Thrombomodulin (TM) binds thrombin on the surface of the endothelium and accelerates the activation of protein C, a natural anticoagulant. The long term goal of this project is to understand the nature of the regulation of TM function, and in a broad sense, how the regulatory proteins of the coagulation system function. Currently, the relationship between TM structure and function is poorly understood, but some of the properties of the system make it an ideal model for other coagulation complexes. This application is designed to determine: 1) the number and the nature of the membrane interaction sites for both TM and protein C, 2) the sites of interaction of thrombin with TM, the orientation of the membrane bound complex and the influence of other coagulation factors on this orientation and conformation of thrombin in the membrane bound complex, 3) whether heparin is associated with TM and, if so, to analyze the function of the associated heparin, 4) the molecular basis of why human TM appears to be a weaker direct inhibitor of thrombin procoagulant activity than other species, 5) whether, when and how lupus anticoagulants, known to be associated with thrombosis, inhibit TM activity in purified systems and on cell surfaces, 6) which of the vitamin K dependent Gla residues are required for protein C activation and for expression of anticoagulant activity, 7) where and how Ca2+ contributes to protein C activation in the soluble and membrane associated complexes, and 8) whether the active center of thrombin in the thrombin-TM complex resembles that of gamma thrombin. These studies should aid in our understanding of how the thrombin-TM complex functions, and increase our understanding of both the structure and the topography of the complex. Furthermore, the approach will allow a more complete understanding of the role of posttranslational modifications in the unique properties of TM and establish a direct experimental foundation for comparing and contrasting TM to other cellular receptors such as the LDL receptor.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
2R01HL030340-06
Application #
3564437
Study Section
Hematology Subcommittee 2 (HEM)
Project Start
1983-06-01
Project End
1993-05-31
Budget Start
1988-06-01
Budget End
1989-05-31
Support Year
6
Fiscal Year
1988
Total Cost
Indirect Cost
Name
Oklahoma Medical Research Foundation
Department
Type
DUNS #
937727907
City
Oklahoma City
State
OK
Country
United States
Zip Code
73104
Cooper, Scott T; Rezaie, Alireza R; Esmon, Charles T et al. (2002) Inhibition of a thrombin anion-binding exosite-2 mutant by the glycosaminoglycan-dependent serpins protein C inhibitor and heparin cofactor II. Thromb Res 107:67-73
Carson, C W; Comp, P C; Rezaie, A R et al. (2000) Antibodies to thrombomodulin are found in patients with lupus anticoagulant and unexplained thrombosis. J Rheumatol 27:384-90
Taylor, F B; Coller, B S; Chang, A C et al. (1997) 7E3 F(ab')2, a monoclonal antibody to the platelet GPIIb/IIIa receptor, protects against microangiopathic hemolytic anemia and microvascular thrombotic renal failure in baboons treated with C4b binding protein and a sublethal infusion of Escherichia coli. Blood 89:4078-84
Snow, T R; Deal, M T; Dickey, D T et al. (1991) Protein C activation following coronary artery occlusion in the in situ porcine heart. Circulation 84:293-9
Armstrong, S A; Husten, E J; Esmon, C T et al. (1990) The active site of membrane-bound meizothrombin. A fluorescence determination of its distance from the phospholipid surface and its conformational sensitivity to calcium and factor Va. J Biol Chem 265:6210-8
Esmon, N L (1989) Thrombomodulin. Prog Hemost Thromb 9:29-55
Laue, T M; Lu, R; Krieg, U C et al. (1989) Ca2+-dependent structural changes in bovine blood coagulation factor Va and its subunits. Biochemistry 28:4762-71
Lu, R L; Esmon, N L; Esmon, C T et al. (1989) The active site of the thrombin-thrombomodulin complex. A fluorescence energy transfer measurement of its distance above the membrane surface. J Biol Chem 264:12956-62
Stearns, D J; Kurosawa, S; Esmon, C T (1989) Microthrombomodulin. Residues 310-486 from the epidermal growth factor precursor homology domain of thrombomodulin will accelerate protein C activation. J Biol Chem 264:3352-6
Moore, K L; Esmon, C T; Esmon, N L (1989) Tumor necrosis factor leads to the internalization and degradation of thrombomodulin from the surface of bovine aortic endothelial cells in culture. Blood 73:159-65

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