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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-12-0361.
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Blood, 15 July 2002, Vol. 100, No. 2, pp. 501-508
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Mutations associated with hemophilia A in the 558-565 loop of the
factor VIIIa A2 subunit alter the catalytic activity of the factor
Xase complex
P. Vincent Jenkins,
Jan Freas,
Kyla M. Schmidt,
Qian Zhou, and
Philip J. Fay
From the Department of Biochemistry and Biophysics and
the Department of Medicine, University of Rochester Medical Center, NY.
The 558-565 loop region in the A2 subunit of factor (F) VIIIa forms
a direct interface with FIXa. We have expressed and purified B-domainless FVIII (FVIIIWT) and B-domainless FVIII
containing the hemophilia A-associated mutations Ser558Phe, Val559Ala,
Asp560Ala, Gln565Arg, and the activated protein C cleavage site mutant
Arg562Ala. Titration of FVIIIa in FXa generation assays showed that the
mutant and wild-type proteins had similar functional affinities for
FIXa (dissociation constant [Kd]
values ~5 nM-20 nM and ~100 nM-250 nM in the presence and absence
of phospholipid, respectively). The catalytic activities of the factor
Xase complex composed of the hemophilia A-associated FVIII species
were markedly reduced both in the presence and absence of phospholipid.
FVIIIWT and FVIIIArg562Ala showed catalytic
rate constant (kcat) values of approximately 60 minute 1 in the presence of phospholipid, whereas
the hemophilia A-associated mutants showed
kcat values ranging from 3.3 minute 1 to 7.5 minute 1. In the absence of
phospholipid, all kcat values were reduced but
FVIIIWT and FVIIIArg562Ala retained higher
activities as compared with the hemophilic mutant FVIII forms.
Fluorescence anisotropy experiments using fluorescein-modified FIXa
confirmed that all FVIII forms interacted with FIXa. However, the
presence of factor X yielded minimal increases in anisotropy observed
with the mutant factor VIII forms, consistent with their reduced
activity. These results show that residues within the 558-565 loop are
critical in modulating FIXa enzymatic activity but do not contribute
significantly to the affinity of FVIIIa for FIXa.

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