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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Thromb+Haemost
2017 ; 117
(4
): 671-681
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Nucleic acids as cofactors for factor XI and prekallikrein activation: Different
roles for high-molecular-weight kininogen
#MMPMID28124063
Ivanov I
; Shakhawat R
; Sun MF
; Dickeson SK
; Puy C
; McCarty OJ
; Gruber A
; Matafonov A
; Gailani D
Thromb Haemost
2017[Apr]; 117
(4
): 671-681
PMID28124063
show ga
The plasma zymogens factor XI (fXI) and prekallikrein (PK) are activated by
factor XIIa (fXIIa) during contact activation. Polyanions such as DNA and RNA may
contribute to thrombosis and inflammation partly by enhancing PK and fXI
activation. We examined PK and fXI activation in the presence of nucleic acids,
and determine the effects of the cofactor high molecular weight kininogen (HK) on
the reactions. In the absence of HK, DNA and RNA induced fXI autoactivation.
Proteases known to activate fXI (fXIIa and thrombin) did not enhance this process
appreciably. Nucleic acids had little effect on PK activation by fXIIa in the
absence of HK. HK had significant but opposite effects on PK and fXI activation.
HK enhanced fXIIa activation of PK in the presence of nucleic acids, but blocked
fXI autoactivation. Thrombin and fXIIa could overcome the HK inhibitory effect on
autoactivation, indicating these proteases are necessary for nucleic acid-induced
fXI activation in an HK-rich environment such as plasma. In contrast to PK, which
requires HK for optimal activation, fXI activation in the presence of nucleic
acids depends on anion binding sites on the fXI molecule. The corresponding sites
on PK are not necessary for PK activation. Our results indicate that HK functions
as a cofactor for PK activation in the presence of nucleic acids in a manner
consistent with classic models of contact activation. However, HK has, on
balance, an inhibitory effect on nucleic acid-supported fXI activation and may
function as a negative regulator of fXI activation.