Charged molecular species, such as ions, play a vital role in the life of the cell. In particular, divalent calcium ions (Ca 2+ ) are critical for activating cellular membranes. Interactions between Ca 2+ and anionic phosphatidylserine (PS) lipids result in structural changes of the plasma membrane and are vital for many signaling pathways, such as the tightly regulated blood coagulation cascade. Upon cell damage, PS lipids are externalized to the outer leaflet, where they are not only exposed to Ca 2+ , but also to proteins. Lactadherin is a glycoprotein, important for celladhesion, that competes with Ca 2+ and blood clotting proteins in binding PS lipids, leading to a negative impact on key steps in the coagulation cascade. While a number of experimental studies have been performed on lactadherin's C2 domain's (LactC2) binding affinity for PS molecules, an atomistic description of LactC2 interactions with PS lipids in the plasma membrane is lacking. We performed extensive all-atom sampling and experimental characterization of LactC2-membrane interactions in the presence and absence of Ca 2+ and characterized PS-Ca 2+ and PS-LactC2 interactions to guide our understanding of how these interactions initiate and impede blood coagulation, respectively. We captured spontaneously formed long-lived PS-Ca 2+ and PS-LactC2 complexes and revealed that the protein sidechains involved in PS-LactC2 interactions appear to be affected by the presence of Ca 2+ . The insertion of LactC2 into the lipid bilayer appears to be dependent on the presence of Ca 2+ . Characterizing the competing interactions between Ca 2+ and lactadherin with PS lipids can lead to a greater understanding of the activation and regulation of the blood coagulation cascade and of the basis of charged species competition for lipid membrane.
STATEMENT OF SIGNIFICANCELactadherin plays an important role in several cellular processes. Many of these processes involve lactadherin interacting with the lipids of the cell plasma membrane. One such process is the blood coagulation cascade. Lactadherin acts as an anticoagulant and contributes to a number of health issues. Understanding the interactions that drive lactadherin's anticoagulant properties can lead to potential targets for treatments.