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University of Alberta Revisiting the antifibrinolytic effect of carboxypeptidase N: novel structure and regulation by Pascale Libront Swanson A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Science Medical Sciences - Pediatrics ©Pascale Libront Swanson Fall 2010 Edmonton, Alberta Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. 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Examining Committee Richard Schulz, Pediatrics Laszlo Bajzar, Pediatrics Marek Michalak, Biochemistry Dedication To Mom, Dad, and Alexx: Thank you for your endless love and support. Abstract Carboxypeptidase N (CPN) is a plasma carboxypeptidase that was discovered in the 1960s as a regulator of inflammation and vascular tone. Through the removal of carboxy-terminal basic residues, CPN alters the activity or binding specificity of inflammatory mediators and vasoactive peptides. CPN shares significant homology with carboxypeptidases known to mediate antifibrinolysis through the removal of basic residues from fibrin clots, which would otherwise stimulate fibrinolysis. Despite the similarity of these enzymes, CPN is generally regarded as lacking a role in fibrinolysis. This thesis demonstrates that CPN is indeed a capable antifibrinolytic enzyme, and that the antifibrinolytic activity of CPN was previously undisclosed due to the presence of a circulating CPN inhibitor, which is likely the free CPN2 subunit. This inhibitor is described for the first time here. Furthermore, potential mechanisms of inhibition and mechanisms of enhancing activity of CPN are proposed based upon the additional structural characterization of CPN presented here. Acknowledgements I would like to express my sincere gratitude to Dr. Laszlo Bajzar, for being the greatest thesis supervisor in the universe, and for giving me the opportunity to ‘master science’. I would also like to thank the members of my supervisory committee, Dr. Richard Schulz and Dr. Marek Michalak, for their time and input over the years; and I would also to thank Dr. Richard Schulz for taking on the role as my temporary primary supervisor in a time of need. I am grateful for the contribution of several researchers: Dr. Paul Scott, for his help with the molecular modeling; Dr. Cynthia Peterson, for her work on the ultracentrifugation experiments; Dr. Mark Glover, for the use of his MALLS equipment; Dr. Ross Edwards, for his helpful advice regarding the MALLS experiments; Dr. John Walker, Dr. Tanya Binette, Mr. Gareth Lambkin and Mr. Peter Thompson for their preliminary research regarding CPN, which ultimately led me to my thesis topic; and Mrs. Joanne Abram, for the use of her powerful computer for my final thesis work. I would like to thank those hard-working and dedicated members of the Bajzar Lab; past, present and ‘future’. I would especially like to thank Dr. Tanya Binette and Mrs. Rezika Zurch for their valuable advice in and out of the lab. I am also grateful for the financial support provided to me throughout my program by the Canadian Institutes for Health Research, the Canadian Blood Services, the Government of Alberta, and the University of Alberta. Table of Contents 1. Introduction 1.1. Literature review. 1 1.1.1. The fibrinolytic system. 1 1.1.1.1. Formation of fibrin clots. 2 1.1.1.2. Dissolution of fibrin clots. 7 1.1.2. Regulation of the fibrinolytic system. 12 1.1.2.1. Regulation of fibrinolysis by fibrin cofactor. 12 1.1.2.2. Regulation of fibrinolysis by α2-antiplasmin. 16 . 1.1.2.3. Other regulators of fibrinolysis . 18 1.1.3. The antifibrinolytic role of basic plasma carboxypeptidases. 20 1.1.4. Carboxypeptidase N. 24 1.1.4.1. Background. 25 1.1.4.2. The carboxypeptidase family. 32 1.1.4.3. Activity of CPN. 33 1.1.4.3.1. Bradykinin and kallidin. 38 1.1.4.3.2. Anaphylatoxins. 40 1.1.4.3.3. Creatine kinase. 42 1.1.4.3.4. Chemerin. 43 1.1.4.3.5. Stromal cell-derived factor-1α. 44 1.1.4.3.6. Other CPN substrates. 44 1.1.4.4. Clinical aspects of CPN activity. 48 1.1.4.4.1. Measurement of CPN activity. 48 1.1.4.4.2. CPN deficiency. 54 1.1.4.5. The structure of CPN. 56 1.1.5. The apparent absence of a role for CPN in fibrinolysis. 69 1.1.6. The apparent lack of regulation of CPN. 72 1.2. Hypotheses and aims. 73 2. Materials and methods. 2.1. Materials. 74 2.1.1. General reagents . 74 2.1.2. Inhibitors and substrates. 74 2.1.3. Purchased and gifted proteins. 74 2.1.4. DNA cloning and cell culture materials. 75 2.1.5. Synthesis of arginine-Sepharose and lysine-Sepharose. 76 2.1.6. Purification of CPN from human plasma. 76 2.1.7. Purification of recombinant CPN2 from cell culture. 76 2.1.8. Purification of plasminogen. 77 2.1.9. Purification of plasmin. 78 2.1.10. Purification of (DD)E. 78 2.1.11. Purification of α2-antiplasmin. 79 2.2. Equipment and software. 79 2.3. Methods. 80 2.3.1. Furylacryloyl-Ala-Lys (FA-Ala-Lys) chromogenic carboxypeptidase assay. 80 2.3.2. CPN-specific ELISA. 81 2.3.3. Immunodepletion of fibrinogen. 82 2.3.4. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblotting. 82 2.3.5. Clot lysis assay. 83 2.3.6. Plasminogen activation assay. 83 2.3.6.1. Stationary phase plasminogen activation assay. 83 2.3.6.2. Solution phase plasminogen activation assay. 84 2.3.6.3. Two-step solution phase plasminogen activation assay. 84 2.3.7. Combined plasminogen activation and lysine detection assay. 85 2.3.8. Extinction coefficient calculation for (DD)E. 86 2.3.9. Activation of CPN by plasmin. 87 2.3.10. Kinetic measurements. 87 2.3.11. DNA cloning and mammalian cell culture. 88 2.3.11.1. DNA manipulations. 88 2.3.11.1.1. GFP fusion systems. 88 2.3.11.1.2. Inducible expression systems. 90 2.3.11.2 Mammalian cell culture. 91 2.3.12. Multi-angle laser light scattering. 92 3. Results 3.1. Contamination of fibrinogen by CPN. 93 3.1.1. Preamble. 93 3.1.2. Identification of the contaminating carboxypeptidase. 93 3.1.3. Determination of the concentration of the contaminating carboxypeptidase 94 3.1.4. Immunodepletion of fibrinogen and immunoblotting. 96 3.1.5. Effects of the fibrinogen contaminant in clot lysis assays. 97 3.2. The release of carboxy-terminal lysine residues from fibrin degradation products by basic carboxypeptidases. 98 3.2.1. Preamble. 98 3.2.2. Development of the lysine detection assay. 99 3.2.3. Determination of the kinetics of lysine release from (DD)E. 108 3.2.4. Determination of the molar ratio of carboxy-terminal lysine:(DD)E. 115 3.3. The relationship between cofactor activity and lysine release from fibrin degradation products. ..