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-FXIIa?
1Departments of Physiology and Medicine, University of Toronto, Toronto, Ontario M5S1A8; 2Heart and Stroke/Richard Lewar Centre of Excellence, University of Toronto, Toronto, Ontario M5S3E2; 3Institute of Medical Science, University of Toronto, Toronto, Ontario M5S1A8; 4Department of Laboratory Medicine and Pathobiology, University of Toronto and Mount Sinai Hospital, Toronto, Ontario, Canada M5G1X5; 5Department of Internal Medicine, Erasmus Medical Centre, Rotterdam 3015 GD, The Netherlands
Submitted 18 July 2003 ; accepted in final form 20 October 2003
"New pressor protein" (NPP) derived from normal human plasma is an extra renal enzyme that shares strong sequence homology with human coagulation
-FXIIa. Under our bioassay conditions, human NPP (1020 µl plasma equivalent/
300 g rat iv) can raise the systolic blood pressure (SBP) by 4050 mmHg, the diastolic blood pressure (DBP) by 1520 mmHg, and the heart rate (HR) by 7090 beats/min. Plasma epinephrine (of adrenal medullary origin) and norepinephrine rise by about 50- and 10-fold, respectively. Because
-FXIIa is not normally associated with pressor properties, we endeavored to substantiate that the hypertensive effects of impure NPP preparations used in our experiments are attributable to their content of
-FXIIa. We carried out comparisons with highly purified (>90%) commercial human
-FXIIa and found that by gel filtration (Sephadex G-100 and G-75), NPP bioactivity appeared in the
30-kDa elution zone, consistent with the molecular mass of
-FXIIa. Retention time using fast-protein liquid chromatography anion exchange chromatography was identical. Molecular mass and comigration were confirmed by SDS-PAGE gel electrophoresis, and the recovered
30-kDa protein bands yielded
-FXIIa fragments identified by mass spectrometry. Matched doses of the NPP preparations produced dose-response curves very similar to those elicited by
-FXIIa with respect to increments of SBP, DBP, and HR, whereas plasma catecholamine increments were generally comparable. We propose that
-FXIIa is substantially, if not exclusively, responsible for the observed effects of our NPP preparations and that this points to a novel axis connecting the FXII coagulation cascade and the sympathoadrenal gland to other cardiovascular regulatory mechanisms.
Hageman fragment factor; hypertension; catecholamines
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