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Blood, 15 May 2006, Vol. 107, No. 10, pp. 3876-3882. Prepublished online as a Blood First Edition Paper on January 10, 2006; DOI 10.1182/blood-2005-07-3043. This Article Full Text (PDF) All Versions of this Article: 2005-07-3043v1 107/10/3876    most recent Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Rights and Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Sheehan, J. P Articles by Walke, E. N Search for Related Content PubMed PubMed Citation Articles by Sheehan, J. P Articles by Walke, E. N Social Bookmarking                   What's this?  Previous Article  |  Next Article  Submitted July 29, 2005 Accepted November 9, 2005 Depolymerized holothurian glycosaminoglycan and heparin inhibit the intrinsic tenase complex by a common antithrombin-independent mechanism John P Sheehan* and Erik N Walke Medicine/Hematology, University of Wisconsin-Madision, Madison, WI, USA * Corresponding author; email: jps{at}medicine.wisc.edu. Depolymerized holothurian glycosaminoglycan (DHG) is a fucosylated chrondroitin sulfate that possesses antithrombin-independent antithrombotic properties and inhibits factor X activation by the intrinsic tenase complex (factor IXa-factor VIIIa). The mechanism and molecular target for intrinsic tenase inhibition was determined, and compared to inhibition by low molecular weight heparin (LMWH). DHG inhibited factor X activation in a non-competitive manner (reduced Vmax(app)), with 50-fold higher apparent affinity than LMWH. DHG did not affect factor VIIIa half-life or chromogenic substrate cleavage by factor IXa-phospholipid, but reduced the affinity of factor IXa for factor VIIIa. DHG competed factor IXa binding to immobilized LMWH with an EC50 35-fold lower than soluble LWMH. Analysis of intrinsic tenase inhibition employing factor IXa with mutations in the heparin-binding exosite demonstrated that relative affinity (KI) for DHG was: wild type>K241A>H92A>R170A>>R233A, with partial rather than complete inhibition of the mutants. This rank order for DHG potency correlated with the effect of these mutations on factor IXa-LMWH affinity, and the potency of LMWH for intrinsic tenase. DHG also accelerated decay of the intact intrinsic tenase complex. Thus, DHG binds to an exosite on factor IXa that overlaps with the binding sites for LMWH and factor VIIIa, disrupting critical factor IXa-factor VIIIa interactions. CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this? This article has been cited by other articles: Y. Buyue and J. P. Sheehan Fucosylated chondroitin sulfate inhibits plasma thrombin generation via targeting of the factor IXa heparin-binding exosite Blood, October 1, 2009; 114(14): 3092 - 3100. [Abstract] [Full Text] [PDF] Y. Buyue, H. C. Whinna, and J. P. Sheehan The heparin-binding exosite of factor IXa is a critical regulator of plasma thrombin generation and venous thrombosis Blood, October 15, 2008; 112(8): 3234 - 3241. [Abstract] [Full Text] [PDF]

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