Engineered annexin A5 variants have impaired cell entry for molecular imaging of apoptosis using pretargeting

Lisette Ungethüm1, Heidi Kenis, Gerry A Nicolaes

  • 1Department of Biochemistry of the Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.

Insights

Researchers identified key amino acids in annexin A5 (anxA5) essential for its internalization by cells. Disrupting these salt bridges improves anxA5 as a molecular imaging agent for pretargeting strategies.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cell Biology

Background:

  • Phosphatidylserine (PS) on apoptotic cells is a diagnostic and therapeutic target, often utilizing annexin A5 (anxA5).
  • Pretargeting strategies enhance molecular imaging and reduce side effects by improving target accessibility.
  • Annexin A5 (anxA5) binds PS and forms 2D crystals, driving its internalization by PS-expressing cells.

Purpose of the Study:

  • To analyze the structure and function of annexin A5 (anxA5) internalization.
  • To investigate the role of specific amino acids and salt bridges in anxA5 trimer formation and cell entry.
  • To evaluate the potential of modified anxA5 variants in pretargeting molecular imaging.

Main Methods:

  • Structural bioinformatics and protein-protein docking were employed to guide mutagenesis.
  • Site-directed mutagenesis was used to disrupt intermolecular salt bridges within the anxA5 trimer.
  • PS binding affinity and anxA5 internalization were assessed for wild-type and mutant variants.

Main Results:

  • Specific amino acids (Arg63, Lys70, Lys101, Glu138, Asp139, Asn160) form salt bridges crucial for anxA5 trimerization.
  • Disruption of these salt bridges did not affect PS binding but inhibited trimer formation and cell internalization.
  • Annexin A5 (anxA5) variants with impaired internalization demonstrated superior performance in pretargeting molecular imaging.

Conclusions:

  • Intermolecular salt bridges within the annexin A5 (anxA5) trimer are critical for its internalization mechanism.
  • Modulating anxA5 internalization through targeted mutagenesis enhances its utility as a molecular imaging agent.
  • These findings advance the application of pretargeting strategies in molecular imaging and therapy.

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