A complex of D-dimer noncovalently associated with fragment E ((DD)E), a degradation product of crosslinked fibrin that binds tissue plasminogen activator (t-PA) and plasminogen (Pg) with affinities similar to those of fibrin, compromises the fibrin specificity of t-PA by stimulating systemic Pg activation. In this study, we examined the effect of thrombin-activable fibrinolysis inhibitor (TAFI), a latent carboxypeptidase B (CPB)-like enzyme, on the stimulatory activity of (DD)E. Incubation of (DD)E with activated TAFI (TAFIa) or CPB (a) produces a 96% reduction in the capacity of (DD)E to stimulate t-PA-mediated activation of Glu-or Lys-Pg by reducing k cat and increasing K m for the reaction; (b) induces the release of 8 mol of lysine/mol of (DD)E, although most of the stimulatory activity is lost after release of only 4 mol of lysine/mol (DD)E; and (c) reduces the affinity of (DD)E for Glu-Pg, Lys-Pg, and t-PA by 2-, 4-, and 160-fold, respectively. Because TAFIaor CPB-exposed (DD)E produces little stimulation of Glu-Pg activation by t-PA, (DD)E is not degraded into fragment E and D-dimer, the latter of which has been reported to impair fibrin polymerization. These data suggest a novel role for TAFIa. By attenuating systemic Pg activation by (DD)E, TAFIa renders t-PA more fibrin-specific.
Intravascular fibrinolysis is initiated when plasminogen (Pg)1 is converted to plasmin by tissue-type plasminogen activator (t-PA) (1, 2). Plasmin then degrades fibrin, yielding soluble fibrin degradation products. Through a positive feedback mechanism, fibrin enhances its own degradation by stimulating t-PA-mediated Pg activation. To potentiate this reaction, fibrin acts as a template onto which both t-PA and Pg bind (3). The activator and its substrate bind to independent sites on intact fibrin because the t-PA interaction is primarily mediated by its fibronectin finger-like domain, whereas Pg binding is kringle-dependent (3-5). As a functional consequence of t-PA and Pg interaction with fibrin, the catalytic efficiency of t-PAmediated Pg activation is 2-3 orders of magnitude greater in the presence of fibrin than in its absence (1,3,6). In contrast to the potent stimulatory effect of fibrin, fibrinogen (Fg) produces only a 25-fold enhancement in the catalytic efficiency of Pg activation by t-PA (1, 7). Because t-PA preferentially activates Pg in the presence of fibrin rather than Fg, it is designated a fibrin-specific Pg activator. When cross-linked fibrin is solubilized by plasmin, a major degradation product is (DD)E, a complex of D-dimer (DD) noncovalently associated with fragment E (8, 9). Recently, we demonstrated that (DD)E compromises the fibrin specificity of t-PA, because this soluble fragment is as potent as fibrin at stimulating Pg activation by t-PA (10, 11). Like fibrin, (DD)E binds t-PA and Pg with high affinity (5,10,12). In contrast to its predominantly finger-dependent interaction with fibrin,