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Blood, 15 February 2008, Vol. 111, No. 4, pp. 1972-1979. Prepublished online as a Blood First Edition Paper on December 3, 2007; DOI 10.1182/blood-2007-06-097022.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY The sugar-binding ability of ERGIC-53 is enhanced by its interaction with MCFD21 Department of Integrated Biosciences, Graduate School of Frontier Sciences, University of Tokyo, Chiba; 2 RIKEN, Institute of Physical and Chemical Research, Saitama; and 3 CREST, JST, Saitama, Japan Combined deficiency of factors V and VIII (F5F8D) is a bleeding disorder caused by mutations in LMAN1 or MCFD2. LMAN1 encodes ERGIC-53, a cargo receptor with an L-type lectin domain, and MCFD2 is a EF-hand-containing protein. We prepared a biotinylated, soluble form of ERGIC-53, which we labeled with R-phycoerythrin conjugated streptavidin. By flow cytometry, sERGIC-53-SA bound to HeLaS3 cells in the presence of calcium but only after preincubation with MCFD2. Treating the cells with endo H or incubating them with high mannose-type oligosaccharides, especially M8B, abrogated sERGIC-53-SA binding. Surface plasmon resonance experiments demonstrated that MCFD2 specifically bound to sERGIC-53 and 2 MCFD2 mutants found in F5F8D patients had a Ka that was 3 or 4 orders of magnitude lower for sERGIC-53 than for wild-type MCFD2. The Ka of sERGIC-53 and MCFD2 was measured at several pH values and calcium concentrations, and we found that at a calcium concentration less than 0.2 mM, this interaction became significantly weaker. These results demonstrate that the binding of ERGIC-53 to sugar is enhanced by its interaction with MCFD2, and defects in this interaction in F5F8D patients may be the cause for reduced secretion of factors V and VIII.
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