PMID- 19232551 OWN - NLM STAT- MEDLINE DCOM- 20100225 LR - 20090911 IS - 1873-0183 (Electronic) IS - 1568-9972 (Linking) VI - 9 IP - 1 DP - 2009 Sep TI - Beta2-glycoprotein I and annexin A5 phospholipid interactions: artificial and cell membranes. PG - 5-10 LID - 10.1016/j.autrev.2009.02.025 [doi] AB - The aim of this report was an overview of beta2-glycoprotein I (beta2-GPI)- and annexin A5 (AnxA5)-phospholipid interactions including candidate beta2-GPI receptors, and their relevance to the investigation of physiological/pathological processes. Both beta2-GPI and AnxA5 have thrombomodulatory functions in vivo and their antigenicity is particularly important for thrombotic manifestations and pregnancy complications in antiphospholipid syndrome. Specific elements of beta2-GPI- and AnxA5-phospholipid interactions are different. The crucial elements for beta2-GPI are conformational change and dimerization, both of which are also required and necessary for receptor signaling, leading to the prothombotic state. AnxA5 differs in its ability to crystallize into a protective shield, the disruption of which seems to be the major prothrombotic mechanism. These differences may explain some of the functional consequences of both molecules seen in the pathological conditions. Future alternative therapies of antiphospholipid syndrome are proposed to be based on the expanding knowledge of beta2-GPI- and AnxA5-phospholipid interactions, specifically antagonizing beta2-GPI receptors, as well as inhibiting their signaling pathways. FAU - Frank, Mojca AU - Frank M AD - Department of Rheumatology, University Medical Centre Ljubljana, Vodnikova 62, Ljubljana, Slovenia. FAU - Sodin-Semrl, Snezna AU - Sodin-Semrl S FAU - Irman, Spela AU - Irman S FAU - Bozic, Borut AU - Bozic B FAU - Rozman, Blaz AU - Rozman B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20090216 PL - Netherlands TA - Autoimmun Rev JT - Autoimmunity reviews JID - 101128967 RN - 0 (Annexin A5) RN - 0 (Anticoagulants) RN - 0 (Membranes, Artificial) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Allosteric Regulation/drug effects/immunology MH - Annexin A5/immunology/*metabolism MH - Anticoagulants/immunology/*metabolism/therapeutic use MH - Antiphospholipid Syndrome/drug therapy/*immunology/metabolism/physiopathology MH - Cell Membrane/immunology MH - Female MH - Humans MH - Membranes, Artificial MH - Pregnancy MH - Pregnancy Complications/drug therapy/*immunology/metabolism/physiopathology MH - Signal Transduction/drug effects/immunology MH - beta 2-Glycoprotein I/immunology/*metabolism RF - 40 EDAT- 2009/02/24 09:00 MHDA- 2010/02/26 06:00 CRDT- 2009/02/24 09:00 PHST- 2009/01/07 00:00 [received] PHST- 2009/02/11 00:00 [accepted] PHST- 2009/02/24 09:00 [entrez] PHST- 2009/02/24 09:00 [pubmed] PHST- 2010/02/26 06:00 [medline] AID - S1568-9972(09)00061-5 [pii] AID - 10.1016/j.autrev.2009.02.025 [doi] PST - ppublish SO - Autoimmun Rev. 2009 Sep;9(1):5-10. doi: 10.1016/j.autrev.2009.02.025. Epub 2009 Feb 16.