Evidence map›Paper›PMID 22535660›Full record

ArticleBlood2012

Exposure of R169 controls protein C activation and autoactivation.

Nicola Pozzi, Sergio Barranco-Medina, Zhiwei Chen, Enrico Di Cera

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Thrombin has dual trypsin-like and chymotrypsin-like specificity.Journal of thrombosis and haemostasis : JTH · 2024
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  4. The active site region plays a critical role in NaThe Journal of biological chemistry · 2022
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  14. WEDGE: an anticoagulant thrombin mutant produced by autoactivation.Journal of thrombosis and haemostasis : JTH · 2015
    Article
  15. Article
  16. Histone H4 promotes prothrombin autoactivation.The Journal of biological chemistry · 2013
    Article
  17. Autoactivation of thrombin precursors.The Journal of biological chemistry · 2013
    Article
  18. Down-regulation of the clotting cascade by the protein C pathway.Hematology education. European Hematology Association. Congress. Education Program · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Nicola PozziEdward A Doisy Department of Biochemistry and Molecular Biology, St Louis University School of Medicine, St Louis, MO 63110, USA.
Sergio Barranco-Medina
Zhiwei Chen
Enrico Di Cera
Saint Louis University · US

Funding

STUDIES ON THROMBIN ALLOSTERYR01HL049413 · NHLBI · WASHINGTON UNIVERSITY · PI Enrico Di Cera · 2000 to 2026
$9.6M
Studies on the anticoagulant properties of thrombinR01HL073813 · NHLBI · WASHINGTON UNIVERSITY · PI DI CERA, ENRICO · 2003 to 2015
$5.3M
Therapeutic Thrombin AnalogsR44HL095315 · NHLBI · ARONORA, INC. · PI GRUBER, ANDRAS, TUCKER, ERIK IAN · 2009 to 2016
$5.0M
BIOPHYSICAL STUDIES OF THROMBINR29HL049413 · NHLBI · WASHINGTON UNIVERSITY · PI DI CERA, ENRICO · 1995 to 1999
–
NHLBI NIH HHS HL49413NHLBI NIH HHS HL73813NHLBI NIH HHS HL95315NHLBI NIH HHS R01 HL049413NHLBI NIH HHS R01 HL073813NHLBI NIH HHS R29 HL049413NHLBI NIH HHS R44 HL095315
6 · The paper itself

Abstract

Protein C is activated by thrombin with a value of k(cat)/K(m) = 0.11mM(-1)s(-1) that increases 1700-fold in the presence of the cofactor thrombomodulin. The molecular origin of this effect triggering an important feedback loop in the coagulation cascade remains elusive. Acidic residues in the activation domain of protein C are thought to electrostatically clash with the active site of thrombin. However, functional and structural data reported here support an alternative scenario. The thrombin precursor prethrombin-2 has R15 at the site of activation in ionic interaction with E14e, D14l, and E18, instead of being exposed to solvent for proteolytic attack. Residues E160, D167, and D172 around the site of activation at R169 of protein C occupy the same positions as E14e, D14l, and E18 in prethrombin-2. Caging of R169 by E160, D167, and D172 is responsible for much of the poor activity of thrombin toward protein C. The E160A/D167A/D172A mutant is activated by thrombin 63-fold faster than wild-type in the absence of thrombomodulin and, over a slower time scale, spontaneously converts to activated protein C. These findings establish a new paradigm for cofactor-assisted reactions in the coagulation cascade.

Indexed as

Blood CoagulationCatalytic DomainCrystallography, X-RayFeedback, PhysiologicalHumansPoint MutationProtein CProtein Interaction Domains and MotifsProtein Structure, TertiaryProthrombinThrombinThrombomodulinprethrombinsProtein CProthrombinThrombinThrombomodulin

Identifiers

PMID22535660
PMCPMC3401217
OpenAlexW2102990316

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.