In recent investigations, we have analyzed and functionally characterized HLFs that are present in European medicinal leeches, namely HLF1, HLF2, HLF-Hyb, HLF3, and HLF4 (Müller et al. 2016, 2020a, b). Modifications within the N-termini of the respective factors have the potential to dramatically alter (increase or decrease) their thrombin-inhibitory potencies. These results are in agreement with examinations of the N-termini of hirudins like HV1 of Hirudo medicinalis (Betz et al. 1992; Wallace et al. 1989; Lazar et al. 1991) or HM1 of Hirudinaria manillensis (De Filippis et al. 1995, 1998). In addition, the construction and functional characterization of hybrid variants of HLF1 on one hand and HLF2, HLF3, or HLF4 on the other hand revealed strong evidence for the crucial importance of the central globular domain of HLFs on the thrombin-inhibitory potency of the whole molecule as well (Müller et al. 2020a, b). In the current work, we have applied a similar strategy and technical approach to the functional characterization of the hirudin-like factors HLF6b and HLF7a/b of the Asian medicinal leech, Hirudinaria manillensis.
Both factors may occur in two different splice variants, namely HLF6a/HLF6b or HLF7a/HLF7b, respectively. None of these factors displayed a significant thrombin-inhibitory potency when analyzed in the thrombin time assay. The same was observed with hybrid factors that contain the central globular domain of either HLF6 or HLF7. Thrombin inhibition was only achieved with constructs containing the central globular domain of HLF1 instead of those of HLF6 or HLF7, giving rise to the hybrid factors HLF-Hyb6b/c and HLF-Hyb7b-e, respectively (Fig. 3 and Fig. 4). These observations support our hypothesis that all parts of the hirudin/HLF molecules are of crucial importance for their ability to inhibit thrombin, a general principle that obviously holds true not only for HLFs of the European medicinal leeches, but also for the respective factors of the Asian medicinal leech, Hirudinaria manillensis.
However, the exact composition of the N- and C-termini is important as well. Compared to HLF1V, the N-terminus of HLF6 seems to work better: the hybrid variant HLF-Hyb6b comprising the N-terminus of HLF1V (IVYGP) has a lower inhibitory potency compared to the otherwise identical hybrid variant HLF-Hyb6c comprising the N-terminus of HLF6 (VRFMK). A similar observation was made for the N-termini of HLF2 and HLF3 (Müller et al. 2020a, b).
On the other hand, the C-terminal tail of HLF1 confers a higher thrombin-inhibitory potency compared to the C-termini of both HLF6b and HLF7a/b (Figs. 3, 4, and 5). These differences are likely the result of differences in both length and charge of the respective tails. The C-terminal tail of hirudin interacts with the exosite 1 of thrombin and hence blocks the binding of the substrate fibrinogen (Maraganore et al. 1989; Fenton et al. 1991; Rydel et al. 1991). Several ionic and non-ionic interactions between hirudin and thrombin (Braun et al. 1988; Betz et al. 1991b; Huang et al. 2014) including the presence of numerous acidic amino acid residues (7 out of 29 residues in HV1, 9 out of 27 residues in HM1) (Betz et al. 1991a) are of particular importance in that context. The C-terminal tail of HLF1V contains even more acidic amino acid residues (13 out of 24 compared to HV1), whereas the tails of HLF5 and HLF8 are slightly less acidic (Fig. 1). As an overall impression, the C-terminal tails of hirudins/HLFs are obviously much less constrained in their molecular characteristics: a charged character including the presence of several acidic amino acids seems to be sufficient for thrombin inhibition (Müller et al. 2020a, b). The C-terminal tails of HLF6b and HLF7a/b support this observation. Both are shorter compared to HV1 and HLF1V but contain several charged amino acid residues (Fig. 1, Table 3). However, the tails of HLF6b (12 amino acid residues and a pI value of 3.25) and HLF7b (9 amino acid residues and a pI value of 6.12) are shorter, but more acidic compared to the tail of HLF7a (16 amino acid residues and a pI value of 12.12). Consequently, molecules containing the tails of HLF6b and HLF7b exhibited higher thrombin-inhibitory potencies compared to those containing the tail of HLF7a (Fig. 3 and Fig. 4). However, even the basic tail of HLF7a does not entirely alleviate thrombin-inhibitory potency.
The minimum length of a C-terminal tail of hirudins/HLFs that still confers thrombin-inhibitory potency to the full molecule could not yet exactly be determined, given that both HLF1V-DDK and HLF-Hyb3s are still thrombin inhibitors (Fig. 5). HLF1V variants with shorter tails could not be successfully expressed in Escherichia coli cells (several strains were tested), a phenomenon that was probably due to C-terminal protein instability: the composition of the C-terminus strongly influences protein stability in bacterial cells (Parsell et al. 1990; Weber et al. 2020). C-terminally truncated variants of hirudin HV1 occur in vivo as a result of metabolic degradation in the kidney (the so-called urohirudin; Nowak and Schrör 2007) or have been generated in vitro by exopeptidase-mediated proteolysis (Chang 1983; Dodt et al. 1987). As a consequence, the thrombin-inhibitory potency of truncated hirudin HV1 is either drastically reduced (deletions of 3–7 amino acid residues) or almost completely lost (deletions of 16–22 amino acid residues). The data for HLF1V-DDK are in good agreement with these observations.
The differences in the thrombin-inhibitory potencies of HLF1V and HLF1V-DDK are of great potential for a rational molecule design. It seems plausible that the length of the C-terminal tail of HLF1V, in particular the number of acidic amino acid residues, will directly correlate with the level of thrombin-inhibitory potency of the respective variants. A stepwise truncation may result in a set of factors whose inhibitory potencies on thrombin and hence therapeutic effects may easily be adjusted to the specific needs and conditions of an individual patient in the hospital. To verify this may be a challenging, but promising task for the future.
The comparably high thrombin-inhibitory potency of HLF-Hyb3s was a somehow surprising observation. HLF-Hyb3s was as effective in thrombin inhibition as its direct counterpart HLF-Hyb3b despite the much shorter C-terminal tail (Müller et al. 2020b). This raises the question whether HLF-Hyb3s (and HLF-Hyb3b as well) is still a bi- or rather a mono- (or uni-) valent inhibitor of thrombin. In the latter case, both factors would interact with the reactive center of thrombin only, but not with the exosite 1. Detailed structural analyses based on co-crystallization experiments with thrombin could clarify this highly interesting point.