American Society of Hirudotherapy

Molecular mapping of the thrombin-heparin cofactor II complex

Research article published in The Journal of biological chemistry (2004)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportGenomics & ProteomicsDrug DevelopmentSalivary PharmacologyFortenberry YM et al. · The Journal of biological chemistry, 2004

Abstract

We used 55 Ala-scanned recombinant thrombin molecules to define residues important for inhibition by the serine protease inhibitor (serpin) heparin cofactor II (HCII) in the absence and presence of glycosaminoglycans. We verified the importance of numerous basic residues in anion-binding exosite-1 (exosite-1) and found 4 additional residues, Gln24, Lys65, His66, and Tyr71 (using the thrombin numbering system), that were resistant to HCII inhibition with and without glycosaminoglycans. Inhibition rate constants for these exosite-1 (Q24A, K65A, H66A, Y71A) thrombin mutants (0.02-0.38 x 10(8) m(-1) min(-1) for HCII-heparin when compared with 2.36 x 10(8) m(-1) min(-1) with wild-type thrombin and 0.03-0.53 x 10(8) m(-1) min(-1) for HCII-dermatan sulfate when compared with 5.23 x 10(8) m(-1) min(-1) with wild-type thrombin) confirmed that the structural integrity of thrombin exosite-1 is critical for optimal HCII-thrombin interactions in the presence of glycosaminoglycans. However, our results are also consistent for HCII-glycosaminoglycan-thrombin ternary complex formation. Ten residues surrounding the active site of thrombin were implicated in HCII interactions. Four mutants (Asp51, Lys52, Lys145/Thr147/Trp148, Asp234) showed normal increased rates of inhibition by HCII-glycosaminoglycans, whereas four mutants (Trp50, Glu202, Glu229, Arg233) remained resistant to inhibition by HCII with glycosaminoglycans. Using 11 exosite-2 thrombin mutants with 20 different mutated residues, we saw no major perturbations of HCII-glycosaminoglycan inhibition reactions. Collectively, our results support a "double bridge" mechanism for HCII inhibition of thrombin in the presence of glycosaminoglycans, which relies in part on ternary complex formation but is primarily dominated by an allosteric process involving contact of the "hirudin-like" domain of HCII with thrombin exosite-1.

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 termsAlanineAllosteric SiteBinding SitesDermatan SulfateDose-Response Relationship, DrugGlutamineGlycosaminoglycansHeparin Cofactor IIHistidineHumansKineticsLysine

Summary

We used 55 Ala-scanned recombinant thrombin molecules to define residues important for inhibition by the serine protease inhibitor (serpin) heparin cofactor II (HCII) in the absence and presence of glycosaminoglycans.

Why This Matters for Hirudotherapy

This study used 55 alanine-scanned recombinant thrombin variants to define residues critical for inhibition by heparin cofactor II (HCII), a serpin, with and without glycosaminoglycans. The authors identified residues in thrombin's anion-binding exosite-1 essential for optimal HCII–thrombin interactions and proposed a "double bridge" inhibition mechanism involving allosteric contact between HCII's "hirudin-like" domain and thrombin exosite-1. This is relevant to the ASH domain because the concept of a "hirudin-like" domain relates to how leech-derived hirudin — a potent natural thrombin inhibitor — engages the same thrombin surface. The caveat is that this is a purely in vitro alanine-scanning study with no leeches, leech extracts, or hirudin tested; the relevance is solely structural/mechanistic by analogy.

Citation

Molecular mapping of the thrombin-heparin cofactor II complex

Fortenberry YM et al. · The Journal of biological chemistry, 2004

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