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1 FIXa is a notoriously inefficient enzyme that needs FVII
2 FIXa is a serine protease enzyme involved in the intrins
3 FIXa(Y225P), a Na+ site mutant, was severely impaired in
4 0.5), FIXa(loop1) (19 +/- 4.0, 27 +/- 5.0), FIXa(loop2) (35 +/- 9.0, 65 +/- 12.0), and FIXa(loop3) (
5 14), FIXa(WT) (0.72 +/- 0.08, 3.8 +/- 0.08), FIXa(loop1) (3.2 +/- 0.72, 14.0 +/- 1.60), FIXa(loop2) (
7 (FIX Delta 88-99,inverted Delta FVII91-102), FIXa(loop2) (FIX Delta 95-109,inverted Delta FVII98-112)
8 (FIX Delta 88-99,inverted Delta FVII91-102), FIXa(loop2) (FIX Delta 95-109,inverted Delta FVII98-112)
9 /- 2.90) relative to FIXa(N) (3.9 +/- 0.11), FIXa(WT) (4.6 +/- 0.17), FIXa(loop3) (4.5 +/- 0.20), and
10 FIX Delta 95-109,inverted Delta FVII98-112), FIXa(loop3) (FIX Delta 111-124,inverted Delta FVII114-12
11 FIX Delta 88-124,inverted Delta FVII91-127), FIXa(loop1) (FIX Delta 88-99,inverted Delta FVII91-102),
12 FIX Delta 88-124,inverted Delta FVII91-127), FIXa(loop1) (FIX Delta 88-99,inverted Delta FVII91-102),
13 ly): FIXa(N) (0.46 +/- 0.05, 1.40 +/- 0.14), FIXa(WT) (0.72 +/- 0.08, 3.8 +/- 0.08), FIXa(loop1) (3.2
14 (N) (3.9 +/- 0.11), FIXa(WT) (4.6 +/- 0.17), FIXa(loop3) (4.5 +/- 0.20), and FIXaR94D (2.2 +/- 0.09)
15 vely: FIXa(N) (0.55 +/- 0.06, 2.9 +/- 0.45), FIXa(WT) (0.80 +/- 0.08, 3.5 +/- 0.5), FIXa(loop1) (19 +
17 .45), FIXa(WT) (0.80 +/- 0.08, 3.5 +/- 0.5), FIXa(loop1) (19 +/- 4.0, 27 +/- 5.0), FIXa(loop2) (35 +/
18 , FIXa(loop1) (3.2 +/- 0.72, 14.0 +/- 1.60), FIXa(loop2) (18.4 +/- 1.60, 26.3 +/- 3.40), and FIXa(loo
19 ncreased for FIXa(FVIIEGF2) (43.3 +/- 2.70), FIXa(loop1)(10.9 +/- 2.8), FIXa(loop2) (70.5 +/- 1.60),
20 (43.3 +/- 2.70), FIXa(loop1)(10.9 +/- 2.8), FIXa(loop2) (70.5 +/- 1.60), and FIXa(loop1)G94R (17.1 +
25 Following activation, it was found that all FIXa derivatives cleaved the chromogenic substrate CBS 3
26 of FVIII (FVIIIR336I) possessing an altered FIXa cleavage site, showed similar rates of FXase decay
29 r reactivity of FIXa with AT, we prepared an FIXa/FXa chimera in which the 39-loop of the protease wa
31 Delta 95-109,inverted Delta FVII98-112), and FIXa(loop3) (FIX Delta 111-124,inverted Delta FVII114-12
33 9 +/- 2.8), FIXa(loop2) (70.5 +/- 1.60), and FIXa(loop1)G94R (17.1 +/- 2.90) relative to FIXa(N) (3.9
34 ts from both FVIIIa subunit dissociation and FIXa-catalyzed cleavage, dependent upon the relative con
36 ve different specificity for binding FXa and FIXa while retaining compatibility as substrate for APC.
37 hly selective and potent factor Xa (FXa) and FIXa inhibitors were identified by simple switch of func
38 t both mechanisms of FVIIIa inactivation and FIXa interactions could be leveraged to enhance FVIII fu
39 IXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1)G94R, whereas FIXa(loop3) and FIXaR94D were n
41 In the present study, FVIIIa stability and FIXa binding were evaluated in a FVIII-N1810C variant, a
42 nteraction between the FVIIIa A2 subunit and FIXa and show a contribution of several residues within
44 nal IgG aPLs bound to FIXa and that IgG anti-FIXa Abs in APS patients were significantly higher than
46 normal controls as the cutoff, the IgG anti-FIXa Abs were present in 11 of 38 (28.9%) APS patients.
47 increase of approximately 20-fold in Kd(app)FIXa and a decrease of approximately 20-fold in Vmax; I9
48 n increase of approximately 5-fold in Kd(app)FIXa and approximately 10-fold decrease in Vmax; and V10
50 IIa, compared with native factor IXa (Kd(app)FIXa approximately 1.1 nm, Vmax approximately 12 nm min(
51 A3-C1-C2 subunit and fluorescein-Phe-Phe-Arg-FIXa yielded K(d) values of 52 +/- 10 and 197 +/- 55 nM
54 [NaCl], indicating that interactions between FIXa and FVIIIa can increase enzyme affinity when fewer
55 courses were observed for inhibition of both FIXa in the FXase complex and FXa in the prothrombinase
57 residue 36 is a Glu in both mouse and bovine FIXa and that both proteases are also susceptible to inh
58 and the reciprocal activation of FVII/TF by FIXa(PCGla) was normal; however, both reactions were imp
61 rtant residues, we prepared several chimeric FIXa proteins using homologous sequences from FVII: FIXa
63 ng hemophilia B mice have shown that delayed FIXa inhibition has a major impact on reducing the bleed
64 nity for the enzyme-substrate complex, i.e., FIXa/FVIIIa/ Ca2+/phospholipids/FX complex (Ki' = 6.2 nM
67 presence of factor VIIIa increased the EC50,FIXa with an IC50 of 1.5 nM, without affecting the Vmax.
69 We found that selected FIXa variants (eg, FIXa-V16L) have a prolonged activity half-life in the pl
70 id not respond to the presence of excess EGR-FIXa (45 nM) and FX (1.5 microM) with enhanced binding s
71 ts of FX and active site-inhibited FIXa (EGR-FIXa) on the binding of both FVIII and FVIIIa to activat
74 Intact A1/A3-C1-C2 dimer increased Fl-FFR-FIXa anisotropy and bound factor X in a solid phase assa
76 f fluorescein-Phe-Phe-Arg factor IXa (Fl-FFR-FIXa; Kd = 42.4 nM), whereas cleavage of factor VIIIa by
77 activation, it combines with activated FIX (FIXa) on anionic membranes to form the intrinsic Xase en
79 ease in both Vmax and K(m) of activated FIX-(FIXa)-catalyzed FX activation in the presence of FVIIIa
80 ation of: Factors FXa (via TF/VIIa or FIXa), FIXa (via TF/FVIIa or FXIa), thrombin, fibrin, and FXIa.
81 ytometry analysis indicated that fluorescent FIXa exhibits impaired complex formation with only FVIII
83 oteins had similar functional affinities for FIXa (dissociation constant [K(d)] values approximately
86 f FVIII, FVIIIa, functions as a cofactor for FIXa in catalyzing the membrane-dependent activation of
87 h Asp194 in serine proteases, was faster for FIXa(Y225P) and addition of Ca2+ overcame this impairmen
91 d on phospholipid vesicles was increased for FIXa(FVIIEGF2) (43.3 +/- 2.70), FIXa(loop1)(10.9 +/- 2.8
92 activation (nm FXa min(-1)) was observed for FIXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1
93 nzothiophene template as a lead scaffold for FIXa inhibiton based on its homology with urokinase plas
96 homologous sequences from factor VII (FVII): FIXa(FVIIEGF2) (FIX Delta 88-124,inverted Delta FVII91-1
97 oteins using homologous sequences from FVII: FIXa(FVIIEGF2) (FIX Delta 88-124,inverted Delta FVII91-1
98 Xa min(-1)) was observed for FIXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1)G94R, whereas F
99 pholipid, with or without saturating FVIIIa, FIXa(Y225P) activated FX with similar K(m) but threefold
103 ine-protease Factor IXa (FIXa) in the FVIIIa-FIXa complex assembled on the activated platelet membran
104 ds understanding the mechanism of the FVIIIa-FIXa complex assembly on the activated platelet surface
105 F-initiated pathway directly yielding FVIIIa-FIXa intrinsic tenase complex may be prohemostatic befor
112 ass spectrometry (HDX-MS) to investigate how FIXa responds to assembly with FVIIIa in the presence of
113 ogether, the reduced stability plus impaired FIXa interaction of FVIIIC2C2 suggest that the C1 domain
116 ative homology analysis revealed that Na+ in FIXa coordinates to the carbonyl groups of residues 184A
117 hand, the loop is shorter by one residue in FIXa (residue 37 is missing), and it contains a Lys and
118 trast, the loop is shorter by one residue in FIXa (residue 37 is missing), and it contains a Lys and
120 the effects of FX and active site-inhibited FIXa (EGR-FIXa) on the binding of both FVIII and FVIIIa
122 oagulation cascade in selectively inhibiting FIXa would leave hemostasis intact via the extrinsic pat
124 ntrinsic FX-activating complex that inhibits FIXa bound either to the phospholipid or activated plate
125 n circulation, the biochemical nature of its FIXa cofactor activity, the regulation of activated FVII
126 c domain of activated coagulation factor IX (FIXa) is homologous to those of thrombin and FXa, we hyp
127 assembly of the enzyme-activated factor IX (FIXa) with its cofactor, activated factor VIII (FVIIIa)
131 wth factor (EGF2)-like domain of factor IXa (FIXa) are important for assembly of the factor X (FX) ac
134 -cofactor to the serine-protease Factor IXa (FIXa) in the FVIIIa-FIXa complex assembled on the activa
138 quire occupancy of receptors for factor IXa (FIXa), factor VIII (FVIII), and FX on the activated plat
139 X) activation require binding of factor IXa (FIXa), factor VIII(a) [FVIII(a)], and FX to activated pl
140 interaction of the serpin with factors IXa (FIXa) and Xa (FXa), thereby improving the rate of reacti
142 as observed for FIXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1)G94R, whereas FIXa(loop3) an
143 etic mechanism is valid in platelet-mediated FIXa-catalyzed FX activation (Ki' = 5.9 nM and Ki = 12.6
144 tropy experiments using fluorescein-modified FIXa confirmed that all FVIII forms interacted with FIXa
146 the 558-565 loop are critical in modulating FIXa enzymatic activity but do not contribute significan
148 reactant concentrations (0.5 nm FVIIIa; 5 nm FIXa), FXase decay is governed by the inter-FVIIIa subun
149 residues of the 39-loop (residues 31-41) of FIXa with corresponding residues of FXa renders the FIXa
152 VIII and FX increases 5-fold the affinity of FIXa for the surface of activated platelets, and the pre
153 Occupancy by Na+ increased the affinity of FIXa for the synthetic substrate, whereas occupancy by C
154 onsistent with the elevated concentration of FIXa stabilizing the labile subunit structure of the cof
157 crystal structure of the catalytic domain of FIXa indicated that all five basic residues are spatiall
158 epidermal growth factor (EGF)-like domain of FIXa mediates assembly of the FX activating complex.
160 NP-2 increases the concentrations (EC50) of FIXa, FVIIIa, and phospholipid vesicles required for hal
162 te FIXa procoagulant function, the impact of FIXa inhibition on thrombin generation and clot formatio
169 ncreased the efficiency of ZPI inhibition of FIXa; FVIIIa in molar excess was not protective of FIXa
170 (84)-Val(128)) was an effective inhibitor of FIXa binding to platelets in both the presence (K(i) = 0
171 late the cofactor-independent interaction of FIXa with its physiological inhibitor AT and substrate f
172 activated platelets only in the presence of FIXa and FX but does not directly mediate FVIIIa binding
173 ng to activated platelets in the presence of FIXa and FX is closely coupled with rates of F-X activat
174 FVIII variants were activated in presence of FIXa, only FVIII/FV 1811-1818 demonstrated an enhanced d
175 FVIIIa in molar excess was not protective of FIXa unless FIXa/FVIIIa interacted prior to ZPI exposure
177 loop contribute to the slower reactivity of FIXa with AT, we prepared an FIXa/FXa chimera in which t
178 olecular basis for the lack of reactivity of FIXa with these plasma inhibitors and discovered that un
179 e results demonstrate that the regulation of FIXa inhibition contributes in a major way to the spatia
180 ocoagulant factor, impaired AT regulation of FIXa might contribute more toward thrombosis than the dy
181 nsights into the physiological regulation of FIXa, enhance our understanding of thrombus formation in
182 g data indicated that five basic residues of FIXa in the following order of importance, Arg(233) > Ar
183 the 39-loop contribute to the resistance of FIXa to inhibition by plasma inhibitors ZPI and TFPI.
186 t generation of: Factors FXa (via TF/VIIa or FIXa), FIXa (via TF/FVIIa or FXIa), thrombin, fibrin, an
187 template revealed a number of highly potent FIXa inhibitors, though with moderate selectivity agains
188 ies including thrombin generation potential, FIXa binding affinity, Km for FX of FXase complexes, thr
191 x (FXase) is comprised of a serine protease, FIXa, and a protein cofactor, FVIIIa, assembled on a pho
197 functional assays, we determined that R338A-FIXa's Kd for factor VIIIa (FVIIIa) was similar to that
199 old), whereas the anti-C2 antibodies reduced FIXa binding affinity of FVIIIC2C2 variant (~4-fold).
200 er plasma inhibitors are thought to regulate FIXa procoagulant function, the impact of FIXa inhibitio
201 esence and absence of FVIIIa, respectively): FIXa(N) (0.46 +/- 0.05, 1.40 +/- 0.14), FIXa(WT) (0.72 +
202 resence and absence of FVIIIa, respectively: FIXa(N) (0.55 +/- 0.06, 2.9 +/- 0.45), FIXa(WT) (0.80 +/
204 Ia-R336Q and FVIIIa-R562Q) demonstrated that FIXa and FX can protect FVIIIa from APC cleavage at Arg5
207 s homologous to FVIIIa, the cofactor for the FIXa protease, in the FX-activating complex, and FVIIIa
209 We conclude that residues 88-109 of the FIXa EGF2 domain mediate binding to platelets and assemb
212 th corresponding residues of FXa renders the FIXa chimera susceptible to inactivation by both ZPI and
213 ctivity to plasma inhibitors that target the FIXa active site but maintain procoagulant function when
216 ns of the benzothiophene template within the FIXa active site by X-ray crystallography and molecular
218 an effective competitor of FVIIIa binding to FIXa as judged by inhibition of FXa generation performed
219 patient-derived monoclonal IgG aPLs bound to FIXa and that IgG anti-FIXa Abs in APS patients were sig
221 phospholipid, and FVIIIa, binding of Na+ to FIXa increases its biologic activity by approximately 12
222 the C1 domain resides in close proximity to FIXa in the FXase complex and contributes a critical rol
223 FIXa(loop1)G94R (17.1 +/- 2.90) relative to FIXa(N) (3.9 +/- 0.11), FIXa(WT) (4.6 +/- 0.17), FIXa(lo
235 d A2 subunit of FVIIIa interacts weakly with FIXa, and recent modeling studies have implicated a numb
239 nts revealed binding and dissociation of ZPI/FIXa with Kd (app) of 9-12 nm, similar to the concentrat