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Title: Structure of the human factor VIII C2 domain in complex with the 3E6 inhibitory antibody

Abstract

Blood coagulation factor VIII is a glycoprotein cofactor that is essential for the intrinsic pathway of the blood coagulation cascade. Inhibitory antibodies arise either spontaneously or in response to therapeutic infusion of functional factor VIII into hemophilia A patients, many of which are specific to the factor VIII C2 domain. The immune response is largely parsed into “classical” and “non-classical” inhibitory antibodies, which bind to opposing faces cooperatively. In this study, the 2.61 Å resolution structure of the C2 domain in complex with the antigen-binding fragment of the 3E6 classical inhibitory antibody is reported. The binding interface is largely conserved when aligned with the previously determined structure of the C2 domain in complex with two antibodies simultaneously. Further inspection of the B factors for the C2 domain in various X-ray crystal structures indicates that 3E6 antibody binding decreases the thermal motion behavior of surface loops in the C2 domain on the opposing face, thereby suggesting that cooperative antibody binding is a dynamic effect. Furthermore, understanding the structural nature of the immune response to factor VIII following hemophilia A treatment will help lead to the development of better therapeutic reagents.

Authors:
 [1];  [1];  [1]
  1. Western Washington Univ., Bellingham, WA (United States)
Publication Date:
Research Org.:
Univ. of California (United States)
Sponsoring Org.:
USDOE Office of Science (SC)
OSTI Identifier:
1241019
Grant/Contract Number:  
AC02-05CH11231
Resource Type:
Accepted Manuscript
Journal Name:
Scientific Reports
Additional Journal Information:
Journal Volume: 5; Journal ID: ISSN 2045-2322
Publisher:
Nature Publishing Group
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; coagulation system; X-ray crystallography

Citation Formats

Wuerth, Michelle E., Cragerud, Rebecca K., and Spiegel, P. Clint. Structure of the human factor VIII C2 domain in complex with the 3E6 inhibitory antibody. United States: N. p., 2015. Web. doi:10.1038/srep17216.
Wuerth, Michelle E., Cragerud, Rebecca K., & Spiegel, P. Clint. Structure of the human factor VIII C2 domain in complex with the 3E6 inhibitory antibody. United States. https://doi.org/10.1038/srep17216
Wuerth, Michelle E., Cragerud, Rebecca K., and Spiegel, P. Clint. Tue . "Structure of the human factor VIII C2 domain in complex with the 3E6 inhibitory antibody". United States. https://doi.org/10.1038/srep17216. https://www.osti.gov/servlets/purl/1241019.
@article{osti_1241019,
title = {Structure of the human factor VIII C2 domain in complex with the 3E6 inhibitory antibody},
author = {Wuerth, Michelle E. and Cragerud, Rebecca K. and Spiegel, P. Clint},
abstractNote = {Blood coagulation factor VIII is a glycoprotein cofactor that is essential for the intrinsic pathway of the blood coagulation cascade. Inhibitory antibodies arise either spontaneously or in response to therapeutic infusion of functional factor VIII into hemophilia A patients, many of which are specific to the factor VIII C2 domain. The immune response is largely parsed into “classical” and “non-classical” inhibitory antibodies, which bind to opposing faces cooperatively. In this study, the 2.61 Å resolution structure of the C2 domain in complex with the antigen-binding fragment of the 3E6 classical inhibitory antibody is reported. The binding interface is largely conserved when aligned with the previously determined structure of the C2 domain in complex with two antibodies simultaneously. Further inspection of the B factors for the C2 domain in various X-ray crystal structures indicates that 3E6 antibody binding decreases the thermal motion behavior of surface loops in the C2 domain on the opposing face, thereby suggesting that cooperative antibody binding is a dynamic effect. Furthermore, understanding the structural nature of the immune response to factor VIII following hemophilia A treatment will help lead to the development of better therapeutic reagents.},
doi = {10.1038/srep17216},
journal = {Scientific Reports},
number = ,
volume = 5,
place = {United States},
year = {Tue Nov 24 00:00:00 EST 2015},
month = {Tue Nov 24 00:00:00 EST 2015}
}

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Works referenced in this record:

Characterization of the human factor VIII gene
journal, November 1984

  • Gitschier, Jane; Wood, William I.; Goralka, Therese M.
  • Nature, Vol. 312, Issue 5992
  • DOI: 10.1038/312326a0

Glutathione Reductase of the Malarial Parasite Plasmodium falciparum: Crystal Structure and Inhibitor Development
journal, May 2003


Characterization of the human factor VIII gene
journal, November 1984

  • Gitschier, Jane; Wood, William I.; Goralka, Therese M.
  • Nature, Vol. 312, Issue 5992
  • DOI: 10.1038/312326a0

Antibody Multispecificity Mediated by Conformational Diversity
journal, February 2003


Structure of a factor VIII C2 domain–immunoglobulin G4κ Fab complex: identification of an inhibitory antibody epitope on the surface of factor VIII
journal, July 2001

  • Spiegel, Paul Clint; Jacquemin, Marc; Saint-Remy, Jean-Marie R.
  • Blood, Vol. 98, Issue 1
  • DOI: 10.1182/blood.v98.1.13

Occurrence of hemophilia in the United States
journal, December 1998


Subunit structure of thrombin-activated porcine factor VIII
journal, January 1989


PHENIX: a comprehensive Python-based system for macromolecular structure solution.
text, January 2010

  • Adams, Paul D.; Afonine, Pavel V.; Bunkóczi, Gábor
  • Apollo - University of Cambridge Repository
  • DOI: 10.17863/cam.45787

Nonclassical anti-C2 domain antibodies are present in patients with factor VIII inhibitors
journal, August 2008


Nonclassical anti-C2 domain antibodies are present in patients with factor VIII inhibitors
journal, August 2008


MolProbity : all-atom structure validation for macromolecular crystallography
journal, December 2009

  • Chen, Vincent B.; Arendall, W. Bryan; Headd, Jeffrey J.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 66, Issue 1
  • DOI: 10.1107/s0907444909042073

Epitope mapping of inhibitory antibodies targeting the C2 domain of coagulation factor VIII by hydrogen-deuterium exchange mass spectrometry
journal, December 2013

  • Sevy, A. M.; Healey, J. F.; Deng, W.
  • Journal of Thrombosis and Haemostasis, Vol. 11, Issue 12
  • DOI: 10.1111/jth.12433

The safety and efficacy of B-domain deleted recombinant factor VIII concentrate in patients with severe haemophilia A
journal, January 2003


Characterization and Solution Structure of the Factor VIII C2 Domain in a Ternary Complex with Classical and Non-classical Inhibitor Antibodies
journal, February 2013

  • Walter, Justin D.; Werther, Rachel A.; Polozova, Maria S.
  • Journal of Biological Chemistry, Vol. 288, Issue 14
  • DOI: 10.1074/jbc.m112.424564

Robust, high-throughput solution structural analyses by small angle X-ray scattering (SAXS)
journal, July 2009

  • Hura, Greg L.; Menon, Angeli L.; Hammel, Michal
  • Nature Methods, Vol. 6, Issue 8
  • DOI: 10.1038/nmeth.1353

Structure of human factor VIII
journal, November 1984

  • Vehar, Gordon A.; Keyt, Bruce; Eaton, Dan
  • Nature, Vol. 312, Issue 5992
  • DOI: 10.1038/312337a0

The Factor VIIIa C2 Domain (Residues 2228–2240) Interacts with the Factor IXa Gla Domain in the Factor Xase Complex
journal, December 2008

  • Soeda, Tetsuhiro; Nogami, Keiji; Nishiya, Katsumi
  • Journal of Biological Chemistry, Vol. 284, Issue 6
  • DOI: 10.1074/jbc.m804955200

The tertiary structure and domain organization of coagulation factor VIII
journal, February 2008


PDB2PQR: an automated pipeline for the setup of Poisson-Boltzmann electrostatics calculations
journal, July 2004

  • Dolinsky, T. J.; Nielsen, J. E.; McCammon, J. A.
  • Nucleic Acids Research, Vol. 32, Issue Web Server, p. W665-W667
  • DOI: 10.1093/nar/gkh381

Crystallographic structure of an intact IgG1 monoclonal antibody 1 1Edited by I. A. Wilson
journal, February 1998

  • Harris, Lisa J.; Skaletsky, Eileen; McPherson, Alexander
  • Journal of Molecular Biology, Vol. 275, Issue 5
  • DOI: 10.1006/jmbi.1997.1508

The future of plasma-derived clotting factor concentrates
journal, January 2001


Reduced surface: An efficient way to compute molecular surfaces
journal, March 1996


Factor VIII inhibitors in haemophiliacs
journal, July 1992


Structure of the C2 domain of human factor VIII at 1.5 Å resolution
journal, November 1999

  • Pratt, Kathleen P.; Shen, Betty W.; Takeshima, Kazuya
  • Nature, Vol. 402, Issue 6760
  • DOI: 10.1038/46601

The diversity of the immune response to the A2 domain of human factor VIII
journal, April 2013


Role of Factor VIII C2 Domain in Factor VIII Binding to Factor Xa
journal, October 1999

  • Nogami, Keiji; Shima, Midori; Hosokawa, Kazuya
  • Journal of Biological Chemistry, Vol. 274, Issue 43
  • DOI: 10.1074/jbc.274.43.31000

Robust, high-throughput solution structural analyses by small angle X-ray scattering (SAXS)
journal, July 2009

  • Hura, Greg L.; Menon, Angeli L.; Hammel, Michal
  • Nature Methods, Vol. 6, Issue 8
  • DOI: 10.1038/nmeth.1353

Molecular cloning of a cDNA encoding human antihaemophilic factor
journal, November 1984

  • Toole, John J.; Knopf, John L.; Wozney, John M.
  • Nature, Vol. 312, Issue 5992
  • DOI: 10.1038/312342a0

Non-Classical Anti-Factor VIII C2 Domain Antibodies Are Pathogenic in a Murine in Vivo Bleeding Model.
journal, November 2008


Non-classical anti-factor VIII C2 domain antibodies are pathogenic in a murine in vivo bleeding model
journal, April 2009


Using Situs for Flexible and Rigid-Body Fitting of Multiresolution Single-Molecule Data
journal, February 2001

  • Wriggers, Willy; Birmanns, Stefan
  • Journal of Structural Biology, Vol. 133, Issue 2-3
  • DOI: 10.1006/jsbi.2000.4350

Purity of factor VIII product and incidence of inhibitors in previously untreated patients with haemophilia A
journal, July 2001


Role of Factor VIII C2 Domain in Factor VIII Binding to Factor Xa
journal, October 1999

  • Nogami, Keiji; Shima, Midori; Hosokawa, Kazuya
  • Journal of Biological Chemistry, Vol. 274, Issue 43
  • DOI: 10.1074/jbc.274.43.31000

Incidence of development of factor VIII and factor IX inhibitors in haemophiliacs
journal, March 1992


Features and development of Coot
journal, March 2010

  • Emsley, P.; Lohkamp, B.; Scott, W. G.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 66, Issue 4
  • DOI: 10.1107/s0907444910007493

Structure of the factor VIII C2 domain in a ternary complex with 2 inhibitor antibodies reveals classical and nonclassical epitopes
journal, December 2013


Interactions between residues 2228–2240 within factor VIIIa C2 domain and factor IXa Gla domain contribute to propagation of clot formation
journal, January 2011

  • Soeda, Tetsuhiro; Nogami, Keiji; Ogiwara, Kenichi
  • Thrombosis and Haemostasis, Vol. 106, Issue 11
  • DOI: 10.1160/TH11-03-0203

New developments in the ATSAS program package for small-angle scattering data analysis
journal, March 2012

  • Petoukhov, Maxim V.; Franke, Daniel; Shkumatov, Alexander V.
  • Journal of Applied Crystallography, Vol. 45, Issue 2
  • DOI: 10.1107/S0021889812007662

Molecular cloning of a cDNA encoding human antihaemophilic factor
journal, November 1984

  • Toole, John J.; Knopf, John L.; Wozney, John M.
  • Nature, Vol. 312, Issue 5992
  • DOI: 10.1038/312342a0

PHENIX: a comprehensive Python-based system for macromolecular structure solution
journal, January 2010

  • Adams, Paul D.; Afonine, Pavel V.; Bunkóczi, Gábor
  • Acta Crystallographica Section D Biological Crystallography, Vol. 66, Issue 2, p. 213-221
  • DOI: 10.1107/S0907444909052925

Differential proteolytic activation of factor VIII-von Willebrand factor complex by thrombin
journal, September 1989

  • Hill-Eubanks, D. C.; Parker, C. G.; Lollar, P.
  • Proceedings of the National Academy of Sciences, Vol. 86, Issue 17
  • DOI: 10.1073/pnas.86.17.6508

Four Hydrophobic Amino Acids of the Factor VIII C2 Domain Are Constituents of Both the Membrane-binding and von Willebrand Factor-binding Motifs
journal, November 2001

  • Gilbert, Gary E.; Kaufman, Randal J.; Arena, Andrew A.
  • Journal of Biological Chemistry, Vol. 277, Issue 8
  • DOI: 10.1074/jbc.m104732200

The Acidic Region of the Factor VIII Light Chain and the C2 Domain Together Form the High Affinity Binding Site for von Willebrand Factor
journal, July 1997

  • Saenko, Evgueni L.; Scandella, Dorothea
  • Journal of Biological Chemistry, Vol. 272, Issue 29
  • DOI: 10.1074/jbc.272.29.18007

PDB2PQR: an automated pipeline for the setup of Poisson-Boltzmann electrostatics calculations
journal, July 2004

  • Dolinsky, T. J.; Nielsen, J. E.; McCammon, J. A.
  • Nucleic Acids Research, Vol. 32, Issue Web Server, p. W665-W667
  • DOI: 10.1093/nar/gkh381

Differential proteolytic activation of factor VIII-von Willebrand factor complex by thrombin
journal, September 1989

  • Hill-Eubanks, D. C.; Parker, C. G.; Lollar, P.
  • Proceedings of the National Academy of Sciences, Vol. 86, Issue 17
  • DOI: 10.1073/pnas.86.17.6508

The Acidic Region of the Factor VIII Light Chain and the C2 Domain Together Form the High Affinity Binding Site for von Willebrand Factor
journal, July 1997

  • Saenko, Evgueni L.; Scandella, Dorothea
  • Journal of Biological Chemistry, Vol. 272, Issue 29
  • DOI: 10.1074/jbc.272.29.18007

Structure of the C2 domain of human factor VIII at 1.5 Å resolution
journal, November 1999

  • Pratt, Kathleen P.; Shen, Betty W.; Takeshima, Kazuya
  • Nature, Vol. 402, Issue 6760
  • DOI: 10.1038/46601

Purity of factor VIII product and incidence of inhibitors in previously untreated patients with haemophilia A
journal, July 2001


Factor VIII inhibitor epitopes and an enigma
journal, December 2013


The future of plasma-derived clotting factor concentrates
journal, January 2001


[20] Processing of X-ray diffraction data collected in oscillation mode
book, January 1997


Epitope mapping of inhibitory antibodies targeting the C2 domain of coagulation factor VIII by hydrogen-deuterium exchange mass spectrometry
journal, December 2013

  • Sevy, A. M.; Healey, J. F.; Deng, W.
  • Journal of Thrombosis and Haemostasis, Vol. 11, Issue 12
  • DOI: 10.1111/jth.12433

Luxury accommodations: the expanding role of structural plasticity in protein–protein interactions
journal, July 2000


The Life Cycle of Coagulation Factor VIII in View of Its Structure and Function
journal, December 1998


A major factor VIII binding domain resides within the amino-terminal 272 amino acid residues of von Willebrand factor.
journal, June 1987


The role of phospholipid and factor VIIIa in the activation of bovine factor X.
journal, April 1981


Biochemical and Molecular Aspects of the Coagulation Cascade
journal, January 1995


The Inhibitor Antibody Response Is More Complex in Hemophilia A Patients Than in Most Nonhemophiliacs With Factor VIII Autoantibodies
journal, May 1997


Mechanism and Kinetics of Factor VIII Inactivation: Study With an IgG4 Monoclonal Antibody Derived From a Hemophilia A Patient With Inhibitor
journal, July 1998

  • Jacquemin, Marc G.; Desqueper, Benoı̂t G.; Benhida, Abdellah
  • Blood, Vol. 92, Issue 2
  • DOI: 10.1182/blood.V92.2.496