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The function of calcium in protein C activation by thrombin and the thrombin-thrombomodulin complex can be

A R Rezaie1, C T Esmon

  • 1Howard Hughes Medical Institute, University of Oklahoma Health Sciences Center, Oklahoma City 73104.

Insights

Calcium ions (Ca2+) play a dual role in protein C activation. Aspartic acid residues are crucial for Ca2+-dependent inhibition by thrombin alone, but not for activation by the thrombin-thrombomodulin complex.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Hematology

Background:

  • Protein C activation is a critical anticoagulant pathway.
  • This process is regulated by thrombin and thrombomodulin on the endothelium.
  • Calcium ions (Ca2+) influence protein C activation, stimulating it with thrombomodulin but inhibiting it without.

Purpose of the Study:

  • To investigate the role of Asp residues at P3 and P3' positions in protein C.
  • To determine their contribution to calcium's effect on protein C activation.
  • To elucidate the mechanism of Ca2+ dependent inhibition and stimulation.

Main Methods:

  • Expression of human Gla-domainless protein C and its Asp mutants (Asp-->Gly substitutions).
  • Monitoring Ca2+ interaction using intrinsic fluorescence.
  • Assessing Ca2+ dependence of activation by thrombin and thrombin-thrombomodulin complex.

Main Results:

  • Mutations reduced Ca2+ affinity 3-6 fold, altering Ca2+ concentration for half-maximal activation.
  • Ca2+ no longer effectively inhibited activation of mutants by thrombin alone.
  • Asp residues are critical for Ca2+-dependent inhibition by thrombin, but not essential for thrombin-thrombomodulin-mediated activation.

Conclusions:

  • Asp residues at P3 and P3' sites are key to Ca2+-dependent inhibition of protein C by thrombin.
  • These mutations affect Ca2+ binding affinity to the high-affinity site.
  • Asp residues do not positively contribute to rapid activation by the thrombin-thrombomodulin complex.

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