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Blood, 15 February 2002, Vol. 99, No. 4, pp. 1215-1223
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
3-Dimensional structure of membrane-bound coagulation factor
VIII: modeling of the factor VIII heterodimer within a
3-dimensional density map derived by electron crystallography
Svetla Stoilova-McPhie,
Bruno O. Villoutreix,
Koen Mertens,
Geoffrey Kemball-Cook, and
Andreas Holzenburg
From the Burnham Institute, La Jolla, CA; INSERM U428,
University of Paris V, Paris, France; CLB, Sanquin Blood Supply
Foundation, Amsterdam, The Netherlands; Utrecht Institute of
Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands;
Haemostasis, MRC Clinical Sciences Centre, ICMS, Hammersmith Hospital,
London, United Kingdom; and Electron Microscopy Center, Department of
Biology and Department of Biochemistry and Biophysics, Texas A&M
University, College Station, TX.
Despite recent studies, the organization of coagulation factor VIII
(FVIII) on a phospholipid (PL) membrane is not known in detail. Thus,
2-dimensional (2D) crystals of human FVIII lacking the B domain were
prepared for electron microscopy onto negatively charged PL monolayers.
The 3-dimensional (3D) density map of the PL-bound FVIII protein was
calculated at 1.5 nm. Existing atomic data and models for FVIII domains
were fitted unambiguously within the 3D density map of the molecule.
FVIII domains arrangement followed a compact spiral organization with
the A3 domains in close association with the C1 and C2 domains near the
PL surface. Viewed toward the membrane the A domains' heterotrimer is
oriented side-on with the pseudo-3-fold axis almost parallel to the PL surface and A1 fully covering C1. The C2 domain is partially overlapped by the A2 domain of an adjacent molecule in the 2D crystal, favoring close packing. Viewed parallel to the membrane, C2 is slightly inclined
to the PL surface covering an area of 12 nm2. Four C2 loops
are embedded within the lipid monolayer at about 0.7 to 1.0 nm depth.
C1 forms almost a right angle with C2, its long axis nearly parallel to
the membrane. The proposed structure for membrane-bound FVIII results
from modeling of the FVIII domains within a 3D density map obtained
from electron crystallography and accords with the main biochemical and
structural information known to date. A model is proposed for FVIIIa
and factor IXa assembly within the membrane-bound factor X-activating complex.

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