Journal: Structure / Year: 2024 Title: Structural basis for the inhibition of βFXIIa by garadacimab. Authors: Ieva Drulyte / Rajesh Ghai / Saw Yen Ow / Eugene A Kapp / Adam J Quek / Con Panousis / Michael J Wilson / Andrew D Nash / Matthias Pelzing / Abstract: Activated FXII (FXIIa) is the principal initiator of the plasma contact system and can activate both procoagulant and proinflammatory pathways. Its activity is important in the pathophysiology of ...Activated FXII (FXIIa) is the principal initiator of the plasma contact system and can activate both procoagulant and proinflammatory pathways. Its activity is important in the pathophysiology of hereditary angioedema (HAE). Here, we describe a high-resolution cryoelectron microscopy (cryo-EM) structure of the beta-chain from FXIIa (βFXIIa) complexed with the Fab fragment of garadacimab. Garadacimab binds to βFXIIa through an unusually long CDR-H3 that inserts into the S1 pocket in a non-canonical way. This structural mechanism is likely the primary contributor to the inhibition of activated FXIIa proteolytic activity in HAE. Garadacimab Fab-βFXIIa structure also reveals critical determinants of high-affinity binding of garadacimab to activated FXIIa. Structural analysis with other bona fide FXIIa inhibitors, such as benzamidine and C1-INH, reveals a surprisingly similar mechanism of βFXIIa inhibition by garadacimab. In summary, the garadacimab Fab-βFXIIa structure provides crucial insights into its mechanism of action and delineates primary and auxiliary paratopes/epitopes.
pH: 5.5 / Details: 10 mM Na Acetate, 100 mM NaCl pH 5.5
Grid
Model: UltrAuFoil R1.2/1.3 / Material: GOLD / Mesh: 300 / Pretreatment - Type: GLOW DISCHARGE / Pretreatment - Time: 30 sec. / Pretreatment - Atmosphere: AIR / Details: plasma current 20 mA
Vitrification
Cryogen name: ETHANE / Chamber humidity: 90 % / Chamber temperature: 277 K / Instrument: FEI VITROBOT MARK IV
Details
Immediately before blotting and plunge freezing, fluorinated octyl maltoside (FOM) was added to the sample to the final concentration of 0.005%-0.01% (w/v)
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Electron microscopy
Microscope
FEI TITAN KRIOS
Specialist optics
Energy filter - Name: TFS Selectris / Energy filter - Slit width: 10 eV Details: Electron source E-CFEG (cold-FEG), energy filter Selectris X
Image recording
Film or detector model: FEI FALCON IV (4k x 4k) / Number grids imaged: 2 / Number real images: 4000 / Average electron dose: 50.0 e/Å2 / Details: 2000 with 0.005% FOM and 2000 with 0.01% FOM
Electron beam
Acceleration voltage: 300 kV / Electron source: FIELD EMISSION GUN
Number selected: 271636 Details: Particles were picked from each of the datasets independently using a blob picker using 50-170 A diameter. 124767 particles were picked from the 0.005% FOM dataset and 146869 particles from ...Details: Particles were picked from each of the datasets independently using a blob picker using 50-170 A diameter. 124767 particles were picked from the 0.005% FOM dataset and 146869 particles from the 0.01% FOM dataset.
Startup model
Type of model: INSILICO MODEL / In silico model: Ab Initio Details: Ab Initio reconstruction was performed in cryoSPARC
Final reconstruction
Applied symmetry - Point group: C2 (2 fold cyclic) / Resolution.type: BY AUTHOR / Resolution: 2.6 Å / Resolution method: FSC 0.143 CUT-OFF / Software - Name: cryoSPARC / Number images used: 135296
Initial angle assignment
Type: MAXIMUM LIKELIHOOD / Software - Name: cryoSPARC / Details: Non-uniform refinement in cryoSPARC was used
Final angle assignment
Type: MAXIMUM LIKELIHOOD / Software - Name: cryoSPARC / Details: Non-uniform refinement in cryoSPARC was used
FSC plot (resolution estimation)
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