American Society of Hirudotherapy

Enhancement of heparin cofactor II anticoagulant activity

Research article published in The Journal of biological chemistry (1999)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportDrug DevelopmentClinical TrialsSalivary PharmacologyBauman SJ et al. · The Journal of biological chemistry, 1999

Abstract

Heparin cofactor II (HCII) is a serpin whose thrombin inhibition activity is accelerated by glycosaminoglycans. We describe the novel properties of a carboxyl-terminal histidine-tagged recombinant HCII (rHCII-CHis(6)). Thrombin inhibition by rHCII-CHis(6) was increased >2-fold at approximately 5 microgram/ml heparin compared with wild-type recombinant HCII (wt-rHCII) at 50-100 microgram/ml heparin. Enhanced activity of rHCII-CHis(6) was reversed by treatment with carboxypeptidase A. We assessed the role of the HCII acidic domain by constructing amino-terminal deletion mutants (Delta1-52, Delta1-68, and Delta1-75) in wt-rHCII and rHCII-CHis(6). Without glycosaminoglycan, unlike wt-rHCII deletion mutants, the rHCII-CHis(6) deletion mutants were less active compared with full-length rHCII-CHis(6). With glycosaminoglycans, Delta1-68 and Delta1-75 rHCIIs were all less active. We assessed the character of the tag by comparing rHCII-CHis(6), rHCII-CAla(6), and rHCII-CLys(6) to wt-rHCII. Only rHCII-CHis(6) had increased activity with heparin, whereas all three mutants have increased heparin binding. We generated a carboxyl-terminal histidine-tagged recombinant antithrombin III to study the tag on another serpin. Interestingly, this mutant antithrombin III had reduced heparin cofactor activity compared with wild-type protein. In a plasma-based assay, the glycosaminoglycan-dependent inhibition of thrombin by rHCII-CHis(6) was significantly greater compared with wt-rHCII. Thus, HCII variants with increased function, such as rHCII-CHis(6), may offer novel reagents for clinical application.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.
Indexed MeSH termsAlanineAnticoagulantsAntithrombin IIIAntithrombin III DeficiencyAntithrombinsCarboxypeptidasesCarboxypeptidases ADermatan SulfateFactor Xa InhibitorsGlycosaminoglycansHeparinHeparin Cofactor II

Summary

Heparin cofactor II (HCII) is a serpin whose thrombin inhibition activity is accelerated by glycosaminoglycans.

Why This Matters for Hirudotherapy

This study describes a carboxyl-terminal histidine-tagged recombinant heparin cofactor II (rHCII-CHis(6)) that shows >2-fold enhanced thrombin inhibition at much lower heparin concentrations compared with wild-type recombinant HCII, with the enhancement reversed by carboxypeptidase A treatment. Deletion mutagenesis and plasma-based assays confirmed the improved glycosaminoglycan-dependent anticoagulant activity. While this work concerns thrombin inhibition — a central mechanism also targeted by leech-derived hirudin — the study involves a human serpin engineered via recombinant DNA technology and does not involve leeches, leech extracts, or leech-derived molecules in any capacity. Thus, its relevance to hirudotherapy or the leech secretome is only indirect, offering contextual background on alternative anticoagulant strategies rather than informing leech-based therapeutics directly.

Citation

Enhancement of heparin cofactor II anticoagulant activity

Bauman SJ et al. · The Journal of biological chemistry, 1999

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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