1996
DOI: 10.1042/bj3190399
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Protein C activation on endothelial cells by prothrombin activation products generated in situ: meizothrombin is a better protein C activator than α-thrombin

Abstract: The conversion of protein C into activated protein C (APC) by the thrombin-thrombomodulin complex on the surface of endothelial cells initiates an essential negative feedback reaction on blood coagulation. APC, together with its non-enzymic cofactor protein S, inactivates factors Va and VIIIa, the non-enzymic protein cofactors of the prothrombinase and intrinsic tenase complex, by proteolytic degradation. In this study we report that prothrombin activation products, generated by the prothrombinase complex on t… Show more

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Cited by 36 publications
(24 citation statements)
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“…Thrombomodulin expression (ELISA) and activity (ability to activate protein C in the presence of thrombin) was high on non-stimulated HUVEC [130,[135][136][137] and BAEC [132] on TCPS and fibronectin coated TCPS [134] and decreased significantly on activation with an agonist. Thrombomodulin gene expression was also found to be high in HUVEC on TCPS and fibronectin coated TCPS [134,137].…”
Section: Molecular Expression Studiesmentioning
confidence: 99%
“…Thrombomodulin expression (ELISA) and activity (ability to activate protein C in the presence of thrombin) was high on non-stimulated HUVEC [130,[135][136][137] and BAEC [132] on TCPS and fibronectin coated TCPS [134] and decreased significantly on activation with an agonist. Thrombomodulin gene expression was also found to be high in HUVEC on TCPS and fibronectin coated TCPS [134,137].…”
Section: Molecular Expression Studiesmentioning
confidence: 99%
“…Further, the mutant mice failed to show any fibrin deposition in the brain or kidney suggesting that anticoagulation could be regulated differently depending on the tissue (98). On the other hand, in vitro experiments have demonstrated that, in the presence of TM, thrombin and meizothrombin have similar catalytic efficiencies with respect to APC formation (48,100,101). However, in the presence of PCPS vesicles or a cell surface, the catalytic efficiency of meizothrombin for the activation of protein C is 6-fold higher than the activity of thrombin for the same reaction (48,101), and this increased efficiency is specifically due to the binding of meizothrombin to the membrane surface, because meizothrombin desF1 has the same activity as thrombin for the activation of protein C in the presence of TM and in the presence or absence of a membrane surface (48).…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, in vitro experiments have demonstrated that, in the presence of TM, thrombin and meizothrombin have similar catalytic efficiencies with respect to APC formation (48,100,101). However, in the presence of PCPS vesicles or a cell surface, the catalytic efficiency of meizothrombin for the activation of protein C is 6-fold higher than the activity of thrombin for the same reaction (48,101), and this increased efficiency is specifically due to the binding of meizothrombin to the membrane surface, because meizothrombin desF1 has the same activity as thrombin for the activation of protein C in the presence of TM and in the presence or absence of a membrane surface (48). Our data show that, in whole plasma, in the absence of TM but in the presence of PCPS vesicles, meizothrombin generates APC much faster than thrombin as shown by the increase in appearance of APC-degradation products from factor Va heavy chain.…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, the prothrombin activation product meizothrombin binds to thrombomodulin and is an approximately 6 times more efficient protein C activator than thrombin. 38 Recombinant APC has been approved to treat patients with severe sepsis, although the use remains controversial. 39 It is difficult to predict how degradation of endothelial TFPI by infused APC may affect the outcome in septic patients.…”
Section: Discussionmentioning
confidence: 99%