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Mechanism of action of latex proteases……..,
55
Introduction
Hemostasis is the physiological process which maintains the flowing blood in
fluid state within the blood vessel, while it aims at providing thrombotic response
following injury to limit the blood loss (Lundblad et al., 2004). This vital process is
tightly regulated by vascular endothelium, extracellular matrix, blood coagulation
system, platelets and fibrinolytic system (Michiels, 2003; Hoffman and Monroe,
2005; Jenne et al, 2013). Following tissue injury, circulating platelets adhere to
damaged endothelium through exposed ECM proteins. Upon adhesion, the platelets
become activated evident by shape change and activation of receptors, which mediate
aggregation at the site of injury (de Groot et al, 2012). Concomitant to the process of
platelet activation, the blood coagulation cascade is triggered resulting in sequential
activation of proteolytic enzymes, culminating in the formation of fibrin monomers.
The fibrin thus formed undergoes polymerization in the presence of activated factor
XIII. The fibrin mesh stabilizes the aggregated platelets to form a stable hemostatic
plug (Hoffman and Monroe, 2005; Szántó et al., 2012). In addition to physiological
factors, external factors influence hemostasis.
Latex is an important plant based component, which is a widely employed
hemostatic agent in traditional system of medicine because of its ability to stop
bleeding from fresh wounds (Thanakamma, 2003). The use of topical hemostatic
agents from natural sources is gaining importance in wound care and management,
owing to the efficacy and safety of naturally derived hemostatic agents (Samudrala,
2008). In spite of its usage in traditional medicine, very few reports indicate the latex
bio-active components involved and the mechanisms involved in exhibiting
hemostatic effect. The property of latex to stop bleeding is mostly attributed to
proteases, and partly to secondary metabolites (Rajesh et al., 2005). Proteases from
latices of Apocyanaceae, Asclepiadaceae and Euphorbiaceae exhibit procoagulant
effect, irrespective of the nature of proteases. In continuation, the cysteine proteases
from Asclepiadaceae plant latices exhibited ‘thrombin-like’ activity and facilitated the
formation of clot even in the absence of Ca2+
ions. (Shivaprasad et al., 2009). But, the
mechanisms of action of latex serine proteases in exhibiting procoagulant effect is not
reported, which needs to be addressed systematically. Procoagulant proteases may act
Mechanism of action of latex proteases……..,
56
in blood coagulation cascade or affect platelet function to aid process of clot
formation.
The present chapter aims at screening of selected plant latices for proteolytic
activity, nature of proteases and their hemostatic property with special reference to
blood coagulation cascade and platelet function. The interference of latex proteases in
blood coagulation cascade was evaluated using platelet poor plasma (PPP) and
citrated whole blood; whereas, the effect of latex proteases on platelet function was
determined using platelet rich plasma (PRP) and washed platelets.
Materials and methods
Latex yielding plants
Latex yielding plants - Calotropis gigantea (L.), Pergularia extensa (Forssk.)
(Asclepiadaceae), Wrightia tinctoria (R.Br) (Apocyanaceae), Synadenium grantii,
Euphorbia tirucalli (L.) and Euphorbia antiquorum (L.) (Euphorbiaceae), were
selected for the study. Plants were identified and authenticated by Dr. G. Sharanappa,
Associate Professor, Department of Studies in Bioscience, University of Mysore,
Hassan, Karnataka, India. The voucher specimens are deposited in Department of
Studies in Bioscience, University of Mysore, Hassan, Karnataka.
Human blood
The experiments involving human samples were carried out in accordance to
the protocols reviewed by the Institutional Human Ethical Committee, University of
Mysore, Mysore (Sanction order No. IHEC-UOM No.40/Ph.D/2009-10).
Citrated whole blood: Blood was drawn from healthy human volunteers (with
consent) and mixed with 3.2% tri-sodium citrate (9 : 1). Citrated whole blood was
used for recalcification experiments using rotational thromboelastometry (ROTEM)
(Pentapharm gmbh, Munich, Germany).
Platelet rich plasma (PRP): Citrated plasma was centrifuged at 22 x g for 15 min. The
clear supernatant obtained was used as platelet rich plasma (PRP) which was used for
platelet aggregation studies. Platelet count – 3.3 lakh/ml; absorbance – 0.82 at 650
nm.
Mechanism of action of latex proteases……..,
57
Platelet poor plasma (PPP): Citrated plasma was centrifuged at 130 x g for 15 min.
The clear supernatant obtained was used as platelet poor plasma (PPP) for manual
recalcification time assay.
Platelet free plasma (PFP): PRP was centrifuged at 2900 x g for 15 min. The
supernatant obtained was used for calibrating the instrument for aggregation studies.
Platelet count – zero; absorbance – 0.05 at 650 nm.
Washed platelets: Platelets were washed as described by Cazenave et al., (2004).
Briefly, PRP was obtained by mixing fresh blood sample with acid citrate dextrose
solution (ACD) (85 mM sodium citrate; 71 mM citric acid; 111 mM dextrose) in ratio
6 : 1 (blood : ACD), followed by centrifugation at 22g for 15 min in a plastic tube.
The PRP was centrifuged at 2900 x g for 15 min at 37 °C to obtain the platelet pellet.
The pellet was re-suspended in Tyrode’s albumin buffer (145 mM NaCl, 5 mM KCl,
10 mM HEPES, 0.5 mM Na2HPO4, 1 mM MgCl2, 6 mM dextrose, and 0.3% bovine
serum albumin) pH 6.5, containing 10 U/ml heparin and 0.5 μΜ prostacyclin. After
10 min of incubation at 37 °C, the platelets were again washed using Tyrode’s
albumin buffer (3 times). Finally, the platelets were re-suspended in the Tyrode’s
albumin buffer, pH 7.4 containing 0.02 U/ml apyrase. Platelets were counted using a
Neubauer chamber and adjusted to required number of platelets in the final
suspension using Tyrode’s albumin buffer (pH 7.4). Washed platelets were used for
aggregation studies.
Chemicals
Trypsin, papain and pepstatin A (microbial source) were obtained from Sigma
Chemicals (St. Louis, MO, USA). Papain, phenyl methyl sulphonyl flouride (PMSF),
iodo acetic acid (IAA), ethylene diamine tetra acetic acid (EDTA), para- dimethyl
amino benzaldehyde (p-DMAB) were purchased from Sisco Research Laboratory,
Mumbai, India. Neosporin was purchased from GlaxoSmithKline Pharmaceuticals,
Mumbai, India. All the other chemicals used were of highest analytical grade.
Solvents were distilled before use. cytochalasin D, arachidonic acid, ristocetin,
collagen were purchased from Stago Diagnostics, Paris, France.
Mechanism of action of latex proteases……..,
58
Collection and processing of plant latex
Latex from the selected plants was collected separately in clean and dry test
tubes by breaking the petioles. The collected latex was diluted (1 : 1 for P. extensa
and C. gigantea, 1 : 2 for S. grantii and 1 : 4 for W. tinctoria) with 10 mM sodium
phosphate buffer (pH 7.0) and kept in freezer overnight. The samples were subjected
to subsequent steps of freezing (10 h), thawing and centrifugation (6000 x g) to obtain
clear supernatant. Clear supernatant was dialyzed against 10 mM sodium phosphate
buffer (pH 7.0) with four buffer changes. The processed supernatant is rich in proteins
and is used as the crude enzyme source [W. tinctoria latex proteases (WTLP); S.
grantii latex proteases (SGLP); E. tirucalli latex proteases (ETLP); E. antiquorum
latex proteases (EALP); C. gigantea latex proteases (CGLP); P. extensa latex
proteases (PELP)]. The protein content of this enzyme fraction was estimated
according to the method of Lowry et al., (1951).
Proteolytic activity
Proteolytic activity was carried out according to the method of Murata et al.,
(1963), using fat free casein as substrate. Briefly, 0.4 ml casein (2%) in Tris-HCl
buffer (200 mM; pH 8.5) was incubated separately with different concentrations (2.5,
5, 10 and 25 µg) of WTLP, SGLP, CGLP and PELP for 2 h at 37 °C. The reaction
was terminated by adding 0.44 M TCA, the reaction contents were processed and the
color developed was measured at 660 nm. Enzyme activity was expressed in units;
one unit is defined as the amount of enzyme required to increase the absorbance of
0.01 at 660 nm/h at 37 °C. Similar concentrations of trypsin and papain were used for
the assay as representative serine and cysteine protease respectively.
For inhibition studies, the latex enzyme fractions were pre-incubated with or
without specific protease inhibitors (PMSF, IAA, EDTA, and pepstatin A) prior to the
protease assay.
Recalcification time
Recalcification time was carried out according to the procedure described by
Condrea et al., (1983). Pre-warmed (37 °C) platelet poor plasma (200 µl) was mixed
with 20 µl of Tris-HCl buffer (10 mM; pH 7.4) and incubated for 1 min separately
Mechanism of action of latex proteases……..,
59
with varying concentrations of WTLP, SGLP, CGLP, PELP, trypsin and papain. The
clot formation was initiated by adding 20µl of 250 mM CaCl2 and the time taken for
visible clot to appear from the time of addition of CaCl2 was recorded in seconds. For
control experiment, Tris–HCl buffer alone was used instead of latex enzyme fraction.
ROTEM analysis for whole blood recalcification time and clot characteristics
Citrated whole blood (300 μl) was mixed with varying concentrations of latex
protein rich fractions. Clotting was initiated by adding 50 μl of 25 mM CaCl2. The
parameters such as clotting time (CT), clot formation time (CFT) and maximum clot
firmness (MCF). CT and CFT were recorded in seconds; MCF was expressed as mm.
Platelet aggregation
Turbidimetric method of Born and Cross (1963) was followed, using a dual
channel Chrono-log model 700-2 aggregometer (Havertown, USA) and Helena
AggRAM (Helena Biosciences, Tyne and Wear, U.K., NE11 0SD Europe). Briefly,
235 μl of PRP or washed platelet suspension was maintained at 37 °C in a siliconized
glass cuvette and pre-incubated with protein rich fractions from different plant latices
and also with reference proteases (trypsin and papain).
Results
Processing of crude latex yielded protein rich fraction: Crude latex was subjected to
processing steps such as dilution, freezing, thawing and centrifugation. Different
dilutions were made for different latices. The dilution is based on the amount of wax
present in the latex. Higher dilutions were made for latex with higher content of wax.
During the steps of dilution, freezing and thawing, wax gets aggregated, which is
removed after centrifugation. The supernatant obtained after dewaxing was dialyzed
against 10 mM sodium phosphate buffer (pH 7.0), using 10 kDa parchment
membrane. During dialysis, low molecular mass components of latex are removed.
The protein rich supernatant thus obtained was used as protease source, which was
used for further experiments. The aliquots were stored at – 4 °C till further use.
Protein rich fraction of latices showed high proteolytic activity towards casein:
Latex protein rich fractions showed moderate to high proteolytic activity towards
casein, with concentration dependent response. WTLP showed highest activity
Mechanism of action of latex proteases……..,
60
towards casein (22.50±0.90 U/h) at 10 μg concentration, followed by CGLP
(11.50±0.80 U/h), PELP (10.40±1.0 U/h) and SGLP (7.0±0.80 U/h). The activities of
reference proteases – trypsin and papain were 9.0±0.99 and 2.50±0.45 U/h
respectively. The comparative proteolytic activities of protease samples are depicted
in Fig. 2.01a.
Plant latex proteases belong to serine or cysteine superfamily: Nature of proteases
present in latices from selected plants was determined using specific protease
inhibitors. The proteolytic activity of WTLP and SGLP was inhibited by PMSF
(95±2.5% and 90±4.0% respectively), indicating the serine proteases. In case of
CGLP and PELP, the activities were neutralized by IAA (94±3.9% and 95±4.1%
respectively), indicating the cysteine proteases. In all the cases, the proteolytic activity
was unaltered in presence of EDTA (metalloprotease inhibitor) and pepstatin A
(aspartate protease inhibitor), indicating the absence of metallo and aspartate family
of proteases (Fig. 2.01b).
Plant latex proteases exhibited procoagulant effect
Recalcification time using citrated plasma (PPP): The effect of latex proteases on
blood coagulation cascade was determined by recalcification time assay using PPP.
Latex proteases, irrespective of the plant family and nature of proteases, showed
procoagulant effect and facilitated the formation of clot, with concentration dependent
response. At 10 µg concentration, CGLP and PELP showed strong procoagulant
activity with clotting time of 30±4 s and 43±6 s respectively, in comparison to WTLP,
EALP, ETLP and SGLP showed weak procoagulant activity with clotting time of
98±10 s, 95±5 s, 82±5 s and 65±7 s respectively, against control recalcification time
being 195±15 s. CGLP and PELP promoted clotting of PPP even in the absence of
Ca2+
ions, whereas, WTLP, EALP, ETLP and SGLP promoted clotting of PPP only
after supplementing Ca2+
ions. In similar lines, the reference proteases – trypsin and
papain also showed procoagulant effect with clotting time of 105±7 s and 70±9 s
respectively (Fig. 2.02a and 2.02b). For whole blood recalcification assay, two serine
and two cysteine proteases were selected.
Recalcification time using citrated whole blood: The procoagulant effect of latex
proteases was confirmed using citrated whole blood by ROTEM analysis, by
Mechanism of action of latex proteases……..,
61
evaluating parameters such as CT, CFT and MCF. CT (time from start of
measurement until the initiation of clotting) for latex proteases was 657, 340, 209 and
270 s respectively for WTLP, SGLP, CGLP and PELP, against control clotting time
of 751 s. The finding was in correlation with recalcification time assay using PPP.
Further, CFT (time from initiation of clotting until the clot of 20 mm thickness is
formed) of WTLP, SGLP, CGLP and PELP was 611, 129, 67 and 87 s respectively.
Interestingly, clot formation time of WTLP was prolonged, which was further
supported by decreased MCF (31 and 13 s respectively at 20 and 40 μg respectively).
In contrast, at 30 μg concentration, MCF in case of SGLP, CGLP and PELP treated
blood was 47, 56 and 56 mm respectively, against control MCF of 47 mm, indicating
the efficient clot formation, normal platelet function and clot stabilization by factor
XIIIa. The amplitude of splitting in case of WTLP treated whole blood was very low,
indicating reduced fibrin formation as a result of decreased fibrinogen content. The
splitting of graph may be due to the fibrinogen released from activated platelets. The
observation was confirmed by pre-treatment of WTLP with cytochalsin D, which
inhibited platelet activation, resulting in incoagulable of blood and MCF was 3 mm
(Fig. 2.03; Table 2.01).
Serine proteases from Euphorbiaceae plant latex promote platelet aggregation
Latex protease fractions were subjected to platelet aggregation studies using PRP and
washed platelets. In case of PRP, serine proteases from SGLP (30 μg) strongly
induced platelet aggregation (90.4%) against 3.7% in case of saline. The aggregation
by proteases of SGLP was confirmed by pre-treatment of SGLP with PMSF, which
decreased aggregation by 33%. In similar lines, trypsin also induced platelet
aggregation (76.2%). Contrarily, serine proteases from WTLP, cysteine proteases
from CGLP, PELP and papain did not induce platelet aggregation. Further, SGLP
induced aggregation (82%) in washed platelets. Also, EALP and ETLP induced
aggregation of 73% and 57% respectively, indicating the strong induction of platelet
aggregation by serine proteases of Euphorbiaceae plant latex (Fig.2.04; Tables 2.02
and 2.03)
Mechanism of action of latex proteases……..,
62
Discussion
Plant latex is a milky white exudate characteristic of certain angiospermic
plant families. Latex plays crucial physiological roles which include storage of
nutrients, water balance and provide defense against invading herbivorous insects
(Agrawal and Konno, 2009). Apart from the role in plant physiology, latex exhibits
range of pharmacological effects, which is attributed to heterogeneous classes of
bioactive constituents which interfere with human/animal physiological processes
(Thakur et al., 2011; Korpenwar, 2012). Bioactive components present in latex
include alkaloids, terpenes, tannins, sterols, glycosides, saponins, flavonoids, and
hydrolytic enzymes such as proteases, invertases, chitinases. An important
pharmacological property exhibited by latex is to stop bleeding from fresh wounds,
followed by wound healing (Thankamma, 2003). Application of topical hemostatic
agents is an important aspect of wound care and management since it serves to
prevent excess blood loss and prevent the entry of opportunistic and invading
pathogenic microorganisms (Samudrala, 2008). Most of the reported pharmacological
properties of latex including hemostatic function is mostly attributed to proteases and
partly attributed to secondary metabolites. In this regard, the present study aims to
provide a comparative account on hemostatic property of plant latex proteases with
special reference to serine proteases and their interference in blood coagulation and
platelet function.
Crude latex collected from selected plants was subjected to processing. During
the processing of latex, interfering molecules such as wax and low molecular mass
constituents (phenolics, alkaloids, terpenes and peptides) are removed. Wax interferes
with the routine in vitro analysis mainly with enzyme assays and spectrophotometric
methods. Low molecular mass components present in latex are reported to be toxic
(Wink, 2009). Hence, processing steps eliminate the interfering molecules; as well
reduce toxicity of the processed latex fractions. The protein rich fraction was used as
source of proteases for studies involving blood coagulation and platelet aggregation.
Plant latex is one of the richest sources of proteases in nature, apart from
snake venoms and microorganisms. Protein rich fractions from plant latices exhibited
moderate to high protease activity towards casein. Studies involving protease
Mechanism of action of latex proteases……..,
63
inhibitors revealed that selected plant lattices contained either serine or cysteine
proteases, but not both types in given latex. In contrast, any given snake venom
contains both serine and metalloproteases (Paes et al. 2011). Based on the inhibition
of protease activity, presence of only serine proteases in Apocyanaceae and
Euphorbiaceae was confirmed. Further, Asclepiadaceae family latices contain only
cysteine proteases. In support of these findings, earlier reports from Rajesh et al.,
(2006) and Shivaprasad et al., (2009) suggest that any given plant family contains
only one type of protease. Till date, only serine and cysteine proteases have been
reported from plant latex, with only one aspartate protease; ficin from Ficus racemosa
and metalloprotease; cotinifolin from Euphorbia cotinifolia being the exceptions
(Devaraj et al., 2008; Kumar et al., 2011). The unique type of protease present in a
given plant family will be an important tool for chemotaxonomic classification of
plants in cases of ambiguity for assigning plant to a particular family.
Among the pharmacological properties of latex, hemostatic property is
exploited by folk medicinal practitioners and rural population to stop bleeding from
fresh wounds (Thankamma, 2003). This property is attributed to proteolytic enzymes
present in latex (Rajesh et al., 2005). Irrespective of the plant family and the nature of
proteases, latex exhibit procoagulant activity and facilitate the formation of clot, with
an exception of AMP48, an anticoagulant protease from Artocarpus heterophyllus
latex (Shivaprasad et al., 2009; Siritapetawee et al., 2012). The clot thus formed limits
excessive loss of blood following injury and serves as barrier for the entry of invading
and opportunistic pathogens into the wound site (Lawrens et al., 2006). Further, the
clot formed serves as a platform for inflammatory cells and mediators during the
inflammatory phase of wound healing (Stroncek, 2009). In spite of the procoagulant
nature of latex proteases, very few reports explain the mechanism of procoagulant
action. Studies on site specific actions of plant latex proteases interfering in blood
coagulation cascade report the presence of factor X activator - ficin from Ficus carica
and thrombin like enzyme - pergularain e- I from P. extensa latex (Richter et al.,
2002; Shivaprasad et al., 2010). Both these proteases are cysteine proteases. Apart
from these reports, mechanisms of action of many cysteine proteases and most serine
proteases are not known and needs investigation in terms of their interference in blood
Mechanism of action of latex proteases……..,
64
coagulation cascade. Most of the reported mechanism(s) of action of proteolytic
enzymes from natural source are from in vitro studies carried using PPP.
The results from recalcification experiments using PPP were in correlation
with those of citrated whole blood, using ROTEM. It is an in vitro analysis used for
qualitative and quantitative assessment of functional status of coagulation in citrated
whole blood. It provides information regarding variations in citrated whole blood with
respect to coagulation time, clot formation, strength of clot and clot lysis. Whole
blood recalcification time of SGLP, PELP and CGLP was 340 s, 270 s and 209 s
respectively against control recalcification time of 751 s. Clotting time indicates the
time of initiation of clotting, which depends on factors such as formation of thrombin
and initiation of clot polymerization. Further, the clot formation time of SGLP, PELP
and CGLP was respectively 129 s, 89 s and 67 s, against 275 s in case of control. In
continuation, MCF was 47 mm, 57 mm and 56 mm respectively for SGLP, PELP and
CGLP in comparison to 47 mm in case of control. MCF depends on the increasing
stabilization of the clot by the polymerized fibrin, thrombocytes as well as factor XIII
(Lang et al., 2005). These findings indicate the positive effect of SGLP, PELP and
CGLP in exhibiting procoagulant effect towards citrated whole blood. Further, the
results suggest the normal formation of thrombin, fibrin clot and normal functioning
of factor XIII, in presence of these latex protease fractions.
Similar to latex proteases from S. grantii, P. extensa and C. gigantea, WTLP
decreased the clotting time of PPP and whole blood in dose dependent manner. But,
the clot formation was delayed. The probable reason for reduced clot formation would
be depletion of fibrinogen, which resulted in reduced fibrin formation, which also
resulted in reduced MCF. To support the fibrinogen depleting action of WTLP,
fibrinogen content in PPP was Zero in comparison to 190 mg in PPP. Further, MCF
was found to be 13 mm in contrast to 47 mm in control. The clot firmness results from
the stable fibrin mesh. The reduced clot firmness is due to the depletion of fibrinogen
by WTLP. Further, the depletion of fibrinogen was confirmed by evaluating thrombin
time, where the fibrinogen pre-incubated with WTLP did not clot upon supplementing
thrombin, whereas, purified fibrinogen clotted in 5.3 s after supplementing thrombin.
Mechanism of action of latex proteases……..,
65
ROTEM analysis is one of the viscoelastic methods for monitoring blood
coagulation using whole blood. The technique is vital in diagnosis of conditions such
as hemorrhage, bleeding and thrombotic disorders (Ferraris et al., 2007). Whole blood
coagulation analyses overcome the limitations of routine coagulation tests using PPP
(Hett et al., 1995; Luddington, 2004). The conditions are similar to physiological
status of blood, which involves interaction among coagulation system, platelets and
RBC’s. The analyses involves monitoring the stages of development and resolution of
clot (clotting time, clot formation time, strength and stability of clot, fibrinolysis).
Unlike plant latex cysteine proteases, the mechanisms of action of serine
proteases on blood coagulation cascade cannot be singled out based on coagulation
analyses in PPP as well as citrated whole blood. To elucidate the mechanism of
procoagulant action, serine proteases from selected plants were subjected to
aggregation studies using PRP and washed platelets. Serine proteases from
Euphorbiaceae plant latices strongly induced aggregation in PRP as well as washed
platelets. In contrast, Apocyanaceae family proteases did not affect platelet
aggregation in either case. Among all Euphorbiaceae latex proteases, SGLP showed
potent aggregation. The role of proteases was confirmed by using PMSF, which
decreased aggregation in PRP by about 30%, indicating the role of serine proteases in
inducing aggregation. In addition, SGLP induced aggregation was decreased by about
35% by GPIIb/IIIa antagonist. Irrespective of the agonist activating the platelet and
the pathway activated, final aggregation of the platelets is mediated through activated
GPIIb/IIIa receptor through fibrinogen (Scarborough et al., 1999). In this regard, the
mechanism of SGLP induced platelet aggregation may be due to thrombin generation
by the action of SGLP on coagulation cascade or direct activation of protease
activated receptors (PARs) by SGLP. The possibility of thrombin generation by SGLP
is ruled out since SGLP induced platelet aggregation even in washed platelets.
Washed platelet preparation is free of coagulation factors including fibrinogen. From
these findings, most probable mechanism of platelet activation by SGLP is activation
of PAR, leading to aggregation of activated platelets. Under physiological conditions,
PARs are activated by thrombin (PAR1 and PAR4 are expressed on platelets) (Tello-
Montoliu et al., 2010). Further, the mechanism of activation of platelets by SGLP has
Mechanism of action of latex proteases……..,
66
to be elucidated using antagonists for various platelet receptors followed by
monitoring the aggregation.
In conclusion, plant latex, an abundant source of proteases contains serine or
cysteine superfamily of proteases. Irrespective of the protease type, all the proteases
exhibit procoagulant effect and facilitate the formation of clot. Based on the earlier
reports and present investigation, it can be concluded that, cysteine proteases from
plant latex exhibit ‘thrombin-like’ activity; whereas serine proteases from
Euphorbiaceae plant latices are potent inducers of platelet aggregation through which
they exhibit procoagulant effect. The ability of Euphorbiaceae latex proteases to
induce aggregation in washed platelets indicates that they mediate aggregation
through PAR. Further, the mechanisms of action of Apocyanaceae latex serine
proteases in exhibiting procoagulant effect needs further investigation, because of
inconclusive findings with respect to blood coagulation parameters and platelet
function. Plant latex is extensively used to promote healing of wounds apart from
stoppage of bleeding from wounds. Based on the findings of procoagulant nature of
latex proteases, their role in wound healing will be discussed in the following chapter,
along with the underlying molecular mechanisms.
Mechanism of action of latex proteases……..,
67
Figures and tables
Fig. 2.01: Proteolytic activity of latex proteases and nature of proteases.
a. Dose dependent proteolytic acitivty of latex proteases (0-25 µg) was carried out
using fat free casein as substrate. Results are expressed as Mean±SD (n=5).
b. Latex proteases (10 µg) were separately pre-incubated with specific protease
inhibtors (5 mM each of PMSF and EDTA; 100 µM each of IAA and pepstatin A)
at 37 °C for 30 min prior to the proteolytic assay. The results are expressed as
percentage inhibtion of latex proteases with or without protease inhibitors. The
activity of latex proteases without protease inhibitors was considered as 100%.
a
b
Mechanism of action of latex proteases……..,
68
Fig. 2.02: Recalcification time analysis of latex proteases using PPP.
a. Varying concentrations (2.5-10.0 µg) of latex proteases, trypsin and papain in
0.01M Tris-HCl buffer (pH 7.4) were separately added to 0.2 ml of PPP and
incubated 37 °C for one min. The clot formation was initiated by supplementing
0.02 ml of 0.25 M CaCl2. The time taken for visible clot formation is recorded. The
results were compared with the clotting time of plasma added with CaCl2 alone.
b. Comparative account on the effect of latex proteases and reference proteases
towards plasma recalcification at 10 µg protein concentration. ** indicates
p<0.005.
a
b
Mechanism of action of latex proteases……..,
69
Fig. 2.03: Recalcification time analysis of latex proteases using citrated whole
blood. Citrated whole blood (300 μl) was mixed with varying concentrations of
latex protein rich fractions. Clotting was initiated by adding 50 μl of 25 mM CaCl2
and subjected to ROTEM analysis. The parameters such as clotting time (CT), clot
formation time (CFT) and maximum clot firmness (MCF). Clotting time and clot
formation time were recorded in seconds; MCF was expressed as mm.
Table 2.01: ROTEM parameters for whole blood recalcification time of latex
proteases
Sample Clotting time (s) Clot formation time
(s)
MCF
(mm)
Control 751 275 47
WTLP (20 μg)
WTLP (40 μg)
WTLP+CK
657
575
676
611
-----
-----
31
13
3
SGLP (30 μg) 340 129 47
CGLP (30 μg) 209 67 56
PELP (30 μg) 270 89 57
Mechanism of action of latex proteases……..,
70
Fig. 2.04: Platelet aggregation in PRP.
a1-a3. Aggregation profiles of latex proteases
a1
a2
a3
Mechanism of action of latex proteases……..,
71
Fig. 2.04. Platelet aggregation in PRP (contd.)
a4. Aggregation profile of reference proteases (AggRAM, Helena Biosciences, UK)
Fig. 2.04: Platelet aggregation in washed platelets.
a5: Aggregation profiles of Euphorbiaceae plant latex serine proteases using washed
platelets in Chrono-log model 700-2 aggregometer (Havertown, USA)
a4
a5
Mechanism of action of latex proteases……..,
72
Table 2.02: Summary of platelet aggregation study of latex proteases using PRP
Sample Nature of
protease
Platelet aggregation
(%)
PRP alone - 3.7
SGLP
SGLP + PMSF
SGLP + TRAP
Serine 90.4
60.5
55.3
WTLP
WTLP + PMSF
Serine 4.5
7.1
Trypsin Serine 76.2
CGLP Cysteine 1.1
PELP Cysteine 12.5
Papain Cysteine 5.7
Table 2.03: Summary of platelet aggregation study of latex proteases using
washed platelets
Sample Nature of
protease
Platelet aggregation
(%)
Washed platelets
(WP) alone
- -
WTLP
WTLP + Fibrinogen
Serine -
-
SGLP Serine 90*
ETLP Serine 69*
EALP Serine 80*
*- aggregation in the absence of fibrinogen