To characterize the putative biochemical modifications induced by the Ser 4
60 to Pro (Heerlen) mutation in protein S (PS), we expressed both wild-type
(wt) and mutated recombinant PS in HEK cells. In SDS-polyacrylamide gels,
r-PS Heerlen migrated at 71 kDa whereas r-wt PS migrated at 73 kDa, a diffe
rence abolished after deglycosylation by N-glycosidase, suggesting that the
Ser 460 Pro mutation abolishes N-glycosylation of Asn 458. The affinity of
r-wt PS and r-PS Heerlen for C4b-binding protein (C4b-BP) and for phosphol
ipid vesicles was similar. Neither the enhancement of APC-dependent prolong
ation of the APTT, nor the specific enhancement of FVa and FVIIIa proteolys
is by APC in purified systems was affected by the mutation. However, the Se
r 460 Pro mutation induced a slight conformational change in the SHBG domai
n of the PS molecule, as shown by reduced binding affinity for monoclonal a
ntibodies. The type III phenotype associated with the Heerlen mutation migh
t thus result from a slightly modified rate of synthesis or catabolism. The
resulting moderate decrease in the circulating PS concentration may modify
the equilibrium between free PS and C4b-BP/PS complexes. (C) 2000 Elsevier
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