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Probing the interface between factor Xa and tissue factorin the quaternary complex tissue factor–factor VIIa–factor Xa–tissue factor pathway inhibitor Karin Carlsson1, Per-Ola Freskga˚rd

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Probing the interface between factor Xa and tissue factor

in the quaternary complex tissue factor–factor VIIa–factor Xa–tissue factor pathway inhibitor

Karin Carlsson1, Per-Ola Freskga˚rd2,*, Egon Persson3, Uno Carlsson1and Magdalena Svensson1

1

IFM-Department of Chemistry, Linko¨ping University, Linko¨ping, Sweden;2Protein Biotechnology, Novo Nordisk A/S,

Novo Alle´, Bagsværd, Denmark;3Haemostasis Biology, Novo Nordisk A/S, Novo Nordisk Park, Ma˚løv, Denmark

Blood coagulation is triggered by the formation of a complex

between factor VIIa (FVIIa) and its cofactor, tissue factor

(TF) TF–FVIIa is inhibited by tissue factor pathway

inhibitor (TFPI) in two steps: first TFPI is bound to the

active site of factor Xa (FXa), and subsequently FXa–TFPI

exerts feedback inhibition of TF–FVIIa The

FXa-depend-ent inhibition of TF–FVIIa activity by TFPI leads to

for-mation of the quaternary complex TF–FVIIa–FXa–TFPI

We used site-directed fluorescence probing to map part of

the region of soluble TF (sTF) that interacts with FXa

in sTF–FVIIa–FXa–TFPI We found that the C-terminal

region of sTF, including positions 163, 166, 200 and 201, is

involved in binding to FXa in the complex, and FXa, most

likely via its Gla domain, is also in contact with the Gla domain of FVIIa in this part of the binding region Fur-thermore, a region that includes the N-terminal part of the TF2 domain and the C-terminal part of the TF1 domain, i.e the residues 104 and 197, participates in the interaction with FXa in the quaternary complex Moreover, comparisons of the interaction areas between sTF and FX(a) in the quater-nary complex sTF–FVIIa–FXa–TFPI and in the terquater-nary complexes sTF–FVII–FXa or sTF–FVIIa–FX demonstra-ted large similarities

Keywords: fluorescence; local probing; protein–protein interactions; site-directed labeling

Complex formation between factor VIIa (FVIIa) and its

cofactor tissue factor (TF) triggers blood coagulation The

TF–FVIIa complex activates factor X (FX) to factor Xa

(FXa) and factor IX (FIX) to factor IXa (FIXa), which

both contribute to the formation of thrombin and

ulti-mately a fibrin clot Tissue factor pathway inhibitor (TFPI)

is the prominent physiological inhibitor of the TF–FVIIa

complex [1] It is a plasma proteinase inhibitor composed of

three Kunitz-type domains [2] TFPI inhibits TF–FVIIa in

two steps: first, binding occurs between the second Kunitz

domain of TFPI and the active site of FXa; thereafter, the first Kunitz domain of TFPI binds to TF-bound FVIIa, and FXa–TFPI thereby causes feedback inhibition

of TF–FVIIa FXa-mediated TFPI-induced inhibition of TF–FVIIa catalytic activity results in formation of the stable quaternary complex TF–FVIIa–FXa–TFPI [3] In addition to down-regulating the procoagulant function of TF–FVIIa, the TF–FVIIa–FXa–TFPI complex is also crucial for the cell-surface redistribution of inhibited TF–FVIIa complexes into caveolae [4], and the rate of internalization of TF–FVIIa is increased in some cell types when part of the quaternary complex with FXa–TFPI [5] The role of the third Kunitz domain of TFPI is not yet fully understood, although it is known that TFPI(1–161) lacking this region can inhibit TF–FVIIa in complex with FXa [6] According to the X-ray crystallographic structure, FVIIa binds to the extracellular domain of TF in an extended conformation comprising contacts all the way from the lower part of the protease domain of FVIIa and the N-terminal domain of TF to the c-carboxyglutamic acid (Gla)-rich FVIIa module and the C-terminal part of TF [7] Several attempts have been made using mutagenesis com-bined with functional studies to map ternary complexes that include TF–FVIIa/FVII and FX/FXa The results of such investigations have suggested that an extended region of TF–FVIIa is involved in recognition of the macromolecular substrate FX In addition to the catalytic cleft of the enzyme, the Gla domain of FVIIa has been implicated as an essential component in the activation of FX by TF–FVIIa, through either direct or indirect interaction [8–10] It has also been proposed that an extensive area of the C-terminal domain of TF is involved in substrate recognition

Correspondence to U Carlsson, IFM-Department of Chemistry,

Linko¨ping University, SE-581 83 Linko¨ping, Sweden.

Fax: + 46 13281399, Tel.: + 46 13281714,

E-mail: ucn@ifm.liu.se or M Svensson, IFM-Department of

Chemistry, Linko¨ping University, SE-581 83 Linko¨ping, Sweden.

Fax: + 46 13281399, Tel.: + 46 13285686,

E-mail: msv@ifm.liu.se

Abbreviations: EGF1, first EGF-like domain; EGF2, second EGF-like

domain; FVII/FVIIa, factor VII/factor VIIa; FX/FXa, factor

X/factor Xa; Gla, c-carboxyglutamic acid; IAEDANS,

5-({[(2-iodo-acetyl)amino]ethyl}amino)naphthalene-1-sulfonic acid; PtdCho,

phosphatidylcholine; PtdSer, phosphatidylserine; PD, protease

domain; sTF, soluble tissue factor (1–219); TF, tissue factor;

TF1, N-terminal domain of TF; TF2, C-terminal domain of TF;

TFPI, tissue factor pathway inhibitor; TFPI(1–161),

TFPI lacking the third Kunitz domain.

*Present address: Nuevolution A/S, Rønnegade 8, Copenhagen,

Denmark.

(Received 7 February 2003, revised 15 April 2003,

accepted 17 April 2003)

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[8,9,11–16], and the same area has been found to be

important for interaction with FXa during FVII activation

[17] However, the interface between TF and FXa in the

quaternary complex TF–FVIIa–FXa–TFPI has not been

characterized as extensively as in the ternary complexes

Functional studies have identified only two residues in TF

(K165 and K166) as being important for inhibition of the

TF–FVIIa complex by FXa–TFPI [18] Moreover, research

has shown that the light chain of FXa facilitates the

interaction between FXa–TFPI and TF–FVIIa [19], and

that the Gla domain of FXa is essential for inhibition of

TF–FVIIa activity by FXa–TFPI [20] As a contact region

between TF and FXa has not yet been thoroughly

elucidated in TF–FVIIa–FXa–TFPI(1–161), we decided to

map the interface between soluble TF (sTF) and FXa in this

quaternary complex by introducing environmentally

sensi-tive probes into specific positions in sTF (Fig 1) These

positions were selected, according to the X-ray structure of

the sTF–FVIIa complex [7], not to be in direct contact with

FVIIa We produced a set of surface-exposed single-cysteine

mutants of sTF, and we then covalently attached fluorescent labels to the cysteine sulfhydryl groups The quaternary sTF–FVIIa–FXa–TFPI(1–161) complex was stabilized by adding phospholipid vesicles (phosphatidylcholine/phos-phatidylserine) to allow fluorescence measurements With this powerful technique, local changes in polarity can be monitored at a resolution of individual amino acid residues during the formation of the complex, making it possible to map the contact region between sTF and FXa in the quaternary complex sTF–FVIIa–FXa–TFPI(1–161) Materials and methods

Chemicals Phosphatidylcholine (PtdCho, 80%)/phosphatidylserine (PtdSer, 20%) were from Sigma (St Louis, MO, USA) and vesicles were prepared essentially as described by just omitting the TF apoprotein [21] The fluorescent label 5-({[(2-iodoacetyl)amino]ethyl}amino)naphthalene-1-sulfonic acid (1,5-IAEDANS) was purchased from Molecular Probes (Eugene, OR, USA) All other chemicals were of analytical grade

Proteins and labeling The QuikChange site-directed mutagenesis kit (Stratagene,

La Jolla, CA, USA) was used to mutate in sTF and mutants were expressed in Escherichia coli and purified using

Q Sepharose and FVIIa affinity chromatography as previously described [22] The protein concentrations were calculated from absorption measurements using

e280¼ 37440M )1Æcm)1 for all sTF variants, except for sTF(Y156C) where e280¼ 36160M )1Æcm)1was used [23] Light absorption measurements were performed on a Hitachi U-2000 spectrophotometer Fluorescence labeling

of the single cysteine mutants was carried out as previously described [22] The isolation of human recombinant FVIIa [24], recombinant TFPI(1–161) [25], and preparation of FVIIa affinity matrix [26] have been described Human FXa was purchased from Enzyme Research Laboratories (South Bend, IN, USA)

Characterization of the cofactor properties

of the sTF variants

An amidolytic activity assay using 1 mMS-2288 (Chromo-genix, Mo¨lndal, Sweden) was performed to determine the affinity of the sTF variants for FVIIa and their ability to stimulate FVIIa The activity of FVIIa was measured without and in the presence of various concentrations of sTF variant (2–320 nM) in 50 mMHepes, pH 7.4, contain-ing 0.1MNaCl, 5 mMCaCl2and 1 mgÆmL)1bovine serum albumin These measurements were performed twice The concentration of sTF variant required for half-maximal enhancement of FVIIa activity was used to calculate the apparent dissociation constant The maximal enhancement obtained with the sTF mutants was compared with that obtained with the wild-type cofactor and is hereafter referred to as the cofactor activity

The ability of the sTF variants to support FX activation

in the presence of a membrane surface (PtdCho/PtdSer

Fig 1 Structure of the sTF–FVIIa complex [7] sTF is displayed in

space filling and FVIIa in C-alpha ribbon The TF1 domain is in dark

grey and the TF2 domain in light grey The Gla domain of FVIIa is

shown in green; EGF1 in magenta; EGF2 in light blue; PD in dark

blue The sTF residues highlighted in red are located within the area of

interaction with FXa in the sTF–FVIIa–FXa–TFPI(1–161) complex

according to the fluorescence probing, whereas the two sTF residues in

yellow gave no significant fluorescence response upon FXa–TFPI(1–

161) binding.

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vesicles, total phospholipid concentration 5 lM) was studied

by mixing 0.1 nM FVIIa, 200 nM FX, and 200 nM sTF

variant in the buffer above After a 10-min incubation, FXa

generation was stopped by excess EDTA and quantified

by the addition of 0.5 mMS-2765 (Chromogenix, Mo¨lndal,

Sweden) Each measurement was duplicated

Fluorescence measurements

Fluorescence emission spectra were recorded on a Hitachi

F-4500 spectrophotometer with a thermostated cell

com-partment at a constant temperature of 23°C All

measure-ments were carried out using a 0.5-cm quartz cell and the

slits were set to 5 nm for both excitation and emission

Fluorescence emission spectra for the IAEDANS-labeled

protein were recorded in the wavelength region 400–600 nm

after excitation at 350 nm A spectrum was collected for

each labeled sTF-variant at a concentration of 0.3 lM

Another spectrum was recorded for a sample containing

FVIIa in a 1.5-fold molar excess over labeled sTF

TFPI(1)161) and FXa were incubated for 30 min in the

presence of 5 mMCaCl2, followed by the addition of sTF

and FVIIa A spectrum was recorded for this mixture with

the final concentrations of 0.3 lM sTF, 0.45 lM FVIIa,

0.45 lMFXa, and 2.25 lMTFPI(1–161)

All reaction mixtures contained 50 lM PtdCho/PtdSer

in 50 mMHepes, 0.15MNaCl, 5 mMCaCl2, pH 7.5, and

the samples were incubated for 30 min Each scan was

reproduced at least three times and the first derivative was

used to find the wavelength of the fluorescence emission

maximum

Results

We created eight sTF variants, each with one position

mutated to a cysteine We labeled the variants with the

fluorescent probe IAEDANS so that we could monitor the

binding of FXa by studying changes in the fluorescence

emission spectra upon AEDANS-sTF–FVIIa–FXa–

TFPI(1–161) complex formation In this study, we focused

on the Stokes’ shifts caused by alterations in the

environ-ment around the probe when it came in contact with the

surface of FXa Detection of such changes provides more

reliable results compared to detection of small changes in

fluorescence intensity, because the wavelength shifts of the

emission maximum do not depend on changes in

concen-trations The effects on sTF-dependent FVIIa activity and

activation of FX as a result of mutation and labeling of sTF

were also investigated

The ability of IAEDANS-labeled sTF variants

to support FVIIa activity

We performed a set of experiments to examine the impact

of mutation and labeling of sTF on FVIIa binding

and enhancement of FVIIa activity The ability of the

IAEDANS-labeled sTF variants to stimulate FVIIa

was assessed and the Kd values for FVIIa binding to

AEDANS-sTF were calculated (Table 1) These data show

that the AEDANS-sTF mutants maintained virtually

normal binding to FVIIa and normal cofactor activity

(Table 1)

Effects on fluorescence spectra upon FVIIa and TFPI(1–161) binding

We conducted a series of measurements to ascertain whether any fluorescence emission shifts accompanied FVIIa binding to AEDANS-sTF, that is, we examined possible changes in the environment surrounding the fluorescent probe as a result of AEDANS-sTF–FVIIa complex formation (Table 1) Three of the labeled sTF variants (Y156C, S163C and K201C) showed a change in emission spectra and in the rest of the mutants the probe was not significantly affected by the sTF–FVIIa complex formation

As the purpose of our study was to map the interaction between FXa and sTF in the quaternary sTF–FVIIa–FXa–TFPI(1–161) complex, we also investi-gated whether TFPI(1)161) contributed to the emission changes sensed by the probe after addition of the FXa– TFPI(1–161) complex to AEDANS-sTF–FVIIa In this control experiment, we used a concentration of TFPI(1– 161) that was 250 times higher than the IC50 value that Hamomoto et al [6] reported when using TFPI(1–161) to inhibit FVIIa bound to relipidated TF, which assured stoichiometric binding of TFPI(1–161) to AEDANS-sTF–FVIIa Comparison of the emission spectra of AEDANS-sTF–FVIIa with the corresponding spectra after addition of TFPI(1–161) alone demonstrated that the spectral shifts detected upon FXa–TFPI(1–161) binding to AEDANS-sTF–FVIIa did not originate from TFPI(1–161) (data not shown)

Effects on fluorescence spectra upon FXa binding

In the sTF–FVIIa complex, positions 156, 163 and 166 in sTF are adjacent to the Gla domain of FVIIa, and positions

200 and 201 are situated near EGF1 and the so-called hydrophobic stack, which is a linker between the Gla domain and EGF1 of FVIIa (Fig 1) All five of the mentioned residues are located in the TF2 domain [7] Three

of our mutants labeled in this region, sTF(S163C),

Table 1 Functional binding of IAEDANS-labeled sTF to FVIIa and fluorescence emission shifts causedby formation of the AEDANS-sTF– FVIIa complex The K d(app) for wt-sTF is 7 n M [37] The cofactor activity is set to 100% for wt-sTF.

sTF variant

K d(app)a

(n M )

Cofactor activity a

(%)

Dk Fmaxb

(nm) E99C 10.6 ± 0.6 90 ± 3 ) 1.5 ± 0.0 L104C 3.8 ± 0.5 98 ± 6 + 0.3 ± 0.1 Y156C 4.0 ± 0.2 105 ± 2 ) 4.4 ± 0.2 S163C 3.8 ± 0.7 112 ± 6 ) 8.7 ± 0.1 K166C 8.3 ± 0.4 112 ± 5 + 0.8 ± 0.3 T197C 7.1 ± 1.0 93 ± 4 ) 0.4 ± 0.5 R200C 5.0 ± 0.6 100 ± 1 ) 0.3 ± 0.6 K201C 8.9 ± 0.9 90 ± 3 ) 15.0 ± 0.2

a Calculated from amidolytic activity stimulation The standard error of the mean is given. b Dk Fmax ¼ k Fmax (AEDANS-sTF– FVIIa) – k Fmax (AEDANS-sTF) The calculated pooled standard deviations are also given.

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sTF(K166C), and sTF(R200C), displayed a blue shift of the

emission upon binding of FXa in the AEDANS-labeled

sTF–FVIIa–FXa–TFPI(1–161) complex (Fig 2; Table 2)

On the other hand, FXa binding to AEDANS-sTF(K201C)

resulted in a red shift of the spectrum, probably due to

interaction with a charged group in FXa The attached label

in position 156 did not sense any significant change in the

environment when FXa was associated with sTF in the

quaternary complex

Residues E99 and L104 are located in the TF1 domain,

and T197 is situated in the N-terminal portion of the TF2

domain, i.e close to the TF1 domain at the level of EGF1 in

FVIIa in the sTF–FVIIa complex (Fig 1) Binding of FXa

caused blue shifts in the fluorescence emission spectra of

AEDANS-sTF(L104C) and AEDANS-sTF(T197C) but

did not affect the emission spectrum of

AEDANS-sTF(E99C) upon formation of the quaternary complex

(Fig 2; Table 2)

Fig 2 Fluorescence emission spectra of the

IAEDANS-labeledsTF variants upon complex

formation In complex with FVIIa (grey line)

and when part of the AEDANS-sTF–FVIIa–

FXa–TFPI(1–161) complex (black line).

Representative spectra are shown.

Table 2 Fluorescence emission shifts occurring upon formation of the AEDANS-sTF–FVIIa–FXa–TFPI(1–161) complex andeffects of mutation andlabeling of sTF on sTF–FVIIa-catalyzedactivation of FX.

sTF variant Dk Fmaxa(nm)

FX activation rate (v mutant /v wt ) AEDANS-sTF b sTF b

E99C ) 0.8 ± 0.2 0.93 ± 0.03 0.90 ± 0.01 L104C ) 4.8 ± 0.3 0.86 ± 0.04 1.00 ± 0.07 Y156C ) 1.0 ± 0.2 0.11 ± 0.02 0.37 ± 0.04 S163C ) 3.4 ± 0.2 0.01 ± 0.00 0.01 ± 0.00 K166C ) 5.0 ± 0.5 0.03 ± 0.02 0.01 ± 0.01 T197C ) 5.6 ± 0.5 0.57 ± 0.05 0.66 ± 0.02 R200C ) 6.3 ± 0.6 0.32 ± 0.03 0.23 ± 0.00 K201C + 4.6 ± 0.2 0.13 ± 0.01 0.78 ± 0.04

a Dk Fmax ¼ k Fmax [AEDANS-sTF–FVIIa–FXa–TFPI(1–161)] –

k Fmax (AEDANS-sTF–FVIIa) The calculated pooled standard deviations are also given b The standard error of the mean is given.

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The ability of the sTF variants to support FX activation

We used a two-stage amidolytic assay to assess the ability of

the labeled and unlabeled sTF variants to support

FVIIa-catalyzed activation of FX In Table 2, the cofactor activity

of the individual sTF variants is expressed as a ratio between

the rates of FX activation with the mutated form of sTF and

wild-type sTF, respectively, bound to FVIIa Replacement

of the wild-type residue by Cys decreased the FX activation

rate for all of the studied positions in sTF except sTF(E99C)

and sTF(L104C) which retained normal cofactor activity

The effect on the FX activation rates as a result of

attachment of the fluorescent probe IAEDANS was also

monitored by comparing the data with the corresponding

values for the unlabeled sTF variant (Table 2) Linking

IAEDANS to sT F(R200C) resulted in a slight recovery of

FX activation ability, whereas labeling of sTF(Y156C) and

sTF(K201C) led to a significantly decreased ability to

stimulate activation of FX Labeling of the remaining

variants did not significantly affect the cofactor activity

The rates of FX activation with IAEDANS-labeled

sTF(Y156C), sTF(S163C), sTF(K166C), sTF(R200C), and

sTF(K201C) were markedly decreased (to 1–30% of the

activation induced by wild-type sTF; Table 2) Similar

results have been obtained by Kirchhofer et al [13] when

using mutants with primarily Ala substitutions to achieve

functional mapping of the sTF–FX interaction in the sTF–

FVIIa–FX ternary complex Compared with wild-type sTF,

AEDANS-sTF(E99C) and AEDANS-sTF(L104C) were

nearly as effective in activating FX, and sTF(T197C) was

somewhat less efficient (i.e it induced 57% of the activation

obtained with wild-type sTF; Table 2)

Discussion

Formation of the TF–FVIIa–FXa–TFPI complex is an

important event in the regulation of coagulation, because it

inhibits the function of TF–FVIIa The quaternary complex

mediates translocation of the inhibited TF–FVIIa complex

into caveolae [4], and, in some types of cells, the presence of

TFPI influences the rate of internalization and degradation

of TF–FVIIa [5] However, no crystallographic data have

been obtained on the large sTF–FVIIa–FXa–TFPI

com-plex From functional studies only limited results have been

published regarding the binding area between sTF and FXa

in this complex

Regarding the ternary sTF–FVIIa–FX complex other

investigators have performed functional analyses to

investi-gate the binding region between sTF and FX Kirchhofer

and coworkers [13] reported mutagenesis of surface-exposed

residues of sTF and the effect of the modified sTF–FVIIa

complex on FX activation In another study [17], these

authors also examined the interaction between FXa and

sTF–FVII in a similar way by observing the impact of

mutation in sTF on activation of FVII by FXa

The aim of the present work is to map in more detail the

interaction area between sTF and FXa in the quaternary

complex than previously carried out This will also allow a

comparison of the binding interface between sTF and FXa

in the quaternary and ternary complexes We applied a

site-directed fluorescence labeling approach that can determine

whether the labeled positions are involved in the interaction

between the proteins in the complex The main advantage of this experimental strategy is that it permits direct mapping

of the contact area; by comparison, in methods such as alanine scanning, structural effects caused by mutagenesis can affect the function without the mutation necessarily being located in the binding interface

We selected eight amino acid residues in sTF for individual cysteine replacement and used the cysteines as handles to which we attached the fluorescent probe IAEDANS The residues were chosen on the basis of X-ray data [7], which showed that they were not in direct contact with FVIIa in the sTF–FVIIa complex Accord-ingly, the AEDANS-sTF mutants retained virtually normal affinity for FVIIa (Table 1) For five of the mutants, essentially no change in emission spectra could be detected upon formation of the AEDANS-sTF–FVIIa complex (Table 1) However, three of the mutants, sTF(Y156C), sTF(S163C), and AEDANS-sTF(K201C), showed significantly altered emission spectra upon complex formation This means that the introduced fluorophore was affected by FVIIa association with sTF However, in this case it is unlikely that the probe is located

in the interaction area between FVIIa and sTF, as the binding strength between these two proteins was not decreased for the labeled variants (Table 1) In accordance with this, we have previously observed rather large changes

in Kdfor sTF–FVIIa complexes when containing AEDANS labels within the contact interface [27] Thus it is likely that the probes in positions 156, 163 and 201 are just pointing towards the border between sTF and FVIIa

Based on our fluorescence emission shift data, it can be seen that part of the C-terminal region of sTF (i.e positions

163, 166, 200 and 201) interacts with FXa in the sTF– FVIIa–FXa–TFPI(1–161) complex (Figs 1 and 2; Table 2) This agrees well with what Rao and Ruf [18] have suggested for position 166 in TF when part of the quaternary complex based on activity measurements Interestingly, the observed interaction pattern between sTF and FXa in the quaternary complex seems to be similar in this region to the one proposed for the ternary sTF–FVIIa–FX and sTF–FVII– FXa complexes based on the results of functional studies [11,13,17] Combining the fluorescence shifts of the AEDANS-sTF–FVIIa and AEDANS-sTF–FVIIa–FXa– TFPI(1–161) complexes (Tables 1 and 2) gives further information that indicates that FXa is in direct contact with

or is located very close to the border of the Gla domain of FVIIa around position 163 and the hydrophobic stack around position 201 This is implied because, according to the AEDANS-sTF–FVIIa data, the reporter group from these positions was pointing towards FVIIa, and association

of FXa gave rise to an additional spectral shift, thus both FVIIa and FXa should have been in contact with the fluorophore

Based on the structural similarity between FVIIa and FXa [28–30], as well as similar orientation of FVIIa and FXa relative to the membrane [7,31–33], it is plausible that the Gla domain of FXa is involved in binding to the C-terminal domain of sTF As we found that FXa is bound next to the Gla domain of FVIIa, it is highly likely that the Gla domains of FVIIa and FXa interact with each other in the quaternary complex Interestingly, previous reports indicate that the Gla domain of FVIIa/FVII also plays a

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role in recognition of FX/FXa in the ternary complexes

[8–10,34]

On the other hand, the fluorescent label linked to position

156 in the C-terminal part of sTF between positions 163 and

201 (Fig 1) was not affected by incorporation of FXa

into the AEDANS-sTF–FVIIa–FXa–TFPI(1)161)

com-plex Hence, FXa appears to be positioned some distance

from the FVIIa Gla domain, probably over the side chain of

Tyr156 in sTF, as indicated by substrate activation

meas-urements in this study (Table 2) Similar measmeas-urements on

the ternary sTF–FVIIa–FX and sTF–FVII–FXa complexes

indicate that this residue indeed is involved in the FX/FXa

contact area [13,17]

Residues E99, L104, and T197 are located very close to

each other in an area of the C-terminal part of the TF1

domain and the N-terminal portion of the TF2 domain

(Fig 1) Mutation and labeling of positions 99 and 104 had

little effect on the FX-activating ability of the

AEDANS-sTF–FVIIa complex Mutation and labeling of position 197

resulted in a somewhat lower rate of FX activation

(Table 2) In addition, when using AEDANS-sTF(E99C),

we found no significant change in emission upon formation

of the AEDANS-sTF–FVIIa–FXa–TFPI(1)161) complex,

indicating that position 99 in sTF is not involved in the

binding of FXa In contrast, for both

AEDANS-sTF(L104C) and AEDANS-sTF(T197C), formation of

the AEDANS-sTF–FVIIa–FXa–TFPI(1)161) complex

resulted in alterations in the environment of the probe,

detected as shifts in the emission spectra These shifts imply

that positions 104 and 197 are involved in binding to FXa in

the quaternary complex, although the two residues, in

particular 104, are not essential for activation of the

substrate FX FXa and FX seem to bind to sTF in a

similar way in the ternary sTF–FVII–FXa/FX complexes

[13,17,35] Provided that in this region FX in the ternary

complex does not bind differently than FXa in the

quaternary sTF–FVIIa–FXa–TFPI(1–161) complex the

results of our activity experiments and our direct

fluores-cence binding studies for position 104 are contradictory

This emphasizes the risk of arriving at definitive conclusions

concerning the binding interface between sTF and FXa

based solely on data provided by activity studies, especially

when the active site is located far from the site of mutation

Thus, we have demonstrated that the region of

inter-action between sTF and FXa in sTF–FVIIa–FXa–

TFPI(1)161) involves not only the C-terminal part of

sTF, but also an area in the N-terminal part of TF2 (around

position 197) and a region in the C-terminal part of TF1

(around position 104) (Fig 1) However, the entire

C-terminal part of TF1 is not involved in the FXa

interaction area, because position 99 does not participate

in the binding This region is found at the level of EGF1 of

FVIIa in the sTF–FVIIa complex However, in the

previ-ously mentioned studies by Kirchhofer et al [13,17], these

positions were not probed, hence they might also be

involved in the interaction region in the ternary complexes

sTF–FVII–FXa and sTF–FVIIa–FX

The structural analogy between FVIIa and FXa

(dis-cussed above) in combination with our fluorescence

meas-urement results suggests that, similar to the Gla domain,

EGF1 of FXa is involved in binding to sTF in the

quaternary sTF–FVIIa–FXa–TFPI(1–161) complex In this

context, it should be noted that also for the ternary TF–FVIIa–FX complex it has been demonstrated that FX interacts with T F using, in part, the EGF1 domain [36]

To conclude, we have described the interaction region between sTF and FXa in the quaternary complex, at the level of specific residues, and we have also shown major similarities regarding this interaction area in the quaternary and ternary complexes Increased knowledge about the interface between FX/FXa and TF in these complexes would facilitate the design of small molecules with anti-thrombotic effects In any case, potential contacts between sTF and FXa at the level of EGF2 and the PD of FVIIa in the sTF–FVIIa–FXa–TFPI(1–161) complex remain to be identified

Acknowledgements

This work was supported by the Swedish Research Council (MS, UC) and Magnus Bergvall Stiftelse (MS) We thank Helle Bak for technical assistance.

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