Thromb Haemost 2013; 110(03): 534-542
DOI: 10.1160/TH13-01-0005
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
Schattauer GmbH

Structural analysis of protein Z gene variants in patients with foetal losses

Rocco Caliandro
1   Institute of Crystallography, Consiglio Nazionale delle Ricerche, Bari, Italy
,
Giovanni Nico
2   Institute for Applied Mathematics “Mauro Picone”, Consiglio Nazionale delle Ricerche, Bari, Italy
,
Giovanni Tiscia
3   Atherosclerosis and Thrombosis Unit, I.R.C.C.S. Casa Sollievo della Sofferenza, S. Giovanni Rotondo (FG), Foggia, Italy
,
Giovanni Favuzzi
3   Atherosclerosis and Thrombosis Unit, I.R.C.C.S. Casa Sollievo della Sofferenza, S. Giovanni Rotondo (FG), Foggia, Italy
,
Valerio De Stefano
4   Institute of Hematology, Catholic University, Rome, Italy
,
Elena Rossi
4   Institute of Hematology, Catholic University, Rome, Italy
,
Maurizio Margaglione
5   Genetica Medica – Scienze Biomediche, Università di Foggia, Foggia, Italy
,
Elvira Grandone
3   Atherosclerosis and Thrombosis Unit, I.R.C.C.S. Casa Sollievo della Sofferenza, S. Giovanni Rotondo (FG), Foggia, Italy
› Author Affiliations
Further Information

Publication History

Received: 09 January 2013

Accepted after major revision: 23 May 2013

Publication Date:
22 November 2017 (online)

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Summary

The role of protein Z (PZ) in the etiology of human disorders is unclear. A number of PZ gene variants, sporadic or polymorphic and found exclusively in the serine protease domain, have been observed. Crystal structures of PZ in complex with the PZ-dependent inhibitor (PZI) have been recently obtained. The aim of this study was a structural investigation of the serine protease PZ domain, aiming at finding common traits across disease-linked mutations. We performed 10–20 ns molecular dynamics for each of the observed PZ mutants to investigate their structure in aqueous solution. Simulation data were processed by novel tools to analyse the residue-by-residue backbone flexibility. Results showed that sporadic mutations are associated with anomalous flexibility of residues belonging to specific regions. Among them, the most important is a loop region which is in contact with the longest helix of PZI. Other regions have been identified, which hold anomalous flexibility associated with potentially protective gene variants. In conclusion, a possible interpretation of effects associated with observed gene variants is provided. The exploration of PZ/PZI interactions seems essential in explaining these effects.