| |
|
|
|
|
|
|
|||
|
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
From the Departments of Pathology and Medicine,
Vanderbilt University, Nashville, TN; the Sol Sherry Thrombosis
Research Center, Departments of Medicine and Biochemistry, Temple
University School of Medicine, Philadelphia, PA; and the Department of
Pediatrics, Duke University Medical Center, Durham, NC.
Variants of factor XI containing Gln226 to Arg (Q226 to R) and
Ser248 to Asn (S248 to N) substitutions were first identified in an
African American family with a history of excessive bleeding. The
substitutions have recently been identified in unrelated individuals, suggesting they are relatively common. Both amino acids are located in
the third apple domain of factor XI, an area implicated in binding
interactions with factor IX and activated platelets. Recombinant factor
XI-R226 and factor XI-N248 were compared with wild-type factor XI in
assays for factor IX activation or platelet binding. Factor XI-R226
activates factor IX with a Michaelis-Menten constant (Km) about 5-fold greater than wild-type
protein. The catalytic efficiency of factor IX activation is similar to
wild-type protein, however, due to an increase in the turnover number
(kcat) for the reaction. Iodinated factor
XI-N248 binds to activated platelets with a dissociation constant
(Kd) more than 5-fold higher than wild-type
protein (55 nM and 10 nM, respectively). Activation of factor XI-N248
by thrombin in the presence of activated platelets is slower and does
not progress to the same extent as activation of the wild-type protein
under similar conditions. Factor XI-N248 activates factor IX normally
in a purified protein system and has relatively normal activity in
activated partial thromboplastin time (aPTT) assays. Factor XI-N248 is
the first factor XI variant described with a clear functional
difference compared with wild-type protein. Importantly, the defect in
platelet binding would not be detected by routine clinical
evaluation with an aPTT assay. This article has been cited by other articles:
| ||||||||||
| Copyright © 2001 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||