title: The effects of shear rate on the enzymatic activity of the tissue factor-factor VIIa complex.
abstract: A novel enzyme reactor for studying phospholipid-dependent reactions was used to explore the effects of flow on tissue factor (TF)-initiated coagulation. Capillary tubes (0.27 mm i.d.) were coated with a phospholipid bilayer containing TF, a transmembrane protein that is an essential cofactor for factor VII. Production of factor Xa exiting the tube was monitored with time during perfusion of the capillary with factor X (50 to 1500 nM) in the presence of factor VIIa (10 nM). Steady-state production of factor Xa as a function of [FX] was determined by chromogenic assay (Spectrozyme Xa) for a range of wall shear rates (25 to 3000 sec-1). Diffusion was found to play a major limiting role in FXa production for TF:30% phosphatidylserine (PS)/70% phosphatidylcholine (PC) surfaces. In contrast, TF/PC surfaces slowed the reaction sufficiently to enter a kinetically controlled regime where shear fluid had little effect on Km. In contrast with classical enzyme kinetic theory there was a three-fold increase in Vmax as shear increased from 25 to 300 sec-1. This finding implies a direct effect of shear on the kinetics of factor X activation by TF/FVIIa. The perfusion system is simple to use and offers the potential for studying the role of flow on a wide variety of enzymatic reactions related to coagulation.
authors.affiliation: Mt. Sinai Medical Center, Department of Medicine, New York, New York 10029.
authors.forename: C H
authors.initials: CH
authors.lastname: Gemmell
authors.forename: Y
authors.initials: Y
authors.lastname: Nemerson
authors.forename: V
authors.initials: V
authors.lastname: Turitto
mesh_terms: D001783:Blood Flow Velocity; D002196:Capillaries / Q000502:physiology*; D004058:Diffusion; D004800:Enzymes, Immobilized / Q000378:metabolism*; D015942:Factor VIIa / Q000378:metabolism*; D015951:Factor Xa / Q000096:biosynthesis*; D007700:Kinetics; D008051:Lipid Bilayers / Q000737:chemistry; D008833:Microcirculation; D010743:Phospholipids / Q000737:chemistry; D013379:Substrate Specificity; D013925:Thromboplastin / Q000378:metabolism*
chemical_list: D004800:Enzymes, Immobilized; D008051:Lipid Bilayers; D010743:Phospholipids; D013925:Thromboplastin; D015942:Factor VIIa; D015951:Factor Xa