Epidermal growth factor (EGF)-like modules in protein S, a physiological anticoagulant protein that functions as a cofactor to activated protein C, have been expressed in Spodoptera cells using baculovirus. EGF modules 1-3, 1-4, 2-3 and 2-4 were produced on a preparative scale. The isolated modules were more than 95% homogenous, as judged by sequence determination. 45 Ca 2ϩ -ligand blotting experiments indicated that recombinant proteins that contained the fourth EGF module, i.e. EGF 1-4 and 2-4, bound Ca 2ϩ with high affinity. The 45 Ca 2ϩ -ligand blotting results, together with results of competitive binding experiments using monoclonal antibodies as structural probes, indicated that the recombinant proteins had been folded to a native conformation. EGF modules 1-3 and 1-4 inhibited the interaction between activated protein C and protein S, whereas modules 2-3 and 2-4 had no effect on this interaction. It is thus apparent that EGF module 1 is crucial for the interaction between protein S and activated protein C. Moreover, EGF modules 1-4 were approximately 10-fold more effective in inhibiting the interaction than modules 1-3, suggesting a very weak interaction between module 4 and activated protein C or that this module is important to keep module 1 in a conformation that is optimal for interaction with activated protein C.Keywords : protein S; calcium binding; epidermal-growth-factor module.Protein S is a plasma glycoprotein that is a cofactor to acti-module contains one β-hydroxyaspartic acid residue whereas modules 2-4 each contains one β-hydroxyasparagine residue. vated protein C, a regulator of blood coagulation. In the presence of protein S activated protein C degrades the activated forms of Hydroxylation appears to be partial. Moreover, modules 2, 3 and 4 have the typical structural motif that is required for Ca 2ϩ bindthe procoagulant cofactors V and VIII by limited proteolysis, which is necessary to dampen the blood coagulation cascade. ing [6Ϫ8]. The Ca 2ϩ affinity of isolated EGF modules is low (i.e. K d values of 0.6Ϫ8 mM have been reported) [9]. In the The physiological significance of protein C and protein S is evident from the fact that mutations of either protein S or protein intact proteins, however, the Ca 2ϩ affinity appears to be much higher due to effects of the neighboring modules [10Ϫ12]. C, that lead to reduced functional levels of the proteins, increase the risk for venous thrombosis [1]. Protein S is composed of The EGF-module-containing region of protein S appears to be crucial for the interaction with activated protein C [13,14]. multiple modules. An N-terminal module containing γ-carboxyglutamic acid (Gla) is followed by a thrombin-sensitive module Dahlbäck and colleagues have found the interaction between and four tandem modules that are homologous to the epidermal protein S and activated protein C to be inhibited by Fab fraggrowth factor (EGF) precursor. The C-terminal part of protein S ments of monoclonal antibodies only if the epitope is in the first is homologous to a steroid...