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Blood, 1 January 2005, Vol. 105, No. 1, pp. 122-130.
Prepublished online as a Blood First Edition Paper on August 12, 2004; DOI 10.1182/blood-2004-06-2176.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

The {gamma}-carboxyglutamic acid domain of anticoagulant protein S is involved in activated protein C cofactor activity, independently of phospholipid binding

François Saller, Bruno O. Villoutreix, Aymeric Amelot, Tahar Kaabache, Bernard F. Le Bonniec, Martine Aiach, Sophie Gandrille, and Delphine Borgel

From the Institut National de la Santé et de la Recherche Médicale (INSERM) U428, Faculté des Sciences Pharmaceutiques et Biologiques, IFR 71 Sciences du Médicament, Université Paris V, France.

We expressed 2 chimeras between human protein S (PS) and human prothrombin (FII) in which the prothrombin {gamma}-carboxyglutamic acid (Gla) domain replaced the PS Gla domain in native PS (GlaFII-PS) or in PS deleted of the thrombin-sensitive region (TSR) (GlaFII-{Delta}TSR-PS). Neither PS/FII chimera had activated protein C (APC) cofactor activity in plasma clotting assays or purified systems, but both bound efficiently to phospholipids. This pointed to a direct involvement of the PS Gla domain in APC cofactor activity through molecular interaction with APC. Using computational methods, we identified 2 opposite faces of solvent-exposed residues on the PS Gla domain (designated faces 1 and 2) as potentially involved in this interaction. Their importance was supported by functional characterization of a PS mutant in which the face 1 and face 2 PS residues were reintroduced into GlaFII-PS, leading to significant APC cofactor activity, likely through restored interaction with APC. Furthermore, by characterizing PS mutants in which PS face 1 and PS face 2 were individually replaced by the corresponding prothrombin faces, we found that face 1 was necessary for efficient phospholipid binding but that face 2 residues were not strictly required for phospholipid binding and were involved in the interaction with APC.


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