Abstract

Transferrin (Tf) is required for proliferation of most cells, because cellular iron uptake is mainly mediated by binding of Tf to its specific cell surface receptors (TfR). The acute-phase protein α1-antitrypsin (α1-AT) completely inhibits binding of diferric Tf to TfRs on human skin fibroblasts in a dose-dependent fashion. The inhibition is competitive as proved in equilibrium saturation binding and kinetic studies. In saturation binding experiments α1-AT apparently increased the dissociation constant ( K D), but did not change the maximal density of binding sites ( B max). As shown in kinetic studies, this reduction of the affinity of Tf to its receptor caused by α1-AT was due to a decrease of the association rate constant ( k+1), whereas the dissociation rate constant ( k−1) remained unchanged. Furthermore, α1-AT almost completely prevented internalization of the Tf–TfR complex. These interactions demonstrated biological implication, as α1-AT reduced the proliferation of human fibroblasts up to maximal 30% of control. The inhibitory potency of α1-AT was already seen in physiologic concentrations; the maximal effect, however, was achieved at concentrations above the normal range, which are attained in the course of inflammation and infection. Therefore, we suppose that α1-AT as an endogenous factor modulates the complex mechanism of fibrogenesis not only by its known antiproteolytic function but also by inhibiting the proliferation of fibroblasts.

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