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Blood, 15 September 2004, Vol. 104, No. 6, pp. 1753-1759. Prepublished online as a Blood First Edition Paper on June 3, 2004; DOI 10.1182/blood-2004-03-1092.
Submitted March 23, 2004
Biochemistry and Molecular Biology, St. Louis University Medical School, St. Louis, MO, USA * Corresponding author; email: rezaiear{at}slu.edu.
A unique pentasaccharide fragment of heparin can enhance the reactivity of antithrombin with coagulation proteases factors IXa and Xa by 300-600-fold through a conformational activation of the serpin, without having a significant effect on the reactivity of antithrombin with thrombin. In this study, it was hypothesized that differences in the structure of the autolysis loop of coagulation proteases (residues 143-154 in chymotrypsin numbering) may be responsible for their differential reactivity with the native and heparin activated antithrombin. To test this hypothesis, the autolysis loops of both thrombin and the anticoagulant serine protease activated protein C were replaced with the corresponding loop of factor Xa. Inhibition studies revealed that in contrast to around 1.5-fold difference in the reactivity of thrombin with antithrombin in the absence and presence of pentasaccharide, the difference in reactivity was increased to around 37-fold for the mutant thrombin. In the case of the activated protein C mutant, similar to factor Xa, pentasaccharide accelerated the reaction 375-fold. These results suggest that structural differences in the autolysis loop of coagulation proteases play a key role in their differential reactivity with the native and heparin activated conformations of antithrombin.
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