Evidence map›Paper›PMID 18424440›Full record

ArticleThe Journal of biological chemistry2008

Detailed mechanisms of the inactivation of factor VIIIa by activated protein C in the presence of its cofactors, protein S and factor V.

Andrew J Gale, Thomas J Cramer, Diana Rozenshteyn, Jason R Cruz

Open access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Factor V variants in bleeding and thrombosis.Research and practice in thrombosis and haemostasis · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Redox control of vascular biology.BioFactors (Oxford, England) · 2020
    Review
  11. Review
  12. Article
  13. Review
  14. Protein C anticoagulant and cytoprotective pathways.International journal of hematology · 2012
    Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Andrew J GaleDepartment of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, California 92037, USA. agale@scripps.edu
Thomas J Cramer
Diana Rozenshteyn
Jason R Cruz
Scripps Research Institute · US

Funding

Stabilized factor VIIIa as therapy for hemophilia AR01HL082588 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GALE, ANDREW J · 2005 to 2008
$1.4M
NHLBI NIH HHS HL82588NHLBI NIH HHS R01 HL082588
6 · The paper itself

Abstract

Factor VIIIa is inactivated by a combination of two mechanisms. Activation of factor VIII by thrombin results in a heterotrimeric factor VIIIa that spontaneously inactivates due to dissociation of the A2 subunit. Additionally, factor VIIIa is cleaved by the anticoagulant serine protease, activated protein C, at two cleavage sites, Arg(336) in the A1 subunit and Arg(562) in the A2 subunit. We previously characterized an engineered variant of factor VIII which contains a disulfide bond between the A2 and the A3 subunits that prevents the spontaneous dissociation of the A2 subunit following thrombin activation. Thus, in the absence of activated protein C, this variant has stable activity following activation by thrombin. To isolate the effects of the individual activated protein C cleavage sites on factor VIIIa, we engineered mutations of the activated protein C cleavage sites into the disulfide bond-cross-linked factor VIII variant. Arg(336) cleavage is 6-fold faster than Arg(562) cleavage, and the Arg(336) cleavage does not fully inactivate factor VIIIa when A2 subunit dissociation is blocked. Protein S enhances both cleavage rates but enhances Arg(562) cleavage more than Arg(336) cleavage. Factor V also enhances both cleavage rates when protein S is present. Factor V enhances Arg(562) cleavage more than Arg(336) cleavage as well. As a result, in the presence of both activated protein C cofactors, Arg(336) cleavage is only twice as fast as Arg(562) cleavage. Therefore, both cleavages contribute significantly to factor VIIIa inactivation.

Indexed as

ArginineBiochemistryDisulfidesFactor VFactor VIIIaHumansKineticsModels, BiologicalModels, ChemicalMutationProtein BindingProtein CProtein SThrombinTime FactorsArginineDisulfidesFactor VFactor VIIIaProtein CProtein SThrombin

Identifiers

PMID18424440
PMCPMC2423237
OpenAlexW2053144851

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.