Abstract

Protein Z (PZ) is an anticoagulant that binds with high affinity to Protein Z-dependent protease inhibitor (ZPI) and accelerates the rate of ZPI-mediated inhibition of factor Xa (fXa) by more than 1000-fold in the presence of Ca2+ and phospholipids. PZ promotion of the ZPI-fXa interaction results from the anchoring of the Gla domain of PZ onto phospholipid surfaces and positioning the bound ZPI in close proximity to the Gla-anchored fXa, forming a ternary complex of PZ/ZPI/fXa. Although interaction of PZ with phospholipid membrane appears to be absolutely crucial for its cofactor activity, little is known about the binding of different phospholipids to PZ. The present study was conceived to understand the interaction of different phospholipids with PZ. Experiments with both soluble lipids and model membranes revealed that PZ binds to phosphatidylserine (PS) and phosphatidylethanolamine (PE) with equal affinity (Kd~48 μM); further, PS and PE bound to PZ synergistically. Equilibrium dialysis experiments revealed two lipid-binding sites for both PS and PE. PZ binds with weaker affinity to other phospholipids, e.g., phosphatidic acid, phosphatidylglycerol, phosphatidylcholine and binding of these lipids is not synergistic with respect to PS. Both PS and PE -containing membranes supported the formation of a fXa-PZ complex. PZ protection of fXa from antithrombin inhibition were also shown to be comparable in presence of both PS: PC and PE: PC membranes. These findings are particularly important and intriguing since they suggest a special affinity of PZ, in vivo, towards activated platelets, the primary membrane involved in blood coagulation process.

Highlights

  • Human Protein Z (PZ) is a multi-domain, 62 kDa, vitamin K-dependent cofactor that promotes Z-dependent protease inhibitor (ZPI)-mediated inhibition of factor Xa, the central enzyme of the blood coagulation cascade [1]

  • PZ binding to the membrane may be partly rate determining along with the formation of a membrane-bound factor Xa (fXa)-PZ complex for formation of the final ZPI-PZ-fXa ternary complex [19]

  • Assembly of both PZ and fXa on phospholipid membrane is essential for the effective ZPI inhibition of fXa [8]

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Summary

Introduction

Human Protein Z (PZ) is a multi-domain, 62 kDa, vitamin K-dependent cofactor that promotes ZPI (protein Z dependent Protease Inhibitor)-mediated inhibition of factor Xa (fXa), the central enzyme of the blood coagulation cascade [1]. Rezaie et al noticed a remarkable reduction in the cofactor activity of Gla domain-less PZ (GD-PZ) on PC (phosphatidylcholine) /PS (phosphatidylserine) vesicles, the mutant exhibited a normal cofactor activity in solution [8]. These investigators demonstrated that, in the presence of Ca2+and PC/PS vesicles, an activated protein C (APC) chimera containing the Gla domain of fXa binds with ZPI in the presence, but not in the absence of PZ. Interaction of fXa and PZ on the phospholipid surface leads to the slowdown of the rate of inhibition of fXa by antithrombin (AT), another well known serpin [1]

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