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Engineering of a membrane-triggered activity switch in coagulation factor VIIa.


ABSTRACT: Recombinant factor VIIa (FVIIa) variants with increased activity offer the promise to improve the treatment of bleeding episodes in patients with inhibitor-complicated hemophilia. Here, an approach was adopted to enhance the activity of FVIIa by selectively optimizing substrate turnover at the membrane surface. Under physiological conditions, endogenous FVIIa engages its cell-localized cofactor tissue factor (TF), which stimulates activity through membrane-dependent substrate recognition and allosteric effects. To exploit these properties of TF, a covalent complex between FVIIa and the soluble ectodomain of TF (sTF) was engineered by introduction of a nonperturbing cystine bridge (FVIIa Q64C-sTF G109C) in the interface. Upon coexpression, FVIIa Q64C and sTF G109C spontaneously assembled into a covalent complex with functional properties similar to the noncovalent wild-type complex. Additional introduction of a FVIIa-M306D mutation to uncouple the sTF-mediated allosteric stimulation of FVIIa provided a final complex with FVIIa-like activity in solution, while exhibiting a two to three orders-of-magnitude increase in activity relative to FVIIa upon exposure to a procoagulant membrane. In a mouse model of hemophilia A, the complex normalized hemostasis upon vascular injury at a dose of 0.3 nmol/kg compared with 300 nmol/kg for FVIIa.

SUBMITTER: Nielsen AL 

PROVIDER: S-EPMC5703266 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Engineering of a membrane-triggered activity switch in coagulation factor VIIa.

Nielsen Anders L AL   Sorensen Anders B AB   Holmberg Heidi L HL   Gandhi Prafull S PS   Karlsson Johan J   Buchardt Jens J   Lamberth Kasper K   Kjelgaard-Hansen Mads M   Ley Carsten Dan CD   Sørensen Brit B BB   Ruf Wolfram W   Olsen Ole H OH   Østergaard Henrik H  

Proceedings of the National Academy of Sciences of the United States of America 20171106 47


Recombinant factor VIIa (FVIIa) variants with increased activity offer the promise to improve the treatment of bleeding episodes in patients with inhibitor-complicated hemophilia. Here, an approach was adopted to enhance the activity of FVIIa by selectively optimizing substrate turnover at the membrane surface. Under physiological conditions, endogenous FVIIa engages its cell-localized cofactor tissue factor (TF), which stimulates activity through membrane-dependent substrate recognition and all  ...[more]

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