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Updated: Jun 14, 2026

Computational Prediction of Amino Acid Preferences of Potentially Multispecific Peptide-Binding Domains Involved in Protein-Protein Interactions
Published on: January 26, 2024
Activated protein C cofactor function of protein S: a critical role for Asp95 in the EGF1-like domain
Helena M Andersson1, Márcia J Arantes, James T B Crawley
1Department of Haematology, Faculty of Medicine, Imperial College London, London, UK.
Insights
Protein S is crucial for blood clotting regulation. Researchers found that a specific residue, Asp95 in the EGF1 domain, is essential for Protein S to function as a cofactor for activated protein C (APC).
Area of Science:
- Biochemistry
- Molecular Biology
- Hematology
Background:
- Protein S is a vital cofactor in the protein C anticoagulant pathway.
- It enhances the inactivation of factors Va and VIIIa by activated protein C (APC).
- The precise molecular mechanisms underlying Protein S's cofactor activity remain incompletely understood.
Purpose of the Study:
- To elucidate the molecular basis of Protein S interaction with APC.
- To identify specific residues critical for Protein S's cofactor function.
Main Methods:
- Construction and expression of a library of human Protein S variants with substitutions in key domains (Gla, TSR, EGF1, EGF2).
- Evaluation of APC cofactor activity using calibrated automated thrombography (CAT) with Protein S-deficient plasma.
- Biochemical assays to assess gamma-carboxylation, phospholipid binding, and APC-mediated cleavage enhancement of factor Va variants.
Main Results:
- A variant, Protein S D95A, located in the EGF1 domain, exhibited significantly reduced APC cofactor activity.
- Protein S D95A retained gamma-carboxylation and phospholipid binding capabilities comparable to wild-type Protein S.
- Purified Protein S D95A demonstrated a markedly diminished ability to enhance APC-induced cleavage of factor Va.
Conclusions:
- Aspartic acid at residue 95 (Asp95) within the EGF1 domain is critical for the APC cofactor function of Protein S.
- This residue likely represents a key interaction site between Protein S and APC.
Abstract:
Protein S has an established role in the protein C anticoagulant pathway, where it enhances the factor Va (FVa) and factor VIIIa (FVIIIa) inactivating property of activated protein C (APC). Despite its physiological role and clinical importance, the molecular basis of its action is not fully understood. To clarify the mechanism of the protein S interaction with APC, we have constructed and expressed a library of composite or point variants of human protein S, with residue substitutions introduced into the Gla, thrombin-sensitive region (TSR), epidermal growth factor 1 (EGF1), and EGF2 domains. Cofactor activity for APC was evaluated by calibrated automated thrombography (CAT) using protein S-deficient plasma. Of 27 variants tested initially, only one, protein S D95A (within the EGF1 domain), was largely devoid of functional APC cofactor activity. Protein S D95A was, however, gamma-carboxylated and bound phospholipids with an apparent dissociation constant (Kd(app)) similar to that of wild-type (WT) protein S. In a purified assay using FVa R506Q/R679Q, purified protein S D95A was shown to have greatly reduced ability to enhance APC-induced cleavage of FVa Arg306. It is concluded that residue Asp95 within EGF1 is critical for APC cofactor function of protein S and could define a principal functional interaction site for APC.
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