485 © Schattauer 2010
Thrombosis and Haemostasis 104.3/2010
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
New insights into the structural elements involved in the skin
haemorrhage induced by snake venom metalloproteinases
Ana K. Oliveira
1
; Adriana F. Paes Leme
1
; Amanda F. Asega
1
; Antonio C. M. Camargo
1
; Jay W. Fox
2
; Solange M. T. Serrano
1
1
Laboratório Especial de Toxinologia Aplicada/CAT-CEPID, Instituto Butantan, São Paulo, Brazil;
2
Department of Microbiology, University of Virginia, Charlottesville, Virginia, USA
Summary
Haemorrhage induced by snake venom metalloproteinases (SVMPs) is
a complex phenomenon resulting in capillary disruption and extrava-
sation. This study analysed structural elements important for the inter-
action of four Bothrops jararaca SVMPs of different domain organi-
sation and glycosylation levels with plasma and extracellular matrix
proteins: HF3 (P-III class) is highly glycosylated and ∼80 times more
haemorrhagic than bothropasin (P-III class), which has a minor carbo-
hydrate moiety; BJ-PI (P-I class) is not haemorrhagic and the DC protein
is composed of disintegrin-like/cysteine-rich domains of bothropasin.
HF3, bothropasin and BJ-PI showed different degradation profiles of fi-
brinogen, fibronectin, vitronectin, von Willebrand factor, collagens IV
and VI, laminin and Matrigel™; however, only bothropasin degraded
collagen I. In solid-phase binding assays HF3 and bothropasin inter-
acted with fibrinogen, fibronectin, laminin, collagens I and VI; the DC
protein bound only to collagens I and VI; however, no binding of BJ-PI
Correspondence to:
S. M. T. Serrano
Instituto Butantan
Av. Vital Brasil 1500, 05503–900, São Paulo, Brazil
Tel.: +55 11 3726 1024
E-mail: solangeserrano@butantan.gov.br
to these proteins was detected. N-deglycosylation caused loss of struc-
tural stability of bothropasin and BJ-PI but HF3 remained intact, al-
though its haemorrhagic and fibrinogenolytic activities were partially
impaired. Nevertheless, N-deglycosylated HF3 bound with higher affin-
ity to collagens I and VI, although its proteolytic activity upon these col-
lagens was not enhanced. This study demonstrates that features of
carbohydrate moieties of haemorrhagic SVMPs may play a role in their
interaction with substrates of the extracellular matrix, and the ability of
SVMPs to degrade proteins in vitro does not correlate to their ability to
cause haemorrhage, suggesting that novel, systemic approaches are
necessary for understanding the mechanism of haemorrhage gener-
ation by SVMPs.
Keywords
Extracellular matrix, haemorrhage, metalloproteinase, proteolysis,
snake venom
Financial support:
This work was supported by grants from Fundação de Amparo à Pesquisa do Estado
de São Paulo (04/15974–1; 98/14307–9) and Instituto Nacional de Ciência e Tecnolo-
gia de Toxinas (INCTTox).
Received: December 21, 2009
Accepted after major revision: April 12, 2010
Prepublished online: July 20, 2010
doi:10.1160/TH09-12-0855
Thromb Haemost 2010; 104: 485–497
Introduction
Metalloproteinases play important roles in the pathological effects
of snake venoms including severe local tissue damage, haem-
orrhage and coagulopathy (1–5). The haemorrhage and coagulo-
pathy induced by snake venom metalloproteinases (SVMPs) are
complex phenomena involving their synergic effect upon plasma
proteins, platelets and the capillary vessels (4, 6–10). The protei-
nase domain of all the haemorrhagic SVMPs is believed to func-
tion to degrade capillary basement membranes, endothelial cell
surfaces, and stromal matrix ultimately causing extravasation of
capillary contents into the surrounding stroma. SVMPs are zinc-
dependent enzymes, and members of the M12B subfamily of
metalloproteinases along with the A Disintegrin And Metallopro-
teinase (ADAM) and the A Disintegrin and Metalloproteinase with
Thrombospondin motifs (ADAMTS) proteins (11–13). Besides
the catalytic domain, SVMPs contain additional regulatory do-
mains involved in their interactions with plasma components,
extracellular matrix (ECM) and integrins (14). SVMPs have been
shown to degrade blood coagulation proteins, such as fibrinogen,
fibrin, and von Willebrand factor (vWF) (6, 15–18). They are clas-
sified in three classes: the mature proteins of class P-I contain only
a catalytic domain; the other classes (P-II and P-III) contain addi-
tional non-catalytic domains such as disintegrin (or disintegrin-
like), cysteine-rich and C-type lectin-like domains (14). Similar
structures are found in the ADAMs, which contain an epidermal
growth factor-like domain, a transmembrane region and a cyto-
plasmic tail (13, 19), and in the ADAMTSs, which contain throm-
bospondin-type repeats (20). Despite the structural similarity of
their catalytic domains, not all SVMPs are able to induce haemor-
rhage. Interestingly some members of the P-III class are signifi-
cantly more potent in causing haemorrhage compared with those
of the P-I class that lack the disintegrin-like/cysteine-rich domains
found in the P-III proteinases. In fact, accumulated evidence in the
literature suggests that the disintegrin-like/cysteine-rich domains
of the SVMPs as well as those of the ADAMs and ADAMTSs are in-
For personal or educational use only. No other uses without permission. All rights reserved.
Downloaded from www.thrombosis-online.com on 2018-04-14 | ID: 1001066444 | IP: 54.70.40.11