Factor VII Activating protease (FSAP) has a protective
effect in
diverse disease conditions as inferred from studies in FSAP
–/–
mice and humans deficient in FSAP activity due to single-nucleotide
polymorphism. The zymogen form of FSAP in plasma is activated by extracellular
histones that are released during tissue injury or inflammation or
by positively charged surfaces. However, it is not clear whether this
activation mechanism is specific and amenable to manipulation. Using
a phage display approach, we have identified a Cys-constrained 11
amino acid peptide, NNKC9/41, that activates pro-FSAP in plasma. The
synthetic linear peptide has a propensity to cyclize through the terminal
Cys groups, of which the antiparallel cyclic dimer, but not the monocyclic
peptide, is the active component. Other commonly found zymogens in
the plasma, related to the hemostasis system, were not activated.
Binding studies with FSAP domain deletion mutants indicate that the
N-terminus of FSAP is the key interaction site of this peptide. In
a monoclonal antibody screen, we identified MA-FSAP-38C7 that prevented
the activation of pro-FSAP by the peptide. This antibody bound to
the LESLDP sequence (amino acids 30–35) in an intrinsically
disordered stretch in the N-terminus of FSAP. The plasma clotting
time was shortened by NNKC9/41, and this was reversed by MA-FSAP-38C7,
demonstrating the utility of this peptide. Peptide NNKC9/41 will be
useful as a tool to delineate the molecular mechanism of activation
of pro-FSAP, elucidate its biological role, and provide a starting
point for the pharmacological manipulation of FSAP activity.
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