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Volume 271,
Number 16,
Issue of April 19, 1996 pp. 9497-9502
©1996 by The American Society for Biochemistry and Molecular Biology, Inc.
Receptor-mediated
Endocytosis of Coagulation Factor Xa Requires Cell Surface-bound Tissue
Factor Pathway Inhibitor
(Received for publication, December 26, 1995; and in revised form, February 6, 1996)
Guyu
Ho ,
John
R.
Toomey,
George J.
Broze
Jr.
,
Alan
L.
Schwartz
Coagulation factor Xa is a plasma serine protease that catalyzes
prothrombin to thrombin conversion, which, in turn, leads to the
generation of the fibrin clot. Of the several parameters that govern
the plasma level of factor Xa, control of its catabolism is of crucial
importance. However, little is known regarding the mechanisms by which
factor Xa is catabolized. In the present study we examine the cellular
basis for the uptake and degradation of factor Xa. I-Factor Xa was degraded by hepatoma cells and embryonic
fibroblasts via a process which required cell surface-bound tissue
factor pathway inhibitor (TFPI), a potent inhibitor of factor Xa.
Uptake and degradation of cell surface-bound I-TFPI was
also markedly stimulated in response to factor Xa binding. The
intracellular kinetics of I-factor Xa and cell
surface-bound I-TFPI display a strikingly similar
pattern, suggesting that factor Xa and cell surface-bound TFPI are
taken up as a bimolecular complex. Using cell lines either deficient in
low density lipoprotein receptor-related protein, an endocytic receptor
that mediates the degradation of uncomplexed TFPI (Warshawsky, I.,
Broze, G. J., Jr., and Schwartz, A. L.(1994) Proc. Natl. Acad. Sci.
U. S. A. 91, 6664-6668), or deficient in tissue factor (TF),
an integral membrane protein capable of forming quarternary complexes
with factor Xa, TFPI, and factor VIIa, we demonstrated that the
receptor that mediates the uptake and degradation of factor Xa-TFPI
complex was neither low density lipoprotein receptor-related protein
nor TF. As the vascular endothelial cell surface retains a substantial
pool of TFPI (Sandset, P. M., Alildgaard, U., and Larsen, M. L.(1988) Thromb. Res. 50, 803-813; Novotny, W. F., Brown, S. G.,
Miletich, J. P., Rader, D. J., and Broze, G. J., Jr.(1991) Blood 78, 387-393), our data suggest that endothelial cell surface
TFPI may be actively involved in the clearance of factor Xa from the
circulation via mediated uptake and degradation.

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Copyright © 1996 by the American Society for Biochemistry and Molecular Biology.
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