Abstract

The glycosaminoglycan heparin enhances several reactions involving coagulation factor XI (FXI) including activation of FXI by factor XIIa, thrombin, and autoactivation; and inactivation of activated FXI (FXIa) by serine protease inhibitors. We examined the effect of heparin on inhibition of FXIa by the inhibitors C1-inhibitor (C1-INH) and antithrombin III (ATIII). Second order rate constants for inhibition in the absence of heparin were 1.57 x 10(3) and 0.91 x 10(3) M-1 s-1 for C1-INH and ATIII, respectively. Therapeutic heparin concentrations (0.1-1.0 units/ml) enhanced inhibition by ATIII 20-55-fold compared with 0.1-7.0-fold for C1-INH. For both inhibitors, the effect of heparin over a wide range of concentrations (10(-1) to 10(5) units/ml) produced bell-shaped curves, demonstrating that inhibition occurs by a template mechanism requiring both inhibitor and protease to bind to heparin. This implies that FXI/XIa contains structural elements that interact with heparin. Human FXI contains a sequence of amino acids (R250-I-K-K-S-K) in the apple 3 domain of the heavy chain that binds heparin (Ho, D., Badellino, K., Baglia, F., and Walsh, P. (1998) J. Biol. Chem. 273, 16382-16390). To determine the importance of this sequence to heparin-mediated reactions, recombinant FXI molecules with alanine substitutions for basic amino acids were expressed in 293 fibroblasts, and tested in heparin-dependent assays. Inhibition of FXIa by ATIII in the presence of heparin was decreased 4-fold by alanine substitution at Lys253 (A253), with smaller effects noted for mutants A255 and A252. FXI undergoes autoactivation to FXIa in the presence of heparin. The rate of autoactivation was decreased substantially for A253 with modest decreases for A255 and A252. Substituting all four charged residues in the sequence resulted in a profound decrease in autoactivation, significantly greater than for any single substitution. Relative affinity for heparin was tested by determining the concentration of NaCl required to elute FXIa from heparin-Sepharose. Wild type FXIa eluted from the column at 320 mM NaCl, whereas FXIa with multiple substitutions (A252-254 or A250-255) eluted at 230 mM NaCl. All proteins with single substitutions in charged amino acids eluted at intermediate NaCl concentrations. The data indicate that FXI/XIa must bind to heparin for optimal inhibition by ATIII and for autoactivation. Lys253 is the most important amino acid involved in binding, and Lys255 and Lys252 also have roles in interactions with heparin.

Highlights

  • Coagulation factor XI (FXI)1 is the zymogen of a plasma serine protease that contributes to normal hemostasis by activating factor IX through limited proteolysis, in a calcium-dependent manner [1,2,3]

  • We report on studies that demonstrate a template mechanism of inhibition of FXIa by antithrombin III (ATIII) and C1-INH in the presence of heparin

  • This system has been used to produce recombinant wild type FXI with properties identical to those of protein derived from human plasma [28, 30]

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Summary

GCTCTTTTTAATGGCTGTACTGGGC GCTTTGCTCTTTGCAATGCGTGTACTGGGC

GAGCTTTGCTCGCTTTAATGCGTG GAAAGAGCTTTGGCCTTTTTAATGC CCAGAAAGAGCTGCGCTCTTTTTAATGCG CCAGAAAGAGCTTTGGCCGCTGCAATGCGTGTACTG GAGCTTTGCTCTCTTCAATGCGTGTAC GTAGACTGAAACCAGAAAGAGCTGCGCTCGCTGCAATGGCTGTACTGGGCAATCCACTCTC a A250 –255 designates a mutant in which only the basic amino acids at positions 250, 252, 253, and 255 are changed to alanine. Ho and co-workers [25,26,27], using binding assays, demonstrated that a cluster of amino acids in the third apple (A3) domain of the heavy chain starting at Arg250 (R-I-K-K-S-K) is such a heparin binding site. A panel of recombinant FXI molecules containing alanine or glutamic acid substitutions for the amino acids in the heparin binding site from Arg250 to Lys255 were prepared. These molecules were used to determine the importance of this area to heparin-mediated inhibition of FXIa by ATIII, FXI autoactivation in the presence of heparin, and binding of FXIa to heparin-Sepharose

Materials and Reagents
Purification and Activation of Recombinant FXI
Activity of Recombinant Protein in an aPTT Assay
Autoactivation of FXI in the Presence of Heparin
RESULTS
TABLE II Properties of recombinant FXI molecules
Clotting activity
DISCUSSION
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