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C1 inhibitor serpin domain structure reveals the likely mechanism of heparin potentiation and conformational disease.

Abstract
C1 inhibitor, a member of the serpin family, is a major down-regulator of inflammatory processes in blood. Genetic deficiency of C1 inhibitor results in hereditary angioedema, a dominantly inheritable, potentially lethal disease. Here we report the first crystal structure of the serpin domain of human C1 inhibitor, representing a previously unreported latent form, which explains functional consequences of several naturally occurring mutations, two of which are discussed in detail. The presented structure displays a novel conformation with a seven-stranded beta-sheet A. The unique conformation of the C-terminal six residues suggests its potential role as a barrier in the active-latent transition. On the basis of surface charge pattern, heparin affinity measurements, and docking of a heparin disaccharide, a heparin binding site is proposed in the contact area of the serpin-proteinase encounter complex. We show how polyanions change the activity of the C1 inhibitor by a novel "sandwich" mechanism, explaining earlier reaction kinetic and mutagenesis studies. These results may help to improve therapeutic C1 inhibitor preparations used in the treatment of hereditary angioedema, organ transplant rejection, and heart attack.
AuthorsLászló Beinrohr, Veronika Harmat, József Dobó, Zsolt Lörincz, Péter Gál, Péter Závodszky
JournalThe Journal of biological chemistry (J Biol Chem) Vol. 282 Issue 29 Pg. 21100-9 (Jul 20 2007) ISSN: 0021-9258 [Print] United States
PMID17488724 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anions
  • Complement C1 Inactivator Proteins
  • Complement C1 Inhibitor Protein
  • Recombinant Proteins
  • SERPING1 protein, human
  • Serpins
  • Heparin
Topics
  • Alleles
  • Angioedema (pathology, therapy)
  • Anions
  • Complement C1 Inactivator Proteins (chemistry)
  • Complement C1 Inhibitor Protein
  • Glycosylation
  • Heparin (chemistry)
  • Humans
  • Kinetics
  • Models, Molecular
  • Mutagenesis
  • Protein Conformation
  • Protein Structure, Secondary
  • Protein Structure, Tertiary
  • Recombinant Proteins (chemistry)
  • Serpins (chemistry)
  • Surface Properties

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