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Prepublished online as a Blood First Edition Paper on October 10, 2002; DOI 10.1182/blood-2002-08-2353.

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Submitted August 1, 2002
Accepted September 19, 2002

Deletion or replacement of the second EGF-like domain of protein S results in loss of APC cofactor activity

Blandine Mille-Baker, Suely M Rezende, Rachel E Simmonds, David A Lane, and Michael A Laffan*

Department of Haematology, Imperial College, Hammersmith Hospital, London, United Kingdom

* Corresponding author; email: m.laffan{at}ic.ac.uk.

Human protein S (PS), a cofactor of anticoagulant activated protein C (APC), is a modular protein containing four EGF-like domains. EGF1 appears to mediate PS interaction with APC but the roles of EGF's 2,3&4 are less clear. We synthesized PS variants lacking single EGF domains (EGF2, 3 or 4) and assessed their APC cofactor activity in a factor Va inactivation assay. The variant lacking EGF2 (variant 134) showed the most dramatic loss of activity (~10% of recombinant wild type PS (wtPS) activity). Replacement of EGF2 by an additional EGF3 (variant 1334) resulted in a comparable loss of activity, suggesting that the loss of a specific rather than a 'spacer' function of EGF2 was responsible. We confirmed that the variant 134 had a functional Gla-domain and that EGF1 was correctly folded. This is the first clear evidence that EGF2 is required for the expression of PS activity.


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