By Increasing the Affinity of Heparin for Fibrin, Zn2+ Promotes the Formation of a Ternary Heparin鈥揟hrombin鈥揊ibrin Complex That Protects Thrombin from Inhibition by Antithrombin
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Heparin binds fibrin and, by bridging thrombin onto fibrin, promotes the formation of a ternary heparin鈥搕hrombin鈥揻ibrin complex that protects thrombin from inhibition by antithrombin. Because thrombin binds 纬A/纬鈥?fibrin, a variant with an extended 纬-chain, with higher affinity than the bulk 纬A/纬A-fibrin, 纬A/纬鈥?fibrin affords bound thrombin more protection from inhibition by antithrombin鈥揾eparin. We examined the effect of Zn2+ on heparin鈥搕hrombin鈥揻ibrin complex formation because Zn2+ modulates heparin鈥損rotein interactions. Zn2+ increased the affinity of heparin for 纬A/纬A- and 纬A/纬鈥?fibrin by 4.3- and 3.7-fold, respectively, but had no effect on the affinity of thrombin for either form of fibrin. In contrast, in the presence of heparin, Zn2+ increased the affinity of thrombin for 纬A/纬A-fibrin 4-fold (from a Kd value of 0.8 to 0.2 渭M) and slowed the rate of thrombin dissociation from 纬A/纬A-fibrin clots. These findings suggest that Zn2+ enhances the formation of ternary heparin鈥搕hrombin鈥揻ibrin complexes with 纬A/纬A-fibrin but does not influence the already high affinity interaction of thrombin with 纬A/纬鈥?fibrin. Consistent with this concept, in the presence of Zn2+, 纬A/纬A-fibrin protected thrombin from inhibition by antithrombin鈥揾eparin to a similar extent as 纬A/纬鈥?fibrin. Therefore, by enhancing the binding of heparin to fibrin, physiological concentrations of Zn2+ render fibrin-bound thrombin more protected from inhibition by antithrombin. Because fibrin-bound thrombin can trigger thrombus expansion, these findings help to explain why recurrent thrombosis can occur despite heparin treatment.
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