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Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:874-882

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:874.)
© 2000 American Heart Association, Inc.


Thrombosis

Reversible Regulation of Tissue Factor–Induced Coagulation by Glycosyl Phosphatidylinositol–Anchored Tissue Factor Pathway Inhibitor

Ilka Ott; Yohei Miyagi; Kaoru Miyazaki; Mary Jo Heeb; Barbara M. Mueller; L. Vijay M. Rao; Wolfram Ruf

From the Departments of Immunology (B.M.M., W.R.), Molecular and Experimental Medicine (M.J.H.), and Vascular Biology (M.J.H., B.M.M., W.R.), The Scripps Research Institute, La Jolla, Calif; Deutsches Herzzentrum (I.O.), Munich, Germany; the Department of Pathology (Y.M.) and the Kihara Institute for Biological Research (K.M.), Yokohama City University, Yokohama, Japan; and the Department of Biochemistry (L.V.M.R.), University of Texas Health Center at Tyler, Tyler, Tex.

Correspondence to Dr Wolfram Ruf, Department of Immunology, IMM-17, The Scripps Research Institute, 10550 North Torrey Pines Rd, La Jolla, CA 92037. E-mail ruf{at}scripps.edu

Abstract—Endothelial and tumor cells synthesize tissue factor pathway inhibitor (TFPI-1), which regulates tissue factor (TF) function by TF · VIIa · Xa · TFPI-1 quaternary complex formation (where VIIa and Xa are coagulation factors) and by translocation of these complexes into glycosphingolipid-rich microdomains of the cell membrane. Recombinant TFPI-1 added exogenously to cells is targeted to a degradation pathway. This study analyzes whether quaternary complex formation with endogenous TFPI-1 results also in internalization and degradation. We demonstrate that endogenous TFPI-1 and recombinant TFPI-1 differ in their distribution on the cell surface. Recombinant TFPI-1 is found in phospholipid- and glycosphingolipid-rich membrane domains, whereas endogenous TFPI-1 preferentially localizes to glycosphingolipid-rich microdomains. On quaternary complex formation, endogenous TFPI-1 remains protease sensitive and accessible for antibodies on intact cells, demonstrating that it is not appreciably internalized. Rather, regulation of TF by TFPI-1 is restored within 12 hours, consistent with dissociation of quaternary complexes on the cell surface. Endogenous TFPI-1 can be released from the cell surface by phospholipase treatment, indicating that TFPI-1 either is a glycosyl phosphatidylinositol (GPI)-anchored protein or binds to a GPI-linked receptor. We demonstrate that expression of a recombinant GPI-anchored form of TFPI-1 targets TF · VIIa complexes to glycosphingolipid-rich membrane fractions. Thus, GPI anchoring of TFPI-1 is sufficient for regulation of TF · VIIa complex function by a pathway of reversible inhibition rather than internalization and degradation.


Key Words: coagulation cascade • Kunitz-type inhibitors • cell surface proteoglycans • glycosphingolipid-rich microdomains




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