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A Bezeaud, J Elion and MC Guillin
Laboratoire de Recherche sur l'Hemostase et la Thrombose, Faculte Xavier
Bichat, Paris, France.
The genetic variant prothrombin Salakta has been described in a patient
presenting with a normal level of prothrombin antigen but reduced
prothrombin activity. Initial studies indicated that factor Xa- catalyzed
cleavages proceed normally but lead to the production of a thrombin
molecule with an altered enzymatic activity. To characterize the functional
abnormality of thrombin Salakta more precisely, it was purified by
chromatography on heparin-Sepharose and diethylaminoethyl- Sephadex. The
purified variant does not differ from normal thrombin by size, as judged by
sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and is 93.1% +/-
7.6% active by titration with p- nitrophenyl-p'-guanidinobenzoate. Its
activity, however, is altered to various extents toward the following
substrates: H-D-phenylalanyl-L- pipecolyl-L-arginine paranitroanilide (S
2238), fibrinogen, factor V, protein C, and antithrombin III. The Michaelis
constant (Km) of thrombin Salakta for S 2238 is higher (12.2 +/- 3.3
mumol/L) than normal (2.8 +/- 0.7 mumol/L), whereas the turnover number
(Kcat) is normal (84.4 +/- 6.6 s-1 v 85.9 +/- 14.0 s-1 for normal
thrombin). The interaction of thrombin Salakta with benzamidine is also
altered as evidenced by an increased inhibition constant (Ki = 3.5 mmol/L v
0.28 mmol/L for normal thrombin). The inability of fibrinogen to act as a
competitor in the inactivation of thrombin Salakta by
diisopropylfluorophosphate clearly indicates that fibrinogen binding to the
fibrinopeptide groove is drastically impaired. In contrast, interactions
involving sites remote from the active site such as those with fibrin and
thrombomodulin are only slightly impaired. These results indicate that
thrombin Salakta exhibits a specific pattern of functional alterations
different from those reported for other variants. The structural defect
seems to affect essentially the primary substrate binding site and to a
lesser extent recognition site(s) remote from the catalytic site such as
those for fibrin and thrombomodulin.
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| Copyright © 1988 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||