PMID- 23172304 OWN - NLM STAT- MEDLINE DCOM- 20130808 LR - 20211021 IS - 1756-2651 (Electronic) IS - 0021-924X (Print) IS - 0021-924X (Linking) VI - 153 IP - 2 DP - 2013 Feb TI - P1 and P2' site mutations convert protease nexin-2 from a factor XIa inhibitor to a plasmin inhibitor. PG - 221-31 LID - 10.1093/jb/mvs133 [doi] AB - The kunitz protease inhibitor domain of PN2 (PN2KPI) is a potent and specific inhibitor (K(i) 0.5-2 nM) of factor XIa (FXIa) and inhibits cerebrovascular thrombosis in mice. To determine whether the antithrombotic properties of PN2KPI arise from its FXIa-inhibitory activity, we have now prepared mutant forms of PN2KPI. Mutations at the P1 (Arg(15)) site in combination with P2' (Met(17)) mutations profoundly affect inhibition of FXIa, plasmin, kallikrein, factor Xa and thrombin. The mutant proteins PN2KPI-R(15)K, -M(17)K, -R(15)K,M(17)K and -R(15)K,M(17)R lost inhibitory activity against FXIa (K(i) 34, 94, 3081 and 707 nM, respectively) and kallikrein (no inhibition) and gained inhibitory activity against plasmin (K(i) 108, 7, 8 and 8 nM, respectively). The intravenous administration of rPN2KPI into mice dramatically decreased thrombus formation in a murine model of FeCl(3)-induced carotid injury, whereas rPN2KPI-R(15)K,M(17)K failed to inhibit thrombus formation. Molecular modelling studies showed that fine structural variations explain the observed functional differences in FXIa and plasmin inhibition. PN2KPI has potent antithrombotic activity due to its specific FXIa anticoagulant activity, whereas PN2KPI-R(15)K,M(17)K and PN2KPI-R(15)K,M(17)R have potent antifibrinolytic (antiplasmin) activity without anticoagulant or antithrombotic activity. FAU - Navaneetham, Duraiswamy AU - Navaneetham D AD - The Sol Sherry Thrombosis Research Center, Temple University School of Medicine, Philadelphia, PA 19140, USA. FAU - Wu, Wenman AU - Wu W FAU - Li, Hongbo AU - Li H FAU - Sinha, Dipali AU - Sinha D FAU - Tuma, Ronald F AU - Tuma RF FAU - Walsh, Peter N AU - Walsh PN LA - eng GR - HL46213/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20121120 PL - England TA - J Biochem JT - Journal of biochemistry JID - 0376600 RN - 0 (Amyloid beta-Protein Precursor) RN - 0 (Antifibrinolytic Agents) RN - EC 3.4.21.27 (Factor XIa) SB - IM MH - Amyloid beta-Protein Precursor/genetics/*metabolism/*pharmacology MH - Animals MH - Antifibrinolytic Agents/*metabolism/*pharmacology MH - Factor XIa/*antagonists & inhibitors MH - Female MH - Humans MH - Mice MH - Mice, Inbred C57BL MH - Mutation PMC - PMC3555081 EDAT- 2012/11/23 06:00 MHDA- 2013/08/09 06:00 PMCR- 2014/02/01 CRDT- 2012/11/23 06:00 PHST- 2012/11/23 06:00 [entrez] PHST- 2012/11/23 06:00 [pubmed] PHST- 2013/08/09 06:00 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - mvs133 [pii] AID - 10.1093/jb/mvs133 [doi] PST - ppublish SO - J Biochem. 2013 Feb;153(2):221-31. doi: 10.1093/jb/mvs133. Epub 2012 Nov 20.