Dabigatran and Argatroban Diametrically Modulate Thrombin Exosite Function

作者:Yeh Calvin H; Stafford Alan R; Leslie Beverly A; Fredenburgh James C; Weitz Jeffrey I*
来源:PLos One, 2016, 11(6): e0157471.
DOI:10.1371/journal.pone.0157471

摘要

Thrombin is a highly plastic molecule whose activity and specificity are regulated by exosites 1 and 2, positively-charged domains that flank the active site. Exosite binding by substrates and cofactors regulates thrombin activity by localizing thrombin, guiding substrates, and by inducing allosteric changes at the active site. Although inter-exosite and exosite-toactive-site allostery have been demonstrated, the impact of active site ligation on exosite function has not been examined. To address this gap, we used surface plasmon resonance to determine the effects of dabigatran and argatroban, active site-directed inhibitors, on thrombin binding to immobilized gamma(A)/gamma(A)-fibrin or glycoprotein Iba peptide via exosite 1 and 2, respectively, and thrombin binding to gamma(A)/gamma'-fibrin or factor Va, which is mediated by both exosites. Whereas dabigatran attenuated binding, argatroban increased thrombin binding to gamma(A)/gamma(A)-and gamma(A)/gamma'-fibrin and to factor Va. The results with immobilized fibrin were confirmed by examining the binding of radiolabeled thrombin to fibrin clots. Thus, dabigatran modestly accelerated the dissociation of thrombin from gamma(A)/gamma(A)-fibrin clots, whereas argatroban attenuated dissociation. Dabigatran had no effect on thrombin binding to glycoprotein Iba peptide, whereas argatroban promoted binding. These findings not only highlight functional effects of thrombin allostery, but also suggest that individual active site-directed thrombin inhibitors uniquely modulate exosite function, thereby identifying potential novel mechanisms of action.

  • 出版日期2016-6-15