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Intermolecular interactions and characterization of the novel factor Xa exosite involved in macromolecular recognition and inhibition: crystal structure of human Gla-domainless factor Xa complexed with the anticoagulant protein NAPc2 from the hematophagous nematode Ancylostoma caninum.

Abstract
NAPc2, an anticoagulant protein from the hematophagous nematode Ancylostoma caninum evaluated in phase-II/IIa clinical trials, inhibits the extrinsic blood coagulation pathway by a two step mechanism, initially interacting with the hitherto uncharacterized factor Xa exosite involved in macromolecular recognition and subsequently inhibiting factor VIIa (K(i)=8.4 pM) of the factor VIIa/tissue factor complex. NAPc2 is highly flexible, becoming partially ordered and undergoing significant structural changes in the C terminus upon binding to the factor Xa exosite. In the crystal structure of the ternary factor Xa/NAPc2/selectide complex, the binding interface consists of an intermolecular antiparallel beta-sheet formed by the segment of the polypeptide chain consisting of residues 74-80 of NAPc2 with the residues 86-93 of factor Xa that is additional maintained by contacts between the short helical segment (residues 67-73) and a turn (residues 26-29) of NAPc2 with the short C-terminal helix of factor Xa (residues 233-243). This exosite is physiologically highly relevant for the recognition and inhibition of factor X/Xa by macromolecular substrates and provides a structural motif for the development of a new class of inhibitors for the treatment of deep vein thrombosis and angioplasty.
AuthorsM T Murakami, J Rios-Steiner, S E Weaver, A Tulinsky, J H Geiger, R K Arni
JournalJournal of molecular biology (J Mol Biol) Vol. 366 Issue 2 Pg. 602-10 (Feb 16 2007) ISSN: 0022-2836 [Print] Netherlands
PMID17173931 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Anticoagulants
  • Helminth Proteins
  • anti-coagulant protein C2, Ancylostoma caninum
  • Thromboplastin
  • Factor VIIa
  • Factor Xa
Topics
  • Ancylostoma (chemistry)
  • Animals
  • Anticoagulants (pharmacology)
  • Binding Sites
  • Cattle
  • Factor VIIa (chemistry, metabolism)
  • Factor Xa (chemistry, metabolism)
  • Helminth Proteins (chemistry)
  • Humans
  • Models, Molecular
  • Molecular Sequence Data
  • Protein Binding
  • Protein Structure, Tertiary
  • Structure-Activity Relationship
  • Thromboplastin (chemistry, metabolism)

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