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Blood, 15 July 2004, Vol. 104, No. 2, pp. 415-419. Prepublished online as a Blood First Edition Paper on March 23, 2004; DOI 10.1182/blood-2004-02-0478.
Submitted February 9, 2004
Department of Medicine, Department of Biochemistry and Molecular Biophysics, and Howard Hughes Medical Institute, Washington University School of Medicine, St. Louis, MO, USA * Corresponding author; email: esadler{at}im.wustl.edu.
Mutations in human prothrombin that generate a stable form of meizothrombin or meizothrombin(desF1) cause dysprothrombinemia in both the homozygous and heterozygous state, suggesting that meizothrombin has dominant anticoagulant effects in vivo. The enzymatic characterization of recombinant mouse meizothrombin, meizothrombin(desF1), and thrombin indicates that all three enzymes have similar activity toward the chromogenic substrate S-2238, that meizothrombin and meizothrombin(desF1) have <10% of the fibrinogen clotting activity of thrombin, and that meizothrombin is more active than thrombin or meizothrombin(desF1) for thrombomodulin-dependent protein C activation. Thus, activated mouse prothrombin R157A/R268A is similar to human meizothrombin in activity toward S-2238, fibrinogen, and protein C. The time-to-occlusion after FeCl3 induced carotid artery injury was delayed (11.8 ± 3.6 min, n = 5) in Cf2+/- mice infused with prothrombin R157A/R268A compared to control mice infused with wild-type prothrombin (5.3 ± 1.5 min, n = 3, P = 0.006). In this model, prothrombin R157A/R268A has anticoagulant activity that reflects its decreased fibrinogen clotting activity and preserved protein C activating activity, and is consistent with dominant inhibition of fibrinogen clotting.
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