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FROM GOOD CHOLESTEROL<br />

to blood clott<strong>in</strong>g<br />

by col<strong>in</strong><br />

WRAIGHT<br />

jim MORRISSEY<br />

Pr<strong>of</strong>essor <strong>of</strong> Biochemistry <strong>and</strong> Medical<br />

Biochemistry James Morrissey, as a postdoctoral<br />

fellow at <strong>the</strong> Scripps Research<br />

Institute, began study<strong>in</strong>g components <strong>of</strong><br />

<strong>the</strong> protease cascade that controls blood coagulation,<br />

<strong>in</strong>itiat<strong>in</strong>g a <strong>life</strong>-long <strong>in</strong>terest <strong>in</strong> underst<strong>and</strong><strong>in</strong>g how cells<br />

regulate blood clott<strong>in</strong>g <strong>in</strong> health <strong>and</strong> disease.<br />

Simplified blood clott<strong>in</strong>g cascade.<br />

Morrissey <strong>and</strong> colleagues are reveal<strong>in</strong>g structure-based mechanisms <strong>of</strong> <strong>the</strong><br />

major cascade “factors,” <strong>and</strong> <strong>the</strong> essential role that <strong>the</strong> cell membrane surface<br />

plays <strong>in</strong> activat<strong>in</strong>g key members <strong>of</strong> <strong>the</strong> cascade. This work is lead<strong>in</strong>g to <strong>the</strong><br />

development <strong>of</strong> <strong>the</strong>rapeutic <strong>in</strong>terventions for thrombosis <strong>and</strong> to novel hemostatic<br />

agents to stem traumatic <strong>and</strong> surgical bleed<strong>in</strong>g.<br />

In 2006, Morrissey, work<strong>in</strong>g with post-doctoral associate Stephanie Smith,<br />

discovered that polyphosphate (polyP, a polymer <strong>of</strong> <strong>in</strong>organic phosphate) is a<br />

potent modulator <strong>of</strong> blood coagulation, <strong>and</strong> is present <strong>in</strong> <strong>the</strong> dense granules <strong>of</strong><br />

platelets <strong>in</strong> <strong>the</strong> blood. Subsequent work by Morrissey’s group showed that polyP<br />

triggers <strong>the</strong> so-called contact pathway <strong>of</strong> blood clott<strong>in</strong>g.<br />

A parallel l<strong>in</strong>e <strong>of</strong> research <strong>in</strong> <strong>the</strong> Morrissey lab has been underst<strong>and</strong><strong>in</strong>g <strong>the</strong><br />

biochemical details <strong>of</strong> ano<strong>the</strong>r important process <strong>of</strong> blood clott<strong>in</strong>g, <strong>the</strong> tissue<br />

factor pathway. Here, <strong>the</strong> <strong>in</strong>itiation event takes place when tissue damage<br />

exposes <strong>the</strong> soluble plasma prote<strong>in</strong>, factor VII (fVII, a latent protease), to <strong>the</strong><br />

<strong>in</strong>tegral membrane prote<strong>in</strong>, tissue factor (TF), on <strong>the</strong> surface <strong>of</strong> extravascular<br />

cells. Once bound to TF, fVII is rapidly converted to its active form, fVIIa,<br />

which is ma<strong>in</strong>ta<strong>in</strong>ed <strong>in</strong> an active TF-fVIIa complex. <strong>The</strong> membrane surface<br />

<strong>and</strong> its specific composition are crucial for <strong>the</strong> functional association <strong>of</strong> TF<br />

with fVIIa <strong>and</strong> for <strong>the</strong> activity <strong>of</strong> <strong>the</strong> TF-fVIIa complex <strong>in</strong> convert<strong>in</strong>g factor<br />

X (fX) to its active form fXa. FXa is <strong>the</strong> common element between <strong>the</strong> tissue<br />

factor pathway <strong>and</strong> contact pathway <strong>of</strong> coagulation, <strong>and</strong> <strong>in</strong>itiates <strong>the</strong> f<strong>in</strong>al<br />

steps <strong>of</strong> <strong>the</strong> proteolytic cascade that forms blood clots.<br />

Schematic <strong>of</strong> TF, fVIIa, <strong>and</strong> fX assembled<br />

on a nanodisc surface.<br />

<strong>The</strong> critical role <strong>of</strong> <strong>the</strong> membrane surface makes <strong>the</strong> coagulation cascade<br />

especially difficult to <strong>in</strong>vestigate, but key developments <strong>in</strong> o<strong>the</strong>r labs <strong>in</strong> <strong>the</strong><br />

Department <strong>of</strong> Biochemistry provided <strong>the</strong> ideal approach to study it at a<br />

molecular level.<br />

Lateral th<strong>in</strong>k<strong>in</strong>g<br />

A <strong>life</strong>time <strong>of</strong> <strong>in</strong>terest <strong>in</strong> lipids <strong>and</strong> lipoprote<strong>in</strong>s led Pr<strong>of</strong>essor Emerita <strong>of</strong><br />

Biochemistry Ana Jonas to a structural model <strong>of</strong> high density lipoprote<strong>in</strong>s<br />

(HDL). <strong>The</strong>se so-called “good cholesterol” particles, which carry lipids <strong>and</strong><br />

cholesterol <strong>in</strong> <strong>the</strong> blood for recycl<strong>in</strong>g <strong>in</strong> <strong>the</strong> liver, consist <strong>of</strong> two molecules<br />

<strong>of</strong> <strong>the</strong> prote<strong>in</strong> component, apoA, wrapped around a bilayer <strong>of</strong> phospholipids<br />

<strong>and</strong> cholesterol, form<strong>in</strong>g a roughly 10 nm diameter disc. In addition to <strong>the</strong><br />

belt-form<strong>in</strong>g region, apoA also has a globular component, which serves as a<br />

h<strong>and</strong>le for b<strong>in</strong>d<strong>in</strong>g to its cellular targets, such as <strong>in</strong> <strong>the</strong> liver.<br />

Gla-doma<strong>in</strong> <strong>in</strong>teract<strong>in</strong>g with a phospholipid<br />

bilayer (detail from a full molecular dynamics<br />

simulation <strong>of</strong> fVII by Emad Tajkhorshid).<br />

8 . mcb

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