National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI)
HL049413
United States
National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI)
HL139554
United States
National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI)
HL147821
United States
National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Disease (NIH/NIDDK)
P30DK020579
United States
National Institutes of Health/National Cancer Institute (NIH/NCI)
P30CA091842
United States
Citation
Journal: Blood / Year: 2026 Title: Molecular mechanism of cleavage at R271 during prothrombin activation revealed by cryo-EM. Authors: Bosko Stojanovski / Bassem M Mohammed / Katherine Basore / Enrico Di Cera / Abstract: The conversion of the inactive zymogen prothrombin to the active protease thrombin in the common pathway of the coagulation cascade is the molecular event responsible for the pathophysiology of ...The conversion of the inactive zymogen prothrombin to the active protease thrombin in the common pathway of the coagulation cascade is the molecular event responsible for the pathophysiology of hemostasis and thrombosis. The conversion entails two proteolytic cleavages at R320 and R271 by the prothrombinase complex composed of the enzyme factor Xa (fXa), the cofactor fVa, Ca2+ and phospholipids. A recent cryogenic electron microscopy (cryo-EM) structure revealed how cleavage at R320 generates the active intermediate meizothrombin in the first step of the activation pathway. Here we present the 3.8 Å resolution cryo-EM structure of a truncated form of meizothrombin (mzTDF1) bound to fVa and fXa that reveals how the second cleavage at R271 generates thrombin. The cleavage is brokered by molecular contacts that involve mostly the protease domains of mzTDF1 and fXa and largely validate the results from biochemical studies. The switch in cleavage site from R320 to R271 involves a significant reorientation rather than conformational transitions of the protease domain of mzTDF1 that moves the guanidinium group of R271 more than 20 Å into the primary specificity pocket of fXa. The findings complete the cryo-EM structural analysis of prothrombin activation along the meizothrombin pathway and advance our molecular understanding of a reaction critical to the pathophysiology of blood coagulation.
Entire : Complex of MeizothrombinDESF1, factor Xa and factor Va
Entire
Name: Complex of MeizothrombinDESF1, factor Xa and factor Va
Components
Complex: Complex of MeizothrombinDESF1, factor Xa and factor Va
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Supramolecule #1: Complex of MeizothrombinDESF1, factor Xa and factor Va
Supramolecule
Name: Complex of MeizothrombinDESF1, factor Xa and factor Va type: complex / ID: 1 / Parent: 0
Source (natural)
Organism: Homo sapiens (human)
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Experimental details
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Structure determination
Method
cryo EM
Processing
single particle reconstruction
Aggregation state
particle
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Sample preparation
Buffer
pH: 7.5
Grid
Model: Quantifoil R1.2/1.3 / Material: COPPER / Support film - Material: CARBON / Support film - topology: HOLEY / Pretreatment - Type: GLOW DISCHARGE
Vitrification
Cryogen name: ETHANE / Instrument: FEI VITROBOT MARK IV
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Electron microscopy
Microscope
TFS KRIOS
Specialist optics
Spherical aberration corrector: Microscope is outfitted with a Cs image corrector with two hexapole elements.
Details
Preliminary grid screening was performed manually.
Image recording
Film or detector model: FEI FALCON IV (4k x 4k) / Digitization - Dimensions - Width: 4096 pixel / Digitization - Dimensions - Height: 4096 pixel / Number grids imaged: 3 / Number real images: 5179 / Average electron dose: 51.0 e/Å2 / Details: 28% of images collected at 30 degree stage tilt.
Electron beam
Acceleration voltage: 300 kV / Electron source: FIELD EMISSION GUN
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