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Platelet Factor 4 Gera Neufeld*, Gal Akiri and Zehava Vadasz Department of Biology, Technion, Israel Institute of Technology, Technion City, Haifa, 32000, Israel *corresponding author tel: 972-4-8294216, fax: 972-4-8225153, e-mail: [email protected] DOI: 10.1006/rwcy.2000.10006. SUMMARY oftheCXCfamilyofchemokines,PF4doesnotshare certain proinflammatory properties of other CXC family members because it lacks a critical N-terminal Platelet factor 4 (PF4) is a heparin-binding pisasu Glu-Leu-Arg sequence, the ‘ELR motif’, which pre- CXC chemokine, which is expressed in megakaryo- cedes the first cysteine residue. These three amino cytes and stored in the (cid:11) granules of platelets. acids appear to be important in ligand/receptor However, other cell types such as activated human interactions on neutrophils, and in the determination leukocytes can also synthesize PF4. PF4 does not of the effect of PF4 on angiogenesis (Strieter et al., share certain proinflammatory properties of other 1995; Petersen et al., 1996). The N-terminal of PF4 CXC family members because it lacks a critical N- contains highly negatively charged amino acids and terminalGlu-Leu-Argsequence,the‘ELRmotif’.Itis protrudes out of the protein in the crystal structure an inhibitor of angiogenesis but it is unclear what its (Zhangetal.,1994).IncontrasttheC-terminalregion other functions are. It can promote clotting through of the polypeptide is unusual in that it contains a the sequestration of heparin but can also act as an repetitive motif (KKIIKKLL) containing positively anticoagulant because it promotes the generation of charged and hydrophobic pairs of amino acids. This activated protein C, a potent anticoagulant. repetitive sequence is the core of the heparin-binding domain of PF4. Structurally, mature human PF4 is a symmetrical, BACKGROUND tetrameric molecule made up of four identical PF4 subunits. A positively charged ring of lysine and Discovery arginine side-chains encircles the PF4 tetramer sphere, presenting multiple potential sites and orien- tations for heparin binding. N-terminal residues, Platelet factor 4 (PF4) was first mentioned in 1965 as previously defined as an extended loop region, form a platelet-derived anti-heparin factor (Niewiarowski antiparallel (cid:12) sheet-like structures that form non- etal.,1965).Theaminoacidsequencesofbovineand covalent associations between PF4 dimers. These humanPF4weredeterminedin1985(Ciaglowskiand antiparallel (cid:12) sheet-like structures are positioned Walz, 1985) and the cDNA was cloned in the same lateral to the (cid:12)-bilayer motif and stabilize the tetra- year (Poncz et al., 1987). The crystal structure of mericunit(Zhangetal.,1994).PF4isreleasedfrom(cid:11) human PF4 was solved by 1994 (Zhang et al., 1994). granulesofplateletsasacomplexwithchondroitin-4- sulfateproteoglycan(Levineetal.,1990),butdisplays Structure a higheraffinitytowards heparinand heparan sulfate glycosaminoglycans (Stringer and Gallagher, 1997). Mature human PF4 is composed of 70 amino acids. PF4isamemberofthechemokinefamily.Inaddition Main activities and two homologous genes coding for closely related pathophysiological roles proteins called PF4alt and PF4var1 have also been identified (Green et al., 1989; Eisman et al., 1990). Although its structure places it among the members See section on Normal physiological roles. 1096 Gera Neufeld, Gal Akiri and Zehava Vadasz GENE AND GENE REGULATION Chromosome location Accession numbers ThegeneforhumanPF4islocatedonchromosome4 at the q12-21 region (Griffin et al., 1987). See Table 1. Relevant linkages Sequence The subfamily of polypeptide chemoattractants See Figure 1. known as CXC chemokines to which PF4 belongs is Table 1 Available PF4 and PF4-related cDNA sequences Species Accession no. Name GenBank locus Reference Human NM_002619 Homo sapiens PF4 mRNA Poncz et al., 1987 M25897 Human PF4 mRNA, complete CDS HUMPF4A NM_002620 Homo sapiens PF4 variant 1 (PF4V1) mRNA PF4V1 Green et al., 1989 M26167 Human PF4 variation 1 (PF4var1) gene HUMPF4V1A Green et al., 1989 Mouse BAA75660 PF4 BAA75660 Rat M15254 Rat PF4 gene RATPF4 Doi et al., 1987 Bovine g130303 PF4 PLF4_BOVIN Ciaglowski et al., 1986 Sheep g266800 PF4 PLF4_SHEEP Shigeta et al., 1991 Pig P30034 PF4 PLF4_PIG Proudfoot et al., 1995 Figure 1 Nucleotide sequences of PF4 in human, mouse, and rat. Human cDNA ATGAGCTCCGCAGCCGGGTTCTGCGCCTCACGCCCCGGGGCTGCCTTCCTGGGGGTTGCTGCTGCCTGCCACTTGTGGTCGCCTTCGC CAGCGCTGAAGCTGAAGAAGATGGGGACCTGCAGTGCCTGTGGAAGACCACCTCCCAGGTCCGTCCCAGGCACATCACCAGCCTGGAG GTGATCAAGGCCGGACCCCACTGCCCCACTGCCCAACTGATAGCCACGCTGAAGAATGGAAGGAAAATTTGCTTGGACCTGCAAGCCC CGCTGTACAAGAAAATAATTAAGAAACTTTTGGAGAGTTAG Mouse cDNA ATGAGCGTCGCTGCGGTGTTTCGAGGCCTCCGGCCCAGTCCTGAGCTGCTGCTTCTGGGCCTGTTGTTTCTGCCAGCGGTGGTTGCTG TCACCAGCGCTGGTCCCGAAGAAAGCGATGGAGATCTTAGCTGTGTGTGTGTGAAGACCATCTCCTCTGGGATCCATCTTAAGCACAT CACCAGCCTGGAGGTGATCAAGGCAGGACGCCACTGTGCGGTTCCCCAGCTCATAGCCAACCCTGAAGAATGGGAGGAAAATTTGCCT GGACCGGCAAGCACCCCTATATAAGAAAGTAATCAAGAAAATCCTGGAGAAGTTAG Rat cDNA ATGAGTGCCGCTGCGGTGTTTCGAGGCCTCCGGCCCAGCCCTGAGCTGCTTCTTCTGGGTCTGCTGTTGCTGCCAGCTGTGGTTGCTG TCACCAGGGCTAGTCCTGAAGAAAGCGACGGAGATCTTAGCTGTGTGTGTGTGAAGACCAGTTCTTCCAGGATCCATCTCAAACGCAT CACCAGCCTGGAGGTGATCAAAGCAGGACCCCACTGTGGCGGGTTCCCCAGCTCATAGCCACGCTGAAGAATGGGAGCAAAATTTGCC TGGACCGGCAAGTACCTCTGTTATAAGAAAATAATCAAGAAACTCCTGGAGAGTTAG Platelet Factor 4 1097 characterized by the ability to induce concentration- domain possesses three positively acting subdomains dependent directional migration and activation of from(cid:255)380to(cid:255)362,(cid:255)270to(cid:255)257,and(cid:255)137to(cid:255)120, leukocytes. The genes for CXC chemokines map to as well as a negatively acting subdomain at (cid:255)184 to human chromosome 4q13-21, with the exception of (cid:255)151whichisabletoreduceoveralltranscriptionbut SDF-1, which is on chromosome 10 (Tunnacliffe has no effect on tissue specificity. The subdomain et al., 1992; Shirozu et al., 1995). The family displays from (cid:255)380 to (cid:255)362 (P ) is most critical in restricting 3 four highly conserved cysteine residues, with the first geneexpressiondriveneitherbythe PF4promoteror two cysteines separated by one nonconserved amino by a heterologous promoter to the megakaryocytic acidresidue.Thepercentidentitybasedonnucleotide lineage.Deletionofeitherthewholeenhancer/silencer sequence between family members is not strong (43– domain or the sub-domain from (cid:255)380 to (cid:255)362 or 24%) (Figure 1). (cid:255)137 to (cid:255)120 reduces transcription in megakaryo- cytes by 10- to 30-fold. Regulatory sites and corresponding transcription factors PROTEIN Sequence The human PF4 gene contains three exons and spans approximately 1000 bp (Eisman et al., 1990). Exon 1 encodes the 50 UTR and the signal sequence for See Figure 2. secretionuptothelast2bp.Exon2encodes41amino acids and about two-thirds of the 70 amino acids of Description of protein the mature PF4, and exon 3 contains the rest and the 30 UTR (Eisman et al., 1990). Transgenic mice expressing prokaryotic (cid:12)-galacto- See Figure 3. sidase coupled to 1.1kb of the 50 upstream region of thePF4geneexpressthisconstructalmostexclusively Discussion of crystal structure inmegakaryocytes.However,lowlevelsofexpression arealsofoundinadrenalglands(Ravidetal.,1991a). Two important control elements were identified up- The structure of PF4 consists of four polypeptide stream to the translation start site. A GATA element chains that form a tetrameric unit. N-terminal resi- is located at (cid:255)31 whose conversion to a TATA box dues,previouslydefinedasarandomcoilorextended decreases tissue specificity, and a megakaryocyte-spe- loop region, form antiparallel (cid:12) sheet-like struc- cific enhancer/silencer domain located between (cid:255)448 tures that form noncovalent associations between and(cid:255)112(Ravidetal.,1991b).Theenhancer/silencer dimers. These antiparallel (cid:12) sheet-like structures are Figure 2 Amino acid sequences for human, mouse, and rat PF4. The signal sequence for secretion is underlined. 1098 Gera Neufeld, Gal Akiri and Zehava Vadasz Figure3 Crystalstructureof Posttranslational modifications aPF4dimerandaPF4tetra- mer(fromZhangetal.,1994). PF4 is cleaved between Thr16 and Ser17, a site located downstream from the highly conserved and structurally important CXC motif, by a protease present in activated human leukocyte culture super- nates. The N-terminal processed PF4 exhibited a 30- to 50-fold greater growth inhibitory activity on endothelial cells as compared with intact PF4 (Gupta et al., 1995). CELLULAR SOURCES AND TISSUE EXPRESSION Eliciting and inhibitory stimuli, including exogenous and endogenous modulators positioned lateral to the (cid:12)-bilayer motif and stabilize The cytokine IL-6 increases PF4 expression in thetetramericunit.Apositivelychargedringoflysine megakaryocytes. This is probably the result of the and arginine side-chains encircles the PF4 tetramer presence of an IL-6-responsive element CTGGGA in sphere, presenting multiple potential sites and orien- the PF4 promoter (Ravid et al., 1995). The hemato- tations for heparin binding. The electrostatic interac- poietic transcription factor GATA-1, which binds to tions of multiply charged amino acid side chains and the GATA box, and the transcription factor Ets-1 hydrogen bonding interactions at the AB/CD dimer increase PF4 expression (Minami et al., 1998). The interface serve to stabilize the tetrameric structure T-cluster-binding protein (TCBP) has a 78% homol- further(Zhangetal.,1994).PF4bindstochondroitin ogytothatofnucleolysin.TCBPspecificallybindsto sulfate and to heparin and heparan sulfate (Stringer the T-cluster and the proximal T-rich region of the and Gallagher, 1997). PF4 binds with high affinity PF4 promoter and represses PF4 transcription (Doi andspecificitytoanapproximately9kDasequencein et al., 1997). heparan sulfate. This protected fragment is enriched in N-sulfateddisaccharidesand iduronate2-O-sulfate residues, the latter being important for binding to RECEPTOR UTILIZATION PF4. The major structural motif of the fragment appears to consist of a pair of sulfated domains positionedatbothendsseparatedbyacentralmainly A definite receptor for PF4 has not been described. N-acetylated region. According to a proposed model PF4 binds to cell surface heparan sulfate proteo- the heparan sulfate fragment wraps around the ring glycans which also function as receptors for IP-10, of positive charges on PF4 with the iduronate 2-O- another chemokine that inhibits angiogenesis (Luster sulfates within the sulfated domains binding strongly et al., 1995; Petersen et al., 1999). A cell surface to lysine clusters on opposite faces of the PF4 chondroitin sulfate proteoglycan has been found to tetramer (Stringer and Gallagher, 1997). act as a receptor for tetrameric PF4 on neutrophils (Petersen et al., 1998). Important homologies IN VITRO ACTIVITIES PF4hasahomolognamedPF4altorPF4var1(Green et al., 1989; Eisman et al., 1990). (cid:12)-Thromboglobulin In vitro findings is also a platelet (cid:11) granule protein released in large amounts following platelet activation. (cid:12)-Thrombo- globulin has approximately 70% amino acid identity PF4 is not chemotactic, it has anti-angiogenic effects with PF4 (Majumdar et al., 1991). in vitro and in vivo. Platelet Factor 4 1099 Bioassays used Angiogenesis AnotherimportantactivityofPF4istheinhibitionof Inhibition of DNA synthesis or cell proliferation angiogenesis (Maione et al., 1990). This antiangio- assays: a variety of cells are used for this assay genic capability makes PF4 an inhibitor of tumor including fibroblasts (Jouan et al., 1999) and endo- growth (Maione et al., 1990; Sharpe et al., 1990; thelial cells (Gengrinovitch et al., 1995). Cells are Tanaka et al., 1997). The mechanism by which PF4 stimulated with bFGF or with VEGF and inhib- inhibits angiogenesis is unclear, and the subject of ition of proliferation or thymidine incorporation is ongoing research. PF4 binds heparin very strongly, measured. and it was shown that peptides derived from its heparin-binding C-terminal domain also possess anti-angiogenic properties. However, high concentra- IN VIVO BIOLOGICAL tions of these peptides are required for the anti- angiogenic activity as compared with the PF4 ACTIVITIES OF LIGANDS IN concentrations required for similar effects (Maione ANIMAL MODELS et al., 1990). The mitogenic activities of angiogenic growthfactors,suchasbasicfibroblastgrowthfactor Normal physiological roles (bFGF), are potentiated by heparin and heparan sulfates (Fannon and Nugent, 1996). It was postu- Clotting lated that PF4 may sequester cell surface heparan Despite more than two decades of research, the role sulfate proteoglycans that potentiate the receptor- of PF4 in clotting is not yet completely understood. bindingabilityofbFGF,resultingintheinhibitionof It may act as a procoagulant by virtue of its high bFGF activity. Indeed, there is some experimental affinity towards heparin and heparan sulfate gly- proofsupportingthishypothesis(Watsonetal.,1994). cosaminoglycans, resulting in the sequestration of However, a PF4 mutant that lacks the heparin-bind- heparinandthuspreventingthebindingofheparinto ing domain also inhibits angiogenesis (Maione et al., antithrombinIII.Acommoncomplicationofheparin 1991),indicatingthattheheparin-bindingmechanism anticlotting treatment is heparin-induced thrombo- is not the only mechanism by which PF4 affects cytopenia. Thiscomplicationseems tobethe resultof angiogenesis. PF4 binding to heparin. The immune system can It was subsequently found that heparin-binding recognize this complex and generate antibodies di- proteins such as bFGF, keratinocyte growth factor, rected against PF4/heparin complexes, leading to the protamine, the 165 amino acid form of vascular development of this autoimmune disease (Shoenfeld, endothelial growth factor (VEGF ), and acidic 165 1997; Horne and Hutchison, 1998). fibroblast growth factor bind directly to PF4. The PF4 also binds directly to thrombomodulin and to binding may be mediated by the very acidic N- protein C. Thrombomodulin is an anionic protein terminal ofPF4and mayleadtothe inhibition ofthe cofactor that promotes thrombin cleavage of protein angiogenic activity of heparin-binding angiogenic C to generate activated protein C, a potent anti- factors (Gengrinovitch et al., 1995). The binding coagulant.TheinteractionsofPF4withbothproteins depends upon the ability to bind heparin since basic activate the interaction of protein C with thrombin proteins that do not bind to heparin – such as and the generation of activated protein C. Since cytochrome C – do not bind to PF4. Recently, the proteinCactsasananticoagulant,itfollowsthatPF4 binding between bFGF and PF4 was found to result can also act as an anticoagulant in addition to its in the inhibition of the interaction of bFGF with its procoagulant activity that is based upon its heparin- receptors (Perollet et al., 1998). binding capability (Slungaard and Key, 1994; Dudek Nevertheless, these mechanisms cannot be the et al., 1997). PF4 also inhibits factor XII activation only mechanisms by which PF4 inhibits the activity during contact activation of plasmatic coagulation, of angiogenic growth factors. 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