The effect of platelets in the activation of human blood coagulation factor
IX by factor XIa
H Soons, T Janssen-Claessen, HC Hemker and G Tans
We report here the effect of activated human platelets on the activation of
human factor IX by human factor XIa. Factor IXa formed during activation
was determined via its ability to activate bovine factor X. To increase
sensitivity, phospholipids and bovine factor VIIIa were present in the
assay. The kinetic parameters of the factor IX activation were determined
in the presence of 10 mmol/L CaCl2. The Km for factor IX was 0.30 mumol/L
and kcat was 2.4 s-1. Activated human platelets inhibited factor IX
activation by factor XIa in a dose- dependent manner, whereas unstimulated
platelets had no effect. Factor IX activation was inhibited for more than
90% at a platelet concentration of 4 X 10(8)/mL, whereas concentrations of
less than 10(6)/mL had no influence. The inhibitory effect could be induced
by thrombin, collagen, calcium ionophore A 23187, and adrenalin. The
appearance of inhibitory activity could be blocked by the addition of the
prostacyclin analogue ZK 36374 at any time during platelet activation.
Stirring during platelet activation was not necessary. These results
suggest that the inhibition is caused by a release reaction. This was
confirmed by centrifugation experiments that showed that the inhibitory
activity could be recovered from the supernatant of the activated
platelets. The inhibitory activity was destroyed upon boiling and was
susceptible to trypsin digestion. Passage of platelet supernatant over ACA
22 showed that the inhibitory activity eluted with an apparent molecular
weight of less than 1,200,000 but greater than 669,000. The inhibition of
factor XIa was reversible. These data suggest that platelets release an
antiprotease of factor XIa that reversibly inhibits factor XIa.
Lineweaver-Burk analysis showed that the inhibitor caused both an increase
in Km for factor IX and a decrease in kcat of factor IXa formation by
factor XIa.
Volume 68,
Issue 1,
pp. 140-148,
07/01/1986
Copyright © 1986 by The American Society of Hematology