Protein Z (PZ) is a multidomain vitamin K-dependent plasma protein that functions as a cofactor to promote the inactivation of factor Xa (fXa) by PZ-dependent protease inhibitor (ZPI) by three orders of magnitude. To understand the mechanism by which PZ improves the reactivity of fXa with ZPI, we expressed wild-type PZ, PZ lacking the ␥-carboxyglutamic acid domain (GD-PZ), and a chimeric PZ mutant in which both Gla and EGFlike domains of the molecule were substituted with identical domains of fXa. The ZPI binding and the cofactor function of the PZ derivatives were characterized in both binding and kinetic assays. The binding assay indicated that all PZ derivatives interact with ZPI with a similar dissociation constant (K D ) of ϳ7 nM. However, the apparent K D for the chimeric PZ-mediated ZPI inhibition of fXa was elevated 6-fold on PC/PS vesicles and its capacity to function as a cofactor to accelerate the ZPI inhibition of fXa was also decreased 6-fold. The cofactor activity of GD-PZ was dramatically impaired; however, the deletion mutant exhibited a normal cofactor function in solution. A chimeric activated protein C mutant containing the Gla domain of fXa was susceptible to inhibition by ZPI in the presence of PZ. These results suggest that: (i) the ZPI interactive site of PZ is located within the C-terminal domain of the cofactor and (ii) a specific interaction between the Gla domains of PZ and fXa contributes ϳ6-fold to the acceleration of the ZPI inhibition of fXa on phospholipid membranes.
Protein Z (PZ)2 is a vitamin K-dependent coagulation glycoprotein, which has a genetic organization that is identical to that of factor Xa (fXa) and other similar vitamin K-dependent coagulation factors (1, 2). Thus, PZ has an N-terminal ␥-carboxyglutamic acid (Gla) domain that is followed by two epidermal growth factor (EGF)-like domains (light chain homologue) and a C-terminal pseudo catalytic domain (heavy chain homologue) (1, 2). Unlike fXa and other vitamin K-dependent coagulation proteases, two of the catalytic triad residues of the C-terminal domain have not been conserved in the homologous regions of PZ (1, 2). Thus, PZ has no catalytic function, but instead it binds to PZ-dependent protease inhibitor (ZPI) with a high affinity, thereby promoting the ZPI inhibition of fXa in the presence of PC/PS vesicles and Ca 2ϩ by approximately three orders of magnitude (3-5). ZPI is a 72-kDa serpin with a plasma concentration of 2.6 -2.9 g/ml that appears to interact with the active site pocket of fXa by a covalent mechanism similar to that observed with antithrombin and most other inhibitory serpins (4 -6). However, unlike antithrombin, which can inhibit all coagulation proteases, ZPI is a specific inhibitor of fXa and factor XIa (4, 7, 8), though recent results have indicated that it may also inhibit factor IXa (9). ZPI may play a critical role in the regulation of the coagulation cascade because its deficiency is associated with venous thromboembolic diseases (10, 11). ZPI by itself is a poor inhibitor of fXa, unless i...