Structural interpretation of 42 mutations causing factor XI deficiency using homology modeling

N M O'Connell1, R E Saunders, C A Lee

  • 1The Katharine Dormandy Haemophilia Center and Haemostasis Unit, The Royal Free & University College Medical School, London, UK.

Abstract

Insights

Molecular models reveal that protein misfolding is a key mechanism in Factor XI (FXI) deficiency. These models help characterize new FXI mutations and understand their impact on blood coagulation.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Hematology

Background:

  • Factor XI (FXI) plays a critical role in the consolidation phase of blood coagulation.
  • Structural insights into FXI mutations causing deficiency have been limited due to the absence of a defined FXI structure.

Purpose of the Study:

  • To develop molecular models of the apple (Ap) and serine protease (SP) domains of FXI.
  • To structurally assess the effects of published FXI mutations and correlate them with observed phenotypes.

Main Methods:

  • Homology modeling was employed for the Ap domains using an NMR structure of an adhesin.
  • The SP domain was modeled using the crystal structure of beta-tryptase.

Main Results:

  • Analysis of 42 mutations causing FXI deficiency using homology models.
  • Protein misfolding identified as a likely mechanism for Type I FXI deficiency in both Ap and SP domains.
  • Structural analysis of Type II mutations suggests disruption of substrate/cofactor binding or active site integrity.

Conclusions:

  • The developed molecular models enable structural characterization of novel FXI mutations.
  • These models complement phenotypic data and guide the design of expression studies to elucidate molecular mechanisms of FXI deficiency.