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Originally published In Press as doi:10.1074/jbc.M604482200 on October 18, 2006 Originally published In Press as doi:10.1074/jbc.M604482200 on October 4, 2006

J. Biol. Chem., Vol. 281, Issue 51, 39194-39204, December 22, 2006
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A Control Switch for Prothrombinase

CHARACTERIZATION OF A HIRUDIN-LIKE PENTAPEPTIDE FROM THE COOH TERMINUS OF FACTOR Va HEAVY CHAIN THAT REGULATES THE RATE AND PATHWAY FOR PROTHROMBIN ACTIVATION*

Michael A. Bukys{ddagger}, Paul Y. Kim§, Michael E. Nesheim§||, and Michael Kalafatis{ddagger}1

From the {ddagger}Department of Chemistry, Cleveland State University, Cleveland, Ohio 44115, the Departments of §Biochemistry and ||Medicine, Queen's University, Kingston, Ontario K7L 3N6, Canada, and the Department of Molecular Cardiology, The Lerner Research Institute, The Cleveland Clinic, Cleveland, Ohio 44195

Membrane-bound factor Xa alone catalyzes prothrombin activation following initial cleavage at Arg271 and prethrombin 2 formation (pre2 pathway). Factor Va directs prothrombin activation by factor Xa through the meizothrombin pathway, characterized by initial cleavage at Arg320 (meizo pathway). We have shown previously that a pentapeptide encompassing amino acid sequence 695–699 from the COOH terminus of the heavy chain of factor Va (Asp-Tyr-Asp-Tyr-Gln, DYDYQ) inhibits prothrombin activation by prothrombinase in a competitive manner with respect to substrate. To understand the mechanism of inhibition of thrombin formation by DYDYQ, we have studied prothrombin activation by gel electrophoresis. Titration of plasma-derived prothrombin activation by prothrombinase, with increasing concentrations of peptide, resulted in complete inhibition of the meizo pathway. However, thrombin formation still occurred through the pre2 pathway. These data demonstrate that the peptide preferentially inhibits initial cleavage of prothrombin by prothrombinase at Arg320. These findings were corroborated by studying the activation of recombinant mutant prothrombin molecules rMZ-II (R155A/R284A/R271A) and rP2-II (R155A/R284A/R320A) which can be only cleaved at Arg320 and Arg271, respectively. Cleavage of rMZ-II by prothrombinase was completely inhibited by low concentrations of DYDYQ, whereas high concentrations of pentapeptide were required to inhibit cleavage of rP2-II. The pentapeptide also interfered with prothrombin cleavage by membrane-bound factor Xa alone in the absence of factor Va increasing the rate for cleavage at Arg271 of plasma-derived prothrombin or rP2-II. Our data demonstrate that pentapeptide DYDYQ has opposing effects on membrane-bound factor Xa for prothrombin cleavage, depending on the incorporation of factor Va in prothrombinase.


Received for publication, May 10, 2006 , and in revised form, October 3, 2006.

* This work was supported by a predoctoral fellowship from the Cellular and Molecular Medicine Specialization at Cleveland State University (to M. A. B.), United States Public Health Services Grant HL-46703-6 from the National Institutes of Health (to M. E. N.), and NHLBI Grant R01 HL-73343 from the National Institutes of Health (to M. K.). 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.

1 To whom correspondence should be addressed: Dept. of Chemistry, Cleveland State University, 2351 Euclid Ave., Science and Research Center SR370, Cleveland, OH 44115. Tel.: 216-687-2460; Fax: 216-687-9298; E-mail: m.kalafatis{at}csuohio.edu.


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