It has been proposed that annexin I has two separate interaction sites that
are involved in membrane binding and aggregation, respectively. To better
understand the mechanism of annexin I-mediated membrane aggregation, we inv
estigated the properties of the inducible secondary interaction site implic
ated in membrane aggregation. X-ray specular reflectivity measurements show
ed that the thickness of annexin I layer bound to the phospholipid monolaye
r was 31 +/- 2 Angstrom, indicating that annexin I binds membranes as a pro
tein monomer or monolayer. Surface plasmon resonance measurements of annexi
n I, V, and mutants, which allowed evaluation of membrane aggregation activ
ity of annexin I separately from its membrane binding, revealed direct corr
elation between the relative membrane aggregation activity and the relative
affinity of the secondary interaction site for the secondary membrane. The
secondary binding was driven primarily by hydrophobic interactions, unlike
calcium-mediated electrostatic primary membrane binding. Chemical cross-li
nking of membrane-bound annexin I showed that a significant degree of later
al association of annexin I molecules precedes its membrane aggregation. Ta
ken together, these results support a hypothetical model of annexin I-media
ted membrane aggregation, in which a laterally aggregated monolayer of memb
rane-bound annexin I directly interacts with a secondary membrane via its i
nduced hydrophobic interaction site.