The heparin-binding site of antithrombin is shown here to play a crucial role in mediating the antiangiogenic activity of conformationally altered cleaved and latent forms of the serpin. Blocking the heparin-binding site of cleaved or latent antithrombin by complexation with a highaffinity heparin pentasaccharide abolished the serpin's ability to inhibit proliferation, migration, capillary-like tube formation, basic fibroblast growth factor (bFGF) signaling, and perlecan gene expression in bFGF-stimulated human umbilical vein endothelial cells. Mutation of key heparin binding residues, when combined with modifications of Asn-linked carbohydrate chains near the heparinbinding site, also could abrogate the antiproliferative activity of the cleaved serpin. Surprisingly, mutation of Lys114, which blocks anticoagulant activation of antithrombin by heparin, caused the native protein to acquire antiproliferative activity without the need for conformational change. Together, these results indicate that the heparin-binding site of antithrombin is of crucial importance for mediating the serpin's antiangiogenic activity and that heparin activation of native antithrombin constitutes an antiangiogenic switch that is responsible for turning off the antiangiogenic activity of the native serpin.
IntroductionAntithrombin is an abundantly expressed, key plasma protein regulator of blood coagulation in vertebrates. 1 Inherited or acquired deficiencies of the protein in humans are associated with an increased risk of developing thrombotic disease, 2 and complete deficiency in mice results in embryonic lethality due to a consumptive coagulopathy. 3 Antithrombin regulates blood coagulation by directly inhibiting the serine proteases of the clotting cascade, the most important targets being thrombin, factor Xa, and factor IXa. 1,4 The protein is a member of the serpin superfamily of protein protease inhibitors and shares a common tertiary structure with the family. 5 It is unusual among serpins in requiring activation by the sulfated glycosaminoglycans, heparin or heparan sulfate, to inhibit its target proteases at a physiologically significant rate. A sequencespecific pentasaccharide present in only a fraction of heparin molecules mediates high-affinity binding and anticoagulant activation of antithrombin by the polysaccharide. 1,[6][7][8] In addition to its well-established anticoagulant function, antithrombin has more recently been shown to have anti-inflammatory, 9 antiviral, 10 and antiangiogenic functions. 11,12 The antiangiogenic activity has been demonstrated from the ability to inhibit basic fibroblast growth factor (bFGF)-or vascular endothelial growth factor (VEGF)-induced endothelial cell proliferation, blood vessel growth in the chick embryo, and tumor growth in mice. The antitumor activity equals or exceeds that of other well-established antiangiogenic agents. 13 Of importance, antiangiogenic activity is not present in native antithrombin but is expressed only after the protein undergoes conformational alterations induc...