Abstract

Essentials Corn Trypsin Inhibitor (CTI) is a selective inhibitor of coagulation Factor XII (FXII).Molecular modelling of the CTI‐FXIIa complex suggested a canonical inhibitor binding mode.Mutagenesis revealed the CTI inhibitory loop and helices α1 and α2 mediate the interaction.This confirms that CTI inhibits FXII in canonical fashion and validates the molecular model. SummaryBackgroundCorn trypsin inhibitor (CTI) has selectivity for the serine proteases coagulation factor XII and trypsin. CTI is in widespread use as a reagent that specifically inhibits the intrinsic pathway of blood coagulation but not the extrinsic pathway.ObjectivesTo investigate the molecular basis of FXII inhibition by CTI.MethodsWe performed molecular docking of CTI, using its known crystal structure, with a model of the activated FXII (FXIIa) protease domain. The interaction model was verified by use of a panel of recombinant CTI variants tested for their ability to inhibit FXIIa enzymatic activity in a substrate cleavage assay.ResultsThe docking predicted that: (i) the CTI central inhibitory loop P1 Arg34 side chain forms a salt bridge with the FXIIa S1 pocket Asp189 side chain; (ii) Trp22 from CTI helix α1 interacts with the FXIIa S3 pocket; and (iii) Arg43 from CTI helix α2 forms a salt bridge with FXIIa H1 pocket Asp60A. CTI amino acid substitution R34A negated all inhibitory activity, whereas the G32W, L35A, W22A and R42A/R43A substitutions reduced activity by large degrees of 108‐fold, 41‐fold, 158‐fold, and 100‐fold, respectively; the R27A, W37A, W39A and R42A substitutions had no effect. Synthetic peptides spanning CTI residues 20–44 had inhibitory activity that was three‐fold to 4000‐fold less than that of full‐length CTI.ConclusionsThe data confirm the validity of a canonical model of the FXIIa–CTI interaction, with helix α1 (Trp22), central inhibitory loop (Arg34) and helix α2 (Arg43) of CTI being required for effective binding by contacting the S1, S3 and H1 pockets of FXIIa, respectively.

Highlights

  • Factor XII is a coagulation factor that circulates in plasma as an inactive zymogen [1]

  • The data confirm the validity of a canonical model of the FXIIa–Corn trypsin inhibitor (CTI) interaction, with helix a1 (Trp22), central inhibitory loop (Arg34) and helix a2 (Arg43) of CTI being required for effective binding by contacting the S1, S3 and H1 pockets of FXIIa, respectively

  • The closest homolog of FXII is hepatocyte growth factor activator (HGFA), which has a very similar domain organization including a C-terminal serine protease domain; a proline-rich region is unique to FXII [2,3,4]

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Summary

Introduction

Factor XII is a coagulation factor that circulates in plasma as an inactive zymogen [1]. Cleavage of the Arg353–Val354 peptide bond generates the activated form FXIIa, which has a heavy chain of 50 kDa, connected to a light chain of 28 kDa by a Cys340–Cys467 disulfide bridge. FXIIa cleaves prekallikrein to generate kallikrein, which contributes to bradykinin generation [5]. FXIIa cleaves FXI to generate activated FXI (FXIa), which contributes to plasma coagulation [6]. FXII knockout mice are protected against thrombosis and ischemic stroke in models of the disease, and it has been proposed that targeting FXII could result in medicines with a safer anticoagulation profile than the currently available anticoagulants; this has generated interest in developing selective inhibitors of FXIIa [7,8]

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