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J Biol Chem, Vol. 275, Issue 20, 15541-15548, May 19, 2000

High Affinity Binding of beta 2-Glycoprotein I to Human Endothelial Cells Is Mediated by Annexin II*

Keying MaDagger §, Ronit Simantov||, Jing-Chuan Zhang**Dagger Dagger , Roy Silverstein, Katherine A. Hajjar§§, and Keith R. McCrae**¶¶

From the ** Hematology-Oncology Division, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106-4937, the  Hematology-Oncology Division and the §§ Department of Pediatrics, Weill Medical College of Cornell University, New York, New York, and the Dagger  Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

beta 2-Glycoprotein I (beta 2GPI) is an abundant plasma phospholipid-binding protein and an autoantigen in the antiphospholipid antibody syndrome. Binding of beta 2GPI to endothelial cells targets them for activation by anti-beta 2GPI antibodies, which circulate and are associated with thrombosis in patients with the antiphospholipid antibody syndrome. However, the binding of beta 2GPI to endothelial cells has not been characterized and is assumed to result from association of beta 2GPI with membrane phospholipid. Here, we characterize the binding of beta 2GPI to endothelial cells and identify the beta 2GPI binding site. 125I-beta 2GPI bound with high affinity (Kd ~18 nM) to human umbilical vein endothelial cells (HUVECs). Using affinity purification, we isolated beta 2GPI-binding proteins of ~78 and ~36 kDa from HUVECs and EAHY.926 cells. Amino acid sequences of tryptic peptides from each of these were identical to sequences within annexin II. A role for annexin II in binding of beta 2GPI to cells was confirmed by the observations that annexin II-transfected HEK 293 cells bound ~10-fold more 125I-beta 2GPI than control cells and that anti-annexin II antibodies inhibited the binding of 125I-beta 2GPI to HUVECs by ~90%. Finally, surface plasmon resonance studies revealed high affinity binding between annexin II and beta 2GPI. These results demonstrate that annexin II mediates the binding of beta 2GPI to endothelial cells.


* This work was supported by Grant HL50827, a grant from the American Diabetes Foundation, and an Established Investigator Award from the American Heart Association (to K. R. M.). The W. M. Keck Biomedical Mass Spectrometry Laboratory, University of Virginia School of Medicine, is funded by a grant from the W. M. Keck Foundation.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ Recipient of a postdoctoral fellowship award from the Southeastern Pennsylvania Affiliate of the American Heart Association.

|| Supported by Clinical Associate Physician Award M01RR00047 from the General Clinical Research Centers of the National Institutes of Health and a Junior Faculty Scholars Award from the American Society of Hematology.

Dagger Dagger Recipient of a postdoctoral fellowship award from the Ohio Valley Affiliate of the American Heart Association.

¶¶ To whom correspondence should be addressed: Hematology-Oncology Division, BRB 3, Case Western Reserve Univ. School of Medicine, 10900 Euclid Ave., Cleveland, Ohio 44106-4937. Tel.: 216-368-1175; Fax: 216-368-1166; E-mail: kxm71@po.cwru.edu.


Copyright © 2000 by The American Society for Biochemistry and Molecular Biology, Inc.
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