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Previous Article | Table of Contents | Next Article 
Blood, 1 January 2002, Vol. 99, No. 1, pp. 145-150
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Functional analysis of the C-terminal flanking sequence of
platelet glycoprotein Ib using canine-human chimeras
Yang Shen,
Jing-fei Dong,
Gabriel M. Romo,
Wendy Arceneaux,
Andrea Aprico,
Elizabeth E. Gardiner,
José A. López,
Michael C. Berndt, and
Robert K. Andrews
From the Hazel and Pip Appel Vascular Biology
Laboratory, Baker Medical Research Institute, Melbourne, Australia, and
the Departments of Medicine and of Molecular and Human Genetics, Baylor
College of Medicine and Veterans Affairs Medical Center, Houston, TX.
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Abstract |
Platelet glycoprotein Ib-IX-V (GPIb-IX-V) mediates adhesion to von
Willebrand factor (vWF) in (patho)physiological thrombus formation. vWF
binds the N-terminal 282 residues of GPIb , consisting of an
N-terminal flank (His1-Ile35), 7 leucine-rich repeats (Leu36-Ala200), a C-terminal flank (Phe201-Gly268), and a sulfated tyrosine sequence (Asp269-Glu282). By expressing canine-human chimeras of GPIb on
Chinese hamster ovary cells, binding sites for functional anti-GPIb antibodies to individual domains were previously mapped, and it was
shown that leucine-rich repeats 2 to 4 were required for optimal vWF
recognition under static or flow conditions. Using novel
canine-human chimeras dissecting the C-terminal flank, it is now
demonstrated that (1) Phe201-Glu225 contains the epitope for AP1, an
anti-GPIb monoclonal antibody that inhibits both ristocetin- and
botrocetin-dependent vWF binding; (2) VM16d, an antibody that
preferentially inhibits botrocetin-dependent vWF binding, recognizes
the sequence Val226-Gly268, surrounding Cys248, which forms a
disulfide-bond with Cys209; (3) vWF binding to chimeric GPIb is
comparable to wild-type in 2 chimeras in which the sixth leucine-rich
repeat was of the same species as the first disulfide loop
(Phe201-Cys248) of the C-terminal flank, suggesting an interaction
between these domains may be important for optimal vWF binding; and (4)
replacing the C-terminal flank second disulfide loop (Asp249-Gly268) in
human GPIb with the corresponding canine sequence enhanced vWF
binding under static and flow conditions, providing the first evidence
for a gain-of-function phenotype associated with the second loop of the
C-terminal flank.
(Blood. 2002;99:145-150)
© 2002 by The American Society of Hematology.
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Introduction |
The platelet membrane glycoprotein Ib-IX-V
(GPIb-IX-V) complex plays a central role in vascular biology. The
interaction of GPIb with its adhesive ligand, von Willebrand factor
(vWF), in the subendothelial matrix mediates platelet adhesion at high
shear in the hemostatic response to vessel wall injury.1,2
In thrombosis, pathologic shear stress induces binding of platelet
GPIb-IX-V to plasma vWF, initiating platelet aggregation.3
More recently, GPIb has been identified as a counter-receptor for
P-selectin expressed on activated endothelial cells4,5 and
for the leukocyte M 2 integrin, Mac-1.6 These
interactions potentially mediate platelet-endothelium or
platelet-leukocyte adhesion in thrombosis, inflammation, and
atherogenesis. GPIb-IX-V also constitutes a binding site, and a
substrate for, -thrombin.2 Recent evidence suggests
that GPIb acts as a cofactor for thrombin-dependent cleavage of the
7-transmembrane protease-activated receptor, PAR-1, on
platelets7 and that GPIb is itself a thrombin receptor following thrombin-dependent cleavage of GPV.8 Other
GPIb ligands factor XII and high-molecular-weight kininogen are
inhibitors of thrombin binding, and they down-regulate
thrombin-dependent platelet activation.9,10
All these ligands of GPIb vWF, P-selectin, Mac-1, thrombin, factor
XII, and high-molecular-weight kininogen recognize the N-terminal 282 residues of GPIb .2 The binding site for vWF comprises
elements from 4 structural regions of GPIb : the N-terminal flank
(His1-Ile35), 7 leucine-rich repeats (Leu36-Ala200), a C-terminal flank (Phe201-Gly268), and a sulfated tyrosine sequence
(Asp269-Glu282).2,11 Previous studies with the
metalloproteinase mocarhagin, which cleaves between Glu282 and Asp283
of GPIb , suggest that the vWF binding site is within residues 1 to
282.11 We have recently expressed on Chinese hamster ovary
(CHO) cells canine-human and human-canine chimeras of GPIb ,
corresponding to boundaries between these structural domains. Murine
monoclonal antibodies against the N-terminal domain of human GPIb
are species-specific and do not bind canine GPIb ; canine and human
amino acid sequences are only 65.2% identical in the region
His-1-Glu-282.12,13 The vWF activator, ristocetin,
induces binding of human vWF only to human GPIb , not to the canine
receptor.11,14 In contrast, the snake venom modulator,
botrocetin, does not discriminate between the 2 species, inducing the
binding of human vWF to human and canine
GPIb .11 Botrocetin-dependent vWF binding to all
the GPIb chimeras provided evidence that they retained a functional conformation. These combined studies allow detailed mapping of binding
sites for anti-GPIb monoclonal antibodies and vWF, and they suggest
leucine-rich repeats 2, 3, and 4 of GPIb are critical for vWF
binding to GPIb-IX-V induced by ristocetin or under hydrodynamic flow.11
The C-terminal flank domain (Phe201-Gly268) contains 2 loops by virtue
of disulfide bonds between Cys209-Cys248 and Cys211-Cys264. Several
lines of evidence implicate the C-terminal flank as a critical factor
in regulating vWF binding. Congenital gain-of-function mutations within
the GPIb gene (platelet-type von Willebrand disease) result in
single amino acid substitutions, Gly233 to valine or Met239 to valine,
within the first of the 2 disulfide loops comprising the C-terminal
flank domain.15-17 Mutation of Gly233 or Met239 to valine
in recombinant GPIb , in addition to the artificial mutation of
Asp235 or Lys237 to valine, also results in a gain-of-function
phenotype.18,19 In contrast, mutation of Ala238 to valine
results in partial loss of function.18 The anti-GPIb
monoclonal antibodies, AP1 and VM16d, which map into the C-terminal
flank, also inhibit vWF binding. AP1 blocks both ristocetin- and
botrocetin-induced binding and rolling of GPIb-IX-expressing cells on
vWF, whereas VM16d preferentially inhibits botrocetin-dependent binding11,20 but not ristocetin-dependent binding or
GPIb-IX-dependent rolling on vWF.21 In addition, both AP1
and VM16d inhibit Mac-1 binding to GPIb .6
In this study, we have analyzed a series of canine-human chimeras of
GPIb corresponding to the replacement of specific sequences involving the C-terminal flank. These chimeras, expressed on CHO cells,
enabled more precise mapping of binding sites for the functional anti-GPIb monoclonal antibodies AP1 and VM16d, and they allowed the
functional importance of each disulfide loop to be assessed regarding
vWF binding to GPIb . Combined results infer a possible interaction
between the sixth leucine-rich repeat and the first disulfide loop
(Phe201-Cys248), and they provide the novel observation that
alterations to the second loop (Asp249-Gly268) of the C-terminal flank
of GPIb result in enhanced vWF binding.
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Materials and methods |
Cell lines, antibodies, and reagents
Sodium iodide I 125 was purchased from Amersham (Castle
Hill, Australia). Ristocetin was purchased from Boehringer-Mannheim (Mannheim, Germany). Oligonucleotides (20-25 base pair [bp]) based on
canine or human cDNA sequences12,13 were obtained from
Beckman (Melbourne, Australia). Human factor VIII concentrate was a
gift of the Commonwealth Serum Laboratories (Melbourne, Australia). vWF
was purified from human factor VIII concentrate and radio-iodinated where appropriate using the chloramine T method, as previously described.22-24 CHO cells stably transfected with GPIb
and GPIX (CHO IX cells) were prepared as reported.25-27
Murine monoclonal antibodies AP123,28 and
VM16d,20,29 directed against the N-terminal vWF-binding
domain of GPIb , and WM23, directed against an epitope within the
extracellular macroglycopeptide region of GPIb , were purified as
described in detail elsewhere.23 Botrocetin was purified
as described elsewhere.11
Preparation of expression vectors for canine-human chimeras of
GPIb
Canine-human chimeras were generated using cDNA of
canine13 and human12 GPIb . The expression
vector consisting of the full-length GPIb cDNA inserted at an
EcoRI site of the plasmid pDX has been
described.25-27,30 The strategy for generating chimeric constructs involved polymerase chain reaction amplification of the
appropriate GPIb constructs using plaque-forming unit DNA polymerase
to avoid 3' T extension on the amplification products, blunt-end
ligation of the canine and human DNA at domain junctions, and
subcloning back into the human GPIb expression plasmid using appropriate restriction sites as previously described.11
Each construct was verified by sequencing.
Expression of canine-human chimeras in Chinese hamster ovary IX
cells
Canine-human GPIb expression vectors (1-3 µg) were stably
transfected into CHO IX cells using Lipofectamine (Gibco BRL, Gaithersburg, MD) by established methods.11,25-27 CHO
cells contain no endogenous GPIb , GPIb , GPIX, or GPV, but
cotransfection with GPIb and GPIX facilitates stable surface
expression of GPIb ; GPV is not necessary for functional GPIb
expression.27,30 Cells expressing surface GPIb were
selected using the anti-GPIb monoclonal antibody WM23 conjugated to
magnetic beads (Dynal, Oslo, Norway) according to the manufacturer's
instructions. WM23 has an epitope downstream of Glu28223
present in all the chimeras.
Binding of von Willebrand factor and monoclonal antibodies to
Chinese hamster ovary cells
CHO IX cells lacking GPIb or CHO /IX cells
cotransfected with wild-type human GPIb or canine-human chimeras of
GPIb were assessed for the ability to bind human vWF and monoclonal
antibodies against human GPIb using previously described
methods.11,25-27,30 Monoclonal antibody binding to
transfected CHO cells was analyzed using fluorescein
isothiocyanate-labeled secondary antibody and flow cytometry. Cells
were harvested by 10-minute treatment of cultures with EDTA (0.53 mM),
washed by centrifugation (10 minutes, 700g), and resuspended
in 0.01 M sodium phosphate, 0.15 M sodium chloride, pH 7.4, containing
0.1% (wt/vol) bovine serum albumin (BSA) (phosphate-buffered saline
[PBS]-BSA buffer). Cells were then incubated with monoclonal
antibodies (5 µg/mL) for 40 minutes at 22°C, washed twice,
incubated in the presence of fluorescein isothiocyanate-labeled rabbit
antimouse antibody for a further 40 minutes, washed, and resuspended in
PBS-BSA buffer. The geometric mean fluorescence of each sample was
analyzed using a FACScan flow cytometer (Becton Dickinson, San Jose,
CA), fitted with an argon-ion laser that stimulates at 488 nm and
records fluorescence above 530 nm, and Cellquest software (Becton Dickinson).
For measuring vWF binding, CHO IX cells or CHO IX cells
expressing wild-type GPIb or chimeras were first suspended in
PBS-BSA buffer to a final concentration of
5 × 106/mL. Cells were then incubated with purified
125I-labeled human vWF (1 µg/mL, final concentration) and
either ristocetin (0.1-2.0 mg/mL, final concentration) or botrocetin (0.1-10 µg/mL, final concentration). After 30 minutes at 22°C, cells were centrifuged through 20% (wt/vol) sucrose in PBS-BSA buffer
(4 minutes, 8750g), and label associated with the pellet was
counted in a -counter.11,27 Nonspecific binding was
measured in the absence of ristocetin or botrocetin in a parallel assay.
Binding of 125I-labeled monoclonal antibodies (1 µg/mL,
final concentration) to cells (5 × 106/mL) was carried
out using the same method as described for vWF binding. Nonspecific
binding was determined by including 100 µg/mL unlabeled antibody in a
parallel assay.
Adhesion of Chinese hamster ovary cells to von Willebrand factor
under flow
Cells in the flow chamber were visualized by phase-contrast
videomicroscopy and were analyzed by digital image processing as
previously described.11,21,31 Cells in PBS
(5 × 106/mL) were passed over a glass slide coated with
vWF (50 µg/mL) at a shear stress of 10 or 15 dynes/cm2.
The velocity of rolling cells was calculated by overlapping sequential
images snapped at 30 frames/s and determining the distance the cells
rolled during the time period of the snaps. Mean velocities were
determined from a minimum of 100 cells per experiment. The number of
rolling cells was calculated from a single field of view and counting
each cell that rolled on the vWF surface during a 4-minute flow period.
Three to 5 experimental runs were performed using different populations
of cells.
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Results |
Binding of monoclonal antibodies to GPIb chimeras on Chinese
hamster ovary cells
Previous studies have suggested the C-terminal flank region
(Phe201-Gly268) is important in regulating vWF binding because gain-of-function mutations in platelet-type von Willebrand disease occur within this sequence.17 In addition, 2 anti-GPIb
monoclonal antibodies, AP1 and VM16d, that mapped to this region
differentially inhibit vWF binding.11,21 The first series
of chimeras (Figure 1A) was designed to
complement 2 previously reported canine-human chimeras, C200 and C268,
and to further dissect the C-terminal flank domain of GPIb .
Sequences within the pair of disulfide loops formed by the
Cys209-Cys248 and Cys211-Cys264 disulfide bonds were incrementally made
canine in the chimeras C225 and C248 (Figure 1A). Additional chimeras
replaced human sequence with canine sequence solely within the entire
C-terminal flank (C201-268), the first disulfide loop (C201-248), or
the second loop (C249-268). Expression vectors for all these chimeras
of GPIb were prepared from human and canine cDNA using a blunt-end ligation method to facilitate replacement of structural domains at
precise boundaries (Figure 1A). The constructs were stably transfected
into CHO IX cells (CHO IX cells were stably transfected with
GPIb and GPIX to facilitate GPIb expression).

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| Figure 1.
Binding of monoclonal antibodies to canine-human
chimeras of GPIb .
(A) Canine-human chimeras of GPIb , where residue numbers correspond
to amino acid sequences of human12 and canine13
GPIb . Canine sequence is represented in black. Chimeras C200 and
C268 have been reported previously.11 (B) Binding of
anti-GPIb monoclonal antibodies to CHO cells expressing wild-type
GPIb or the chimeras indicated, as assessed by flow cytometry. ,
no binding; (+) approximately 50% maximal binding; +, maximal
binding.
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Epitopes for AP1 and VM16d were evaluated by flow cytometry of
wild-type GPIb - or chimeric GPIb -expressing CHO IX cells (Figure 1B). For each population of cells, binding of AP1 or VM16d was
compared with binding of WM23, a monoclonal antibody whose epitope is
downstream of Glu-28220,23 and is, therefore, present on
all the chimeras (Figure 1).11 WM23 bound to cells
expressing wild-type human GPIb and all the chimeras, but not to CHO
IX cells, which lack GPIb (data not shown). A
conformation-dependent monoclonal antibody, AK2, with an epitope in the
first leucine-rich repeat,11 bound to all the chimeras in
which this domain contained human sequence (Figure 1B). Like wild-type
human and canine GPIb , all the chimeras bound vWF in the presence of
the modulator botrocetin (see next section). Together, these
results suggested the chimeric receptors were expressed in a functional
form, without gross disruption of the conformation of their N-terminal
domains.11
As the human GPIb sequence was incrementally replaced by the canine
sequence from the N-terminus, AP1 bound to C200 (canine sequence from
the N-terminus up to 200, human sequence from 201 on) but not to C225
(Figure 1B). AP1 also bound to the C249-268 chimera, but not to the
C201-268 or the C201-248 chimera, which contained canine
sequence within the entire C-terminal flank or first disulfide loop
(Phe201-Cys248), respectively. The epitope for AP1 was, therefore,
localized to the sequence Phe201-Glu225 because AP1 bound to all the
chimeras in which this sequence was human, but to none of the chimeras
in which this sequence was canine.
The VM16d epitope included elements from the sequence either side of
Cys248, within Asn226-Gly268. VM16d bound to C200 and C225, but not to
C268 (Figure 1B). However, there was partial binding to C248.
Similarly, there was partial binding to C201-248 and C249-268, but no
binding to C201-268. To confirm this partial reactivity of VM16d to
C248, C201-248, and C249-268 observed by flow cytometry, binding of
VM16d to these chimeras was also assessed using
125I-labeled VM16d (Figure
2). Specific binding of
125I-labeled VM16d was consistent with the flow cytometry
results shown in Figure 1B.

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| Figure 2.
Binding of VM16d to GPIb chimeras.
Specific binding of 125I-labeled anti-GPIb monoclonal
antibody, VM16d (1 µg/mL), to CHO IX cells
(5 × 106/mL) co-expressing wild-type human GPIb , or
canine-human chimeras of GPIb for 30 minutes at 22°C. Binding is
expressed relative to specific binding of 125I-labeled WM23
for each cell line, to account for any differences in expression of
GPIb between different populations of cells. Specific binding for
each antibody was calculated by subtracting nonspecific binding
measured in the presence of 100 µg/mL unlabeled antibody in a
parallel assay. Error bars, ± SEM (n = 2).
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Binding of von Willebrand factor to canine-human chimeras of
GPIb on Chinese hamster ovary cells
Previous analysis of recombinant GPIb expressed on mammalian
cells11,18,19 and mapping of functional anti-GPIb
antibodies such as AP1 and VM16d (refer to preceding section)
has pointed to a role for the C-terminal flank region of GPIb in
regulating vWF binding. We assessed vWF binding to the canine-human
chimeras involving replacement of human with canine sequence of the
entire C-terminal flank (C201-268) or the first (C201-248) or second (C249-268) disulfide loops (Figure 3A).
These new chimeras were compared with a series of complementary
human-canine chimeras, H104, H128, H152, and H176 (incremental
restoration of human sequence from canine sequence) reported
previously.11

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| Figure 3.
Functional analysis of human-canine and
canine-human chimeras of GPIb .
(A) Human-canine and canine-human chimeras of GPIb , where residue
numbers correspond to amino acid sequences of human12 and
canine13 GPIb . Canine sequence is represented in black.
Chimeras H104, H128, H152, and H176 have been described
previously.11 (B) Ristocetin-dependent vWF binding to
GPIb chimeras. Specific binding of 125I-labeled vWF (1 µg/mL) in the presence of ristocetin (1 mg/mL) to CHO IX cells
(5 × 106/mL) co-expressing wild-type human GPIb ,
canine GPIb , or canine-human chimeras of GPIb for 30 minutes at
22°C. Binding is expressed relative to specific binding of
125I-labeled vWF to each cell line in the presence of
botrocetin (2.5 µg/mL) in parallel assays.11 Specific
binding was calculated from total binding by subtracting nonspecific
binding measured in the absence of modulator in parallel assays. Error
bars, ± SEM (n = 3). (C) Adhesion of GPIb chimera-expressing CHO
cells to vWF under flow. Grades are defined as follows: +, 1% to 10%
of cells; ++, 11% to 79% of cells; +++, more than 80% of cells.
(Rolling velocities are ± SEM.)
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Consistent with our earlier results showing leucine-rich repeats 2 to 4 were required for ristocetin-dependent vWF binding,11 all
chimeras that contained human sequence within repeats 2 to 4, but not
H104, which contained human sequence only to the end of the third
repeat, exhibited vWF binding in the presence of ristocetin (Figure
3B). As expected, all chimeras bound vWF in the presence of botrocetin
because botrocetin does not discriminate between vWF binding to human
or canine GPIb .11 (Cell line, % specific binding:
 IX, 100%; H104, 52% ± 3; H128, 84% ± 4; H152,
71% ± 4; H176, 34% ± 9; C201-C268, 95% ± 3; C201-C248,
126% ± 6; C249-C268, 169% ± 6). We previously showed
that botrocetin-dependent binding of vWF correlates, at least within a
factor of 2, with levels of binding of WM23, an anti-GPIb monoclonal
antibody with an epitope downstream of Glu282 and present in all the
chimeras.11 Therefore, differences in botrocetin-induced
binding to different populations of cells presumably reflect variations
in levels of GPIb surface expression. For this reason, we have shown
levels of ristocetin-dependent binding of vWF relative to
botrocetin-dependent binding in Figure 3B. Like H104, there was also no
ristocetin-dependent vWF binding to chimeras C225 or C248 that lacked
human repeats 2 to 4 (data not shown), consistent with lack of binding
to C200 or C268.11
Ristocetin-dependent vWF binding to the new chimeras, C201-268 and
C201-248, containing canine sequence in the entire C-terminal flank or
its first disulfide loop, respectively, was less than binding to
wild-type GPIb and comparable to binding to H128 and H176 (Figure
3B). However, one of the chimeras (C249-268), containing canine
sequence only in the second disulfide loop (Asp249-Gly268) of the
C-terminal flank, bound vWF in the presence of ristocetin to an even
greater extent than wild-type GPIb (Figure 3B). In fact, binding of
vWF to chimeric GPIb -expressing cells was comparable to binding to
wild-type GPIb only when the sixth leucine-rich repeat and the first
loop of the C-terminal flank (Phe201-Cys248) is of the same
species that is, either both human (wild-type or C249-268) or both
canine (H152) (Figure 3B). This implies the possibility of an
interaction between sequences within the sixth leucine-rich repeat and
Phe201-Cys248.
Because C249-268 bound vWF to a greater extent than wild-type receptor
(Figure 3B), we tested vWF binding to this chimera over a range of
ristocetin concentrations. Binding was found to be consistently
enhanced (Figure 4A). In contrast,
botrocetin-dependent vWF binding to C249-268 was comparable to
wild-type GPIb at all botrocetin concentrations tested (Figure 4B).
This suggested the C249-268 chimera was a gain-of-function receptor, a
result confirmed by measuring adhesion of this cell line to vWF under
flow conditions in the absence of modulators.

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| Figure 4.
Effect of ristocetin or botrocetin concentration on vWF
binding to GPIb .
Specific binding of 125I-labeled vWF (1 µg/mL) to CHO
IX cells (106/mL) expressing wild-type human GPIb or
the C249-268 chimera in the presence of ristocetin (A) or botrocetin
(B) at the concentrations indicated for 30 minutes at 22°C. Specific
binding was calculated from total binding by subtracting nonspecific
binding measured in the absence of modulator in parallel assays.
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Adhesion of Chinese hamster ovary cells to von Willebrand factor
under flow
Under flow conditions in the absence of modulators, cells
expressing C249-268, containing canine sequence only in the second disulfide loop of the C-terminal flank, rolled significantly more slowly on a vWF-coated surface than cells expressing wild-type GPIb
(Figure 5). This effect was observed at
shear stress of 5 and 10 dynes/cm2 and was consistent with
the gain-of-function found for ristocetin-dependent binding under
static conditions described above. The interactions of other relevant
chimera-expressing cells with vWF under flow are summarized in Figure
3C. Compared with cells expressing wild-type GPIb , only C249-268 and
the previously described chimera, H152, containing human sequence to
the end of the fifth repeat,11 rolled on vWF.

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| Figure 5.
Binding of chimera-expressing CHO cells to vWF under
flow.
Binding of CHO IX cells expressing wild-type GPIb or CHO IX
cells expressing the C249-268 chimera of GPIb . Mean rolling velocity
was derived from images snapped at 30 frames/s during a 4-minute period
of perfusion at 5 or 10 dynes/cm2 over a glass surface
coated with 50 µg/mL vWF. Error bars, ± SEM.
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 |
Discussion |
The N-terminal 282 residues of glycoprotein Ib (GPIb )
of the platelet membrane GPIb-IX-V complex contain the binding domain for vWF and for other ligands such as P-selectin, Mac-1, -thrombin, factor XII, and high-molecular-weight kininogen.1-10 In
the current study, we have focused on the structure-function
relationships of the leucine-rich repeats and the C-terminal flank
domain of GPIb , regions previously implicated in regulating vWF
binding.2,11 Based on the species specificity of binding
of vWF and anti-GPIb monoclonal antibodies to human GPIb , we used
a series of canine-human chimeras involving the C-terminal flank to
examine vWF binding under static and flow conditions and to map
epitopes for 2 functional antibodies that recognize this region of the receptor.
Anti-GPIb monoclonal antibodies AP1 and VM16d were of
particular interest because of their functional effect on binding of vWF and other ligands. AP1 was mapped to the sequence Phe201-Glu225, within the first disulfide loop of the C-terminal flank of GPIb , because it specifically recognized chimeras in which this sequence was
human (C200, C249-268) but not in which it was canine (C225, C248,
C268, C201-268, C201-248). Previous studies showed that AP1 binding to
GPIb either was unaffected or was partially decreased (by 50% or
less compared with wild-type GPIb ) by mutagenesis of individual
residues between Gly233 and Met239.18 Unlike AP1, other
anti-GPIb monoclonal antibodies that completely inhibit ristocetin-dependent binding (AK2, Hip1, and 6D1) have epitopes within
the first 4 leucine-rich repeats.11 AP1 also inhibits botrocetin-dependent vWF binding to GPIb and rolling of
GPIb-IX-expressing cells on vWF.21
In contrast to AP1, VM16d only inhibits botrocetin-dependent, but
not ristocetin-dependent, binding of vWF to GPIb 12,20 or
rolling of GPIb-IX-expressing cells on vWF.21 The epitope for VM16d was apparently composed of elements on either side of Cys248
within the sequence Asn226-Gly268 because it bound to all chimeras
where this sequence was human but only to some (approximately 50% of
wild-type) where either Asn226-Cys248 or Asp249-Gly268 was canine
(C248, C201-248, C249-268). This result was confirmed by flow
cytometric analysis and by binding of radiolabeled VM16d to
chimera-expressing cells. There was no binding when Asn226-Cys248 and
Asp249-Gly268 sequences were canine (C268, C201-268). The partial
VM16d-binding sequence Asn226-Cys248 contains the congenital and
artificial gain-of-function, valine substitution mutations at Gly233,
Asp235, Lys237, and Met239 and the partial loss-of-function mutation,
Ala238 to valine.18 The other component of the
VM16d-binding site, Asp249-Gly268, constitutes the second disulfide
loop of the C-terminal flank, formed by the Cys211-Cys264 and
Cys209-Cys248 disulfide bridges.1 In studies of vWF
binding, this Asp249-Gly268 loop was also found to lead to a
gain-of-function when the human sequence was replaced by canine
sequence in GPIb (C249-268). Definition of the VM16d-binding site is
significant in that this antibody not only inhibits vWF binding in the
presence of botrocetin, it also inhibits the interaction of GPIb and
Mac-1.6 Other antibodies that strongly inhibit vWF binding
to GPIb do not inhibit Mac-1 binding. VM16d also inhibits
thrombin-dependent platelet aggregation.29
Extending previous studies of the vWF-GPIb
interaction,2,11,18,19 the current experiments provide
additional insight into the potential role of the C-terminal flank
region of GPIb in regulating vWF binding. One of the chimeras
(C249-268) containing canine sequence only in the second disulfide loop
(Asp249-Gly268) of the C-terminal flank bound vWF to a greater extent
than wild-type GPIb in the presence of ristocetin, and rolling of
the cells to vWF under flow conditions in the absence of modulators was slower than in cells expressing wild-type GPIb . These interactions are unlikely to have been affected by differences in the levels of
receptor expression on different cell lines because any variation in
expression levels on these cells (as assessed by WM23 binding) are well
above levels of receptor where the interaction of cells with vWF under
flow is significantly affected.21,31 These findings represent the first example where alterations to the second loop of the
C-terminal flank result in a gain-of-function. The difference between
human and canine sequences within Asp249-Gly268 include an alteration
to charged residues from human to canine sequence at Asp249Val,
Asp252Lys, Lys253Asn, Lys258Thr, and Gly263Asp that could account for
differences in function.
An interesting feature of these results, combined with those from our
earlier studies,11 is how the interaction with vWF under
flow is recovered as canine GPIb was incrementally made more human
from the N-terminus. There was recovery of function to the extent of
saltatory translocation of more than 90% of cells as human sequence
was restored to the end of the fourth leucine-rich repeat (H128).
Saltatory translocation occurs when cells jump along the direction of
flow, where there is an increased off-rate/on-rate for adhesion
compared with rolling cells.11,31 Restoring human sequence
to the end of the fifth repeat (H152) resulted in rolling at 126 ± 7
µm/s compared with 42 ± 1 µm/s for wild-type GPIb . However,
as even more human sequence is restored, to the end of the sixth repeat
(H176) there is decreased interaction, and less than 10% of cells
display saltatory translocation (Figure 3C).11 Rolling was
again observed when the receptor was made human to the end of the first
loop of the C-terminal flank (C249-268). These results parallel the
levels of ristocetin-dependent vWF binding to the chimeras, and they
support previous studies showing that ristocetin-dependent vWF binding
and adhesion to vWF under flow are comparable and distinct from
botrocetin-dependent vWF binding.21 The simplest
explanation for these results is that optimal binding of chimeric
GPIb -expressing cells to vWF, comparable to wild-type, only occurs
when the sixth leucine-rich repeat and the first loop of the C-terminal
flank (Phe201-Cys248) is of the same species, either both human
(wild-type or C249-268) or both canine (H152) (Figure 3C). Saltatory
translocation (or partial ristocetin-dependent binding), however, is
present when leucine-rich repeats 2 to 4 are human (H128, H176,
C201-248, C201-268), consistent with previous results.11
Together, these findings raise the possibility of an interaction
between sequences within the sixth leucine-rich repeat and
Phe201-Cys248, an interaction that could be disrupted when respective
sequences are cross-species. This may be an important consideration
underlying the gain-of-function or loss-of-function mutations within
the sequence spanning Gly233-Met239 within this first disulfide
loop.18 In support of this supposition, alanine
substitution point mutations of residues within the sixth leucine-rich
repeat affected the capacity of recombinant GPIb to support vWF
binding.32 Definitive evidence awaits structural determination of the leucine-rich repeat and the C-terminal flank domains of GPIb .
In conclusion, the current study has further defined the epitopes for 2 functionally important anti-GPIb monoclonal antibodies, AP1 and
VM16d, that inhibit interactions involving the platelet membrane
GPIb-IX-V complex and vWF, Mac-1, and thrombin. In addition, analysis
of canine-human chimeras of GPIb expressed on CHO cells provides
further evidence for a role of the C-terminal flank domain and of
leucine-rich repeats in regulating vWF binding under static or flow conditions.
 |
Footnotes |
Submitted May 29, 2001; accepted August 17, 2001.
Supported in part by the National Health and Medical Research Council
of Australia and the National Heart Foundation of Australia.
Y.S. and J.D. are co-first authors.
The publication costs of this
article were defrayed in part by
page charge payment. Therefore,
and solely to indicate this fact,
this article is hereby marked
"advertisement"
in accordance with 18 U.S.C.
section 1734.
Reprints: Robert K. Andrews, Baker Medical Research
Institute, PO Box 6492, St Kilda Rd Central, Melbourne 8008, Australia; e-mail: rkandrews{at}hotmail.com.
 |
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