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J. Biol. Chem., Vol. 281, Issue 41, 30400-30411, October 13, 2006
Molecular Mapping of the Chloride-binding Site in von Willebrand Factor (VWF)ENERGETICS AND CONFORMATIONAL EFFECTS ON THE VWF/ADAMTS-13 INTERACTION* 1![]() ![]() ![]() ![]() ![]() ![]() ![]()
From the
Received for publication, April 7, 2006 , and in revised form, August 8, 2006.
Physiological concentrations of NaCl inhibit the hydrolysis of von Willebrand factor (VWF) by ADAMTS-13. This effect is because of the specific binding of chloride ions to VWF. Urea-induced unfolding was measured in the presence of NaCl, CH3COONa, and NaClO4 at pH 8.0, 25 °C, for multimeric VWF, the recombinant A1-A2-A3 VWF domains, and the A1 domain. Chloride stabilizes the folded conformation of the A1-A2-A3 and A1 domains more efficiently than acetate but less strongly than perchlorate. Spectroscopic evidence showed that chloride binds to both the A1 and A1-A2 domain but not to the isolated A2 domain. Binding of Cl to both wild type (WT) and the natural mutant p.R1306W A1-A2-A3 domains of VWF has a large heat capacity change equal to 1 and 0.4 kcal mol1 K1 for WT and p.R1306W A1-A2-A3 domains, respectively. This result implies that a burial of a vast apolar surface area is caused by conformational transitions linked to chloride binding. At any temperature, chloride affinity was higher for WT than for the mutant p.R1306W form. Chloride ions inhibit hydrolysis by ADAMTS-13 of the A1-A2-A3 and A1-A2 domains in the presence of either urea or high shear stress, whereas this effect was either absent or negligible in experiments using A2 and A2-A3 domains. These findings show that the A1 domain contains the binding site of chloride ions that control allosterically the proteolysis by ADAMTS-13 of the Tyr1605Met1606 bond in the A2 domain and that the R1306W mutation of type 2B VWD quenches the binding of chloride ion to the A1 domain.
The degradation of von Willebrand factor (VWF)2 depends on the activity of the zinc protease ADAMTS-13, which cleaves this multimeric adhesive protein at the peptide bond between residues Tyr1605 and Met1606 of the A2 domain (15). In contrast with other zinc proteases, such as the matrix metalloproteases, ADAMTS-13 does not need activation by other hydrolases to become proteolytically competent toward VWF (1). Hence this protease must be regulated by other factors to avoid the continuous cleavage of high molecular weight VWF multimers, which play a key role in primary hemostasis. The regulatory mechanisms of the VWF/ADAMTS-13 interaction are linked to the high conformational mobility of VWF. The adhesion of platelets to the vessel wall, under the high flow/shear conditions of blood in the microcirculation, is mediated by VWF and in particular by sequences within the A1 and A3 domains. The A1 domain (residues 12601479) binds to the platelet glycoprotein Ib·IX·V complex (GpIb), to subendothelial glycosaminoglycans, to sulfatides of the cell surface (6), and to nonfibrillar collagen type VI (7). Native VWF in blood has no appreciable binding to platelets. This interaction can take place by means of such exogenous nonphysiologic modulators as ristocetin and botrocetin (8, 9) and by fluid shear stress (5, 10) or can be the consequence of gain-of-function mutations in the A1 domain causing type 2B von Willebrand disease (VWD) (11, 12). It is generally assumed that the modulation of GPIb binding activity involves conformational changes in VWF that lead to the exposure of functional sites normally cryptic when the molecule is in solution. In vivo, this may occur under high shear stress (5, 10) or when VWF interacts with such subendothelial components as collagen after the integrity of the vessel wall is disrupted (13). The formation of VWF-GpIb complex was recently found to accelerate the specific cleavage of VWF by ADAMTS-13 (14). This finding implies that the conformation of the A1 domain regulates through allosteric mechanisms the accessibility of the ADAMTS-13 cleavage site in the A2 domain of VWF. On the other hand, the VWF A-like domain is conserved in several plasma and matrix proteins involved in different biological functions and is now considered the prototype for a protein superfamily containing at least 75 proteins that are similar in sequence (15). For many of these proteins the VWF A domain is characterized by a strong ability to transmit allosteric signals in virtue of its high conformational mobility (16, 17). The hydrolysis of VWF can be obtained in vitro under static conditions, using a mild denaturing milieu, which generates partially unfolded VWF conformers that are susceptible to proteolytic attack by ADAMTS-13. Moreover, early studies by Furlan et al. (2), recently extended by our group (17) on the specificity of the VWF/ADAMTS-13 interaction showed that physiological concentrations of NaCl inhibit allosterically the hydrolysis of VWF in the presence of mild denaturing urea concentrations. We largely ascribed this effect to the specific binding of chloride ions to VWF (17), but the molecular mapping of the anion-binding site is still elusive. The goal of this study was to assess within the A1-A2-A3 domains of VWF the effect of chloride binding on the unfolding of the protein and on its conformational stability. A further goal of the study was to map the binding site of chloride ions within the A1-A3 domains and to analyze the allosteric linkage with the hydrolysis of the Tyr1605Met1606 peptide bond in the A2 domain. The natural type 2B VWD mutant, p.R1306W VWF, was also used to investigate how this mutation is allosterically linked to both chloride binding and to the efficiency of VWF hydrolysis by ADAMTS-13.
Production of Vectors Containing A1-A2-A3 and A1-A2 VWF cDNA Step 1The sequence encoding domains A1, A2, and A3 was amplified with designed primers (set A) available on request, using as a template the pSV-VWFH vector, a kind gift of Lysiane Hilbert and Claudine Mazurier (Lille, France), which contains the full-length human VWF cDNA (18). The PCR product was purified and digested with AvrII and EcoRV (New England Biolabs, Beverly, MA) and then ligated into pSV-VWFH vector, which had been digested with the same enzymes, in order to obtain the pSV-A1A2A3V5 vector. Step 2The construction of the pSV-SPHA1A2A3V5 cloning vector, containing also the VWF signal peptide and the His6 tag sequence, required a second PCR (PCR condition and primers, set B, are available on request). The pSV-VWFH was used as a template, and the PCR product was purified, digested with AvrII and Tth111I, and ligated into the pSV-A1A2A3V5 vector, which had been digested with the same enzymes. Step 3The pSV-SPHA1A2A3V5 vector was further amplified with designed primers available on request (set C). The PCR product was purified and digested with HindIII and EcoRV and then ligated into the pcDNA3.1 mammalian expression vector (Invitrogen), which had been digested with HindIII and PmeI, in order to obtain the pcDNA3.1SPHA1A2A3V5 vector. The ligation was feasible because both EcoRV and PmeI cause blunt ends. Step 4The p.R1306W mutation was introduced into pcDNA3.1SPHA1A2A3V5 using a QuikChangeTM site-directed mutagenesis kit (Stratagene, La Jolla, CA). A forward primer (5'-GGACATGATGGAGTGGCTGCGCATCTCC-3') and a reverse primer (5'-GGAGATGCGCAGCCACTCCATCATGTCC-3') were used to introduce c.3916C > T (designated as T), to obtain pcDNA3.1SPHA1A2A3V5-R1306W. Step 5A small portion of pcDNA3.1SPHA1A2A3V5 vector, containing a short sequence of the A2 domain and the V5 tag sequence, was amplified (primer set D available on request). The product of this PCR was purified, digested with BspEI and DraIII, and then ligated into pcDNA3.1SPHA1A2A3V5 vector, which had been digested with the same enzymes, in order to obtain pcDNA3.1SPHA1A2V5. Cloned inserts were sequenced to confirm the correct sequence (19).
Transient Transfection of Wild Type (WT) and Mutant VWF Fragment Expression Vectors
Production and Expression of Recombinant A2 and A2-A3 VWF Fragments
Purification of VWF Fragments
Purification of Blood-derived Full-length VWF and the 39/34-kDa A1 Domain A1 Domain (39/34-kDa VWF)A 39/34-kDa fragment of VWF, expressing the A1 domain of the protein (21), was produced by dispase (Roche Applied Science) digestion of human VWF, purified as described above. This fragment encompasses residues from Leu1243 to Gly1481 (239 residues). Briefly, VWF (1 mg/ml) in 0.01 M Tris, 0.15 M sodium chloride, 0.2 mM calcium chloride, pH 7.4, was equilibrated with dispase (0.3 mg/mg of VWF) for 6 h at 25°C. The reaction was terminated by the addition of EDTA (10 mM final concentration). The digest was then loaded at 0.4 ml/min onto a 1.5 x 5-cm column of heparin-Sepharose (Amersham Biosciences) equilibrated at 25 °C in 10 mM Tris, 0.15 M sodium chloride, pH 7.4. After washing, the 39/34-kDa VWF fragment was eluted with 0.01 M Tris, 0.5 M sodium chloride, and 0.02% (w/v) sodium azide, pH 7.4, and dialyzed against TBS at 4 °C. The identity of the isolated 39/34-kDa VWF fragment was confirmed by SDS-PAGE on a 412% gradient gel (Bio-Rad) and a Criterion apparatus (Bio-Rad) and by an N-terminal sequence performed on an automatic analyzer (Applied Biosystems), which found for both the 39- and the 34-kDa bands the sequence Leu-Val-Val-Pro-Pro-Thr, corresponding to the residues 12431248 of VWF, as found previously (21). The difference in molecular weight was attributed to a different O-glycosylation pattern as demonstrated in previous studies (21). The purified 34/39-kDa fragment was used in the spectroscopic experiments without further separation.
Expression and Purification of Recombinant ADAMTS-13
Urea-induced Unfolding Experiments Monitored by Intrinsic Protein Fluorescence
Specifically, fluorescence intensity (F) as a function of urea concentration ([U]) was fitted to Equation 1,
G and m are the intercept and slope, respectively, of the linear extrapolation of the unfolding free energy to zero urea concentration; F0N and sN are the intercept and slope, respectively, of the native state base line; F0D and sD are their counterparts of the denatured state base line, and kB and T are the Boltzman's constant and the absolute temperature. Each sample, thermostated at 25 °C, was allowed to equilibrate for at least 15 min, and the final VWF and the concentration of its domains were always 0.1 mg/ml, to avoid inner filter effects. Fluorescence experiments of guanidine chloride-dependent unfolding were also performed to demonstrate the applicability of the two-state model of unfolding for the A1-A2-A3 domain.
Data were analyzed by the linear extrapolation method, using GRAFIT (Erithacus Software, Horley Surrey, UK). To study the effect of salts on
Temperature Dependence of Cl Interaction with the A1-A2-A3 Domains of VWF
Cp is the heat capacity change, and TH and TS define the characteristic temperatures where the enthalpic ( H) and entropic ( S) contributions to the free energy change are 0, respectively.
Hydrolysis of Recombinant VWF Constructs by rADAMTS-13
For the shear stress experiments, a cone-plate rheometer (model CSL 500) from Carrimed (now TA Instruments, Waters S.p.A., Vimodrone, Italy) was used. The used cone had a diameter of 4 cm and the cone-plate gap was of 10 µm. The experimental conditions used were 5 mM Tris-HCl, 3 mM BaCl2, t either 0.01 or 0.15 M NaCl, pH 8.0, at 37 °C. The purified A1-A2-A3 domains of VWF were used at 0.05 mg/ml, whereas recombinant ADAMTS-13 was employed at 10 nM. To ensure achievement at the desired temperature, samples were applied on the cone-plate apparatus for about 1 min under static conditions. The shear stress applied was either of 0 or 40 dynes/cm2, corresponding from the geometry of the system (0.2°) to a shear rate ranging from 818 to 850 s1. The total volume of the applied sample was of 344 µl. The shear was applied for 1 or 5 min. At the end, the cone-plate was stopped; the entire volume of the sample was recovered, and 10 mM EDTA (final concentration) was added to the solution to stop the reaction. The fragments produced by ADAMTS-13 were identified and quantified by RP-HPLC as described above. To check the specificity of the shear-induced VWF cleavage by ADAMTS-13, a control experiment was performed under the same experimental conditions except for the presence of 10 mM EDTA, and no significant VWF hydrolysis was observed. In the kinetic study with 1.5 M urea, in virtue of the pseudo-first order conditions (concentration <Km of the reaction), the percent of the peptide cleaved at time = t, Pt(%), was fitted to Equation 3,
Production of VWF A DomainsIn all cases expression and purification of the various VWF A domains allowed pure preparations to be obtained. The purity and molecular weight of these constructs were checked by SDS-PAGE on 412% gradient gels and were found equal to 72.5 kDa for WT and p.R1306W A1-A2-A3 domains, 53.4 kDa for the A1-A2 domain, 27.8 kDa for the A2 domain, and 48 kDa for the A2-A3 domain. Fig. 1 shows the SDS-PAGE of the A1-A2-A3, A1-A2, A2-A3, A1, and A2 domain used in this study.
Dependence on Salt Concentration of Free Energy for Urea-induced Unfolding of VWF ConstructsUrea-induced unfolding was measured versus NaCl, CH3COONa, and NaClO4 concentration at pH 8.0, 25 °C, for full-length VWF, recombinant A1-A2-A3 domains, and purified A1 domain. First, the unfolding free energy
These results support the conclusion that the A1 domain contains the binding site of chloride ions, which inhibit the interaction with ADAMTS-13 of the entire A1-A2-A3 domains. The significant increase of fluorescence in the preunfolding segment of the denaturation curves of both full-length and A1-A2-A3 domains as a function of urea concentration implies that along the unfolding process these proteins pass through intermediate species or molten globules, which generally are relatively close to the native state (26). In these globules considerable native-like character can exist in terms of secondary structure and the overall fold, although there is generally extensive disorder in the side chains, and the global structural fluctuations are much greater than those of the native state. This scenario can be applied also to VWF A1-A2-A3 domains in the presence of 1.5 M urea, which is at a concentration well below that needed to unfold half of the protein, as experimentally found (see Table 1). At this urea concentration, however, a molten globule of the A1-A2-A3 domains should be significantly populated, as this species is sensitive to proteolysis by ADAMTS-13. Many theoretical considerations and experimental findings indicated that a protease can bind and act on a segment in a protein only if this segment is sufficiently flexible to adapt its conformation to the specific stereochemistry of the protease active site. It has been demonstrated that the sites of limited proteolysis in a globular protein are characterized by enhanced backbone flexibility. Therefore, the mobility of the chain segment appears to be the key feature of the site(s) of limited proteolysis (27). Of course, the notions of accessibility and sequence specificity are also required properties of the sites of cleavage but are not sufficient to explain the selective proteolysis of one single peptide bond among the hundred(s) of bonds, as often observed in limited proteolysis. These considerations can be applied to the interaction of ADAMTS-13 with the region of the VWF A2 domain in the presence of sub-denaturing concentrations of urea. Because the A1 domain is demonstrated to bear the chloride-binding site, the effect on the hydrolysis by ADAMTS-13 of the peptide bond present in the A2 domain implies the existence of an allosteric linkage between the anion binding to the A1 domain and the conformational state of the A2 domain around the Tyr1605Met1606 peptide bond. The increase of tryptophan fluorescence in the preunfolding segment of the denaturation curves was observed only for full-length VWF and A1-A2-A3 domains, but not for the isolated A1 domain (see Fig. 3, AC). This finding suggests that the above allosteric linkage can take place through interactions between A1 and A2 domains. This finding implies that the binding of chloride ions stabilizes a A1-A2-A3 conformer characterized by the mutual quenching of aromatic residues before undergoing the unfolding transition.
This finding prompted us to investigate the specificity of anion binding on the conformational stability of the A1-A2-A3 domains, analyzing the dependence of G0 values of the A1-A2-A3 domains as a function of both the chemical nature and concentration of the anion (sodium salt) present in solution. Fig. 5 shows the G0 values measured as a function of the perchlorate, chloride, and acetate sodium salts. For all these anions, the value of G0 increased linearly with the salt concentration. The slopes of the linear increases of G0 are a measure of the relative efficacy of the salts in stabilizing the A1-A2-A3 domains and are given in the legend to Fig. 5. For the sodium salts, the ranking of the slopes followed the Hofmeister series and was linearly correlated with the Jones-Dole viscosity coefficients (0.250, 0.007, and 0.061, for , Cl, and CH3COO, respectively) (28). This coefficient expresses the strength of the ion/water interaction normalized to the strength of water/water interactions in bulk solution. The difference in the stabilization efficacy for NaClO4 versus CH3COONa is 6 kcal mol1 M1. It is known that at the salt concentrations used in this study (<0.15 M), bulk water structure is not greatly influenced by the nature of the salt present in solution outside the first hydration shell. Thus the Hofmeister effects of the anions used with the A1-A2-A3 domains need to be explained by interactions of the ions with the macromolecule and its first hydration shell. Ionic species that are strongly hydrated do not easily shed their innermost hydration shell and hence have the weakest binding constants for the protein-binding site. This may explain the difference of the stabilization efficacy of about 6 kcal mol1 M1 between NaClO4 and CH3COONa. This sensitivity strongly suggests that binding of anions is important for the stability and conformation of the A1-A2-A3 and, as a consequence, of the entire VWF monomer. This finding led to further investigations of the thermodynamic parameters of chloride binding to VWF and its A domains.
Temperature Dependence of Chloride Binding to A1-A2-A3 Domains of VWFNo inner filter effect was observed in the titration experiments even at the highest (initial) concentration of the VWF constructs employed. Control experiments were performed by progressive dilution of the various VWF species starting from 0.1 mg/ml. The fluorescence signal was perfectly linear (r > 0.98) in all cases, whereas significant deviation from linearity was observed for concentrations >0.15 mg/ml. NaCl caused at pH 8.00 a 620% decrease of the intrinsic fluorescence of both A1-A2-A3, and A1-A2 domains, as shown in Fig. 6A, in analogy with previous results obtained with full-length VWF (17). No significant change was observed for isolated A2 domain (data not shown). The maximum emission wavelength was unchanged (338 nm) as a function of NaCl concentration up to 0.1 M, whereas at higher concentrations (>0.15 M) a blue shift of about 5 nm was observed. The fluorescence data of both A1-A2 and A1-A2-A3 domains were fitted to the following single site binding isotherm shown in Equation 5,
F% is the % decrease of the fluorescence at any NaCl concentration, and Kd is the phenomenological equilibrium dissociation constant of chloride binding to any domain of VWF. In all instances a single site binding isotherm was adequately fitted to the experimental data, as shown by Fig. 6A. Although a single site binding isotherm was sufficient to analyze the data, the experimental strategy, in the absence of more detailed structural data, does not allow us to rule out completely that multiple binding sites with a similar affinity for chloride ions are present in the A1-A2-A3 and A1-A2 domains. At all temperatures the apparent affinity of chloride for the WT A1-A2-A3 was higher than that for the mutant p.R1306W A1-A2-A3 domains. Once the Kd value was calculated at each temperature, a van't Hoff plot allowed us to calculate the relevant thermodynamic parameters contained in Equation 2. Fig. 6B shows this plot and reports the best fit parameter values of A1-A2-A3 domains. The experimental points are not linearly correlated with the temperatures values but show a downward curvature, implying that the enthalpy of interaction is not constant over the temperature range studied (740 °C) or, in other words, that a large negative heat capacity change characterizes chloride binding to A1-A2-A3 domains. Such a negative heat capacity change is not expected for a purely electrostatic interaction and indicates that hydrophobic and other interactions are also involved in the binding equilibrium. A large heat capacity change was measured for both the WT and the p.R1306W mutant A1-A2-A3 domains, although the value of the WT was double that of the mutant construct (1.05 ± 0.18 kcal mol1 K1 versus 0.4 ± 0.02 kcal mol1 K1). The change in heat capacity associated with any protein/ligand interaction is a fundamental energetic parameter because it provides insight into the hydration changes involved and also affords a key to the correct interpretation of the rest of the energetic parameters in structural terms. The change in heat capacity caused by protein/ligand interaction reflects mainly the contribution from hydration or interaction with the solvent. By analyzing a large set of data with model compounds and structural analysis of the energetics of protein denaturation, a quantitative relation between the Cp (expressed in cal·K1·mol1) and the change in water-accessible surface area of buried apolar residues was formulated as shown in Equation 6 (29),
ASAnp represents the change in apolar polar area accessible to the solvent (in Å2). The change in enthalpy associated with a process involving a protein also reflects the hydration of the amino acid side chains, together with contributions from either the breakdown or the formation of internal interactions of van der Waals and hydrogen bonds (29). In a previous study, Spolar et al. (30), examining the energetics of binding of ligands and proteins and their relationship to the structural alterations brought about by the binding, found that in all cases where the binding involves a significant conformational change, the absolute values of Cp may be hundreds of cal·K1·mol1 or even more than 1 kcal·K1·mol1. The values of Cp for chloride binding to WT and the p.R1306W mutant imply that in both cases a vast apolar surface area ( 3000 and 1200 A2 for WT and p.R1306W mutant, respectively) is buried upon chloride binding, as a consequence of a folding conformational transition, and that this phenomenon is much more evident in WT than in the p.R1306W mutant. These conclusions are in agreement with the results of urea denaturation experiments performed as a function of NaCl. In that case, the m parameter of Equation 1 was indeed found to increase as a function of NaCl for all the VWF constructs used (see Table 1). Because it is known that the m parameter reflects, at least in part, the amount of newly accessible surface area exposed upon denaturation (25), this means that upon urea denaturation, the newly accessible surface area exposed is higher for the Cl-bound VWF conformer than for the Cl-free form. Cl binding, vice versa, inducing a folding conformational transition in the A1-A2-A3 domains, favors a burial of apolar surface area, as emerged from the thermodynamic analysis of the fluorescence data set. Globally taken, these experiments show that chloride binds specifically to the A1 domain of VWF and induces a folding conformational transition with burial of a vast apolar surface area and change of the hydration shell bonded to the surface of the protein.
Hydrolysis of Recombinant VWF Constructs by rADAMTS-13Several VWF constructs were used to study the effects of chloride on cleavage by ADAMTS-13 as follows: 1) WT A1-A2-A3 domains; 2) p.R1306W A1-A2-A3 domains (2B VWD mutant); 3) WT A1-A2 domain; 4) isolated WT A2 domain; and 5) A2-A3 domain. In all the cases a substrate concentration lower than the Km value (
The dependence of the kcat/Km values was then studied as a function of NaCl, and the results were analyzed with the linkage of Equation 4. As reported in the legend to Fig. 8, the apparent Kd value of chloride binding to WT A1-A2-A3 domains is significantly lower than that of the p.R1306W A1-A2-A3 domains (35 versus 158 mM), with values close to those measured in fluorescence experiments (48 versus 190 mM). No significant effect was observed with both A2 and A2-A3 domains, as the small decrease of the kcat/Km value observed at NaCl >150 mM was likely due to ionic strength effects. These experiments showed that chloride is able to induce a significant decrease of the specificity constant of hydrolysis by ADAMTS-13 of both the WT and p.R1306W A1-A2-A3 domains, that the apparent affinity of chloride ion for the WT A1-A2-A3 domains is 45 times higher than that for p.R1306W A1-A2-A3 domains, and that no effect was observed for the isolated A2 domain, which most likely does not contain a specific binding site for the anion. Changes in kcat/Km values show that chloride acts as an allosteric effector, whose binding to the A1 domain induces conformational transitions that propagate from the A1-A2 interface to the scissile peptide bond in the A2 domain, which becomes unavailable to the proteolysis by ADAMTS-13.
Application of a shear stress of 40 dynes/cm2 to the A1-A2-A3 domains also induced a conformational change in the molecule, so that it recognized and reacted with ADAMTS-13 in the absence of any denaturant. When this reaction was carried out in the presence of different concentrations of NaCl (10 and 150 mM), it was clearly inhibited by chloride. At 150 mM NaCl, in the presence of 10 nM recombinant ADAMTS-13 the proteolytic reaction produced after 1 min 10% of the total product, whereas at 10 mM the reaction proceeded to 78%, as shown in Fig. 9. These findings showed that binding of chloride can oppose the conformational transitions leading to ADAMTS-13 interaction with VWF induced by both chemical (denaturants) and physical (shear stress) potentials.
The thermodynamic and kinetic data presented in this study provide strong evidence that the previously discovered conformational effects of chloride ions on VWF multimers (17) occur via specific binding to the A1 domain. The latter is characterized by a / fold, with a -sheet composed of six -strands flanked on each side by three -helices. The 2/ 3 and the 3/ 2 loop have a high B-factor in crystal structures and thus have a flexible conformation (32). In particular, that the A1 domain has a very high conformational flexibility is also confirmed by natural mutations such as I1309V, where the involvement in a hydrogen bond network of an additional water molecule in the inner part of the A1 domain induces at a distance of more than 25 Å a conformational rearrangement of a cluster of basic residues from Lys1332 to Arg1336, leading to type 2B VWD with enhanced affinity for GpIb (33, 34). In this study, another typical 2B VWD mutant, p.R1306W, shows how a mutation in the A1 domain causes at the same time an enhanced affinity for GpIb , a reduction of chloride affinity, and an enhanced rate of hydrolysis by ADAMTS-13. This finding implies the existence of a conformational linkage between the A1 and A2 domains in the VWF molecule, affecting both chloride and GpIb binding to the A1 domain and ADAMTS-13 interaction at the A2 domain. The p.R1306W natural mutant has an higher affinity for GpIb and the mutation, stabilizing a conformation of the A1 domain in a GpIb-bound like state, reduces at the same time the A1 domain affinity for chloride, as demonstrated previously for the ristocetin-bound conformer of VWF (17). These findings corroborate the hypothesis that a negative thermodynamic linkage does exist between chloride and GpIb binding to VWF (17). Both fluorescence and enzymatic data indicate that the A1 domain bears a chloride-binding site; however, the detailed location of this site remains unclear. Inspection of the crystal structure of the A1 domain in the free and GpIb-liganded conformations (32, 35) reveals that all the positively charged side chains are exposed to solvent. Although the crystal structure of the entire A1-A2-A3 is yet unknown, the structure of the A1 domain (30, 35) and the MD simulation of the A2 domain (36) support the prediction that some of these positively charged residues mediate the interaction between the A1 and A2 domains, presumably forming hydrogen bonds/salt bridges at the interface between the A1 and A2 domains. The thermodynamic data obtained from denaturation studies showed that NaCl enhances the G0 value, i.e. the stability of the A1-A2-A3 domains under nondenaturing conditions. The mechanism by which chloride stabilizes the A1-A2-A3 domains could be in part the formation/stabilization of hydrogen bonds/salt bridges between charged residues at the A1-A2 interface upon its binding to a specific site in the A1 domain. Furthermore, because from molecular simulation studies it was shown that the peptide bond Tyr1605Met1606 in the A2 domain cleaved by ADAMTS-13 is buried in the molecule (36), it may be hypothesized that the "folding" effect of chloride would render more compact the whole A1-A2-A3 domain. This effect would cause the Tyr1605Met1606 peptide bond to be less available to the catalytic attack by ADAMTS-13, as also experimentally shown. Based on these findings, possible candidates for the anion-binding sites in the A1 domain are likely to be positively charged "clusters" on the surface of the molecule. X-ray diffraction studies on the A1 domain-GpIb complex showed that the 1/ 2 loop of the A1 domain, containing the clusters formed by Lys1332 to Arg1336 and from Arg1306 to Arg1315, undergoes allosteric conformational transitions upon GpIb interaction or by mutations causing type 2B VWD (32, 37). Extensive site-directed mutagenesis will be an important tool in addressing the question of whether or not these positively charged residues are involved in the formation of the anion-binding sites. Fluorescence experiments showed that high heparin caused no intrinsic fluorescence of the VWF A1-A2-A3 domains (data not shown) nor did it change at a concentration of 10 µM the apparent affinity of chloride for the A1-A2-A3 domains at 25 °C. This finding would imply that the two clusters of charged residues involved in the formation of the interaction sites for heparin, consisting of one region from Arg1341 to Lys1348 and from Lys1405 to Lys1408 (38, 39), are not involved in the formation of the chloride-binding site. On the other hand, previous studies showed that heparin accelerates the hydrolysis of VWF by ADAMTS-13 (14), thus having an effect opposite to that exerted by chloride ions. Therefore, functional evidence and spectroscopic evidence are in agreement to show that heparin and chloride ions do not share the same binding site in the A1 domain.
Physiological Relevance of Chloride Binding to VWF for Its Interaction with ADAMTS-13In a solution under normal physiological conditions, the hydrolysis of VWF by ADAMTS-13 is controlled by its conformation to prevent the unwanted cleavage of the most efficient hemostatic forms. In the presence of physiological temperatures, pH, and Cl concentrations, hydrolysis is slow, based on the functional effects of Cl binding to the A1 domain, which is approximately half-saturated by the anion at 37 °C (Kd 150 mM), as shown in this study. This binding determines the unavailability of the Tyr1605Met1606 peptide bond to cleavage by ADAMTS-13. However, when VWF exposed to high shear binds to a regulatory protein, such as GpIb, Cl is released from the A1 domain and a new VWF conformer is stabilized by this interaction. The allosteric displacement of chloride ions by GpIb binding causes a much faster rate of hydrolysis of the susceptible bond by ADAMTS-13. This allosteric mechanism could play a relevant role in such body compartments as the renal glomerulus, where chloride concentration changes during the process of plasma filtration. Any process that alters on the endothelium the delicate balance between the interactions favoring (GpIb, shear forces) or opposing (chloride) the interaction with ADAMTS-13 may contribute to the occurrence of thrombotic microangiopathies, especially those forms without severe deficiency of ADAMTS-13 (40). The fact that the kidney is often a target organ of thrombotic microangiopathies (41) may be the consequence of the active involvement of chloride in the pathogenesis of these disorders. The concentration of chloride ions changes along the nephron (especially in the distal tubule), with potential effects on VWF/ADAMTS-13 interactions, especially if additional factors cooperate to inhibit the activity of the metalloprotease. On the contrary, in some hemorrhagic disorders such as type 2B VWD, chloride ions bind to VWF with lower affinity as demonstrated in this study, and the rate of hydrolysis by ADAMTS-13 increases. This can contribute, along with the enhanced binding of high molecular weight VWF multimers to platelets, to the depletion of these VWF forms usually observed in these patients (42), in analogy with recent findings concerning type 2A VWD (43). In conclusion, these data show how a physiological inorganic anion, such as chloride, may be involved in the allosteric regulation of a complex macromolecular interaction, such as that between VWF and ADAMTS-13.
* This work was supported in part by Grant PRIN-2005 from the Italian Ministry of University and Research (to R. D. C.) and a grant from the Fondazione Cariplo (to P. M. M. and F. P.). 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: Hemostasis Research Centre, Institute of Internal Medicine and Geriatrics, Catholic University School of Medicine, Largo F. Vito, 1, 00168 Rome, Italy. Tel.: 39-6-30154438; Fax: 39-6-30155915; E-mail: rdecristofaro{at}rm.unicatt.it.
2 The abbreviations used are: VWF, von Willebrand factor; WT, wild type; RP-HPLC, reverse phase-high pressure liquid chromatography; VWD, von Willebrand disease; HEK, human embryonic kidney.
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