Substrate delivery mechanism and the role of membrane curvature in factor X activation by extrinsic tenase.

Membrane-bound enzyme complex of extrinsic tenase (VIIa/TF) is believed to be the primary activator of blood clotting in vivo. This complex (where factor VIIa (FVIIa) is a catalytically active part and tissue factor (TF) is its essential cofactor) activates its primary substrate factor X (FX) leading to factor Xa (FXa) ('a' stands for 'activated'). Both FX and FXa are able to bind to phospholipid membrane and, therefore, are distributed between solution and membrane surface. As a result, two possible mechanisms of substrate delivery to the extrinsic tenase exist: via lateral diffusion on the membrane surface or directly from the solution. Determination of the predominant pathway of substrate delivery is an important key to understanding the precise reaction mechanism. Here we construct a mechanism-driven computational model of FX activation by extrinsic tenase on the surface of phospholipid vesicles of different size. We show that experimentally observed dependence of the tenase activity on the phospholipid concentration could be obtained only if the substrate (FX) is membrane-bound. For correct experimental data description it is also necessary to take into account the dependence of FX/FXa membrane binding parameters (equilibrium dissociation constant and the number of phospholipid molecules per bound FX/FXa) on the membrane curvature. The model predicts that small vesicles promote activation of FX by the extrinsic tenase significantly better than large vesicles (with the same overall phospholipid, factors VIIa, X and TF concentrations in the solution).