Abstract:We have examined the properties of several human protein C (HPC) derivatives with substitutions for acidic residues near the thrombin cleavage site, including changing the P3' Asp to Asn (D172N), Gly (D172G), Ala (D172A), or Lys (D172K). The rate of thrombin-catalyzed activation of D172N, D172G, and D172A was increased 4-9-fold compared to wildtype HPC, primarily due to a reduction in the inhibitory effect of calcium and a resulting increase in affinity for free a-thrombin. There was no significant increase in activation rate or affinity with these 3 derivatives in the absence of calcium, confirming that P3' Asp affects calcium dependency in the native protein C molecule. With charge reversal at P3' (D172K), there was a 30-fold increase in activation rate in the presence of calcium, but unlike the other derivatives, there was a substantial effect (5-fold) on the activation rate and affinity for free a-thrombin in the absence of calcium. Thus, protein C affinity for thrombin appears to be influenced by a combination of calcium-dependent and -independent effects of the acidic P3' residue.Keywords: coagulation; protein C; serine protease; thrombin Human protein C (HPC) is a plasma serine protease that when activated by thrombin serves as a major feedback regulator of the coagulation cascade (reviewed by Esmon, 1987). At physiological levels of calcium, protein C is a very poor substrate for free a-thrombin, however, it is a relatively good substrate for thrombin in the absence of calcium, or when thrombin is complexed with the integral membrane protein, thrombomodulin. Previously, we and others have shown by site-directed mutagenesis that neutralization of acidic residues near the thrombin cleavage site e.g., Asp at the P3 and P3' positions, increases activation by free a-thrombin due to a reduction in the inhibitory effect of calcium (Ehrlich et a]., 1990;Rezaie & Esmon, 1992;Richardson et al., 1992). When bound to thrombomodulin, the inhibitory influence of these acidic residues in protein C has Reprint requests to: Brian W. Grinnell, Cardiovascular Research, Lilly 46285-0434.Research Laboratories, Lilly Corporate Center, Indianapolis, Indiana been suggested to be reduced due to a conformational change in thrombin (Ye et al., 1991). In this report, we demonstrate that the acidic P3' residue not only affects calcium-induced inhibition, but that the charge at this position plays a major role in the poor affinity of protein C for thrombin. Figure 1A is a schematic of the native HPC molecule, and the location of the P3' Asp residue that was changed to Asn (D172N), Gly (D172G), Ala (D172A), or Lys (D172K). There was no significant effect of these alterations at P3' on the functional protease activity as determined by previously described methods (Grinnell et al., 1991). Each of the substitutions for the acidic residue at P3' resulted in an increase in the rate of activation in the presence of calcium (Fig. 1B). The increase in rate appeared to be related to the polarity of the change, with the reversal of cha...