Venomous snakes produce an array of toxic compounds, including procoagulants to defend themselves and incapacitate prey. The Australian snake Pseudonaja textilis has a venom-derived prothrombin activator homologous to coagulation factors V (FV) and Xa (FXa). Here we show that the FV component (pt-FV) has unique biologic properties that subvert the normal regulatory restraints intended to restrict an unregulated procoagulant response. Unlike human FV, recombinant pt-FV is constitutively active and does not require proteolytic processing to function. Sequence comparisons show that it has shed a large portion of the central B-domain, including residues that stabilize the inactive procofactor state. Remarkably, pt-FV functions in the absence of anionic membranes as it binds snake-FXa with high affinity in solution. Furthermore, despite cleavage in the heavy chain, pt-FV is functionally resistant to activated protein C, an anticoagulant. We speculate this stability is the result of noncovalent interactions and/or a unique disulfide bond in pt-FV linking the heavy and light chains. Taken together, these findings provide a biochemical rationale for the strong procoagulant nature of venom prothrombinase. Furthermore, they illustrate how regulatory mechanisms designed to limit the hemostatic response can be uncoupled to provide a sustained, disseminated procoagulant stimulus for use as a biologic toxin.
IntroductionThe circulation of blood coagulation factors as precursors and their localization to the site of vascular injury after activation are important factors that maintain normal hemostasis and restrict indiscriminate clotting. 1 Bypassing these regulatory paradigms can be life-threatening, yet organisms have evolved strategies that exploit these systems for a selective advantage. For example, the venom of numerous snake species comprises a diverse array of proteases that activate and overwhelm the host hemostatic system in an uncontrolled fashion. 2 Some of the most potent venoms come from the Australian elapid family, including Pseudonaja textilis, Oxyuranus microlepidotus, and Oxyuranus scutellatus. 3 Their venom is considered the most toxic in the world and is unusual as it contains 2 coagulation proteins: factor V (FV) and a factor Xa (FXa)-like enzyme. [4][5][6][7][8][9][10] These proteins make up approximately 20% to 40% of the total venom and form a powerful procoagulant complex. 5,7 This complex converts prothrombin to thrombin, and its activity is enhanced, to various degrees, by calcium and phospholipids, but not by the cofactor FVa. [4][5][6][7]11 Venom-derived FV from these snakes share approximately 44% homology with mammalian FV and have a similar domain structure (A1-A2-B-A3-C1-C2). 8,10,12 However, we were surprised to learn that their B-domains are remarkably short, approximately 46 versus approximately 800 residues in mammals. (Amino acid numbering for pt-FV is as follows: the mature sequence starts at ϩ1 and the remaining sequence is numbered consecutively to 1430. The pt-FV B-domain is defined ...