Protein S (also known as PROS) is a vitamin K-dependent plasma glycoprotein synthesized in the liver. In the circulation, Protein S exists in two forms: a free form and a complex form bound to complement protein C4b-binding protein (C4BP). In humans, protein S is encoded by the PROS1gene.[5][6] Protein S plays a role in coagulation.
Additionally, protein S has a peptide between the Gla domain and the EGF-like domain, that is cleaved by thrombin. The Gla and EGF-like domains stay connected after the cleavage by a disulfide bond. However, protein S loses its function as an APC cofactor following either this cleavage or binding C4BP.[11]
Function
The best characterized function of Protein S is its role in the anti coagulation pathway, where it functions as a cofactor to Protein C in the inactivation of Factors Va and VIIIa. Only the free form has cofactor activity.[12]
Protein S binds to negatively charged phospholipids via the carboxylated Gla domain. This property allows Protein S to facilitate the removal of cells that are undergoing apoptosis, a form of structured cell death used by the body to remove unwanted or damaged cells. In healthy cells, an ATP (adenosine triphosphate)-dependent enzyme removes negatively charged phospholipids such as phosphatidyl serine from the outer leaflet of the cell membrane. An apoptotic cell (that is, one undergoing apoptosis) no longer actively manages the distribution of phospholipids in its outer membrane and hence begins to display negatively charged phospholipids on its exterior surface. These negatively charged phospholipids are recognized by phagocytes such as macrophages. Protein S binds to the negatively charged phospholipids and functions as a bridge between the apoptotic cell and the phagocyte. This bridging expedites phagocytosis and allows the cell to be removed without giving rise to inflammation or other signs of tissue damage.
Protein S does not bind to the nascent complement complex C5,6,7 to prevents it from inserting into a membrane. This is a different complement protein S AKA vitronectin made by the VTN gene, not to be confused with the coagulation protein S made by the PROS gene which this wiki page concerns.
↑ Bauer KA (February 2025). Leung LL, Tirnauer JS (eds.). "Protein S deficiency". UpToDate. Retrieved May 10, 2017.
↑ Kaushansky K, Lichtman M, Prchal J, Levi M, Press O, Burns L, etal. (2015). Williams Hematology. McGraw-Hill. p.1926.
↑ Stenflo J (1999). "Contributions of Gla and EGF-like domains to the function of vitamin K-dependent coagulation factors". Critical Reviews in Eukaryotic Gene Expression. 9 (1): 59–88. doi:10.1615/CritRevEukaryotGeneExpr.v9.i1.50. PMID10200912.
↑ Rosner W (December 1991). "Plasma steroid-binding proteins". Endocrinology and Metabolism Clinics of North America. 20 (4): 697–720. doi:10.1016/S0889-8529(18)30240-8. PMID1778174.
↑ Beauchamp NJ, Dykes AC, Parikh N, Campbell Tait R, Daly ME (June 2004). "The prevalence of, and molecular defects underlying, inherited protein S deficiency in the general population". British Journal of Haematology. 125 (5): 647–654. doi:10.1111/j.1365-2141.2004.04961.x. PMID15147381. S2CID705661.
↑ García de Frutos P, Fuentes-Prior P, Hurtado B, Sala N (September 2007). "Molecular basis of protein S deficiency". Thrombosis and Haemostasis. 98 (3): 543–556. doi:10.1160/th07-03-0199. PMID17849042. S2CID17274778.
Dahlbäck B (July 1991). "Protein S and C4b-binding protein: components involved in the regulation of the protein C anticoagulant system". Thrombosis and Haemostasis. 66 (1): 49–61. doi:10.1055/s-0038-1646373. PMID1833851. S2CID24929072.
Witt I (May 2002). "[Molecular biological basis and diagnosis of hereditary defect of antithrombin III, protein c and protein S]" [Molecular biological basis and diagnosis of hereditary defect of antithrombin III, protein c and protein S]. Hamostaseologie (in German). 22 (2): 14–24. doi:10.1055/s-0037-1619540. PMID12193972. S2CID58077740.
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Maillard C, Berruyer M, Serre CM, Dechavanne M, Delmas PD (March 1992). "Protein-S, a vitamin K-dependent protein, is a bone matrix component synthesized and secreted by osteoblasts". Endocrinology. 130 (3): 1599–1604. doi:10.1210/endo.130.3.1531628. PMID1531628.
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