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Updated: Jun 3, 2026

Measurement of Factor V Activity in Human Plasma Using a Microplate Coagulation Assay
Published on: September 9, 2012
Cleavage at both Arg306 and Arg506 is required and sufficient for timely and efficient inactivation of factor Va by
Melissa A Barhoover1, Michael Kalafatis
1Department of Chemistry, Cleveland State University, 2351 Euclid Avenue, Cleveland, OH 44115, USA.
Insights
Activated protein C (APC) inactivates factor Va by cleaving specific sites. This study found that cleavages at Arg and Arg are crucial for APC-mediated inactivation of factor Va, impacting its activity in blood clotting.
Area of Science:
- Biochemistry
- Hematology
- Molecular Biology
Background:
- Activated protein C (APC) is a key regulator of blood coagulation.
- APC inactivates factor Va, a critical cofactor in the prothrombinase complex, through specific proteolytic cleavages.
- Understanding the contribution of each cleavage site to factor Va inactivation is essential for comprehending coagulation regulation.
Purpose of the Study:
- To determine the relative importance of individual APC cleavage sites (Arg, Arg, Arg) in the inactivation of factor Va.
- To investigate the functional consequences of mutations at these specific cleavage sites on factor Va activity and prothrombinase complex function.
Main Methods:
- Construction and expression of recombinant factor V variants with specific Arg-to-Gln mutations.
- Purification of recombinant factor V molecules.
- Assays for factor Va activity and prothrombinase complex function, including clotting assays and kinetic analyses (Km, kcat) before and after APC treatment.
Main Results:
- Mutations at Arg and Arg rendered factor Va resistant to inactivation by APC, retaining approximately 70% activity in clotting assays.
- Prothrombinase complex assembled with factor Va (R→Q) showed a 20-fold reduction in kcat, while factor Va (R→Q) showed a 2-fold reduction.
- Factor Va variants lacking cleavage sites at Arg and Arg were significantly resistant to APC-mediated inactivation, especially in the presence of a membrane surface.
Conclusions:
- The cleavage sites at Arg and Arg are critical for the efficient inactivation of factor Va by APC.
- The functional impact of APC-mediated cleavage depends on the specific site and the assay employed.
- In the absence of Arg and Arg cleavage sites, factor Va remains largely active and resistant to inactivation by APC on membrane surfaces.
Abstract:
Activated protein C (APC) inactivates membrane-bound factor Va following cleavages of the heavy chain at Arg, Arg, and Arg. The objective of this study is to examine which cleavage is most important for inactivation. The recombinant factor V molecules were constructed as follows: factor V (mutations R→Q), factor V (mutations R→Q), and factor V (mutations R→Q and R→Q). The recombinant molecules were expressed in mammalian cells, purified, and assayed prior and after incubation with APC and lipids for 30 min (factor Vai) in clotting assays and in an assay using purified reagents and saturating concentrations of factor Va. Clotting assays demonstrated that wild-type factor Vai (Vai), factor Vai, and factor Vai were devoid of activity, whereas factor Vai maintained approximately 70% activity following a 30 min incubation with APC. Prothrombinase assembled with all mutant cofactor molecules before and after treatment with APC had kinetic constant (Km) values similar to values found with prothrombinase assembled with factor Va. Prothrombinase assembled with factor Vai demonstrated a 20-fold reduction in kcat, whereas prothrombinase assembled with factor Vai had a two-fold reduction in kcat as compared with prothrombinase assembled with factor Va. In contrast, factor Vai and factor Vai did not show any loss in kcat under similar experimental conditions. In conclusion, our data demonstrate that the activity of an APC-treated factor Va molecule bearing a single mutation at Arg or Arg depends on the assay used; and regardless of the assay employed, in the absence of the APC-cleavage sites at Arg and Arg, the active cofactor is unable to be significantly inactivated by APC in the presence of a membrane surface.
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