Km. Donnelly et al., ANCYLOSTOMA-CANINUM ANTICOAGULANT PEPTIDE BLOCKS METASTASIS IN-VIVO AND INHIBITS FACTOR XA BINDING TO MELANOMA-CELLS IN-VITRO, Thrombosis and haemostasis, 79(5), 1998, pp. 1041-1047
We evaluated the in vivo anti-metastatic activity of recombinant Ancyl
ostoma caninum Anticoagulant Peptide (rAcAP), a potent (K-i = 265 pM)
and specific active site inhibitor of human coagulation factor Xa orig
inally isolated from bloodfeeding hookworms. Subcutaneous injection of
SCID mice with rAcAP (0.01-0.2 mg/mouse) prior to tail vein injection
of LOX human melanoma cells resulted in a dose dependent reduction in
pulmonary metastases. In order to elucidate potential mechanisms of r
AcAP's anti-metastatic activity, experiments were carried out to ident
ify, specific interactions between factor Xa and LOX. Binding of bioti
nylated factor Xa to LOX monolayers was both specific and saturable (K
-d = 15 nM). Competition experiments using antibodies to previously id
entified factor Xa binding proteins, including factor V/Va, effector c
ell protease receptor-1, and tissue factor pathway inhibitor failed to
implicate any of these molecules as significant binding sites for Fac
tor Xa. Functional prothrombinase activity was also supported by LOX,
with a half maximal rate of thrombin generation detected at a factor X
a concentration of 2.4 nM. Additional competition experiments using an
excess of either rAcAP or active site blocked factor Xa (EGR-Xa) reve
aled that most of the total factor Xa binding to LOX is mediated via i
nteraction with the enzyme's active site, predicting that the vast maj
ority of cell-associated factor Xa does nor participate directly in th
rombin generation. In addition to establishing two distinct mechanisms
of factor Xa binding to melanoma, these data raise the possibility th
at rAcAP's antimetastatic effect in vivo might involve novel non-coagu
lant pathways, perhaps via inhibition of active-site mediated interact
ions between factor Xa and tumor cells.