title: Two receptor systems are involved in the plasma clearance of tissue factor pathway inhibitor in vivo.
abstract: Tissue factor pathway inhibitor (TFPI) is a potent inhibitor of the blood coagulation factor VIIa-tissue factor complex, as well as a direct inhibitor of factor Xa. Intravenously administered TFPI is rapidly cleared from circulation predominantly via liver. We previously reported that the low density lipoprotein receptor-related protein (LRP), a multifunctional endocytic receptor, mediates the uptake and degradation of TFPI in hepatoma cells. This process is inhibited by a 39-kDa receptor-associated protein which binds to LRP and regulates its ligand binding activity. However, a distinct, low affinity binding site (perhaps heparin sulfate proteoglycans, HSPGs) on the endothelium and liver is thought to be responsible for the majority of TFPI cell surface binding. In the current study, we investigated the role of LRP and this second binding site in the clearance of 125I-TFPI in vivo using competitors and inhibitors of the receptors. Mice overexpressing the 39-kDa protein via adenoviral-mediated gene transfer displayed diminished plasma clearance of 125I-TFPI. Blockade of cell surface HSPGs sites by incubation with the positively charged molecule, protamine, inhibited 125I-TFPI binding to the hepatoma cells in vitro. In addition, preadministration of protamine in vivo prolonged the plasma clearance of 125I-TFPI in a dose-dependent manner. However, a dramatic increase of the plasma half-life of 125I-TFPI and virtual elimination of 125I-TFPI clearance was observed in mice overexpressing the 39-kDa protein and administered protamine. Taken together, our results suggest that two receptor mechanisms are involved in the clearance of TFPI in vivo.
authors.affiliation: Edward Mallinckrodt Department of Pediatrics, Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
authors.forename: M
authors.initials: M
authors.lastname: Narita
authors.forename: G
authors.initials: G
authors.lastname: Bu
authors.forename: G M
authors.initials: GM
authors.lastname: Olins
authors.forename: D A
authors.initials: DA
authors.lastname: Higuchi
authors.forename: J
authors.initials: J
authors.lastname: Herz
authors.forename: G J
authors.initials: GJ
authors.lastname: Broze
authors.forename: A L
authors.initials: AL
authors.lastname: Schwartz
mesh_terms: D000818:Animals; D000925:Anticoagulants / Q000493:pharmacokinetics*; D006493:Heparin / Q000031:analogs & derivatives* / Q000494:pharmacology / Q000502:physiology; D008074:Lipoproteins / Q000493:pharmacokinetics*; D026503:Low Density Lipoprotein Receptor-Related Protein-1; D008297:Male; D008657:Metabolic Clearance Rate; D051379:Mice; D008807:Mice, Inbred BALB C; D011479:Protamines / Q000494:pharmacology; D011509:Proteoglycans / Q000502:physiology*; D051381:Rats; D017207:Rats, Sprague-Dawley; D011971:Receptors, Immunologic / Q000502:physiology*; D011994:Recombinant Proteins / Q000493:pharmacokinetics; D015842:Serine Proteinase Inhibitors / Q000493:pharmacokinetics*; D014407:Tumor Cells, Cultured
chemical_list: D000925:Anticoagulants; D008074:Lipoproteins; D026503:Low Density Lipoprotein Receptor-Related Protein-1; D011479:Protamines; D011509:Proteoglycans; D011971:Receptors, Immunologic; D011994:Recombinant Proteins; D015842:Serine Proteinase Inhibitors; C036090:heparin proteoglycan; C051928:lipoprotein-associated coagulation inhibitor; D006493:Heparin