Jandrot-Perrus M, Bouton M C, Lanza F, Guillin M C
Laboratoire de Recherche sur l'Hémostase et la Thrombose, Faculté de Médecine Xavier Bichat, Paris, France.
Semin Thromb Hemost. 1996;22(2):151-6. doi: 10.1055/s-2007-999003.
Platelet activation by low doses of thrombin allows the amplification thrombin formation and thereby plays an important role in the development of thrombi. Although thrombin-induced platelet activation is elicited via the cleavage of its specific receptor (TR), platelet membrane glycoprotein Ib (GPIb) is required for responses to low concentrations of thrombin, as evidenced from the observation that GPIb-deficient platelets are characterized by a decreased sensitivity to thrombin and a low rate of activation. Glycoprotein Ib is an integral membrane protein composed of two disulfide-linked chains noncovalently associated to glycoproteins IX and V. As the receptor of the von Willebrand factor (vWF), GPIb plays a main role in platelet adhesion to the subendothelium. There are 25,000 copies of GPIb at the platelet surface but only a limited number of them appear to be involved in the high-affinity binding of thrombin. The catalytic site of thrombin is not involved in the interaction with GPIb. In contrast, competitive inhibition of GPIb-thrombin interaction by the C-terminal tail of hirudin, fibrin(ogen), and thrombomodulin indicates that thrombin exosite 1 is essential for GPIb binding. A hydrophylic domain located on the 45-kd N-terminal domain of GPIb alpha is involved in thrombin binding, and in particular, a stretch of negatively charged residues appears to make ionic interactions with thrombin. The same region of GPIb also contributes to the vWF binding site that should be very close to and even overlapping the thrombin-binding site. Despite GPIb and TR both interacting with thrombin exosite 1, the soluble fragment of GPIb does not modify the hydrolysis by thrombin of its target peptidic bond on TR, indicating that these two proteins bind to discrete subsites within exosite 1 and that the promoting effect of GPIb on TR-coupled responses depends on the anchorage of these proteins to the platelet membrane.
低剂量凝血酶引起的血小板活化可使凝血酶生成增加,从而在血栓形成过程中发挥重要作用。尽管凝血酶诱导的血小板活化是通过其特异性受体(TR)的裂解引发的,但低浓度凝血酶反应需要血小板膜糖蛋白Ib(GPIb)参与,这一点从GPIb缺陷型血小板对凝血酶敏感性降低和活化率低的观察结果中得到证实。糖蛋白Ib是一种整合膜蛋白,由两条通过二硫键连接的链组成,与糖蛋白IX和V非共价结合。作为血管性血友病因子(vWF)的受体,GPIb在血小板黏附于内皮下层中起主要作用。血小板表面有25,000个GPIb拷贝,但似乎只有有限数量的GPIb参与凝血酶的高亲和力结合。凝血酶的催化位点不参与与GPIb的相互作用。相反,水蛭素、纤维蛋白(原)和血栓调节蛋白的C末端尾巴对GPIb-凝血酶相互作用的竞争性抑制表明,凝血酶外位点1对GPIb结合至关重要。位于GPIbα 45-kd N末端结构域上的一个亲水区参与凝血酶结合,特别是一段带负电荷的残基似乎与凝血酶形成离子相互作用。GPIb的同一区域也有助于vWF结合位点,该位点应与凝血酶结合位点非常接近甚至重叠。尽管GPIb和TR都与凝血酶外位点1相互作用,但GPIb的可溶性片段不会改变凝血酶对其在TR上的靶肽键的水解,这表明这两种蛋白结合到外位点1内的不同亚位点,并且GPIb对TR偶联反应的促进作用取决于这些蛋白与血小板膜的锚定。