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Originally published In Press as doi:10.1074/jbc.M409068200 on January 4, 2005

J. Biol. Chem., Vol. 280, Issue 10, 9160-9169, March 11, 2005
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A Selective, Slow Binding Inhibitor of Factor VIIa Binds to a Nonstandard Active Site Conformation and Attenuates Thrombus Formation in Vivo*

Alan G. Olivero{ddagger}, Charles Eigenbrot§, Richard Goldsmith{ddagger}, Kirk Robarge{ddagger}, Dean R. Artis{ddagger}, John Flygare{ddagger}, Thomas Rawson{ddagger}, Daniel P. Sutherlin{ddagger}, Saloumeh Kadkhodayan||, Maureen Beresini{ddagger}, Linda O. Elliott{ddagger}, Geralyn G. DeGuzman**, David W. Banner{ddagger}{ddagger}, Mark Ultsch§, Ulla Marzec§§¶¶, Stephen R. Hanson§§¶¶, Canio Refino**, Stuart Bunting**, and Daniel Kirchhofer**||||

From the Departments of {ddagger}Medicinal Chemistry, §Protein Engineering, ||Bioanalytical Research and Development, and **Physiology, Genentech, Inc., South San Francisco, California 94080, {ddagger}{ddagger}F. Hoffmann-La Roche, 4002 Basel, Switzerland, and §§Emory University, Atlanta, Georgia 30322

The serine protease factor VIIa (FVIIa) in complex with its cellular cofactor tissue factor (TF) initiates the blood coagulation reactions. TF·FVIIa is also implicated in thrombosis-related disorders and constitutes an appealing therapeutic target for treatment of cardiovascular diseases. To this end, we generated the FVIIa active site inhibitor G17905, which displayed great potency toward TF·FVIIa (Ki = 0.35 ± 0.11 nM). G17905 did not appreciably inhibit 12 of the 14 examined trypsin-like serine proteases, consistent with its TF·FVIIa-specific activity in clotting assays. The crystal structure of the FVIIa·G17905 complex provides insight into the molecular basis of the high selectivity. It shows that, compared with other serine proteases, FVIIa is uniquely equipped to accommodate conformational disturbances in the Gln217–Gly219 region caused by the ortho-hydroxy group of the inhibitor's aminobenzamidine moiety located in the S1 recognition pocket. Moreover, the structure revealed a novel, nonstandard conformation of FVIIa active site in the region of the oxyanion hole, a "flipped" Lys192-Gly193 peptide bond. Macromolecular substrate activation assays demonstrated that G17905 is a noncompetitive, slow-binding inhibitor. Nevertheless, G17905 effectively inhibited thrombus formation in a baboon arterio-venous shunt model, reducing platelet and fibrin deposition by ~70% at 0.4 mg/kg + 0.1 mg/kg/min infusion. Therefore, the in vitro potency of G17905, characterized by slow binding kinetics, correlated with efficacious antithrombotic activity in vivo.


Received for publication, August 9, 2004 , and in revised form, December 23, 2004.

* The Stanford Synchrotron Radiation Laboratory Structural Molecular Biology Program is supported by the Department of Energy, Office of Biological and Environmental Research and by the National Institutes of Health (NIH), National Center for Research Resources, Biomedical Technology Program, and NIGMS, NIH. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Present address: Plexxikon, Inc., Berkeley, CA 94710.

¶¶ Present address: Dept. of Biomedical Engineering, OGI School of Science and Engineering, Oregon Health and Science University, Beaverton, OR 97006-8921.

|||| To whom correspondence should be addressed: Dept. of Physiology, Genentech, Inc., 1 DNA Way, South San Francisco, CA 94080. Tel.: 650-225-2134; Fax: 650-225-6327; E-mail: dak{at}gene.com.


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