4. The solutes were obtained
`from Fluka (Fluka, AG, Basel, Switzerland), Merck (Merck Chemical Div., Merck &
`Co., Inc., Rahway, N. J.), Fisher (Fisher Scientific Co., Pittsburgh, Pa.), and East-
`man Kodak (Eastman Kodak Co., Rochester, N. Y.).
`The rate of water entry into the cells was measured by a modification of the
`hemolysis and stop-flow technique (4, 5). Changes in cell volume were measured by
`spectrophotometry at 540 nm using a Beckman. Model B Spectrophotometer (Beck-
`man Instruments, Inc., Fullerton, Calif.) which was connected to a Grass DC am-
`plifier (Grass Instrument Co., Quincy, Mass.) and paper recorder. The red cells were
`diluted 200 times in an isotonic phosphate buffer just before the start of each experi-
`ment. 0.2 ml of this suspension was then injected into the observation tube which
`contained 2.5 ml of the test solution under study. The time-course of the change in
`light transmission at 540 nm was recorded. The test solution contained 0.3 M solute
`under study. The final mixture in the observation tube contained 0.04% red cells,
`0.277 M test solute, and 0.024 M NaCI. The base line, determined with the isotonic
`buffer as a test solution, was checked every three runs. 5-10 control runs in distilled
`water were carried out at the start of each experiment and at various times during
`the course of the experiment. Permeability coefficients were calculated using the
`equations derived initially by Jacobs and later summarized by Stein (4, 6).
`
`RESULTS AND DISCUSSION
`
`Table I gives the values of the permeability coefficients for all the 90 solutes
`which have been studied along with the molecular weight, and the ether: water
`partition coefficient (kether). For each molecule the value of at least nine de-
`terminations on three different blood samples is given. The values of keth,, are
`taken from Collander (7). The molecules are ordered according to increasing
`number of carbon atoms. It is important to point out here that the present
`values of the permeability coefficients of water and the 14 molecules which
`have been previously determined are smaller than those reported earlier (1).
`This is due to difference in experimental method since the present technique
`
`Novo Nordisk Ex. 2037, P. 2
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`716
`
`THE JOURNAL OF GENERAL PHYSIOLOGY
`
`VOLUME 62
`
`973
`
`I
`TABLE
`VALUES OF PERMEABILITY COEFFICIENTS FOR VARIOUS NONELECTRO-
`LYTES IN HUMAN RED CELL MEMBRANES
`
`Name
`
`Partition coeffident
`(kether)
`
`Permeability coefficient
`(P X 10- cm/s)
`
`Water
`Sulfamide
`Methanol
`Formamide
`Nitromethane
`Urea
`Thiourea
`Two carbon atoms
`Ethanol
`Ethylene glycol
`Dimethyl sulphoxide
`Acetonitrile
`Acetamide
`Thioacetamide
`2-Iodoacetamide
`Methyl formamide
`Methyl urea
`Three carbon atoms
`Acetone
`n-Propanol
`IsoPropanol
`Ethylene glycol monomethyl ether
`1,2-Propanediol
`1,3-Propanediol
`Glycerol
`Dimethyl formamide
`Ethyl formamide
`Methyl acetamide
`Propionamide
`Acrylamide
`Ethyl carbamate
`Ethyl urea
`Malonamide
`Four carbon atoms
`Tetrahydrofuran
`n-Butanol
`Isobutanol
`tert-Butanol
`Diethyl ether
`Dioxane
`Ethyl acetate
`1,3-Butanediol
`1,4-Butanediol
`2-Butene-1,4-diol
`2-Butyne-1,4, diol
`Ethylene glycol monoethyl ether
`1,2,4-Butanetriol
`Diethylene glycol
`Thiodiglycol
`3-Methoxy-1,2-propanediol
`2,3-Dioxanediol
`n-Butyramide
`Isobutyramide
`
`0.003
`
`0.14
`0.0014
`
`0.00047
`0.0063
`
`0.26
`0.0053
`
`0.60
`0.0025
`
`0.0012
`
`0.62
`1.9
`0.64
`0.061
`0.018
`0.012
`0.00066
`0.024
`
`0.013
`
`0.64
`0.0041
`0.00030
`
`7.7
`6.9
`2.2
`10
`
`8.5
`0.042
`0.029
`
`0.20
`
`0.004
`
`0.019
`
`0.058
`
`915415
`0.01
`11.3540.41
`8.05-0.66
`6.1540.28
`23.8741.14
`0.0740.03
`
`8.764-0.34
`3.3840.07
`1.3040.09
`4.5840.38
`4.2040.29
`3.3940.18
`3.87
`11.3540.61
`1.830.05
`
`9. 7540.51
`6.35-0.18
`4.3840.21
`12.1540.62
`1.7940.10
`0.914-0.04
`0.584-0.04
`11.9040.94
`5.0240.33
`3.1840.42
`3.80-0.28
`3.6640.33
`8.3440.82
`0.254-0.02
`0.01
`
`6.9940.19
`4.1240.14
`2.8140.11
`4.6540.30
`11.174-1.00
`11.9440.58
`5.544-.33
`2.1740.10
`1.1540.04
`0.79±-0.08
`1.3340.13
`12.8240.80
`0.244-.03
`0.634-.04
`1.704-0.15
`1.0040.04
`0.01
`4.8840.08
`2.8540.12
`
`Novo Nordisk Ex. 2037, P. 3
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`NACCACHE AND SHA'AFI Human Red Cell Membrane Permeability
`
`717
`
`T A B L E
`
`I-Concluded
`
`Name
`
`Partition coefficient
`(kether)
`
`Permeability coefficient
`(P X 10 cm/$)
`
`Dimethyl acetamide
`Methyl propionamide
`Succinimide
`Ethyl acetamide
`N-2-hydroxyethyl acetamide
`Succinonitrile
`n-Propyl urea
`Isopropyl urea
`Five carbon atoms
`Isoamyl alcohol
`3-Pentanol
`Furfural
`Furfuryl alcohol
`Tetrahydrofurfuryl alcohol
`2,2-Dimethyl-1,3-propanediol
`1,5-Pentanediol
`Diethylene glycol monomethyl ether
`Monoacetin
`Pyridine
`Diethyl formamide
`Dimethyl propionamide
`n-Valeramide
`Isovaleramide
`Glutaronitrile
`Butyl urea
`Asymmetrical diethyl urea
`Six carbon atoms
`Cyclohexanol
`Cathechol
`1,4-Cyclohexanedione
`2,5-Hexanedione
`1,6-Hexanediol
`2,5-Hexanediol
`2-Methyl-2,4-pentanediol
`Pinacol
`Ethylene glycol, monobutyl ether
`Dipropylene glycol
`Triethylene glycol
`Diethyl acetamide
`Dimethyl butyramide
`Nicotinamide
`Seven carbon atoms
`2,2-Diethyl-1,3-propanediol
`Monobutyrin
`Diacetin
`Diethyl propionamide
`Diethylene glycol monobutyl ether
`Tetraethylene glycol
`Diethyl butyramide
`Nine or more carbon atoms
`Triacetin
`Tetraethylene glycol dimethyl ether
`Triethylene glycol diacetate
`
`0.031
`0.031
`
`0.32
`
`19
`
`0.055
`0.037
`0.041
`1.2
`
`0.17
`
`0.019
`
`0.45
`0.12
`
`0.51
`0.43
`
`0.035
`0.0031
`
`0.22
`
`1.1
`0.0024
`
`1.4
`0.061
`0.52
`
`14.734-0.37
`6.244-0.21
`1.7340.05
`8.344-0.24
`0.01
`3.4840.07
`0.624-0.08
`0.4040.04
`
`7.06-0.21
`1.75410.04
`6.6640.40
`5.87-0.73
`9.2340.13
`1.814-0.05
`1.644-.10
`4.944-0.16
`0. 794-0.08
`36.444-1.89
`7.694-.77
`8.8740.60
`4.0240.16
`4.1440.16
`4.894-0.08
`1.694-0.05
`1.7740.05
`
`4.444-0.23
`0.01
`2.314-0.16
`2.514-0.06
`2.26i0.06
`3.2540.14
`4.524-0.08
`4.914-0.08
`4.1040.37
`1.54-0.05
`0.104-0.03
`21.04-0.50
`5.824-0.30
`1.224-0.08
`
`2.664- .06
`19.804-0.70
`1.114-0.18
`6.5340.43
`9.764-0.12
`0.0740.01
`4.004-0.54
`
`4.654-0.47
`6.794-0.19
`25.640.87
`
`Novo Nordisk Ex. 2037, P. 4
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`718
`
`THE JOURNAL OF GENERAL PHYSIOLOGY · VOLUME 62
`
`1973
`
`tends to underestimate the values of permeability coefficients. We were quite
`aware of this and have discussed in previous papers the reasons behind this
`expected difference in the methods (8). It is only fair to say that it would have
`been an overwhelming task to measure the permeability coefficients of all
`these solutes by any other methods available. Moreover, the present technique
`does not change the order of permeation of the various molecules relative to
`each other (1). From consideration of each homologous series such as amides,
`ureas, and others, it appears that there are at least three important variables
`which need to be considered separately in understanding the permeation
`process of these solutes. The first is a parameter describing lipid solubility, the
`second a parameter dependent on molecular size, and the third a parameter
`which is concerned with the chemical nature of the solute. As has been pointed
`out earlier by Sha'afi et al. (1), this model is perforce empirical and its specific
`properties depend upon the exact nature of each of the parameters that has
`been selected. In order to have an overview of these factors affecting permea-
`tion, we have chosen ether: water partition coefficient to reflect the lipid solu-
`bility parameter along with molecular weight to reflect molecular size.
`
`Lipid Solubility
`It is evident from Table I that at least to a first approximation permeability
`coefficients increase with increasing kether. For example, in a given ho-
`mologous series, aside from the first members, increasing the number of CH 3
`groups results in an increase of both the permeability coefficients and kether
`This phenomenon, usually referred to as Overton's rule, has been observed in
`other systems and was one of the earliest indications of the lipid nature of cell
`membranes and of the key role of lipids as a diffusion barrier (3, 9).
`Kether has been chosen because its value is known for more solutes than the
`values for any other partition coefficients. In addition, we have found em-
`pirically as has been reported earlier, that the use of kether gives a better fit to
`our data. Ideally, one would like to know the value of the partition coefficient
`between water and membrane lipids in order to minimize experimental
`errors. The partition coefficients of nonelectrolytes have been studied by Hansh
`et al. (10) who found that aqueous solubility was the primary determinant of
`partition between water and a wide variety of organic solvents. They also
`showed that virtually any monofunctional organic liquid would serve equally
`well to represent the lipid phase in partition experiments with water. Since
`we are interested only in relative rates of permeation, kether will thus be a good
`index of the partition coefficient between water and membrane lipids.
`
`Violation of Overton's Rule
`Table II gives the chemical formula, the permeability coefficients, and kether
`for a few homologous series in which the only variable is the hydrocarbon
`
`Novo Nordisk Ex. 2037, P. 5
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`TABLE II
`VIOLATION OF OVERTON'S RULE BY THE SMALLEST MEMBER OF A
`HOMOLOGOUS SERIES
`
`Name
`
`Formula
`
`P X 10-
`
`ecm/s
`
`kether
`
`8.05
`
`0.0014
`
`4.20
`
`0.0025
`
`3.80
`
`0.013
`
`4.88
`
`0.058
`
`23.87
`
`0.00047
`
`1.83
`
`0.0012
`
`0.25
`
`0.0041
`
`OI
`
`I
`H-C--NH2
`
`O
`
`HSC-C-NH 2
`
`OI
`
`I
`HaC--CH 2 -C-NH 2
`
`OI
`
`I
`HSC- (CH 2) 2 -C-NH 2
`
`O
`
`H 2 N-C-NH 2
`
`OI
`
`I
`H3C-NH-- C-NH 2
`
`OI
`
`I
`H 3 C-CH2--NH-C-NH 2
`
`O
`
`Amide series
`
`Formamide
`
`Acetamide
`
`Propionamide
`
`Butyramide
`Urea series:
`
`Urea
`
`Methyl urea
`
`Ethyl urea
`
`Propyl urea
`
`H3C- (CH 2) 2-NH-C-NH 2
`
`0.62
`
`Butyl urea
`Alcohol series
`Methanol
`Ethanol
`Propanol
`Butanol
`Methyl-substituted amide series
`
`O
`
`HsC- (CH 2)3--NH--C--NH 2
`
`HaC- OH
`H3C-CH2-- OH
`H3C-(CH 2) 2--OH
`H3C- (CH 2 ) 3-OH
`
`Methyl formamide
`
`H-HC--NH-CH 3
`
`O
`
`Methyl acetamide
`
`H 3 C-C-NH--CH3
`
`Methyl propionamide
`Terminal diol series
`Ethylene glycol
`1,3-Propanediol
`1,4-Butanediol
`1,5-Pentanediol
`1,6-Hexanediol
`
`O
`
`H3 C-CH2 -C-NH-CH 3
`
`HO- CH 2 - CH 2 - OH
`HO- (CH 2) 3--OH
`HO- (CH 2 )4 -OH
`HO- (CH 2)- OH
`HO- (CH2) g-OH
`
`79
`
`1.69
`
`11.35
`8.76
`6.35
`4.12
`
`11.35
`
`3.18
`
`6.24
`
`3.38
`0.91
`1.5
`1.64
`2.26
`
`0.14
`0.26
`1.9
`7.7
`
`0.0053
`0.012
`0.029
`0.055
`0.12
`
`Novo Nordisk Ex. 2037, P. 6
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`720
`
`THE JOURNAL OF GENERAL PHYSIOLOGY
`
`· VOLUME 62
`
`· 1973
`
`chain length. Partition coefficients have been shown to increase regularly
`with the length of the hydrocarbon chain (7). It is clear that for the urea
`series, amide series, methyl-substituted amides, and terminal diol series, the
`relative permeability coefficient decreases up to the second or third member
`of each series, and only thereafter increases in accordance with Overton's
`rule. In the alcohol series, the permeability coefficient decreases regularly
`with increasing chain length from methanol to butanol in spite of a significant
`.r This behavior is contrary to what would be expected from
`increase in keth,
`Overton's rule. It is evident then that for small molecules of molecular weight
`under 75 the partition coefficient is not a good index of permeability and that
`Overton's rule is systematically violated.
`
`Molecular Size
`
`Fig. 1 shows the variation of In Prel/kether with molecular weight. According to
`irreversible thermodynamic consideration the permeability coefficient for a
`solute is given as follows:
`
`P = wRT = kx(f,
`
`, + fm),
`
`( )
`
`in which w is the permeability coefficient and has units of moles/dyne sec-
`ond, R is gas constant, T is absolute temperature, K 8 is the partition coefficient
`of the solute between membrane and external solution, and Ax is the path
`length through the membrane. Solute-water and solute-membrane frictions
`are denoted byfe andf, . Assuming k,,the,, to serve as a qualitative indicator of
`K,, the ratio P/keth,r should be inversely proportional to the sum of the fric-
`tional coefficient, Ax being assumed constant. There are four important con-
`clusions that can be drawn from Fig. 1 :(a) Steric hindrance has a consistent
`effect on the entire series including both hydrophilic and lipophilic molecules.
`(b) As evident from the slopes of the lines, the dependence on molecular weight
`varies considerably among various series. (c) Chemical factors are of great
`importance since each series falls on an entirely different curve. (d) The ratios
`Prel/kether of molecules that differ in chemical structure show no correlation
`with molecular weight when pooled together. The fact that we have plotted
`Prel/kether instead of P/kthe,, does not change any of these conclusions. In
`fact we have deliberately chosen Prel instead of P to eliminate Ax.
`We have also plotted the results using molar volume instead of molecular
`weight. Molar volume is a parameter which includes geometrical factors being
`equal to the molecular weight divided by the density of the pure compound.
`The molecular weight may be construed as a measure of molecular size based
`on a spherical model. Division by the density modifies the strictly geometrical
`interpretation by introduction of hydrogen-bonding ability because, as Pi-
`mentel and McClellan (11) have pointed out, hydrogen bonding generally
`increases the density and lowers the molar volume. The correlation of hydro-
`
`Novo Nordisk Ex. 2037, P. 7
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`NACCACHE AND SHA'AFI Human Red Cell Membrane Permeability
`
`72 1
`
`1
`
`O ALCOHOLS
`x AMIDES
`A UREAS
`* GLYCOLS
`
`1
`
`100
`
`9
`
`30
`
`120
`10 40
`70
`MOLECULAR WEIGHT
`
`200
`
`FIGURE 1. Relation among relative permeability coefficient, partition coefficient
`and molecular weight for a series of alcohols, amides, ureas, and glycols in human red
`cells. The permeability coefficient is expressed relative to water. The code for the solutes
`is given below.
`
`Number
`
`Glycols
`
`Alcohols
`
`Amides
`
`Ureas
`
`1 Ethylene glycol
`2 Ethylene glycol monomethyl
`ether
`3 Diethylene glycol
`
`4 Diethylene glycol monomethyl
`ether
`5 Propylene glycol (1,2-pro-
`panediol)
`6 Ethylene glycol monoethyl
`ether
`7 Dipropylene glycol
`8 Triethylene glycol
`9 Diethylene glycol monobutyl
`ether
`10 Tetraethylene glycol
`11 Triethylene glycol diacetate
`12 Tetraethylene glycol diacetate
`
`Methanol
`Ethanol
`
`Formamide
`Acetamide
`
`Urea
`Methyl urea
`
`Isopropanol
`
`n-Propanol
`
`Dimethyl
`formamide
`Propionamide
`
`Ethyl urea
`
`tert-Butanol
`
`Butyramide
`
`n-Butanol
`
`Isovaleramide
`
`Isobutanol
`
`-
`
`-
`-
`-
`
`-
`
`-
`-
`-
`
`-
`
`-
`-
`
`Novo Nordisk Ex. 2037, P. 8
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`722
`
`THE JOURNAL OF GENERAL PHYSIOLOGY
`
`VOLUME 62
`
`1973
`
`gen-bonding ability with density is illustrated particularly effectively by the
`butanediol series in which the ability to form hydrogen bonds with other
`molecules decreases as the hydroxyl groups move closer and become able to
`form intramolecular hydrogen bonds. In these diols the density decreases as
`the ability to form hydrogen bonds with other molecules decreases. Substitution
`of molecular weight by molar volume does not alter any of the previous con-
`clusions.
`Recently, Lieb and Stein (12) have suggested that cell membranes should be
`treated as homogeneous membranes in which the permeability coefficient may
`be computed from an equation in which the only variables are molecular
`weight and the oil-water partition coefficient. In the case of bovine red cells,
`they have fitted permeability data obtained from hemolysis measurements to
`the equation
`
`P = P" mol wt ,
`
`(2)
`
`in which P is the permeability coefficient and P,, n, and p are adjustable con-
`stants, #/ the oil-water partition coefficient, and mol wtrel the molecu-
`lar weight, relative to methanol. Lieb and Stein obtained values of 1.4 for n
`and 6.0 for p. The least-squares fit to our data on human red cells in Table I
`was extremely poor. About 50 molecules were used for this analysis. These
`were the molecules which have known keth, r. The correlation is poor, as shown
`not only by the correlation coefficient of <0.4, but also by the very great
`scatter when the values predicted according to Eq. 1 are compared with the
`experimentally determined values. This is not surprising since Lieb and
`Stein's hypothesis has been already scrutinized and rejected by Sha'afi et al.
`(1), Smulders and Wright (13), and Dickson and Diamond (14).
`The lack of uniformity among solutes in Fig. 1 and the anomalous behavior
`of small hydrophilic solutes indicate quite clearly that no unitary hypothesis
`will serve to account for the behavior of all the solutes we have studied. The
`simplest and most straightforward explanation for these observations is to
`postulate that the red cell membrane behaves operationally as a mosaic struc-
`ture containing both lipid- and polar-region pathways. Neither pathway is ex-
`clusive, and for small lipophilic molecules such as methanol, both pathways
`are open. Steric factors are important to permeation by either route but not
`sufficient to account for all observations.
`The finding which appears to be most inconsistent with this general hy-
`pothesis is the observation reported by Macey and Farmer (15). These au-
`thors have shown that the compound phloretin significantly decreases the
`permeability coefficients for small hydrophilic solutes and exercises no effect
`on water transfer in human red cells. This would be quite inconsistent with the
`preceding hypothesis which postulates that small hydrophilic solutes permeate
`the membrane by the same polar-region pathways used by water. This ques-
`
`Novo Nordisk Ex. 2037, P. 9
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`NACCACHE AND SHA'AFI Human Red Cell Membrane Permeability
`
`723
`
`tion has been recently investigated by Owen and Solomon (16), who have
`shown that phloretin exercises a general and far-reaching effect on the per-
`meability coefficients for both hydrophilic and lipophilic solutes. The rate of
`transfer of lipophilic solutes is increased by this compound, whereas the
`permeation of hydrophilic solutes is inhibited. In other words, the lipid solu-
`bility of a molecule determines whether its rate of permeation is inhibited or
`accelerated by phloretin. They have shown further that based on the kether for
`water, one would predict, in agreement with their finding, that phloretin
`should slightly increase the permeability coefficient to water. Accordingly, the
`initial finding of Macey and Farmer (15) is consistent with the two-pathway
`concept for red cell membranes.
`An alternate explanation which has been proposed by Stein (6) for the ob-
`served lack of uniformity and the anomalous behavior of small hydrophilic
`solutes is that the red cell membrane is homogeneous and that all molecules
`permeate by dissolving in the membrane fabric. The permeability coefficient
`for a given molecule is determined by its partition coefficient and molecular
`weight. According to this, the observed anomalies would then be the results of
`specialized membrane transport systems, such as facilitated transport (6).
`Even though there is some evidence derived from red cell studies which sup-
`ports this idea of facilitated transport systems for solutes such as glycerol and
`possibly even for urea (17, 18), we are unaware of any evidence to support this
`idea for all the deviant small molecules. The main argument Stein ad-
`vances in support of his hypothesis is to show on quantitative grounds that the
`presence in human red cell membranes of aqueous channels of average radius
`3.5 A will not account for the observed permeability coefficients. Using re-
`stricted-diffusion analysis formulated by Renkin (19), and assuming that the
`postulated channels have no special affinity to water molecules, Stein showed
`that permeability coefficients for nonelectrolytes calculated on the basis of 3.5
`A for the average pore radius would be much higher than those observed ex-
`perimentally. Granted that actual calculation of average radius, as pointed
`out earlier (by Sha'afi and Gary-Bobo (8)), may be completely invalid, this
`does not invalidate the concept of a polar route for solute permeation. In other
`words, Stein has merely shown that the observed permeability coefficients for
`various solutes in human red cells are inconsistent with a radius of 3.5 A, but
`this does not justify rejection of the polar-route concept.
`Another important geometrical factor which can be related to molecular
`size is the degree of branching in the molecules. The partition coefficients and
`permeability coefficients of isomers are summarized in Table III. Although
`there is no clear-cut apparent correlation between the degree of branching
`and the permeability coefficient, there are, however, two points which can be
`made. First, in the case of lipophilic solutes, the permeability coefficient de-
`creases with branching. It is conceivable that the observed decrease in perme-
`
`Novo Nordisk Ex. 2037, P. 10
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`724
`
`THE JOURNAL OF GENERAL PHYSIOLOGY
`
`VOLUME 62
`
`I973
`
`TABLE III
`EFFECT OF BRANCHING ON THE PERMEABILITY COEFFICIENT (P) FOR
`NONELECTROLYTES IN HUMAN RED CELLS
`
`Name
`
`Formula
`
`n-Butanol
`
`HaC-CH2-CH 2-- CH2-OH
`
`kethe r
`
`7.7
`
`P X 10-6
`cm/s
`
`4.12
`
`Isobutanol
`
`tert-Butanol
`
`CH-CH 2-OH
`
`6.9
`
`2.81
`
`H3C
`
`H3C
`
`CHS
`
`HaC-C-OH
`/
`CHS
`
`2.2
`
`4.65
`
`n-Propanol
`
`H2C-CHr-CH2-OH
`
`1.9
`
`6.35
`
`Isopropanol
`
`Ha3CCH-OH
`
`0.64
`
`4.38
`
`CH3
`
`n-Valeramide*
`
`Isovaleramide
`
`0
`
`H 3 C-CH 2 CH 2-CH 2-C-NH 2
`0
`HaC
`
`-
`
`4.02
`
`CH-CH 2-- C-NH 2
`
`0.17
`
`4.14
`
`/
`H aC
`
`0
`
`n-Butyramide
`
`H3C--CH2-CH 2 -C-NH 2
`
`0.058
`
`4.88
`
`H3C
`
`O
`
`Isobutyramide
`
`CH-C-NH 2
`
`-
`
`2.85
`
`Hs C
`
`1,5-Pentanediol
`
`HO-CH 2-CH 2-CH 2--CH 2-CH 2 -OH
`
`0.055
`
`1.64
`
`2,2-Dimethyl-
`1,3-propanediol
`
`CH 3
`
`HO-CH2-C-CH 2 -OH
`
`-
`
`1.81
`
`CH 3
`
`* The permeability coefficient for n-valeramide is much too low.
`
`Novo Nordisk Ex. 2037, P. 11
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`NACCACHE AND SHA'AFI Human Red Cell Membrane Permeability
`
`725
`
`TABLE II -Concluded
`
`Name
`
`Formula
`
`P X 10- i
`cm/.
`
`kether
`
`2 -CH 8
`
`-
`
`5.02
`
`o1
`
`1
`
`H-C-NH-CH
`
`Ethyl formamide
`
`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`Dimethyl formamide
`
`H-C-N
`
`0.024
`
`11.9
`
`O
`
`CH3
`
`CH3
`
`Ethyl acetamide
`
`Ethyl acetamide
`
`-CHg
`H 3 C--NH-CH2
`
`Dimethyl acetamide
`
`H
`
`CH3
`
`O
`II /
`-C-N
`
`CH 3
`
`8.34
`8.34
`
`14.73
`
`-
`
`-
`
`ability coefficient is the result of a decrease in the partition coefficient. There is
`no doubt that this is partially responsible for the observed differences, but not
`all, because (a) the solute isovaleramide has a much higher partition coefficient
`than n-butyramide and yet it is still less permeant and (b) the difference in
`permeability coefficients between the first pair of isomers is much higher than
`would be predicted on the basis of differences in partition coefficients. In
`water, Gary-Bobo and Weber (20) have found very little difference between
`the diffusion coefficients of butyramide and isobutyramide. Coupled with the
`finding that solubility in lipid solvent, as indicated by the partition coefficient,
`is not very sensitive to branching of a molecule, the above observation indi-
`cates that the discriminatory power of the red cell membrane is much greater
`than either bulk lipid solvent or bulk water. It appears, therefore, that the
`lipids in cell membrane are very much less fluid than lipid solvents or water
`and must be held in an organized structure so that they are less free to bend
`around a solute. This can be so if the hydrocarbon tails of membrane fatty
`acid residues are aligned in parallel and closely packed to each other. Second,
`in the case of the last two pairs, branching seems to increase permeability co-
`efficients. This increase cannot be due to differences in kethe, or molecular size
`since ethylformamide is certainly as lipid soluble as dimethyl formamide. This
`is also true for ethyl acetamideand dimethyl acetamide. For example, ethyl urea
`has a value for kether of 0.0041 whereas the corresponding value for dimethyl
`urea is 0.0031. The situation is quite clear when one examines the first three
`
`Novo Nordisk Ex. 2037, P. 12
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`726
`
`THE JOURNAL OF GENERAL PHYSIOLOGY
`
`· VOLUME 62
`
`I973
`
`isomers in the table. The solute tert-butanol obviously has a much lower par-
`tition coefficient than the other two isomers and yet it shows a higher permea-
`bility coefficient. One possible explanation for this behavior is that the presence
`of the dimethyl groups in the case of the amide series tends to decrease the
`ability of the latter group to form hydrogen bonds with external acceptors. As
`will be discussed later, the permeability coefficient for a molecule increases
`with decreasing ability to form hydrogen bonds. A similar explanation can be
`used in the case of tert-butanol. If the density of a solute in a given series can be
`taken as an index of the hydrogen-bonding ability of this solute, then such an
`explanation is quite reasonable. One piece of evidence which supports this
`idea is that the density of tert-butanol is less than that of n-butanol. Also the
`densities of dimethyl formamide and dimethyl acetamide are less than the
`densities of ethyl formamide and ethyl acetamide, respectively.
`
`Hydrogen-Bonding Ability
`
`The first systematic analysis of the possible role of solute hydrogen-bonding
`ability and its relation to permeation in membranes was carried out by Stein
`(6). In his book, he tried to correlate permeability coefficients for solutes to the
`number of hydrogen bonds, NH, the solute is able to form with water, and he
`found, in general, that when NH increases, the rate of penetration decreases. In
`addition, Diamond and Wright presented further evidence to support this con-
`cept (21). The results in the present study confirm this general hypothesis and
`show further that extreme care must be exercised when dealing with the effect
`of hydrogen-bonding ability of a solute on its rate of permeation. As will be
`discussed later, this interdependence is invariably violated in the case of small
`molecules both hydrophilic and lipophilic. In addition, this interdependence
`is often complicated by the dependence of permeability coefficients on lipid
`solubility since in general the smaller the NH the higher the partition coeffici-
`ent. However, a true dependence of the permeability coefficient on NH does in-
`deed exist. To show this, it is instructive first to compare the behavior of the
`molecule 1,3-propanediol with that of propionamide. These two molecules
`have very similar physical properties and the order of permeability coefficient
`is propionamide > 1,3-propanediol. The major difference lies in the altered
`hydrogen-bonding ability of the solute which results from the presence of a
`single amide group rather than two hydroxyls.
`Hydrogen-bonding ability is somewhat greater for amides than alcohols as
`illustrated by differences in NH . Franks and Ives (22) give this number as 2
`for the alcohol group, whereas the most likely value for the amide group is 3
`(23). Gary-Bobo et al. (24) have shown that a series of amides experiences
`greater friction than an analogous series of alcohols when diffusing across a
`nonporous cellulose acetate membrane; furthermore, the ratio of the frictions
`is about 3:2. If simple additivity of hydrogen-bonding ability is assumed as a
`
`Novo Nordisk Ex. 2037, P. 13
`Mylan Institutional v. Novo Nordisk
`IPR2020-00324
`
`

`

`Downloaded from https://rupress.org/jgp/article-pdf/62/6/714/593481/714.pdf by Michigan Science Library user on 22 April 2020
`
`NACCACHE AND SHA'AFI Human Red Cell Membrane Permeability
`
`727
`
`first approximation, it is apparent that the NH of the diols should be greater
`than that of amides. The density of 1,3-propanedio

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket