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A box of Pulmozyme
'Dornase alfa' (proprietary name 'Pulmozyme'® from
Genentech) is a highly purified solution of recombinant human
deoxyribonuclease I (rhDNase), an
enzyme which selectively cleaves
DNA. Dornase alfa hydrolyzes the DNA present in sputum/mucus of
cystic fibrosis patients and reduces
viscosity in the lungs, promoting improved clearance of secretions. This protein therapeutic agent is produced in
Chinese hamster ovary cells.
Dornase alfa is the most recent therapeutic agent developed with this basic mechanism of action. Prior to the cloning of the human enzyme,
bovine DNase I was on the market for many years, though its utility was limited by the inherent
antigenic response to a cow protein in the lungs of patients. Other DNases, such as
DNase II, have therapeutic potential as well, but as of yet no further DNases have been brought to market for cystic fibrosis.