Key result
FV-short binds with high affinity (Kd ~1 nM) to TFPIα-BR, blocking procoagulant function unless cleaved at Arg1545, while full-length FV requires detachment of FV BR from AR2 for TFPIα binding.
Why the study?
It was unclear which forms of factor V are physiologic ligands for tissue factor pathway inhibitor alpha.
Coagulation factor V (FV) plays an anticoagulant role but serves as a procoagulant cofactor in the prothrombinase complex once activated to FVa. At the heart of these opposing effects is the proteolytic removal of its central B-domain, including conserved functional landmarks (basic region, BR; 963–1008 and acidic region 2, AR2; 1493–1537) that enforce the inactive FV procofactor state. Tissue factor pathway inhibitor α (TFPIα) has been associated with FV as well as FV-short, a physiologically relevant isoform with a shortened B-domain missing the BR. However, it is unclear which forms of FV are physiologic ligands for TFPIα. Here, we characterize the binding and regulation of FV and FV-short by TFPIα via its positively charged C-terminus (TFPIα-BR) and examine how bond cleavage in the B-domain influences these interactions. We show that FV-short is constitutively active and functions in prothrombinase like FVa. Unlike FVa, FV-short binds with high affinity (K d ∼1 nM) to TFPIα-BR, which blocks procoagulant function unless FV-short is cleaved at Arg 1545 , removing AR2. Importantly, we do not observe FV binding (μM detection limit) to TFPIα. However, cleavage at Arg 709 and Arg 1018 displaces the FV BR, exposing AR2 and allowing TFPIα to bind via its BR. We conclude that for full-length FV, the detachment of FV BR from AR2 is necessary and sufficient for TFPIα binding and regulation. Our findings pinpoint key forms of FV, including FV-short, that act as physiologic ligands for TFPIα and establish a mechanistic framework for assessing the functional connection between these proteins.
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Petrillo et al. (2020) studied Coagulation. TFPIα was evaluated on Binding and regulation of FV and FV-short by TFPIα. FV-short binds with high affinity (Kd ~1 nM) to TFPIα-BR, blocking procoagulant function unless cleaved at Arg1545, while full-length FV requires detachment of FV BR from AR2 for TFPIα binding.
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