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Blood, 1 January 2005, Vol. 105, No. 1, pp. 122-130.
Prepublished online as a Blood First Edition Paper on August 12, 2004; DOI 10.1182/blood-2004-06-2176.


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Submitted June 9, 2004
Accepted July 22, 2004

The gamma-carboxyglutamic acid (Gla) domain of anticoagulant protein S is involved in activated protein C-cofactor activity, independently of phospholipid binding

Francois Saller, Bruno O Villoutreix, Aymeric Amelot, Tahar Kaabache, Bernard F Le Bonniec, Martine Aiach, Sophie Gandrille, and Delphine Borgel*

Faculte des Sciences Pharmaceutiques et Biologiques, IFR 71 'Sciences du Medicament', INSERM U428, Universite Paris V, Paris, France

* Corresponding author; email: borgel{at}pharmacie.univ-paris5.fr.

We expressed two chimeras between human protein S (PS) and human prothrombin (FII), in which the prothrombin Gla domain replaced the PS Gla domain in native PS (GlaFII-PS) or in PS deleted of the thrombin-sensitive region (TSR) (GlaFII-{Delta}TSR-PS). Both PS/FII chimeras had no APC-cofactor activity in plasma clotting assays or purified systems, but bound efficiently to phospholipids. This pointed to a direct involvement of the PS Gla domain in APC-cofactor activity, through molecular interaction with APC. Using computational methods, we identified two opposite faces of solvent-exposed residues on the PS Gla domain (designated Faces 1 and 2) as being potentially involved in this interaction. Their importance was supported by functional characterization of a PS mutant in which the Faces 1 and 2 PS residues were reintroduced into GlaFII-PS, leading to significant APC-cofactor activity, likely via restored interaction with APC. Furthermore, by characterizing PS mutants in which PS Face 1 and PS Face 2 were individually replaced by the corresponding prothrombin faces, we found that Face 1 was necessary for efficient phospholipid binding, while Face 2 residues were not strictly required for phospholipid binding but were involved in the interaction with APC.


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