Alpha 2-antiplasmin
Alpha 2-antiplasmin (or α2-antiplasmin or plasmin inhibitor) is a serine protease inhibitor (serpin) responsible for inactivating plasmin.[5] Plasmin is an important enzyme that participates in fibrinolysis and degradation of various other proteins. This protein is encoded by the SERPINF2 gene.[6]

Structure
[edit]Alpha 2-antiplasmin (α2AP) is a member of the serine protease inhibitor (serpin) superfamily and is structurally characterized by a central serpin domain flanked by unique N- and C-terminal extensions.[7][8] The mature human α2AP protein consists of 452 amino acids, with a 12-residue N-terminus, a central serpin domain, and a C-terminal tail of approximately 55 residues.[7][8] The reactive center loop, which is crucial for its inhibitory function, protrudes from the central serpin domain and contains the Arg364-Met365 peptide bond that is specifically targeted and cleaved by plasmin.[8] There are two main circulating forms: Met-α2AP, which has methionine at the N-terminus, and Asn-α2AP, which is N-terminally shortened and starts with asparagine; the latter form constitutes about 70% of plasma α2AP and is more efficiently cross-linked to fibrin.[9][8] The C-terminal region, rich in lysine residues, mediates the initial non-covalent binding to plasmin, facilitating the formation of a stable 1:1 stoichiometric complex.[8] This structural arrangement allows α2AP to efficiently interact with plasmin and be incorporated into fibrin clots via cross-linking by factor XIIIa.[8][10]
Function
[edit]Alpha 2-antiplasmin serves as the primary physiological inhibitor of plasmin, the key enzyme responsible for fibrin degradation during fibrinolysis.[9][10] By rapidly forming a covalent complex with plasmin, α2AP prevents excessive breakdown of fibrin clots, thereby maintaining hemostatic balance.[9][10][11] In addition to direct inhibition, α2AP interferes with the binding of plasminogen to fibrin, further regulating the initiation of fibrinolysis.[10][11] During clot formation, α2AP is cross-linked to fibrin by activated factor XIII, which increases the resistance of the clot to lysis and enhances clot stability.[10][11] This function is critical in preventing premature clot dissolution, but elevated levels of α2AP have been associated with increased risk of thrombotic events, such as stroke and [[myocardial infarction, due to impaired fibrinolysis.[12] Conversely, α2AP deficiency leads to increased susceptibility to bleeding because of uncontrolled plasmin activity and rapid clot breakdown.[11] Thus, α2AP is essential for fine-tuning the balance between clot formation and dissolution, making it a potential therapeutic target in both thrombotic and bleeding disorders.[9]
Clinical signficance
[edit]Very few cases (<20) of alpha-2-antiplasmin deficiency have been described. As plasmin degrades blood clots, impaired inhibition of plasmin leads to a bleeding tendency, which was severe in the cases reported.
In liver cirrhosis, there is decreased production of alpha 2-antiplasmin, leading to decreased inactivation of plasmin and an increase in fibrinolysis. This is associated with an increased risk of bleeding in liver disease.[13] It has been suggested, however, that the observed decreases in alpha 2-antiplasmin levels are due to a chronic state of disseminated intravascular coagulation in cirrhosis rather than defective protein synthesis.[14]
Interactions
[edit]Alpha 2-antiplasmin has been shown to interact with:
See also
[edit]References
[edit]- ^ a b c ENSG00000276838 GRCh38: Ensembl release 89: ENSG00000167711, ENSG00000276838 – Ensembl, May 2017
- ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000038224 – Ensembl, May 2017
- ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
- ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
- ^ Wu G, Quek AJ, Caradoc-Davies TT, Ekkel SM, Mazzitelli B, Whisstock JC, et al. (2019-03-05). "Structural studies of plasmin inhibition". Biochemical Society Transactions. 47 (2): 541–557. doi:10.1042/bst20180211. ISSN 0300-5127. PMID 30837322. S2CID 73463150.
- ^ "Entrez Gene: SERPINF2 serpin peptidase inhibitor, clade F (alpha-2 antiplasmin, pigment epithelium derived factor), member 2".
- ^ a b Holmes WE, Nelles L, Lijnen HR, Collen D (February 1987). "Primary structure of human alpha 2-antiplasmin, a serine protease inhibitor (serpin)". The Journal of Biological Chemistry. 262 (4): 1659–1664. doi:10.1016/S0021-9258(19)75687-7. PMID 2433286.
- ^ a b c d e f Singh S, Saleem S, Reed GL (2020). "Alpha2-Antiplasmin: The Devil You Don't Know in Cerebrovascular and Cardiovascular Disease". Frontiers in Cardiovascular Medicine. 7: 608899. doi:10.3389/fcvm.2020.608899. PMC 7785519. PMID 33426005.
- ^ a b c d Lee KN, Jackson KW, Christiansen VJ, Chung KH, McKee PA (October 2004). "Alpha2-antiplasmin: potential therapeutic roles in fibrin survival and removal". Current Medicinal Chemistry. Cardiovascular and Hematological Agents. 2 (4): 303–310. doi:10.2174/1568016043356228. PMID 15320781.
- ^ a b c d e Baugh RF (September 2019). "Coagulation Theory, Principles, and Concepts". Handbook of Hematologic Pathology. pp. 493–520. ISBN 9780429115721.
- ^ a b c d "Alpha 2-Antiplasmin Deficiency". Rare Coagulation Disorders. Retrieved 1 June 2025.
- ^ Hou Y, Okada K, Okamoto C, Ueshima S, Matsuo O (July 2008). "Alpha2-antiplasmin is a critical regulator of angiotensin II-mediated vascular remodeling". Arteriosclerosis, Thrombosis, and Vascular Biology. 28 (7): 1257–1262. doi:10.1161/ATVBAHA.108.165688. PMID 18436805.
- ^ Sattar H (2011). Fundamentals of Pathology. Pathoma LLC. p. 36.
- ^ Marongiu F, Mamusa AM, Mameli G, Mulas G, Solinas A, Demelia L, et al. (Jan 1985). "α2Antiplasmin and Disseminated Intravascular Coagulation in Liver Cirrhosis". Thrombosis Research. 37 (2): 287–294. doi:10.1016/0049-3848(85)90017-9. PMID 3975873.
- ^ a b Shieh BH, Travis J (May 1987). "The reactive site of human alpha 2-antiplasmin". The Journal of Biological Chemistry. 262 (13): 6055–6059. doi:10.1016/S0021-9258(18)45536-6. PMID 2437112.
- ^ Brower MS, Harpel PC (Aug 1982). "Proteolytic cleavage and inactivation of alpha 2-plasmin inhibitor and C1 inactivator by human polymorphonuclear leukocyte elastase". The Journal of Biological Chemistry. 257 (16): 9849–9854. doi:10.1016/S0021-9258(18)34149-8. PMID 6980881.
- ^ Wiman B, Collen D (Sep 1979). "On the mechanism of the reaction between human alpha 2-antiplasmin and plasmin". The Journal of Biological Chemistry. 254 (18): 9291–9297. doi:10.1016/S0021-9258(19)86843-6. PMID 158022.
Further reading
[edit]- Martí-Fàbregas J, Borrell M, Cocho D, Martínez-Ramírez S, Martínez-Corral M, Fontcuberta J, et al. (Jan 2008). "Change in hemostatic markers after recombinant tissue-type plasminogen activator is not associated with the chance of recanalization". Stroke. 39 (1): 234–236. doi:10.1161/STROKEAHA.107.493767. PMID 18048863. S2CID 10052168.
- Nielsen VG (Oct 2007). "Hydroxyethyl starch enhances fibrinolysis in human plasma by diminishing alpha2-antiplasmin-plasmin interactions". Blood Coagulation & Fibrinolysis : An International Journal in Haemostasis and Thrombosis. 18 (7): 647–656. doi:10.1097/MBC.0b013e3282a167dc. PMID 17890952. S2CID 45608070.
- Sazonova IY, Thomas BM, Gladysheva IP, Houng AK, Reed GL (Oct 2007). "Fibrinolysis is amplified by converting alpha-antiplasmin from a plasmin inhibitor to a substrate". Journal of Thrombosis and Haemostasis : JTH. 5 (10): 2087–2094. doi:10.1111/j.1538-7836.2007.02652.x. PMID 17883703. S2CID 2907615.
- Mutch NJ, Thomas L, Moore NR, Lisiak KM, Booth NA (Apr 2007). "TAFIa, PAI-1 and alpha-antiplasmin: complementary roles in regulating lysis of thrombi and plasma clots". Journal of Thrombosis and Haemostasis : JTH. 5 (4): 812–817. doi:10.1111/j.1538-7836.2007.02430.x. PMID 17388801. S2CID 40278627.
- Christiansen VJ, Jackson KW, Lee KN, McKee PA (Jun 2007). "The effect of a single nucleotide polymorphism on human alpha 2-antiplasmin activity". Blood. 109 (12): 5286–5292. doi:10.1182/blood-2007-01-065185. PMC 1890835. PMID 17317851.
- Hayashido Y, Hamana T, Ishida Y, Shintani T, Koizumi K, Okamoto T (Feb 2007). "Induction of alpha2-antiplasmin inhibits E-cadherin processing mediated by the plasminogen activator/plasmin system, leading to suppression of progression of oral squamous cell carcinoma via upregulation of cell-cell adhesion". Oncology Reports. 17 (2): 417–423. doi:10.3892/or.17.2.417. PMID 17203182.
- Shibata N, Kawarai T, Meng Y, Lee JH, Lee HS, Wakutani Y, et al. (Jul 2007). "Association studies between the plasmin genes and late-onset Alzheimer's disease". Neurobiology of Aging. 28 (7): 1041–1043. doi:10.1016/j.neurobiolaging.2006.05.028. PMC 2647723. PMID 16828203.
- Liu T, Qian WJ, Gritsenko MA, Camp DG, Monroe ME, Moore RJ, et al. (December 2005). "Human plasma N-glycoproteome analysis by immunoaffinity subtraction, hydrazide chemistry, and mass spectrometry". Journal of Proteome Research. 4 (6): 2070–2080. doi:10.1021/pr0502065. PMC 1850943. PMID 16335952.
- Lee KN, Jackson KW, Christiansen VJ, Chung KH, McKee PA (May 2004). "A novel plasma proteinase potentiates alpha2-antiplasmin inhibition of fibrin digestion". Blood. 103 (10): 3783–3788. doi:10.1182/blood-2003-12-4240. PMID 14751930.
- Anderson NL, Polanski M, Pieper R, Gatlin T, Tirumalai RS, Conrads TP, et al. (Apr 2004). "The human plasma proteome: a nonredundant list developed by combination of four separate sources". Molecular & Cellular Proteomics : MCP. 3 (4): 311–326. doi:10.1074/mcp.M300127-MCP200. PMID 14718574.
- Kapadia C, Yousef GM, Mellati AA, Magklara A, Wasney GA, Diamandis EP (Jan 2004). "Complex formation between human kallikrein 13 and serum protease inhibitors". Clinica Chimica Acta; International Journal of Clinical Chemistry. 339 (1–2): 157–167. doi:10.1016/j.cccn.2003.10.009. PMID 14687906.
- Matsuno H, Okada K, Ueshima S, Matsuo O, Kozawa O (Aug 2003). "Alpha2-antiplasmin plays a significant role in acute pulmonary embolism". Journal of Thrombosis and Haemostasis : JTH. 1 (8): 1734–1739. doi:10.1046/j.1538-7836.2003.00252.x. PMID 12911586. S2CID 72056689.
- Magklara A, Mellati AA, Wasney GA, Little SP, Sotiropoulou G, Becker GW, et al. (Aug 2003). "Characterization of the enzymatic activity of human kallikrein 6: Autoactivation, substrate specificity, and regulation by inhibitors". Biochemical and Biophysical Research Communications. 307 (4): 948–955. doi:10.1016/S0006-291X(03)01271-3. PMID 12878203.
- Cardoso C, Leventer RJ, Ward HL, Toyo-Oka K, Chung J, Gross A, et al. (Apr 2003). "Refinement of a 400-kb critical region allows genotypic differentiation between isolated lissencephaly, Miller-Dieker syndrome, and other phenotypes secondary to deletions of 17p13.3". American Journal of Human Genetics. 72 (4): 918–930. doi:10.1086/374320. PMC 1180354. PMID 12621583.
- Frank PS, Douglas JT, Locher M, Llinás M, Schaller J (Feb 2003). "Structural/functional characterization of the alpha 2-plasmin inhibitor C-terminal peptide". Biochemistry. 42 (4): 1078–1085. doi:10.1021/bi026917n. PMID 12549929.
- Turner RB, Liu L, Sazonova IY, Reed GL (Sep 2002). "Structural elements that govern the substrate specificity of the clot-dissolving enzyme plasmin". The Journal of Biological Chemistry. 277 (36): 33068–33074. doi:10.1074/jbc.M203782200. PMID 12080056.
- Askew YS, Pak SC, Luke CJ, Askew DJ, Cataltepe S, Mills DR, et al. (Dec 2001). "SERPINB12 is a novel member of the human ov-serpin family that is widely expressed and inhibits trypsin-like serine proteinases". The Journal of Biological Chemistry. 276 (52): 49320–49330. doi:10.1074/jbc.M108879200. PMID 11604408.
- Uszynski M, Klyszejko A, Zekanowska E (Dec 2000). "Plasminogen, alpha(2)-antiplasmin and complexes of plasmin-alpha(2)-antiplasmin (PAP) in amniotic fluid and blood plasma of parturient women". European Journal of Obstetrics, Gynecology, and Reproductive Biology. 93 (2): 167–171. doi:10.1016/S0301-2115(00)00283-9. PMID 11074138.
- Hevessy Z, Patthy A, Kárpáti L, Muszbek L (Aug 2000). "alpha(2)-plasmin inhibitor is a substrate for tissue transglutaminase: an in vitro study". Thrombosis Research. 99 (4): 399–406. doi:10.1016/S0049-3848(00)00261-9. hdl:2437/126988. PMID 10963790.
- Uitte de Willige S, Malfliet JJ, Janssen HL, Leebeek FW, Rijken DC (Nov 2013). "Increased N-terminal cleavage of alpha-2-antiplasmin in patients with liver cirrhosis". Journal of Thrombosis and Haemostasis : JTH. 11 (11): 2029–2036. doi:10.1111/jth.12396. PMID 24034420.
External links
[edit]- The MEROPS online database for peptidases and their inhibitors: I04.023[permanent dead link]
- alpha-2+Antiplasmin at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
- SERPINF2+protein,+human at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
- Human SERPINF2 genome location and SERPINF2 gene details page in the UCSC Genome Browser.