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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 {alpha}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, {alpha}2-antiplasmin ({alpha}2AP), is secreted by the liver into plasma with Met as the amino-terminus. During circulation, Met-{alpha}2AP is cleaved by antiplasmin-cleaving enzyme (APCE), yielding Asn-{alpha}2AP, which is crosslinked into fibrin approximately 13 times faster than Met-{alpha}2AP. The Met-{alpha}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-{alpha}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-{alpha}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-{alpha}2AP(Arg6) approximately 8-fold faster than Met-{alpha}2AP(Trp6), which is reflected in Asn-{alpha}2AP/Met-{alpha}2AP ratios with time in RR, RW, and WW plasmas. Removal of APCE from plasma abrogated cleavage of Met-{alpha}2AP. We conclude that the Arg6Trp polymorphism is functionally significant, as it clearly affects conversion of Met-{alpha}2AP to Asn-{alpha}2AP, and thereby, the rate of {alpha}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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R. H. P. Law, T. Sofian, W.-T. Kan, A. J. Horvath, C. R. Hitchen, C. G. Langendorf, A. M. Buckle, J. C. Whisstock, and P. B. Coughlin
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[Abstract] [Full Text] [PDF]



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