Thrombolytic Potential of Novel Thiol-Dependent Fibrinolytic Protease from Bacillus cereus RSA1

The present study demonstrates the production and thrombolytic potential of a novel thermostable thiol-dependent fibrinolytic protease by Bacillus cereus RSA1. Statistical optimization of different parameters was accomplished with Plackett–Burman design and validated further by central composite design with 30.75 U/mL protease production. Precipitation and chromatographic approaches resulted in 33.11% recovery with 2.32-fold purification. The molecular weight of fibrinolytic protease was 40 KDa and it exhibited a broad temperature and pH stability range of 20–80 °C and pH 5–10 with utmost activity at 50 °C and pH 8, respectively. The protease retained its fibrinolytic activity in organic solvents and enhanced the activity in solutions with divalent cations (Mn2+, Zn2+, and Cu2+). The enzyme kinetics revealed Km and Vmax values of 1.093 mg/mL and 52.39 µg/mL/min, respectively, indicating higher affinity of fibrinolytic activity towards fibrin. Also, complete inhibition of fibrinolytic activity with DFP and a 2-fold increase with DTT and β-mercaptoethanol indicates its thiol-dependent serine protease nature. MALDI–TOF analysis showed 56% amino acid sequence homology with Subtilisin NAT OS = Bacillus subtilis subsp. natto. The fibrinolysis activity was compared with a commercial thrombolytic agent for its therapeutic applicability, and fibrinolytic protease was found highly significant with absolute blood clot dissolution within 4 h in in vitro conditions. The isolated fibrinolytic protease of Bacillus cereus RSA1 is novel and different from other known fibrinolytic proteases with high stability and efficacy, which might have wide medicinal and industrial application as a thrombolytic agent and in blood stain removal, respectively.


Introduction
Cardiovascular diseases (CVDs) have emanated as one of the leading causes for increase in mortality rate, and account for 31% of deaths world-wide [1]. The American Heart Association delineated that CVDs are responsible for more than 17.9 million deaths per year that shall exceed 23.6 million by 2030 [2]. The incongruity in the level of fibrin formation and fibrinolysis is responsible for the occurrence of cardiovascular diseases [3]. This medical condition, resulting in intravascular clotting in blood vessels, is termed as thrombosis [4,5]. These clots limit the flow of blood through veins and arteries, leading to cardiac ailments such as embolism, myocardial infarction, heart stroke, etc. [6][7][8][9]. Thrombin and Factor Xa (FXa) are identified as imperative components of blood clotting cascade [10]. The prothrombinase complex constitutes key component FXa, comprised of phospholipids, calcium ions, and factor Va [11]. This complex finally transforms prothrombin (inactive protein) into thrombin respectively. In summation, we reveal fibrinolytic protease with high efficacy, specificity, and stability, suggesting it to be a novel and potent fibrinolytic protease.

Isolation and Screening of Bacterial Strain Producing Fibrinolytic Protease
The isolation of 400 bacterial strains was accomplished from the soil samples collected from junk heaps fetched from (15 cm depth) numerous dumping sites of Noida (U.P, India). The procured soil samples were collected in sterile polyethylene bags. The samples were then diluted serially in sterile saline solution (0.9% NaCl). Up to 1 × 10 −5 g/mL. 100 µL of each aliquot was spread on the sterile nutrient agar plates and were incubated at 37 • C for 48 h. The isolates were then purified and gram characterized for initial identification.
The isolates with different morphological characteristics were selected and cultivated on sterile skim milk agar plates (powdered skimmed milk 0.5% and agar 2.0%) with incubation for 48 h at 37 • C. After incubation, the potent isolates in proteolytic activity (based on zone diameter around the colony) were selected for the subsequent studies. Stock cultures of the strains were preserved at −20 • C in glycerol solution until further use.

Fibrinolytic Activity of the Screened Strains
Fibrinolytic activity of the selected strains was examined in a fibrin plate comprised of 1.2% fibrinogen, thrombin (100 NIH units/mL), 1.0% agarose, and 0.1 M Na 3 PO 4 buffer (pH 7.5). The strains showing a clear zone around the colony streak indicate their fibrinolytic protease producing quality [47]. Three strains showing the fibrinolytic activity were retained for further study. The potent isolate was then subjected to identification through biochemical characterization and 16S rDNA sequencing.

Identification of the Microbial Strain
The biochemical and morphological characteristics of the microbial strain were evaluated as illustrated in the Bergey's brochure for identification of bacteriology. The strain was further identified using 16S rDNA sequencing. Extraction of genomic DNA of the strain was accomplished using a modified phenol-chloroform extraction method [48]. Amplification reaction was performed in a 50 µL PCR vial by mixing 1 µL template DNA, 4 µL (75 pmol/µL) forward primer (5 CAGCAGCCGCGGTAATAC 3 ), 4 µL (75 pmol/µL) reverse primer (5 TACGGCTACCTTGTTACG 3 ), 25 µL master mix (1X, G-Biosciences) containing Taq polymerase, and dNTPs and PCR reaction buffer. DNA amplification was performed in a DNA Thermal Cycler (Master cycler pro, Eppendorf) following the underneath mentioned profile: Initial denaturation at 95 • C for 5 min, 30 cycles of denaturation (94 • C for 30 s), annealing (50 • C for 30 s), and extension (72 • C for 1 min), with a final extension at 72 • C for 5 min. The amplified product with molecular weight of DNA markers was run on a 1.0% agarose gel mixed with EtBr (0.5 µg/mL) at persistent voltage (60 V) and visualized in gel documentation system (InGenius3, Syngene). The purification of the amplified DNA product from the gel was accomplished using Qiagen gel elution kit as per the manufacturer's instructions and protocol. The pure eluted amplified DNA product was sent to sequencing [49].

Phylogenetic Analysis and Strain Identification
The obtained 16S rDNA sequence was subjected to nucleotide blast (blastn) at NCBI to retrieve homologous sequences and identify the strain to the generic level. The multiple sequences were aligned using CLUSTALW2 (EMBL-EBI, Hinxton, Cambridgeshire, UK), and the phylogenetic tree was created through the neighbor-joining method in Phylip and viewed using Tree View program (1.6.6, Glasgow, Scotland, UK) [50].

Activity Assay of the Fibrinolytic Protease Produced
The activity of fibrinolytic protease produced in the initial media was detected using fibrin as substrate [44]. The free amino acids (tyrosine) liberated were determined using Folin-Ciocalteu's phenol reagent, and fibrinolytic activity of the protease was evaluated through standard curve of tyrosine. Fibrinolytic protease activity (one unit) was well-précised as the quantity of enzyme essential to liberate 1 µg/mL tyrosine per minute [5].

Optimization of Media
Optimization of the production media using experiment statistical design was conducted for the increase in production of fibrinolytic enzyme and was done using two methods. In the first method, screening of variables was done through Plackett-Burman design. The second method encompassed the optimization of substantial variables by the response surface method, employing the central composite design (CCD). Design Expert ® 10.0.8.0 (Stat-Ease Inc., Minneapolis, MN, USA) was used to design and analyze the experimental data.

Elucidation of Significant Variables
Plackett-Burman design was used for quick screening of numerous factors to discover the most important independent components [45,51]. The impact of independent variables of the enzyme production such as peptone (A), yeast extract (B), casein (C), glucose (D), sucrose (E), initial pH (J), K 2 HPO 4 (F), MgSO 4 (G), inoculum size (L), speed of agitation (H), and incubation time (K) was studied. Individual factors were tested at both low (−1) and high (+1) level. Then, the eleven factors were screened with 13-run Plackett-Burman design. The influence of each variable was diagnosed using Equation (1): where E(x i ) signifies the outcome of the variables, M i + and M i − are the total production of the enzyme where the measured variable (x i ) was existing at both low and high concentrations, and N denotes the total number of trials.

Central Composition Design
The determination of the optimal level of important factors screened through Plackett-Burman design was performed through response surface methodology using CCD. Four independent selected factors (peptone, yeast extract, casein, and glucose) were analyzed for improving the production of protease. These factors were examined at three diverse stages (−1, 0, +1). A total number of 30 trials were executed in duplicates. The data attained from CCD were analyzed by ANOVA (analysis of variance). A second-order quadratic function was used to denote the function of the interacting factors to calculate the predicted response Equation (2): Y = β 0 + β 1 X 1 + β 2 X 2 + β 3 X 3 + β 11 X 1 2 + β 22 X 2 2 + β 33 X 3 2 + β 12 X 1 X 2 + β 13 X 1 X 3 + β 23 X 2 X 3 (2) where Y is response; X1-X3 are independent variables; β0 is the intercept; β1-β3 are linear coefficients; β11, β22, and β33 are quadratic coefficients; and β12, β13, and β23 are interaction coefficients, respectively. The model function was denoted in the form of three-dimensional (3D) contour plots which expressed the relationship between the varied levels of each test variable and the subsequent response generated. Validation of the model was done using the significant variables under conditions, as predicted by the CCD.
A random set of five experimental combinations was set up to verify the recommendations of the model. The experiments were done in triplicates for authenticating the designed model.

Purification of Fibrinolytic Protease
Fermented culture of microbial biomass was harvested and centrifuged at 8000 rpm for 20 min at 4 • C. The cell debris was disposed of and the supernatant was used for purification. The cell extract proteins were precipitated with chilled ethanol (1:2 proportion) and incubated overnight at −20 • C. The proteins obtained in the form of precipitates were procured by centrifugation (8000 rpm for 10 min). The pelleted proteins were dissolved in 50 mM phosphate buffer (pH 7.5) and applied on a pre-equilibrated (50 mM Tris HCL buffer, pH 7.5) Sephadex-G75 column (50 × 15 mm; Sigma Aldrich, St. Louis, MO, USA) for purification. The protein was eluted at a flow rate of 1.0 mL/min with the same buffer, and collected fractions were examined for fibrinolytic activity. The fractions with enzymatic activity were pooled, lyophilized, and assayed by SDS-PAGE.

Diagnosis of Amino Acid Composition of Fibrinolytic Protease Using MALDI Mass Spectrometry
The purified fibrinolytic protease bands obtained through SDS-PAGE were excised and in-gel trypsin digested.
The peptides obtained were then mixed with matrix HCCA (α-Cyano-4-hydroxycinnamic acid) in 1:1 ratio. The determination of the amino acid composition was accomplished through MALDI-TOF mass spectrometric analysis (MALDI-TOF/TOF MS Bruker Daltonics ULTRAFLEX III), followed by MS/MS of the respected peptides. Further analysis was done with FLEX ANALYSIS SOFTWARE for recording the MS and MS/MS spectrum. The masses obtained via fragmentation of the peptides in MS and MS/MS were submitted for MASCOT search against the given sequence for significant identification of the protein. The recognized peptide values were put through BLAST search in NCBInr for Swissprot protein sequences and the Protein Data Bank proteins against proteins of Bacillus sp. origin. The blastp algorithm in the NCBI databases was employed for the study (http://blast.ncbi.nlm.nih.gov/Blast.cgi).

Optimization of Temperature and pH for Maximum Fibrinolytic Protease Activity
The evaluation of maximum protease activity was assayed at temperature range of 20-80 • C after 10 min of incubation with the fibrin as substrate. The effect of pH on protease activity was estimated by enzymatic assay with buffers ranging from pH 5.0 to 10.0 [52].

Stability of Fibrinolytic Protease at Different Temperature and pH Range
The thermal constancy of the protease was evaluated by incubating the enzyme at temperature range 20-80 • C for 2 h without the fibrin (substrate) fractions. The stability of protease was evaluated by incubating the enzyme in different buffers (pH 5.0-10.0) without the substrate for 2 h. Enzyme samples were withdrawn and assayed for their temperature and pH stability at every 30, 60, 90, and 120 min intervals [52].

Kinetic Studies
The kinetic parameters K m and V max of the protease were estimated by non-linear regression, Michaelis-Menten curve using GraphPad Prism 8.Ink with various concentrations (0.2-2 mg/mL) of fibrin as substrate [53].

Blood Clot Preparation
The approval of participants for collection of mammalian blood samples was obtained from the Committee on Institutional Ethical Clearance (IEC), Amity University, Noida, UP, (AUUP/IEC/2018-AUG-03). The signed informed consent was obtained from the participants for the study and all the experiments were performed in accordance with the relevant guidelines and regulations. Venous blood via phlebotomy using vacuum extraction system with sterile needles was drawn from healthy volunteers (20 mL) with O blood group to ensure consistency in results. The sample was further transferred into 20 pre-weighed sterile Eppendorf tubes (1 mL each) free of anti-coagulant, and was incubated at 37 • C for 15-20 min, inducing clot formation. The weight of clot formed was determined (weight = weight of tube with clot -weight of empty tube) using analytical electronic weighing balance. The clots were heated at 80 • C for 45 min to deactivate the endogenous fibrinolytic factors such as plasmin and plasminogen.

Clot Lysis
The efficacy of the purified fibrinolytic protease in clot dissolution was evaluated by its in vitro thrombolytic activity analysis in Eppendorf tubes. The concentration of fibrinolytic protease was fixed (100 Units) and the effect of incubation time (1, 2, 3, and 4 h) on clot lysis was assessed. With the fixed incubation period (4 h), the efficacy of fibrinolytic protease was studied in comparison to a laboratory protease and thrombolytic agent. A non-fibrinolytic laboratory protease by Bacillus megaterium B69 [49] and commercial streptokinase/myokinase from Biocon, India (1,500,000 IU) were used as per the protocol for the blood clot dissolution assay. The effect of different concentrations (25,50,75, and 100 Units) of the two different proteases and streptokinase with blood clot was observed. The samples were observed for percentage weight dissolution of blood clots within 4 h of incubation at 37 • C. The tubes were centrifuged at 30,000 rpm for 10 min and the Eppendorf tubes, along with pellet (blood clot) were weighed.

Isolation and Screening of Bacterial Strain Producing Fibrinolytic Protease
One hundred and thirty bacterial strains out of 400 isolates were screened for protease production on skimmed milk agar plates. Bacillus RSA1, RSA3, RSE163, RSA7, RSB18, RSB12, RSC117, RSA5, and RSB17 showed maximum hydrolytic zone on the skimmed milk agar plates, which were further screened for fibrinolytic activity on fibrin plates. The milk hydrolyzing capability was used for the primary screening of protease producing Bacillus strains [44,52].

Fibrinolytic Activity of the Screened Bacterial Strains Using Fibrin Plate
Fibrin plate assay revealed three strains (RSA1, RSA3, RSE163) showing high fibrinolytic activity ( Figure 1) with a clear transparent region of fibrin hydrolysis. The RSA1 strain exhibited a bigger zone of hydrolysis than RSA3 and RSA163. Thus, the significant inhibition zone demonstrating the enzymatic activity obtained by fibrin plate assay reveals RSA1 strain as a potent source for the production of fibrinolytic protease. Similar significant results were obtained for fibrinolysis using fibrin plate assay performed by Kang et al. and Liu et al. [9,14].

Identification and Phylogenetic Analysis of the Strain
The strain RSA1 was observed as gram positive, rod shaped endospore forming Bacillus strain. Biochemical characterization revealed no indole production, methyl red, or oxidase activity, while positive results were obtained for the voges-proskauer and catalase test. It utilized citrate, exhibited gelatinase and catalase activities, along with nitrate reduction, and did not show starch utilization or oxidase activity but utilized sugars with gas production [30,43]. The selected strain was further subjected to molecular characterization and was identified as Bacillus cereus RSA1 (NCBI Accession number MK288105). The phylogenetic analysis using neighbor-joining methodology provided an in-depth evolutionary relationship of B. cereus RSA1 with some inter-related B. cereus strains (MK192052, MK123495, MK208516, LC190511, LT935741, KF478235, KX454003) and other species such as B. thuringiensis (MG270578), Bacillus sp. (MK208525), and B. anthracis (KM272806). The obtained phylogenetic tree revealed a distinct phylogenetic position and close association of the newly identified B. cereus RSA1 strain within the genus (Figure 2). The high efficiency of the neighbor-joining method in achieving the accurate phylogenetic tree topology is proven in already published research reports as well [50].

Elucidation of Significant Variables
The Plackett-Burman Design was used to evaluate the most significant variables for enhanced production of fibrinolytic protease from a number of carbon sources (glucose and sucrose), nitrogen sources (peptone, casein, and yeast extract), inorganic salts (K 2 HPO 4 , MgSO 4 ), and cultivation parameters (rpm, time of incubation, inoculums size, and initial pH) [30,[44][45][46]. The results including the actual level of variables with symbol codes (as mentioned in Section 2.8) are displayed in Tables 1 and 2. The E(xi) coefficient indicates that nine variables significantly influenced the production of enzyme (peptone, casein, glucose, yeast extract, K 2 HPO 4 , MgSO 4 , incubation time, rpm, and initial pH). Four significant variables (peptone, casein, glucose, and yeast extract) earmarked by Plackett-Burman design to have maximum influence on the fibrinolytic protease production were optimized using CCD, keeping the other parameters fixed.  The F value of the model is 12,455, which indicates it to be significant ( Table 3). The predicted R 2 value of the model is 0.9863 and the adjusted R 2 is 0.999, which indicates that the two are in sync with each other. The adequate precision value is 391 (A ratio >4 is required). This indicates that the model is well fitted.

Optimization of Variables by Response Surface Methodology
Experimental design with predicted response for protease production and maximum fibrinolytic activity (30.75 U/mL) is displayed in Tables 4 and 5. Table 6 provides the p-value of the model, which is <0.05, indicating that the protease activity could be well explained using this model.   ANOVA results indicate that the model is significant, with a 2.89 F value ( Table 6). The variables A, B, and D were significant for the enzyme production. The model can explain 86% variation (R 2 value was 0.8650) in the data. The lack of fit value was 0.71, indicating its non-significance. The adequate precision value was 7.378, showing an adequate signal for the model. The data obtained from the model follow second-order polynomial equation (wherein A is peptone, B is casein, C is yeast extract, D is glucose, and E is sucrose) is as follows Equations (3): Enzyme production = + 25.86 + 2.67*A + 1.32*B + 2.533E − 003*C + 1.33*D Three-dimensional contour plots expedited the recognition of optimal levels of significant variables for fibrinolytic protease production. The 3D plots revealed that the independent variables peptone (10 g/L), yeast extract (5 g/L), and glucose (0.5 g/L) significantly increased the production of fibrinolytic protease (Figure 3).
The impact of all of the involved variables, along with optimization, requires more resources and time. These limitations were overcome by optimizing the influential factors with a reliable statistical tool, such as response surface methodology. Literature has proved the reliability of such tools and statistical optimization has led to about 4-fold and 2-fold increase in the production of enzymes by Bacillus cereus IND1 (3699 U/mL) and Bacillus sp. (577 U/mL), respectively [30,44].

Validation of the Design Model
A 2-fold increase in the production of fibrinolytic protease was observed using a statistical optimization tool. The obtained fibrinolytic protease was 30.75 U/mL, which was double in production than the initial medium without optimization (15 U/mL). The results from the response surface model were confirmed by conducting the experiments under conditions predicted by the model. The designed model was validated as the predicted response for fibrinolytic protease production and was 32.8 U/mL, which was close to the experimental value (30.75 U/mL). Literature recommends the use of Plackett-Burman design and the CCD model, wherein, researchers have obtained the predicted response 449 U/mL and experimental value 577 U/mL, thus validating the use of model [44]. Other comparative studies also support the use of statistically optimized medium for the production of fibrinolytic enzyme [30].

Purification of Fibrinolytic Protease
Bacillus cereus RSA1 produced fibrinolytic enzyme underwent chilled ethanol precipitation, wherein we obtained 35.39% recovery with 1.28-fold purification of fibrinolytic enzyme. The enzyme was further purified on a Sephadex G-75 column and the obtained fractions were 2.32-fold enriched with fibrinolytic enzyme. The fibrinolytic enzyme was better purified with 33.11% recovery in comparison to crude cell extract ( Table 7). The SDS-PAGE analysis revealed the molecular weight of protein as 40 KDa (Figure 4). Numerous fibrinolytic proteases of Bacillus sp. origin have been studied and are reported in literature. Some of these fibrinolytic enzymes exhibit apparently similar molecular masses of 29.5 and 36.12 KDa, and were obtained from Bacillus cereus IND1 and Bacillus licheniformis UV-9, respectively [30,53].

MALDI-TOF MS Analysis
Matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) mass spectrometric analysis of the tryptic-digested protease resulted in a spectrum of peaks, which provides ration m/z of peptide fragments, and the purified fibrinolytic protease was found to be a blend of several isoforms ( Figure 5). Table 8  Saxena and Singh used MALDI-TOF analysis for the analyses of fibrinolytic protease from Bacillus cereus B80, which was found to exhibit 70-93% similarity with zinc metalloprotease specifically from Bacillus cereus group [54]. The proteomics study of extracellular fibrinolytic proteases obtained from fermented food (Indonesian) from Bacillus pumilus 2.g and Bacillus licheniformis RO3 was also accomplished using MALDI-TOF analysis, and found it identical to flagellin of Bacillus licheniformis DSM 13. [55].  . MALDI-TOF mass spectra of purified fibrinolytic protease. The molecular masses of discrete isoforms are designated above the major spectrum peaks. Figure 5. MALDI-TOF mass spectra of purified fibrinolytic protease. The molecular masses of discrete isoforms are designated above the major spectrum peaks.  Figure 6A). The optimal temperature of the fibrinolytic enzyme is similar to the fibrinolytic enzymes obtained from Bacillus subtilis KCK-7 [56] and Bacillus amyloliquefaciens DC-4 [57], with maximum activity at 60 and 48 • C, correspondingly.

Stability of Fibrinolytic Protease at Different Temperatures and pH Ranges
The obtained fibrinolytic protease was thermostable within a wide temperature range (20-80 • C). Maximum stability (100%) was observed at 20 • C and retained 76.59% of its activity up to 80 • C after 2 h of incubation ( Figure 6C). The obtained fibrinolytic enzyme has more stability than those reported earlier, which showed thermo-stability below 40 • C [62] and up to 52 • C [63].

Kinetic Studies
The reaction kinetics of obtained fibrinolytic protease was determined from a Michaelis-Menten non-linear regression curve (Figure 7) under optimum conditions (temperature and pH). GraphPad Prism 8.Ink was used for non-linear regression analysis. The calculated K m value of the enzyme was 1.093 mg/mL; however, the maximum reaction velocity (V max ) of the enzyme was 52.39 µg/mL/min protein. The fibrinolytic protease (SFE1) from Streptomyces sp. XZNUM 00,004 also showed 0.96 mg/mL K m and 181.8 U/mL V max values [65]. The K m and V max values of the purified protease enzyme from C. guilliermondii for fibrin were found to be 5 mg and 66.67 µ/mL/min, respectively [66]. The values of K m and V max were 0.18 mM and 53.5 U/mL, correspondingly, for the enzyme obtained from Pleurotus eryngii [67].

Effect of Inhibitors/Activators, Metal Ions, and Organic Solvents on Enzyme Activity
It was observed that the enzyme retained its stability and activity with SDS (96.77%) and Tween 20 (112.59%). Also, the enzyme activity was neither reduced by 1,10 phenanthroline (98.56%) nor EDTA (110.59%), showing that the protease does not belong to metallo-category ( Figure 8A). The fibrinolytic enzyme obtained from Cordyceps militaris was neither inhibited by EDTA nor by PMSF, but was completely inhibited by aprotinin and soybean trypsin inhibitor [41]. On the other hand, enzyme from Bacillus subtilis ICTF-1 [65] and Mucor subtillissimus UCP 1262 [68] were inhibited by PMSF (1 mM), while the enzyme from B. pumilus 2.g, was totally inhibited by EDTA (1 mM) [69]. However, complete loss in activity of fibrinolytic protease from Bacillus cereus RSA1 was observed with PMSF (0.99%) and DFP (0.39%), and there was ≈2-fold increase in the activity with β-mercaptoethanol (191.41%) and DTT (183.42%), which indicates it to be a thiol-dependent serine fibrinolytic protease ( Figure 8A). The present study is supported by the protease produced by Bacillus cereus PMW8 [70]. Thiol-dependent protease was also obtained from Exiguobacterium sp. SKPB5 (MTCC 7803) [71]. Also, Bacillus mojavensis produced a thiol-dependent protease with 2-fold increase in activity in the presence of DTT and β-mercaptoethanol [72].

Fibrinolysis Assay for Blood Clot Dissolution
The increase in the incubation time has led to a significant difference in percentage weight dissolution of the blood clot. Residual weight obtained after incubation period of 1, 2, 3, and 4 h was 0.41, 0.26, 0.15, and 0.00 g, correspondingly. The result ( Figure 9A) depicted complete blood clot dissolution within 4 h at 37 • C.
Also, no blood clot dissolution was observed when a purified protease of our laboratory collection was used for fibrinolytic assay. A significant decrease in clot weight with 25, 50, and 75 U/mL concentration of fibrinolytic protease was observed with 70, 57, and 22% residual clot weight, respectively. Blood clot dissolution was 79, 54, and 26% with commercially available thrombolytic agent (Streptokinase) that had 25, 50, and 75 U/mL concentration, respectively. The clot completely disappeared (100% dissolution) using 100 Units of fibrinolytic protease and streptokinase at 37 • C within 4 h. The result is displayed in Figure 9B.
Compared to current alternatives, the degradation of halo clots with our fibrinolytic protease is very precise and highly efficacious. Lu and Chen reported thrombolytic effects of fibrinolytic protease (0.2 and 0.5 µg) derived from Schizophyllum commune using mammalian (rat) blood, wherein they observed complete blood clot dissolution after 8 h of incubation [77]. Complete blood clot dissolution was observed within 5 h in a dog model when orally administered with nattokinase capsules [78]. Also, blood clot dissolution was obtained in 2 h using cell-free extracts of B. subtilis G8, whereas E. coli ATCC 8739 resulted in no blood clot size reduction even after 6 h of incubation [79].
The results indicate that thiol-dependent fibrinolytic protease isolated by Bacillus cereus RSA1 has tremendous possibilities towards pharmacological application as a prodigious thrombolytic agent. The embellishment of fibrinolytic activity due to the stability towards a wide range of temperatures, pH levels, metal ions, inhibitors, surfactants, and solvents aids in overcoming the numerous confines of the prevalent conventional fibrinolytic approaches. The present thiol-dependent fibrinolytic protease completely dissolves fibrin clots in comparison with a marketed drug, which indicates its potential use as a perceptible agent for oral fibrinolytic therapy and/or in wound healing processes. In summation, therapeutic application of protease can be acclimatized to the health services as prudence for the management and treatment of cardio-vascular disorders.