No description available.

The prothrombinase (IIase) complex is an essential component of the coagulation cascade and is composed of a serine protease, Factor Xa (FXa), its non-enzymatic cofactor, Factor Va (FVa), calcium and a phospholipid membrane surface. It activates prothrombin (FII) to thrombin, the principal stimulator of clot formation in vivo. FII activation by IIase is mediated by specific interactions between FII and FVa. Preliminary NMR and peptidyl mimicry studies identified six residues within the FII Fragment 2 (F2) domain (S160, Q177, R181, L182, V184 and T185) that likely mediate an interaction between it and the heavy chain of FVa. Therefore, six recombinant FII derivatives were prepared whereby each of the aforementioned residues was mutated to alanine. FII activation kinetics by FXa in the presence or absence of FVa was measured by DAPA-thrombin complex formation. The results show that FII-S160A, -R181A, -L182A, -V184A and -T185A had no significant effect on the catalytic efficiency of the reaction in the presence of FVa. In the absence of FVa, the catalytic efficiency of FII-R181A, -L182A, -V184A, and -T185A derivatives decreased by 17-27% compared with wildtype, while FII-S160A had no effect. FII-Q177A, however, showed a significant increase of 17% in catalytic efficiency in the presence of FVa but no change in its absence. Two double (FII-Q177A/R181A and FII-R181A/T185A) and one triple (FII-Q177A/R181A/T185) mutants were generated to determine if multiple mutations would have an additive effect. These derivatives were indistinguishable from wildtype in the presence of FVa. In the absence of FVa, however, their catalytic efficiency values decreased 12-25% compared with wildtype. Further comparison of these values showed that FII-R181A and -Q177A/R181A both decreased by 25%, while FII-R181A/T185A and -Q177A/R181A/T185A decreased by 12% and 24% with respect to the wildtype, respectively. Both comparisons, where the only difference was an additional mutation at Q177, suggest that Q177 does not affect the activation kinetics of FII in the absence of FVa. Taken together, our data suggest that Q177 in the F2 domain of FII is likely involved in interacting with IIase through a FVa-dependent mechanism while residues R181, L182, V184 and T185 may be involved through a FVa-independent mechanism. / Thesis (Master, Biochemistry) -- Queen's University, 2012-07-31 11:38:32.262

No description available.

At sites of vascular injury, the critical blood clotting enzyme thrombin is generated from prothrombin via Prothrombinase, a macromolecular, Ca2+-dependent enzymatic complex consisting of the serine protease factor Xa and the non-enzymatic cofactor factor Va, assembled on the membranes of activated platelets. Platelets regulate thrombin formation by providing specific binding sites for the components of Prothrombinase and by releasing a platelet-derived factor V/Va molecule that is more procoagulant than its plasma counterpart and partially resistant to proteolytic inactivation. This dissertation identifies and characterizes the subpopulation of platelet-derived factor V/Va that is responsible for the observed protease resistance, and the mechanism by which Prothrombinase bound to platelets differs from a model system using vesicles composed of 75% phosphatidylcholine (PC) and 25% phosphatidylserine (PS), PCPS vesicles. Previous studies have demonstrated that activated platelets release a dissociable pool of factor V/Va and a non-dissociable, membrane-bound pool, which is covalently attached to the platelet membrane through a glycosylphosphatidyl inositol (GPI) anchor. Data described herein demonstrate unequivocally that the pool of platelet-derived factor V/Va that is resistant to proteolytic inactivation by activated protein C is provided exclusively by the non-dissociable GPI-anchored pool. Further, although this factor Va pool is susceptible to proteolysis by plasmin, the fragments formed are associated with sustained and increased cofactor activity. These observations indicate that tethering of factor Va to the membrane surface via a GPI anchor imparts resistance to proteolytic inactivation and sustained thrombin generation at sites of vascular injury. For several years it has been known that Prothrombinase assembled on PCPS vesicles does not mimic that bound to platelets. While both enzymes cleave prothrombin at Arg271 and Arg320 to form thrombin, prothrombin activation proceeds via the prethrombin-2 pathway (initial cleavage at Arg271) on the platelet surface, in contrast to the meizothrombin pathway (initial cleavage at Arg320) on PCPS vesicles. Using thrombin active site inhibitors, we demonstrate that the preference for either pathway is dictated by the conformation in which prothrombin is bound by the membrane-bound enzyme. The prethrombin-2 pathway of prothrombin activation catalyzed by platelet-bound Prothrombinase is a direct consequence of configuring prothrombin in a proteinase-like state resulting in the exposure of a pseudo-active site that can be stabilized by active site thrombin inhibitors. Conversely, prothrombin is preferentially configured in the zymogen-like state on PCPS vesicles where the meizothrombin pathway is preferred. Additional support for the differential assembly of Prothrombinase on the platelet surface is provided by observations made using prethrombin-1, an intermediate formed by cleavage of prothrombin at Arg155 by the formed thrombin. Prethrombin-1 is converted into fragment-2 and thrombin by platelet-bound Prothrombinase at a substantially higher rate than vesicle-bound Prothrombinase. The decreased rate of prethrombin-1 activation in the model system is due, in part, to inhibition of the vesicle-bound enzyme by the fragment-2 generated in the reaction. Taken together, these data not only provide important molecular insights into the mechanisms by which Prothrombinase bound to activated platelets at sites of vascular injury regulates the procoagulant response to effectively support robust thrombin generation, but also provides potential mechanistic sites that could be targeted therapeutically.

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No description available.

No description available.

Intrinsic structural and conformational mechanisms regulate the functional specificity of the coagulation system. The study of these structure-function relationships is important for understanding the strategies used in the management of clinical thrombosis. Previous studies have shown that the central enzyme in clotting, thrombin, is sequestered inside of a clot, and protected from the natural downregulator antithrombin (AT). This is problematic for anticoagulants like heparin which depend on AT. Subsequently, it was found that the key upstream propagator of thrombin, the prothrombinase enzyme complex, is also resistant to the AT-heparin. Our data show that further upstream of prothrombinase, the intrinsic tenase is only moderately protected, while there is no protection at the level of the initiator complex, extrinsic tenase. This protection phenomenon possibly reflects steric and allosteric mechanisms that ensure maximal activation of the coagulation system once a threshold stimulus is achieved. These mechanisms likely evolved as a result of conformational rearrangement, as evidenced by the proteolytic activation of thrombin activity following proteolysis of prothrombin. Indeed, subtle differences in the structural interaction of ligands with the active site can lead to substantial differences in enzyme activity. The binding of rivaroxaban and apixaban to factor Xa is nearly identical; both interact with the active site with comparable affinity. Despite this, a 3-fold faster rate of the rivaroxaban on-rate yields significantly greater prolongation of the prothrombin time (PT) and activated partial thromboplastin time (aPTT), global tests of coagulation. These small differences in ligand interaction also have allosteric consequences. Structural differences between the direct thrombin inhibitors dabigatran and argatroban yield divergent exosite-mediated thrombin binding to physiologic ligands like yA-fibrin, y'-fibrin, factor Va, and factor VIII, interactions that govern clot-mediated protection from AT inhibition, and the various functions of thrombin. These divergent effects were robust and ligand-dependent, suggesting conserved energetic scaffolds within the thrombin molecule that govern allosteric changes throughout the molecule. Because proteolysis of prothrombin yields significant allosteric and structural rearrangement that capacitates the active site for substrate recognition amd catalytic ability, we investigated the role of Ser195, a key residue in the thrombin catalytic triad in also regulating thrombin allostery. Site directed mutagenesis of Ser195 to Ala yielded a significant increase in the flexibility of the entire thrombin molecule, as evidenced by increased potency of dabigatran and argatroban in terms of their capacity to modulate exosite binding through the active site, and increased interexosite cooperative and competitive allostery. Together, these studies represent an advance in our understanding of the consequences of both small molecule ligation of coagulation proteases, as well as the consequences of subtle structural modification for overall allosteric function. / Thesis / Doctor of Philosophy (PhD)

<p>Prothrombinase is composed of a proteinase, factor Xa (Xa), its cofactor Va (Va), Ca²⁺ and a zymogen, prothrombin (II), assembled on a phospholipid surface. During coagulation, prothrombinase accelerates II to thrombin conversion; but during anticoagulation, it protects the proteinase from inhibition by antithrombin (AT) ± unfractionated heparin (UFH). Although the degree of Xa protection by prothrombinase varies according to the reports in literature, moderate to significant protective effects have been consistently reported by most investigators. To overcome the limitations of UFH, our laboratory has developed a covalent complex of AT and UFH (ATH) with superior anticoagulant responses. To further understand the mechanisms of enhanced anticoagulant activity of ATH, we proceeded to study inhibition of the prothrombinase complex<em> </em>on synthetic vesicles, activated platelets and red blood cells (RBCs). Using discontinuous inhibition assays, we determined the rate of inhibition of prothrombinase-complexed Xa compared to control Xa. With synthetic vesicles, Xa was protected from inhibition by AT+UFH when in prothrombinase, while only a mild protective effect was observed with ATH. Omission of various components of the prothrombinase led to a reduction in Xa protection for AT+UFH. However, an increased Xa protection against ATH was observed when II was omitted from the prothrombinase. In comparison to the synthetic vesicle system, activated platelets showed a similar trend for protection of Xa in reactions involving prothrombinase ± components, while no protection of Xa was observed for ATH reactions. Alternatively, RBCs showed differences relative to vesicles in that increased protection of Xa occurred with omission of II and Va for AT+UFH, whereas omission of Va increased protection against ATH inhibition. In addition, ATH had improved inhibition of thrombin generation, fibrin formation and plasma coagulation compared to AT+UFH. Studies of fluorescently labelled Xa and inhibitors detailed binding interactions with prothrombinase subunits. Overall, the results suggest that a covalent linkage between AT and heparin improves inactivation of prothrombinase complexed-Xa leading to down-regulation of prothrombinase function.</p> / Doctor of Philosophy (Medical Science)