Further characterization of ADAMTS-13 inactivation by thrombin

J K Lam1, C K N K Chion, S Zanardelli

  • 1Department of Haematology, Imperial College London, London, UK.

Abstract

Insights

ADAMTS-13, an enzyme regulating von Willebrand factor, is protected from thrombin inactivation in normal plasma. This protection mechanism is crucial for maintaining its function in blood coagulation.

Area of Science:

  • Biochemistry
  • Hematology
  • Protease activity

Background:

  • The metalloprotease ADAMTS-13 regulates von Willebrand factor (VWF) multimeric size and platelet tethering.
  • In vitro studies show ADAMTS-13 is vulnerable to inactivation by thrombin.

Purpose of the Study:

  • To investigate the inactivation of ADAMTS-13 by thrombin.
  • To determine the physiological relevance of this interaction.

Main Methods:

  • N-terminal sequencing and mutagenesis to identify thrombin cleavage sites on ADAMTS-13.
  • Utilized a library of thrombin mutants to assess exosite I function.
  • Measured VWF binding affinity and VWF-cleaving function post-proteolysis.
  • Assessed ADAMTS-13 behavior during plasma coagulation.

Main Results:

  • Identified R257 and R1176 as primary thrombin cleavage sites on ADAMTS-13.
  • Thrombin proteolysis reduced ADAMTS-13's VWF affinity by 8-fold, impairing VWF cleavage.
  • Thrombin-cleaved ADAMTS-13 retained binding and proteolysis of a VWF A2 domain substrate.
  • Endogenous ADAMTS-13 resisted coagulation-induced fragmentation in normal plasma.
  • ADAMTS-13 proteolysis by thrombin had a K(m) higher than physiological ADAMTS-13 concentrations, with low affinity for thrombin (K(D) 95 nM).

Conclusions:

  • ADAMTS-13 is protected from rapid thrombin inactivation in normal plasma.
  • The protection mechanism's status in pathological conditions with sustained thrombin generation requires further investigation.

Related Concept Videos

Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Clot Retraction and Fibrinolysis01:16

Clot Retraction and Fibrinolysis

After a fibrin clot is formed, the next step is clot retraction, a vital process facilitated by platelet contractile proteins, such as actin and myosin. These proteins pull the fibrin strands closer together and condense the clot. This action reduces the size of the clot, creating a smaller, denser structure that effectively seals off the damaged vessel. Clot retraction consolidates the clot and helps with wound healing by bringing the edges of the damaged blood vessel closer together.
Intracellular Signaling Affects Focal Adhesions01:17

Intracellular Signaling Affects Focal Adhesions

Integrins act both as extracellular input receivers and as intracellular processing activators. As their name suggests, integrins are entirely integrated into the membrane structure. Their hydrophobic membrane-spanning regions interact with the phospholipid bilayer's hydrophobic region. These membrane receptors provide extracellular attachment sites for effectors like hormones and growth factors. They activate intracellular response cascades when their effectors are bound and active.
Some...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Extrinsic and Intrinsic Pathways of Hemostasis01:20

Extrinsic and Intrinsic Pathways of Hemostasis

Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which forms a...