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Blood, 15 June 2007, Vol. 109, No. 12, pp. 5286-5292.
Prepublished online as a Blood First Edition Paper on February 22, 2007; DOI 10.1182/blood-2007-01-065185.
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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
The effect of a single nucleotide polymorphism on human 2-antiplasmin activity
Victoria J. Christiansen1,
Kenneth W. Jackson1,
Kyung N. Lee1, and
Patrick A. McKee1
1 William K. Warren Medical Research Center and Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City
The primary inhibitor of plasmin, 2-antiplasmin ( 2AP), is secreted by the liver into plasma with Met as the amino-terminus. During circulation, Met- 2AP is cleaved by antiplasmin-cleaving enzyme (APCE), yielding Asn- 2AP, which is crosslinked into fibrin approximately 13 times faster than Met- 2AP. The Met- 2AP gene codes for either Arg or Trp as the sixth amino acid, with both polymorphic forms found in human plasma samples. We determined the Arg6Trp genotype frequency in a healthy population and its effects on Met- 2AP cleavage and fibrinolysis. Genotype frequencies were RR 62.5%, RW 34.0%, and WW 3.5%. The polymorphism related to the percentage of Met- 2AP in plasma was WW (56.4%), RW (40.6%), and RR (23.6%). WW plasma tended to have shorter lysis times than RR and RW plasmas. APCE cleaved purified Met- 2AP(Arg6) approximately 8-fold faster than Met- 2AP(Trp6), which is reflected in Asn- 2AP/Met- 2AP ratios with time in RR, RW, and WW plasmas. Removal of APCE from plasma abrogated cleavage of Met- 2AP. We conclude that the Arg6Trp polymorphism is functionally significant, as it clearly affects conversion of Met- 2AP to Asn- 2AP, and thereby, the rate of 2AP incorporation into fibrin. Therefore, the Arg6Trp polymorphism may play a significant role in governing the long-term deposition/removal of intravascular fibrin.

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