Dipetalodipin, a Novel Multifunctional Salivary ...

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plasma was obtained by plateletpheresis from medication-free platelet donors at the DTM/NIH blood bank. Aggregation and. TXA2/PGF2 /15(S)-HETE-binding ...
THE JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 285, NO. 50, pp. 39001–39012, December 10, 2010 Printed in the U.S.A.

Dipetalodipin, a Novel Multifunctional Salivary Lipocalin That Inhibits Platelet Aggregation, Vasoconstriction, and Angiogenesis through Unique Binding Specificity for TXA2, PGF2␣, and 15(S)-HETE*□ S

Received for publication, June 14, 2010, and in revised form, September 3, 2010 Published, JBC Papers in Press, October 2, 2010, DOI 10.1074/jbc.M110.152835

Teresa C. F. Assumpc¸a˜o, Patricia H. Alvarenga, Jose´ M. C. Ribeiro, John F. Andersen, and Ivo M. B. Francischetti1 From the Vector Biology Section, Laboratory of Malaria and Vector Research, NIAID, National Institutes of Health, Bethesda, Maryland 20892-8132

The hemostatic process, a host defense mechanism to preserve the integrity of the circulatory system, remains inactive until vascular injury occurs, leading to activation of hemo-

* This work was supported, in whole or in part, by the Division of Intramural Research, NIAID, National Institutes of Health. The on-line version of this article (available at http://www.jbc.org) contains supplemental data. 1 To whom correspondence should be addressed: LMVR, NIAID, National Institutes of Health, 12735 Twinbrook Parkway, Rm. 2E-28, Bethesda, MD 20892-8132. Tel.: 301-402-2748; Fax: 301-480-2571; E-mail: ifrancischetti@ niaid.nih.gov. □ S

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stasis. The first step in this cascade of events is platelet interaction with the exposed extracellular matrix (ECM), which contains a large number of adhesive macromolecules such as collagen. Under conditions of high shear, initial tethering of platelets to the ECM is mediated by interaction between the platelet receptor glycoprotein (GP)2Ib and vWF bound to collagen (1). This interaction allows platelet receptor GPVI to bind to collagen, triggering release of the so-called secondary mediators TXA2 and ADP that are necessary for integrins ␣2␤1 and ␣IIb␤3 activation and completion of platelet aggregation (2). Vasoconstriction is another critical step triggered by injury and mediated by biogenic amines produced by adrenergic fibers or vasoactive components such as TXA2 and serotonin released by platelets in an attempt to decrease blood flow at sites of injury and therefore prevent blood loss (3). Because of the interface encountered by vectors upon interaction with their host, salivary glands from bloodsucking arthropods have evolved different mechanisms that counteract hemostasis and inflammation (4). At least thirteen different mechanisms for inhibition of platelet function are reported to explain how these molecules affect platelet function, thus assisting hematophagous animals to acquire a blood meal (5). These inhibitors have been classified as enzymes, small ligand binders, enzymes or enzyme inhibitors, nitric oxide (NO)-releasing molecules, and integrin antagonists. Among members of the lipocalin family (6), inhibitors have been reported to bind to ADP (7), biogenic amines (8 –9), and leukotrienes (10). Other salivary components interfere with hemostasis by targeting vasoconstriction, such as tachikinin-like peptides from Aedes aegypti (11) or peptides such as sandfly maxadilan, which specifically activates PAC1, the type I receptor for pituitary adenylate cyclase-activating peptide (PACAP) (12). Vasodilation is also mediated through release of NO by NO-carrying nitrophorins from Rhodnius prolixus (13). In this report, we have cloned, expressed, and studied the mechanism of action of a novel lipocalin, herein named dipetalodipin (DPTL). DPTL binds to TXA2, PGF2␣, 15(S)-HETE, and other prostanoids, and 2

The abbreviations used are: GP, glycoprotein; AA, arachidonic acid; DPTL, dipetalodipin; HMVEC, human microvascular endothelial cell; ITC, isothermal titration calorimetry; NO, nitric oxide; NP2, nitrophorin 2; mRNA, messenger RNA.

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Dipetalodipin (DPTL) is an 18 kDa protein cloned from salivary glands of the triatomine Dipetalogaster maxima. DPTL belongs to the lipocalin superfamily and has strong sequence similarity to pallidipin, a salivary inhibitor of collagen-induced platelet aggregation. DPTL expressed in Escherichia coli was found to inhibit platelet aggregation by collagen, U-46619, or arachidonic acid without affecting aggregation induced by ADP, convulxin, PMA, and ristocetin. An assay based on incubation of DPTL with small molecules (e.g. prostanoids, leukotrienes, lipids, biogenic amines) followed by chromatography, mass spectrometry, and isothermal titration calorimetry showed that DPTL binds with high affinity to carbocyclic TXA2, TXA2 mimetic (U-46619), TXB2, PGH2 mimetic (U-51605), PGD2, PGJ2, and PGF2␣. It also interacts with 15(S)-HETE, being the first lipocalin described to date to bind to a derivative of 15-lipoxygenase. Binding was not observed to other prostaglandins (e.g. PGE1, PGE2, 8-iso-PGF2␣, prostacyclin), leukotrienes (e.g,. LTB4, LTC4, LTD4, LTE4), HETEs (e.g. 5(S)-HETE, 12(S)-HETE, 20-HETE), lipids (e.g. arachidonic acid, PAF), and biogenic amines (e.g. ADP, serotonin, epinephrine, norepinephrine, histamine). Consistent with its binding specificity, DPTL prevents contraction of rat uterus stimulated by PGF2␣ and induces relaxation of aorta previously contracted with U-46619. Moreover, it inhibits angiogenesis mediated by 15(S)-HETE and did not enhance inhibition of collagen-induced platelet aggregation by SQ29548 (TXA2 antagonist) and indomethacin. A 3-D model for DPTL and pallidipin is presented that indicates the presence of a conserved Arg39 and Gln135 in the binding pocket of both lipocalins. Results suggest that DPTL blocks platelet aggregation, vasoconstriction, and angiogenesis through binding to distinct eicosanoids involved in inflammation.

TXA2/PGF2␣/15(S)-HETE-binding Protein was found to block platelet aggregation, vasoconstriction, and angiogenesis. The antiinflammatory and antihemostatic properties of DPTL may assist triatomines to successfully feed on blood and counteract host pro-inflammatory mechanisms triggered upon injury.

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Q ⫽ n␪Mt⌬HVo

(Eq. 1)

where Q is total heat content of the solution contained in the cell volume (Vo), at fractional saturation ␪, ⌬H is the molar heat of ligand binding, n is the number of sites, and Mt is the bulk concentration of macromolecules in Vo. The binding constant, Ka, is described as Equation 2, K a ⫽ ␪兾(1⫺␪)[X]

(Eq. 2)

where [X] is the free concentration of ligand. Free-energy (⌬G) and entropy term (⫺T⌬S) of association were calculated according to Equations 3 and 4. ⌬G ⫽ ⫺RTln(Ka)

(Eq. 3)

⌬G ⫽ ⌬H ⫺ T⌬S

(Eq. 4)

Platelet Aggregation and ATP Release Assays—Platelet-rich plasma was obtained by plateletpheresis from medication-free platelet donors at the DTM/NIH blood bank. Aggregation and VOLUME 285 • NUMBER 50 • DECEMBER 10, 2010

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EXPERIMENTAL PROCEDURES Materials—Horse tendon insoluble Horm fibrillar collagen (quaternary, polymeric structure) composed of collagen types I (95%) and III (5%), and Chrono-Lume were from Chrono-Log Corp. (Haverstown, PA). Soluble (tertiary, triple helical) collagen type I was from BD Biosciences (Franklin Lakes, NJ). Calcein-AM was from EMD Chemicals (San Diego, CA). PGD2, PGE1, PGE2, PGF2␣, 8-iso-PGF2␣, PGH2 endoperoxide mimetic (U-51605), PGI2 analog (iloprost), PGJ2, cTXA2, TXA2-mimetic (U-46619), TXB2, arachidonic acid, SQ 29548, LTB4, LTC4, LTD4, LTE4, 5(S)-HETE, 12(S)-HETE, 15(S)-HETE, and 20-HETE were purchased from Cayman Chemicals (Ann Arbor, MI). PAF, ADP, norepinephrine, epinephrine, serotonin, histamine, and indomethacin were from Sigma. Molecular biology reagents were from Invitrogen (Carlsbad, CA). Convulxin was purified as described (14). Dipetalogaster maxima Salivary Gland cDNA Construction— This was done as described before (15) and in the supplemental data. Sequencing of cDNA indicate that DPTL is an abundant secreted lipocalin (data not shown). Sequence Analysis—Sequence similarity searches were performed using BLAST. Cleavage site predictions of the mature proteins used the SignalP program. The molar extinction coefficient (⑀280 nm) of mature DPTL at 280 nm was obtained at Expasy Protemics server, yielding for mature DPTL a value of ⑀280 nm ⫽ 20315 M⫺1䡠cm⫺1; A280 nm/cm0.1% (1 mg/ml) ⫽ 1.132, molecular weight 17,951.1 (165 aa), and pI 8.49. Expression of DPTL in Escherichia coli—Synthetic cDNA for DPTL was produced by Biobasics (Ontario, Canada). The sequence displays an N-terminal NdeI and a C-terminal XhoI restriction sites. The NdeI site adds a 5⬘-methionine codon to all sequences that acts as start codon in the bacterial expression system, whereas the XhoI site was incorporated after the stop codon. pET 17b constructs were confirmed before transformation of E. coli strain BL21(DE3)pLysS cells. Detailed description of expression of recombinant DPTL is available online in the supplemental data. Protein Purification, PAGE, and Edman Degradation— These steps were performed as described in detail in the supplemental data available online. High-throughput Ligand Binding Assay—To investigate putative ligands of DPTL, 50 ␮l of 100 mM ammonium acetate, pH 7.4 (AA buffer) containing 1 ␮M DPTL and 2 ␮M each of arachidonic acid, 15(S)-HETE, PGE2, PGD2, PGF2␣, TXA2, U-46619, U-51605, leukotriene B4, and carbocyclic TXA2 were injected into a 3.2 ⫻ 250-mm Superdex peptide column (GE Healthcare) equilibrated with 100 mM AA buffer. A flow rate of 50 ␮l/min was maintained with a P4000 SpectraSystem pump (Thermo Scientific, Rockford, IL). The absorbance at 280 nm was monitored using an ABI 785 detector (Applied Biosystems, Foster City, CA). Fractions were collected into a 96-well plate every minute using a Probot apparatus (Dionex, Sunnyvale,

CA). Selected fractions (20 ␮l) were mixed with 1 ␮l of methanol containing 1 M HCl, centrifuged at 14,000 ⫻ g for 10 min, and the supernatant injected into a 0.3 ⫻ 150-mm C18 reverse phase column (Magic C18 200 Å; Michrom BioResources, Inc, Auburn CA) equilibrated with 10% methanol/water containing 0.1% acetic acid at a flow rate of 3 ␮l/min maintained by an ABI 140D pump (Applied Biosystems). After 15 min, the methanol concentration was raised linearly to 90% in the course of 30 min. The column effluent was mixed with pure methanol at a rate of 4 ␮l/min (to facilitate electrospray) using a syringe pump attached to a LCQ Deca XP Max mass spectrometer (Thermo Scientific). Mass spectrometry was performed in negative-ion mode to detect ligand masses. A similar protocol was used to detect positively charged agonists: PAF acether, leukotrienes C4, D4, and E4, histamine, serotonin, norepinephrine, epinephrine, and adenosine diphosphate, with the mass spectrometer running in positive-ion capture mode. Isothermal Titration Calorimetry (ITC)—Prostanoids (in ethanol or methyl acetate) were placed in glass vials and the vehicle evaporated under nitrogen atmosphere; the dried material was then resuspended in appropriate concentrations in 20 mM Tris-HCl, 0.15 M NaCl, pH 7.4, sonicated, and vortexed. Calorimetric assays for measuring DPTL binding to a number of ligands were performed using a VP-ITC microcalorimeter (Microcal, Northampton, MA) at 35 °C. Titration experiments were performed by making successive injections of 10 ␮l each of 40 ␮M ligand into the 1.34-ml sample cell containing 4 ␮M DPTL until near-saturation was achieved. Prior to the run, the proteins were dialyzed against 20 mM Tris-HCl, 0.15 M NaCl, pH 7.4, for binding experiments. The calorimetric enthalpy (⌬Hcal) for each injection was calculated after correction for the heat of DPTL dilution obtained in control experiments performed by titrating DPTL into buffer. The binding isotherms were fitted according to a model for a single set of identical binding sites by nonlinear squares analysis using Microcal Origin software. Enthalpy change (⌬H), and stoichiometry (n) were determined according to Equation 1,

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Statistical Analysis—Results are expressed as mean ⫾ S.E. (GraphPad Software, Inc., San Diego, CA).

RESULTS Analysis of a Dipetalogaster maxima salivary gland cDNA library indicates that members of the lipocalin family of proteins is highly abundant, representing more than 90% of predicted secreted molecules (not shown). One of these sequences, DPTL, displays high sequence similarity to pallidipin, a lipocalin from Triatoma pallidipennis, which has been claimed as a specific inhibitor of collagen-induced platelet aggregation (20); however, the molecular target for pallidipin and its exact mechanism of action have remain elusive thus far. Fig. 1A shows a CLUSTAL alignment of DPTL and pallidipin in addition to other salivary antihemostatic proteins including RPAI-1 (7), triplatin (21), moubatin (22), and TSGP3 (23). DPTL was found to be more closely related to pallidipin, as depicted by clade I (Fig. 1B). The presence of mature DPTL in the salivary gland was supported by a one-dimensional gel of the gland homogenate, which displays intense staining at ⬃19 kDa mol wt, corresponding to salivary lipocalins. To identify the N terminus of DPTL, gels were electroblotted to PVDF membranes and bands submitted to Edman degradation. Fig. 1C shows the N terminus of the most abundant proteins. One of them was identified as an 18 kDa protein with N-terminal sequence KEcTLMAAaSNFNSDKYfDV (lowercase indicates ambiguous identification), which is in agreement with the corresponding cDNA coding for DPTL. The other sequence, GSISEcKTPKPMDDFSGTKF, was identified as procalinlike (24). These two sequences together represent at least 70% of the proteins loaded in the gel. Therefore, DPTL is a particularly abundant protein that is found in mature form in the salivary gland of D. maxima (Fig. 1C). To study the effects of DPTL on platelet aggregation, its corresponding cDNA was cloned in pET17b vector, followed by transformation and expression of recombinant protein in BL21(DE3)pLysS cells. DPTL was purified through a series of chromatographic procedures and eluted as a single peak in the last step, performed in a gel-filtration column (Fig. 1D). PAGE of purified DPTL demonstrated that it migrates as a ⬃18 kDa protein under nonreducing conditions, and slightly higher mol wt in the presence of DTT, consistent with reduction of disulfide bridges. The N terminus was submitted to Edman degradation, and resulted in the sequence MxExTLMAAASNFNSDKYFD (Fig. 1E). This sequence is identical to the N-terminal sequence predicted by the cDNA coding for DPTL with the exception of methionine in position 1, which has been added for expression purposes. In addition, MS results identified a mass of 17,948 Da for recombinant DPTL, which is in agreement with the theoretical mass of the molecule with an extra Met (17,951.1 Da) (Fig. 1F). Results presented in Fig. 1 indicated that recombinant DPTL was pure, soluble, and suitable for further experimentation. In a first step toward studying its mechanism of action, DPTL was shown to dose-dependently inhibit low doses of collagen-induced platelet aggregation, with an IC50 ⬃30 nM. Inhibition was abolished when high doses of collagen were employed. DPTL also blocked in a dose-dependent JOURNAL OF BIOLOGICAL CHEMISTRY

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ATP release were performed as described (16) and in the supplemental data. Platelet Adhesion Assay under Static Conditions—Inhibition of platelet adhesion to immobilized collagen was examined by fluorometry. Microfluor black microtiter 96-well plates (ThermoLabsystems, Franklin, MA) were coated with 2 ␮g of fibrillar (Horm) or soluble collagen overnight at 4 °C in PBS, pH 7.2, essentially as described (16) and in the supplemental data. Contraction of Rat Aorta—Contraction of rat aortic ring preparations by U-46619 was measured isometrically and recorded with transducers from Harvard Apparatus Inc. (Holliston, MA). A modified Tyrode solution (with 10 mM HEPES buffer) that was oxygenated by continuous bubbling of air was used in the assays (17). In the first assay, aortic rings were suspended in a 0.5-ml bath kept at 30°C and were pre-constricted by 100 nM U-46619 before addition of proteins to give final concentrations of 1 ␮M. In the second assay, aortic ring preparations were preincubated with 100 nM of DPTL, and increments of 100 nM U-46619 were added until maximum contraction was reached. Additions to the bath were never greater than 5% of the volume of the bath. Contraction of Rat Uterus—Wistar female rats were injected intraperitonially with 0.1 mg of estradiol in 1 ml of phosphatebuffered saline. 24 h later, they were killed, and the uterus removed into a modified De Jalon solution (NaCl 154 mM, KCl 5.6 mM, D-glucose 2.8 mM, NaHCO3 6 mM, CaCl2 0.4 mM, Hepes 5 mM, 0.1 ␮M dexamethasone, final pH 7.4). About 1.5-cm pieces of the uterus were attached to a 1-ml bath kept at 35 °C, and their contractions recorded isotonically (Harvard Apparatus Inc.) under a 2 g load. Rhythmic contractions were induced by addition of PGF2␣ at the indicated concentrations. Human Dermal Microvascular Endothelial Cell (HMVEC) Culture—HMVEC (CC-2643) were purchased from Clonetics (San Diego, CA) and grown at 37 °C, 5% CO2 in T-25 flasks in the presence of EBM-2 Plus as described (17) and in the supplemental data. Tube Formation Assay—Tube formation assay was done as described with modifications (18). Costar culture plates (96well; Corning, NY) were coated with 30 ␮l of growth factorreduced Matrigel (BD Biosciences) and allowed to solidify at room temperature. 100 ␮l of MVEC suspension (5 ⫻ 105/ml) were added to each well in the presence of vehicle, or 15(S)HETE, or DPTL, or DPTL plus 15(S)-HETE at the concentrations indicated in the figure legends. Plates were incubated at 37 °C, 5% CO2 for 5– 6 h, and formation was observed under an inverted microscope coupled to a digital camera (Axiovert 200; Carl Zeiss, Inc., Thornwood, NJ). Images were captured with AxioCamHR color camera (model 412-312) attached to the microscope. Tube length was measured by outlining the tubes (and converted to pixels) using AxioVision 4.6.3 software. Modeling of DPTL and Pallidipin—Structures of DPTL and pallidipin (gi388359) were modeled using the alignment mode in SWISS-MODEL (19). The template structure was the ammonium complex of nitrophorin 2 (PDB accession number 1EUO).

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TXA2/PGF2␣/15(S)-HETE-binding Protein

FIGURE 1. Dipetalodipin is an abundant lipocalin from D. maxima. A, CLUSTAL alignment of DPTL and pallidipin-2-like (gi270046224), pallidipin-2 (gi388359), triplatin-1 (gi109240371), RPAI-1 (gi1572725), RPAI-2 (gi1572727), moubatin (gi159945), TSGP3 (gi25991391), moubatin1-like 2 (gi149287000), and moubatin-like 6 (gi149286962). B, phylogenetic tree of related salivary lipocalins indicate that DPTL are closely related. Tree was generated using the neighborjoining method after 10,000 bootstraps. The numbers in the phylogram nodes indicates percent bootstrap support for the phylogeny. The bar at the bottom indicates 20% amino acid divergence in sequences. C, N terminus of salivary gland proteins from D. maxima. Ten pairs of glands were loaded in 4 –12% NuPAGE gel (MES buffer) and blotted to a PVDF membrane. Bands were used for Edman degradation. D, DPTL was loaded in a Sephadex G75 gel-filtration column and eluted at 1 ml/min in 20 mM Tris-HCl, 0.5 M NaCl, pH 9.3. E, gel electrophoresis of DPTL (reducing (⫹) and non-reducing (⫺) conditions) was carried out in a 4 –12% NuPAGE gel. N terminus was performed by Edman degradation. F, mass spectrometry of DPTL reveals a mass of 17,948 Da, which is in agreement with theoretical mass of 17,951.1 Da.

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adhesion assays carried out with calcein-labeled platelets incubated with immobilized soluble (integrin ␣2␤1-mediated) or fibrillar (GPVI and integrin ␣2␤1dependent) collagen (25–26). Results reported in Table 1 show that adhesion of platelets to fibrillar or soluble collagen was not inhibited by DPTL (1–10 ␮M). As a positive control, EDTA prevented platelet adhesion to fibrillar collagen ⬃60% and abolished adhesion to soluble collagen (26). These results, in addition to the lack of inhibition of platelet shape change, demonstrated that DPTL is not a specific collagen inhibitor and suggested that secondary mediators might be the target of the molecule. TXA2 and ADP are two important mediators of platelet aggregation that are, respectively, generated and released by platelets upon stimulation by collagen (2). In an attempt to verify the inhibitory profile of DPTL toward other agonists that activate platelets independently of secondary mediators, it was tested as an inhibitor for U-46619 (TXA2 mimetic) and AA-induced platelet aggregation. Fig. 2 shows that DPTL dose-dependently inhibits U-46619 and AA-induced platelet aggregation in a dose-dependent manner, corroborating the notion that DPTL targets TXA2 (or ADP) mediated platelet responses. Because collagen, TXA2, and AAFIGURE 2. Effects of DPTL on platelet aggregation. Human platelet-rich plasma (2 ⫻ 105/␮l) was incu- induced aggregation is particularly bated with DPTL at indicated concentrations for 1 min followed by addition of platelet agonists as indi- sensitive to 5⬘-nucleotidases (27), cated. Platelet aggregation was estimated by turbidimetry under test tube-stirring conditions. The tracADP receptor antagonists (28), or ings represent a typical experiment. The graph estimates the effects of DPTL on ATP release by collagen ADP-binding proteins (7), it was of (2.3 ␮g/ml). interest to exclude ADP as a potential target for DPTL. Fig. 2 shows that DPTL was ineffective as manner ATP release triggered by collagen (Fig. 2). Notably, an inhibitor when ADP was employed at low or moderate conno effect on shape change was observed, suggesting that DPTL did not target collagen itself, nor collagen receptors centrations, excluding this agonist as a target for the inhibitor. integrin ␣2␤1 or GPVI. This was confirmed through platelet In addition, DPTL did not affect platelet aggregation triggered

TXA2/PGF2␣/15(S)-HETE-binding Protein TABLE 1 DPTL does not inhibit platelet adhesion to fibrillar and soluble collagen under static conditions Washed calcein-labeled human platelets (2 ⫻ 105/␮l) were incubated with fibrillar or soluble collagen for 1 h at indicated concentrations of DPTL. As a control, EDTA was used to discriminate GPVI or integrin ␣2␤1-mediated adhesion. Absolute fluorescence values for control (100% adhesion) fibrillar collagen type I ⫽ 224.22 ⫾ 6.64 (fluorescence arbitrary units, a.u.); soluble collagen type I ⫽ 251.12 ⫾ 8.03 a.u. Platelet adhesion to non-coated, BSA-blocked wells was negligible (0% adhesion). Dipetalodipin 0 ␮M 0.1 ␮M 0.3 ␮M 1 ␮M 3 ␮M 10 ␮M 25 mM EDTA

Collagen-fibrillar

Collagen-soluble

% adhesion

% adhesion

100 92.14 94.37 93.46 94.45 98.96 28.46

100 89.93 93.64 92.53 92.72 96.73 2.99

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FIGURE 3. Identification of putative DPTL ligands by molecular sieving/ mass spectrometry. A, chromatogram (280 nm) of 50 ␮l DPTL (1 ␮M) mixed with 2 ␮M (each) of arachidonic acid, 15(S)-HETE, PGE2, PGD2, and PGF2␣, TXA2, U-46619, U-51605, LTB4, and carbocyclic TXA2 on a Superdex peptide column. Arrows indicate the fractions taken for further reverse phase/mass spectral experiments. Reverse-phase chromatography monitored by mass spectrometry at m/z 351–352 for fractions 17 (B), 20 (C), and 24 (D). The inset in C shows the peak mass spectrogram ranging from m/z 280 – 400.

and PAF (calorimetry not shown). Table 2 summarizes our findings including enthalpy (⌬H), calculated free energy (⌬G), and entropy (T⌬S) for binding of each compound to DPTL. Calorimetry results therefore indicated that DPTL binds TXA2, PGF2␣, or 15(S)-HETE among other ligands. This was also tested through additional pharmacologic assays. Fig. 5A shows that inhibition of collagen (5.2 ␮g/ml)-induced platelet aggregation by DPTL was identical to inhibition by SQ 29548, a TXA2 antagonist or by indomethacin which blocks TXA2 production. Further, when DPTL was added to platelets incubated with SQ 29548 and indomethacin, no additional inhibition was observed. These results indicated a common target, i.e. TXA2 pathway. Additionally, Fig. 5B shows that DPTL suppressed rhythmic contractions of the rat uterus induced by 0.2 ␮M PGF2␣, being the inhibitory effect surmounted by high concentrations of the prostaglandin. Moreover, DPTL induces relaxation of aorta previously contracted with U-46619 (Fig. 5C). VOLUME 285 • NUMBER 50 • DECEMBER 10, 2010

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by strong agonists such as PMA (PKC activator), convulxin (GPVI agonist), and ristocetin (vWF-dependent platelet agglutinator), which characteristically induce platelet aggregation/ agglutination independently of ADP or TXA2. Whereas results suggested that DPTL targets secondary mediators of platelet aggregation, they did not formally identify TXA2 as the (sole) ligand or establish whether other ligands involved in pro-hemostatic events unrelated to platelet function were targets for DPTL. Therefore, an experiment was optimized to broaden our search, where the inhibitor was incubated with small compounds (e.g. biogenic amines, prostaglandins and endoperoxides, leukotrienes, HETEs, epoxides and lipids) that may affect platelet function, vessel tonus, angiogenesis, or neutrophil function. The mixture was loaded into a gel-filtration column that excludes protein with mol wt higher than 20 kDa but retains small ligands. If DPTL binds to a given ligand(s), complex formation will occur and elute in the void (⬎20 kDa), while free, unbound ligands remain in the column. Accordingly, Fig. 3A shows a peak eluted at 20 min that represents DPTL and potentially bound ligands. This fraction was acidified to precipitate DPTL. The sample was centrifuged, and the supernatant containing ligands was applied to a RP-HPLC column followed by elution using a gradient of methanol. Each fraction was collected and submitted to reverse phase HPLC/ mass spectrometry that scanned for different masses compatible with the test mixture. A negative mass detection of 351 was found when fraction 20 was sprayed (Fig. 3C), this mass was compatible with PGD2 or PGE2, which have masses of 352.4. As a control, fractions 17 (Fig. 3B) and 24 (Fig. 3D), which eluted before and after a peak corresponding to DPTL, were devoid of ligands. ITC experiments were then carried out where separate ligands were added to a solution containing DPTL as described under “Experimental Procedures.” Fig. 4 shows the ITC profiles that represent binding in solution of DPTL and U-46619, PGF2␣, and 15(S)-HETE. Binding was also seen for cTXA2, PGH2 mimetic (U-51605), TXB2, PGD2, and PGJ2 (supplemental data). Analysis of the results according to a single set of identical binding sites yields a dissociation constant (KD) of 100 –200 nM for DPTL binding to most ligands. No interaction was observed when DPTL was added to PGE2 (supplemental data), PGE1, LTB4, LTC4, LTD4, LTE4, 5(S)-HETE, 12(S)HETE, 20-HETE, PAF, NE, EPI, histamine, 5-HT, ADP, AA,

TXA2/PGF2␣/15(S)-HETE-binding Protein

TABLE 2 Affinity, stoichiometry, and thermodynamic parameters of DPTL interaction with different ligands Interaction was detected by ITC as depicted in Fig. 4. Ligand

Na

⌬Hb

T⌬Sb

KD

cTXA2 U-46619 TXB2 U-51605 PGF2␣ PGD2 PGJ2 PGE2 PGE1 8-iso-PGF2␣ Iloprost 5(S)-HETE 12(S)-HETE 15(S)-HETE 20-HETE Arachidonic acid PAF LTB4 LTC4 LTD4 LTE4 Epinephrine Norepinephrine Histamine Serotonin ADP

0.895 0.254 0.667 0.641 0.703 0.866 0.940 n.d.c n.d. n.d. n.d. n.d. n.d. 0.605 n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d.

⫺12.76 ⫾ 0.35 ⫺30.80 ⫾ 1.18 ⫺18.01 ⫾ 0.32 ⫺12.22 ⫾ 0.43 ⫺19.62 ⫾ 0.26 ⫺21.59 ⫾ 0.26 ⫺15.09 ⫾ 0.26 n.d. n.d. n.d. n.d. n.d. n.d. ⫺10.93 ⫾ 0.51 n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d.

⫺3.4 ⫺21.11 ⫺8.65 ⫺3.23 ⫺10.10 ⫺12.10 ⫺5.42 n.d. n.d. n.d. n.d. n.d. n.d. ⫺1.69 n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d.

232 ⫾ 34 143 ⫾ 20 230 ⫾ 18 423 ⫾ 53 185 ⫾ 13 189 ⫾ 14 137 ⫾ 16 n.d. n.d. n.d. n.d. n.d. n.d. 282 ⫾ 50 n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d.

⌬Gb

nM

a b c

⫺9.36 ⫺9.69 ⫺9.36 ⫺8.99 ⫺9.52 ⫺9.49 ⫺9.67 n.d. n.d. n.d. n.d. n.d. n.d. ⫺9.24 n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d. n.d.

Values indicate the stoichiometry of ligand binding. Values are given as kcal/mol. S.E. represents the deviation of the experimental data from the fitted data. n.d., no binding detected at 4 ␮M protein and 40 ␮M ligand.

Finally, DPTL was found to inhibit by ⬎85% tube formation evoked by 15(S)-HETE (18), suggesting that it could negatively modulate angiogenesis (Fig. 5D). Because DPTL is a lipocalin with sequence homology to nitrophorin 2 (NP2), a NO-binding protein from another triatomine species whose structure has been determined (13), we constructed a molecular model for the inhibitor using the DECEMBER 10, 2010 • VOLUME 285 • NUMBER 50

NP2 structure as a template. Fig. 6A shows that DPTL displays structural features typical of the lipocalin family of proteins, whose structure consists of eight-stranded antiparallel ␤-barrel forming a central hydrophobic cavity; ligands are normally bound at a site located in the center of the ␤-barrel. Fig. 6B shows a comparison of this putative binding pocket in the models of DPTL and pallidipin. Many of the JOURNAL OF BIOLOGICAL CHEMISTRY

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FIGURE 4. Solution binding of DPTL to U-46619 (TXA2 mimetic), PGF2␣, and 15(S)-HETE, measured by isothermal titration calorimetry. Upper panels, base line-adjusted heats per injection of different ligands (40 ␮M) into DPTL (4.0 ␮M). Lower panels, molar enthalpies per injection for ligand interaction with DPTL. Filled squares measured enthalpies; solid line, fit of experimental data to a single site binding model. Thermodynamic parameters: ⌬H in kcal/mol, T⌬S in kcal/mol, KD are indicated in the inset for each ligand indicated in the figure. ITC for other prostanoids are in the supplemental data.

TXA2/PGF2␣/15(S)-HETE-binding Protein

Downloaded from http://www.jbc.org/ by guest on April 7, 2017 FIGURE 5. DPTL pharmacologic properties are compatible with its binding specificity. A, platelet-rich plasma (2 ⫻ 105/␮l) was incubated with 50 ␮M indomethacin, or 0.2 ␮M SQ29548 for 3 min, with or without DPTL (1 ␮M) followed by addition of collagen (5.2 ␮g/ml). B, DPTL (1 ␮M) inhibits rat uterus contraction elicited by PGF2␣, at 0.2 ␮M, but its effect is surmounted by 1 ␮M PGF2␣. C, DPTL (1 ␮M) inhibits aorta contraction induced by U-46619 (0.2 ␮M). D, MVEC were seeded onto a 96-well plate coated with growth factor-reduced Matrigel. Cells were then treated with vehicle or 0.2 ␮M of 15(S)-HETE, or 15(S)-HETE plus DPTL (3 ␮M), or DPTL alone (3 ␮M) for 5– 6 h at 37 °C. Addition of DPTL alone was comparable to addition of buffer. Tube formation was observed under an inverted microscope, images were captured with a color camera, and tube length was measured using AxioVision 4 software.

residues predicted to lie in this pocket are shared by the two proteins and may play a role in stabilizing the bound ligand. Among these are a number of hydrophobic and aromatic residues that could be important in interactions with the hydrocarbon chain of eicosanoid ligands. Hydrogen bonding interactions with polar functional groups on the ligand are also normally essential, and their presence is suggested by the highly favorable enthalpies measured in ITC experi-

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ments. A number of residues that could potentially form hydrogen bonding or ionic interactions with bound ligands are also present in the binding pocket. Most notable among these are the conserved residues Arg39 and Gln135 in both (mature) DPTL and pallidipin. Remarkably high sequence similarity for the full-length sequences of both lipocalins is also depicted by the CLUSTAL alignment presented in Fig. 6C. VOLUME 285 • NUMBER 50 • DECEMBER 10, 2010

TXA2/PGF2␣/15(S)-HETE-binding Protein

Downloaded from http://www.jbc.org/ by guest on April 7, 2017 FIGURE 6. Molecular modeling. A, DPTL displays structural features typical of the lipocalin family of proteins, whose structure consists of eight-stranded antiparallel ␤-barrel forming a central hydrophobic cavity (Left panel, frontal view; right panel, side view). B, putative binding pocket of DPTL and C, pallidipin. Secondary structural elements of the ␤-barrel are shown in ribbon format, while side chains of residues lining the pocket are shown as stick diagrams. Carbon atoms are colored white, oxygen is colored red, and nitrogen is colored blue. D, CLUSTAL alignment of DPTL and pallidipin (gi 388359) displays high sequence homology (2e-56).

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TXA2/PGF2␣/15(S)-HETE-binding Protein DISCUSSION

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Salivary secretions are rich sources of bioactive molecules that counteract host defenses in distinct ways. Many of these molecules have turned out to display unique and specific pharmacologic properties that in several instances contribute to our understanding of vertebrate biology (4). In this report, we have identified DPTL as a novel salivary lipocalin that binds to distinct prostanoids. Accordingly, ITC experiments demonstrated that DPTL binds to cTXA2, U-46619 (stable TXA2 mimetic), and TXB2 which is the metabolic end product of TXA2. Binding occurred with a KD ⬃100 –200 nM and was compatible with 1:1 stoichiometry. Binding to TXA2 was consistent with the inhibitory profile for platelet aggregation observed in the presence of the inhibitor and suggests that native TXA2 generated by platelets is a target for the inhibitor. Accordingly, DPTL affected only platelet responses induced by low concentrations of collagen or by AA and U-46619, which are TXA2 dependent. A similar inhibitory profile is observed for aggregation of platelets from a patient with a mutation of the TXA2 receptor (29), or for mice with a gene deletion of Gq (30). Targeting of the TXA2 pathway by DPTL is also corroborated by a lack of additional effects of the inhibitor on collagen-induced platelet aggregation in the presence of SQ29548 and indomethacin (Fig. 5A). In contrast, DPTL did not interfere with aggregation triggered by high doses of collagen, which occurs via tyrosine kinase-dependent PLC␥2 activation (2, 31), or by strong agonists such as convulxin and PMA or vWF-dependent agglutinating agent ristocetin. Targeting TXA2 has several implications, as it is the major contributor of platelet aggregation by collagen, which is the most atherogenic protein of the vessel wall (32). Upon platelet adhesion to collagen, TXA2 is generated and activates platelets through the TP receptors that are coupled to Gq and G12/13 (33). This promotes shape change, and activation of an intracellular pathway that leads to granule secretion, and ADP release. ADP is critical for completion of platelet aggregation by TXA2 through binding to P2Y12-coupled Gi activation and decrease of intraplatelet cAMP. This explains the sensitivity of TXA2induced platelet aggregation to apyrases (2), ADP receptor antagonists (28), and ADP-binding proteins such as RPAI-1 (7). TXA2 (and ADP) are also critical for collagen-induced platelet aggregation, because they induce integrin ␣2␤1 activation, a step necessary for firm platelet adhesion to collagen (2, 34). Finally, TXA2 (and ADP) promote integrin ␣IIb␤3 activation, leading to fibrinogen binding to activated platelets, and are necessary for recruitment of platelets to the site of injury (35). Therefore, targeting TXA2 increases the threshold for platelet aggregation by a number of agonists, and appears to be an effective strategy developed by a hematophagous arthropod to attenuate platelet function and associated inflammation (36 –37). Whereas platelet aggregation assays suggested that DPTL targets TXA2, it was possible that the inhibitor interacted with other compounds not necessarily involved with platelet function. Therefore, we broadened our search for ligands involved in pro-hemostatic events other than platelet activation. This was carried out through experiments that combined chroma-

tography of DPTL added to a mixture of eicosanoids, biogenic amines, endoperoxides, and lipids, followed by mass spectrometry of potentially bound molecules. Results indicated that a molecule compatible with the mass of PGD2 bound to DPTL; formal identification of the compound was subsequently attained by ITC. Results demonstrated that DPTL interacts not only with TXA2 mimetic U-46619, but also displays high affinity to other prostanoids such as PGF2␣, which is a potent endothelium-dependent vasoconstrictor (38). Consistent with this specificity, DPTL induced relaxation of PGF2␣-dependent uterus contraction. Because DPTL also interacts with PGH2, an endoperoxide that behaves as a vasoconstrictor (39), and also converts spontaneously to PGF2␣, it is evident that DPTL behaves as a potential vasodilator increasing blood flow at sites of feeding. Our results also demonstrate high-affinity interaction of DPTL to PGD2, a major mediator of mast cells and thought to be involved in allergic reactions and immune responses (40 – 41). Furthermore, DPTL binds to 15(S)-HETE and is the first lipocalin reported to date that targets a bioactive component generated by the 15-LOX pathway. This interaction may be relevant, taking into account the role of 15(S)-HETE in monocyte-endothelial cell interaction (42), ICAM-1 expression by endothelium cells (43), and other pro-inflammatory events (44). 15(S)-HETE also modulates angiogenesis (18), and this activity was inhibited by DPTL, evidenced by reduced endothelial tube formation over growth factor-reduced Matrigel. Interference with angiogenesis may potentially attenuate inflammation and granulation tissue formation at site of bite, as was reported previously for tick saliva (17). Notably, DPTL did not interact with PGE2, a prostaglandin, which displays structural similarities with other prostaglandins tested here. This is not entirely surprising, as PGE2 displays diverse and complex biologic effects depending on the amount of PGE2 available in the microenvironment of diverse tissues (e.g. vasodilator versus vasoconstrictor) and on the subtype of receptors expressed on target cells (38, 45). The lack of DPTL interaction with PGE1, PGE2, and 8-iso-PGF2␣ but its highaffinity for PGD2, PGF2␣, TXB2, and 15-HETE indicate a remarkable specificity to prostaglandins involved in pro-inflammatory events at sites relevant to vector-host interaction (e.g. skin) and suggest that subtle structural changes are important determinants for binding. In contrast, DPTL did not interact with leukotrienes (e.g. LTB4), cysteinyl leukotrienes (e.g. LTC4, LTD4, LTE4), biogenic amines (e.g. ADP, 5-HT, EPI, and NE), 5- and 12-LOX-derived HETEs, epoxide produced by cytochrome P450 (e.g. 20-HETE), or lipids (e.g,. AA and PAF). The unique binding properties of DPTL therefore distinguish it from other salivary lipocalins (specificity in parenthesis) such as RPAI-1 (e.g,. ADP) (7), ABP (e.g. 5-HT/NE/EPI) (8), short D7s (e.g. 5HT/NE) or long D7s (e.g. LTB4/NE) (46), monotonin (e.g. 5-HT) (47), SHBP (e.g. 5-HT) (48), moubatin and TSGP3 (e.g. TXA2/LTB4) (23). These results suggest that DPTL potentially displays multifunctional antihemostatic properties, through attenuation of platelet aggregation mediated by TXA2, negative modulation of vessel tonus by PGF2␣, and blockade of angiogenesis by 15(S)HETE (Fig. 5). It is important to recognize that DPTL is a very

TXA2/PGF2␣/15(S)-HETE-binding Protein

Acknowledgments—We thank the Dept. of Transfusional Medicine at the National Institutes of Health Clinical Center for providing fresh platelet-rich plasma, Mark Garfield (NIAID) for Edman degradation of dipetalodipin, Dr. Jaime Santana (UnB) for salivary glands, and Brenda Rae Marshall (NIAID) for editorial assistance.

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(1999) Mol. Cell 3, 661– 671 10. Mans, B. J., and Ribeiro, J. M. (2008) Insect Biochem. Mol. Biol. 38, 862– 870 11. Champagne, D. E., and Ribeiro, J. M. (1994) Proc. Natl. Acad. Sci. U.S.A. 91, 138 –142 12. Reddy, V. B., Iuga, A. O., Kounga, K., and Lerner, E. A. (2006) J. Biol. Chem. 281, 16197–16201 13. Andersen, J. F., Champagne, D. E., Weichsel, A., Ribeiro, J. M., Balfour, C. A., Dress, V., and Montfort, W. R. (1997) Biochemistry 36, 4423– 4428 14. Francischetti, I. M., Saliou, B., Leduc, M., Carlini, C. R., Hatmi, M., Randon, J., Faili, A., and Bon, C. (1997) Toxicon 35, 1217–1228 15. Assumpc¸a˜o, T. C., Francischetti, I. M., Andersen, J. F., Schwarz, A., Santana, J. M., and Ribeiro, J. M. (2008) Insect Biochem. Mol. Biol. 38, 213–232 16. Calvo, E., Tokumasu, F., Marinotti, O., Villeval, J. L., Ribeiro, J. M., and Francischetti, I. M. (2007) J. Biol. Chem. 282, 26928 –26938 17. Francischetti, I. M., Mather, T. N., and Ribeiro, J. M. (2005) Thromb. Haemost 94, 167–174 18. Zhang, B., Cao, H., and Rao, G. N. (2005) Cancer Res. 65, 7283–7291 19. Arnold, K., Bordoli, L., Kopp, J., and Schwede, T. (2006) Bioinformatics 22, 195–201 20. Noeske-Jungblut, C., Kra¨tzschmar, J., Haendler, B., Alagon, A., Possani, L., Verhallen, P., Donner, P., and Schleuning, W. D. (1994) J. Biol. Chem. 269, 5050 –5053 21. Morita, A., Isawa, H., Orito, Y., Iwanaga, S., Chinzei, Y., and Yuda, M. (2006) FEBS J. 273, 2955–2962 22. Keller, P. M., Schultz, L. D., Condra, C., Karczewski, J., and Connolly, T. M. (1992) J. Biol. Chem. 267, 6899 – 6904 23. Mans, B. J., and Ribeiro, J. M. (2008) Insect. Biochem. Mol. Biol. 38, 841– 852 24. Paddock, C. D., McKerrow, J. H., Hansell, E., Foreman, K. W., Hsieh, I., and Marshall, N. (2001) J. Immunol. 167, 2694 –2699 25. Jung, S. M., and Moroi, M. (1998) J. Biol. Chem. 273, 14827–14837 26. Nakamura, T., Jamieson, G. A., Okuma, M., Kambayashi, J., and Tandon, N. N. (1998) J. Biol. Chem. 273, 4338 – 4344 27. Jin, R. C., Voetsch, B., and Loscalzo, J. (2005) Microcirculation 12, 247–258 28. Jackson, S. P., and Schoenwaelder, S. M. (2003) Nat. Rev. Drug Discov. 2, 775–789 29. Mumford, A. D., Dawood, B. B., Daly, M. E., Murden, S. L., Williams, M. D., Protty, M. B., Spalton, J. C., Wheatley, M., Mundell, S. J., and Watson, S. P. (2010) Blood 115, 363–369 30. Moers, A., Wettschureck, N., Gru¨ner, S., Nieswandt, B., and Offermanns, S. (2004) J. Biol. Chem. 279, 45354 – 45359 31. Gibbins, J. M. (2004) J. Cell Sci. 117, 3415–3425 32. Cosemans, J. M., Kuijpers, M. J., Lecut, C., Loubele, S. T., Heeneman, S., Jandrot-Perrus, M., and Heemskerk, J. W. (2005) Atherosclerosis 181, 19 –27 33. Kahner, B. N., Shankar, H., Murugappan, S., Prasad, G. L., and Kunapuli, S. P. (2006) J Thromb Haemost 4, 2317–2326 34. Jung, S. M., and Moroi, M. (2000) Trends Cardiovasc. Med. 10, 285–292 35. Varga-Szabo, D., Pleines, I., and Nieswandt, B. (2008) Arterioscler. Thromb. Vasc. Biol. 28, 403– 412 36. Gawaz, M., Langer, H., and May, A. E. (2005) J. Clin. Invest. 115, 3378 –3384 37. Pratico`, D. (2008) Atherosclerosis 201, 8 –16 38. Fe´le´tou, M., Vanhoutte, P. M., and Verbeuren, T. J. (2010) J. Cardiovasc. Pharmacol. 55, 317–332 39. Tang, E. H., and Vanhoutte, P. M. (2009) Pharmacol Ther. 122, 140 –149 40. Boyce, J. A. (2005) Chem. Immunol. Allergy 87, 59 –79 41. Shimura, C., Satoh, T., Igawa, K., Aritake, K., Urade, Y., Nakamura, M., and Yokozeki, H. (2010) Am J. Pathol. 176, 227–237 42. Patricia, M. K., Kim, J. A., Harper, C. M., Shih, P. T., Berliner, J. A., Natarajan, R., Nadler, J. L., and Hedrick, C. C. (1999) Arterioscler. Thromb. Vasc. Biol. 19, 2615–2622 43. Sordillo, L. M., Streicher, K. L., Mullarky, I. K., Gandy, J. C., Trigona, W., and Corl, C. M. (2008) Free Radic Biol. Med. 44, 34 – 43 44. Reilly, K. B., Srinivasan, S., Hatley, M. E., Patricia, M. K., Lannigan, J., Bolick, D. T., Vandenhoff, G., Pei, H., Natarajan, R., Nadler, J. L., and

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abundant lipocalin in the salivary gland, accounting for at least 30% of total salivary lipocalins estimated by SDS/PAGE (Fig. 1C). Assuming a molecular mass of ⬃20 kDa for DPTL and release of 50% of the salivary contents (⬃1 ␮g/salivary gland pair) upon feeding being ⬃30% DPTL, a concentration of at least 1 ␮M of the inhibitor could exist in the feeding environment (⬃15 ␮l); this concentration is clearly above the KD for TXA2 and other prostanoids. In addition, D. maxima expresses an apyrase and several other uncharacterized salivary proteins that may interfere with hemostasis in a distinct yet redundant manner. Results obtained by pharmacologic assays were compatible with DPTL being a lipocalin that evolved with a binding pocket adapted to accommodate small eicosanoids. To get further insights into the mechanism of binding of DPTL to TXA2, a molecular model based on NP2 was constructed (13). The putative binding pocket of the model exhibits a generally hydrophobic structure that would be consistent with the binding of eicosanoids. Also present are residues that could potentially form hydrogen bonds with polar groups on the ligand. Many of these residues are conserved in the pallidipin, which has been claimed as a specific inhibitor of collagen-mediated platelet aggregation, suggesting that the two proteins may have similar functions; however, it is clear that DPTL (and pallidipin) are not specific collagenbinding proteins or receptor antagonists because they do not affect platelet shape change or platelet adhesion. Accordingly, it is plausible that pallidipin exerts its antiplatelet activity through a similar mechanism characterized here for DPTL as binding to TXA2; interaction with other eicosanoids is also likely. In conclusion, DPTL displays unique ligand specificities that may assist the triatomine D. maxima to successfully feed on blood. DPTL is a potentially useful tool to understand the contributions of TXA2, PGF2␣, and 15(S)-HETE in different pathways leading to platelet aggregation, vasoconstriction, angiogenesis, and oxidative stress in health or disease (49 –50).

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Dipetalodipin, a Novel Multifunctional Salivary Lipocalin That Inhibits Platelet Aggregation, Vasoconstriction, and Angiogenesis through Unique Binding Specificity for TXA2, PGF2α, and 15(S)-HETE Teresa C. F. Assumpção, Patricia H. Alvarenga, José M. C. Ribeiro, John F. Andersen and Ivo M. B. Francischetti J. Biol. Chem. 2010, 285:39001-39012. doi: 10.1074/jbc.M110.152835 originally published online October 2, 2010

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Supplemental material: http://www.jbc.org/content/suppl/2010/10/01/M110.152835.DC1 This article cites 50 references, 20 of which can be accessed free at http://www.jbc.org/content/285/50/39001.full.html#ref-list-1

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