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Blood, 16 April 2009, Vol. 113, No. 16, pp. 3857-3864. Prepublished online as a Blood First Edition Paper on February 2, 2009; DOI 10.1182/blood-2008-07-171884.
THROMBOSIS AND HEMOSTASIS Unique secretion mode of human protein Z: its Gla domain is responsible for inefficient, vitamin K–dependent and warfarin-sensitive secretion1 Department of Molecular Patho-Biochemistry and Patho-Biology of Blood Circulation, Yamagata University School of Medicine, Yamagata, Japan
Protein Z is a vitamin K–dependent plasma glycoprotein that is involved in the regulation of blood coagulation. Plasma concentrations of protein Z vary widely between subjects and are greatly reduced during warfarin therapy. We developed a sensitive and quantitative assay for protein secretion using a secretory luciferase to explore the mode of secretion of protein Z compared with that of factor X. Protein Z secretion was much less efficient than factor X and was totally dependent upon added vitamin K, while factor X secretion was not. Protein Z secretion was highly sensitive to warfarin treatment of the synthesizing cells. In contrast, although factor X secretion was not precluded by warfarin, its
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