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8R8D

Cryo-EM structure of coagulation factor beta-XIIa in complex with the garadacimab Fab fragment (symmetric dimer)

Summary for 8R8D
Entry DOI10.2210/pdb8r8d/pdb
EMDB information18999
DescriptorCoagulation factor XII, Garadacimab heavy chain variable region, Garadacimab light chain variable region, ... (5 entities in total)
Functional Keywordscomplex, coagulation, trypsin-like serine protease, hereditary angioedema (hae), blood clotting
Biological sourceHomo sapiens (human)
More
Total number of polymer chains6
Total formula weight150954.34
Authors
Drulyte, I. (deposition date: 2023-11-29, release date: 2023-12-13, Last modification date: 2024-10-16)
Primary citationDrulyte, I.,Ghai, R.,Ow, S.Y.,Kapp, E.A.,Quek, A.J.,Panousis, C.,Wilson, M.J.,Nash, A.D.,Pelzing, M.
Structural basis for the inhibition of beta FXIIa by garadacimab.
Structure, 32:1705-, 2024
Cited by
PubMed 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 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.
PubMed: 39059382
DOI: 10.1016/j.str.2024.07.001
PDB entries with the same primary citation
Experimental method
ELECTRON MICROSCOPY (2.6 Å)
Structure validation

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