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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2001-12-0361.

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Submitted December 28, 2001
Accepted February 1, 2002

Mutations associated with hemophilia A in the 558-565 loop of the factor VIIIa A2 subunit alter the catalytic activity of the factor Xase complex

P. Vincent Jenkins, Jan Freas, Kyla M Schmidt, Qian Zhou, and Philip J Fay*

Biochemistry and Biophysics, P. O. Box 610, Rochester, NY, USA

* Corresponding author; email: philip_fay{at}urmc.rochester.edu.

The 558-565 loop region in the A2 subunit of Factor (F) VIIIa forms a direct interface with FIXa. We have expressed and purified B domainless FVIII (FVIIIWT) and B domainless FVIII containing the hemophilia A-associated mutations Ser558Phe, Val559Ala, Asp560Ala, Gln565Arg, and the activated protein C cleavage site mutant Arg562Ala. Titration of FVIIIa in FXa generation assays showed that the mutant and wild type proteins had similar functional affinities for FIXa (Kd values ~5-20 nM and ~100-250 nM in the presence of and absence of phospholipid, respectively). The catalytic activities of the factor Xase complex composed of the hemophilia A-associated FVIII species were markedly reduced both in the presence and absence of phospholipid. FVIIIWT and FVIIIR562A showed kcat values of approximately 60 min-1 in the presence of phospholipid, whereas the hemophilia A-associated mutants showed kcat values ranging from 3.3-7.5 min-1. In the absence of phospholipid all kcat values were reduced but FVIIIWT and FVIIIR562A retained higher activities as compared to the hemophilic mutant FVIII forms. Fluorescence anisotropy experiments using fluorescein-modified FIXa confirmed that all FVIII forms interacted with FIXa. However, the presence of factor X yielded minimal increases in anisotropy observed with the mutant factor VIII forms, consistent with their reduced activity. These results show that residues within the 558-565 loop are critical in modulating FIXa enzymatic activity but do not contribute significantly to the affinity of FVIIIa for FIXa.


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