Abstract

The half-life of activated protein C (APC) was 31 min in citrated blood and 18 min in whole blood. Immunoblotting analysis of citrated blood identified APC-protein C inhibitor (APC-PCI) and APC-alpha 1-antitrypsin complexes. Whole blood contained two additional APC-inhibitor complexes, one stimulated by Ca2+ and another by Mg2+. The former was identified as APC-alpha 2-macroglobulin (APC-alpha 2M) while the latter was not identified. APC-alpha 2-antiplasmin complexes (APC-alpha 2AP) were identified, comigrating with APC-PCI complexes. Purified alpha 2M and alpha 2AP inhibited APC in the presence of Ca2+ (k2 = 99 and 100 M-1 S-1, respectively. Inhibition of APC and Factor Xa by alpha 2M and inhibition of APC by alpha 2AP was stimulated by Ca2+, Mn2+, and Mg2+. Inhibition of thrombin by alpha 2M and of plasmin by alpha 2AP was not altered by EDTA or Ca2+, suggesting divalent metal ions affect APC and Factor Xa rather than the inhibitors. k2 values for the APC inhibitors and their plasma concentrations suggest that PCI and alpha 1-antitrypsin are the more important APC inhibitors and that alpha 2M and alpha 2AP are metal ion-dependent auxiliary inhibitors. Inhibitors can account for the in vivo half-life of APC.

Highlights

  • Ca"+ andanother by Mg2+.The former was identified inhibitors of activatedprotein C (APC) in plasma include PC1 and alAT(13-16), as APC-a2-macroglobulin(APC-a2M)while the latter was not identified

  • Both of which inhibit APC relatively slowly compared with inhibition of other coagulation enzymes by plasma inhibitors

  • Inadditiontothe twopreviouslyidentified plasma inhibitors, here we report that a 2 M,a,AP, and possibly anand inhibition of APC by azAP wastimulated by Ca2+, other protein inhibit APC inwhole blood in a divalent metal

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Summary

Drs Michael Courtneyand

Kinetics for Inhibition of APC and OtherProteases-For determi- time for determination of APC anticoagulant activity, APC amidonation of the second order association rate consta(nk,t)for inhibition lytic activity, and APC antigen immunoblotting pattern asdescribed of APC by a2M,0.5 p~ APC was incubated at 37 "C with 2.6 p~ n,M above. Other additions as specified in TBS containing Identification of APC-Inhibitor Complexes-In orderto remove. Aliquots of 4 pl wereremoved over specific APC-inhibitor complexes from incubation mixtures of blood time, and the residual APC anticoagulant activity was tested by its and APC by immunoabsorption, the mixtures were incubated for a abilityto prolong theactivatedpartialthromboplastintime.The specified time and made mM in benzamidine usinga 500 mM control curvewas obtained using dilutionsof APC incubated without benzamidine solution and centrifuged1min in a Beckman Microfuge tr,M.

RESULTS
Nondenaturing Gel
ND ND
Findings
DISCUSSION
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