Proteolytic signatures of coagulation identified by plasma peptidomics

peer-reviewed · Journal of Thrombosis and Haemostasis · 2025

peer-reviewed · Journal of Thrombosis and Haemostasis · 2025. Jessica Del Castillo Alferez et al. Background Coagulation entails sequential proteolytic events in plasma, ultimately leading to fibrin clot…
Date 2025-08-01
Type peer-reviewed
Venue Journal of Thrombosis and Haemostasis
Publisher Elsevier BV
Contribution downstream-application
DOI 10.1016/j.jtha.2025.04.017
Citations (OpenAlex) 2

Abstract

Background Coagulation entails sequential proteolytic events in plasma, ultimately leading to fibrin clot formation. Objectives In this study, we employed a mass spectrometry-based peptidomics approach to characterize the molecular events of coagulation-induced limited proteolysis. Methods Citrated plasma from healthy donors was in vitro-coagulated by recalcification combined with the addition of tissue factor (TF) in the absence or presence of hirudin. The formation of endogenous peptide products over time was monitored using a mass spectrometry approach with a de novo algorithm for peptide identification. Results Plasma coagulation resulted in a distinct peptidome enriched with activation peptides of prothrombin and FXIIIA, fibrinopeptides A and B, reactive center loops of protease inhibitors, the bait region of α2-macroglobulin, and additional proteolytic hotspots outside the coagulation system. While thrombin inhibition blocked almost all TF-initiated limited proteolysis, most events were TF concentration-independent, with the exception of prothrombin, fibrinogen, FV, FXIIIA, α2-macroglobulin, protein C inhibitor, complement C3, and plexin domain-containing 2. The order of events of fibrinopeptide A and B formation-prothrombin conversion, FXIIIA activation, and protease inhibitor proteolysis-followed the kinetics of thrombin generation. Conclusion Plasma peptidomics of coagulation-initiated limited proteolysis captures peptide products derived from pro- and anticoagulant events and proteolytic signatures beyond the classical coagulation system. We envision that this peptidomics strategy enables the assessment of functional aspects of coagulation in bleeding and thrombotic disorders at the molecular level.

Authors

  1. Jessica Del Castillo Alferez · Sanquin
  2. Alette Kooiker · Sanquin
  3. Floris P.J. van Alphen · Sanquin
  4. Carmen van der Zwaan · Sanquin
  5. Herm-Jan Brinkman · Sanquin
  6. Joost C.M. Meijers · Amsterdam University Medical Centers, University of Amsterdam
  7. Alexander B. Meijer · Sanquin
  8. Maartje van den Biggelaar · Sanquin
  9. Tirsa T. van Duijl · Sanquin
  10. Emile van den Akker
  11. Wala Al Arashi
  12. Ryanne Arisz
  13. Lieke Baas
  14. Ruben Bierings
  15. Johan Boender
  16. Anske van der Bom
  17. Mettine Bos
  18. Martijn Brands
  19. Annelien Bredenoord
  20. Laura Bukkems
  21. Lex Burdorf
  22. Michael Cloesmeijer
  23. Marjon Cnossen
  24. Mariëtte Driessens
  25. Jeroen Eikenboom
  26. Karin Fijnvandraat
  27. Kathelijn Fischer
  28. Geertje Goedhart
  29. Tine Goedhart
  30. Samantha Gouw
  31. Rieke van der Graaf
  32. Masja de Haas
  33. Lotte Haverman
  34. Jan Hazelzet
  35. Shannon van Hoorn
  36. Elise Huisman
  37. Nathalie Jansen
  38. Alexander Janssen
  39. Sean de Jong
  40. Sjoerd Koopman
  41. Marieke Kruip
  42. Sebastiaan Laan
  43. Frank Leebeek
  44. Nikki van Leeuwen
  45. Hester Lingsma
  46. Moniek de Maat
  47. Ron Mathôt
  48. Felix van der Meer
  49. Karina Meijer
  50. Sander Meijer
  51. Stephan Meijer
  52. Iris van Moort
  53. Caroline Mussert
  54. Hans Kristian Ploos van Amstel
  55. Suzanne Polinder
  56. Diaz Prameyllawati
  57. Simone Reitsma
  58. Eliza Roest
  59. Lorenzo Romano
  60. Saskia Schols
  61. Roger Schutgens
  62. Rolf Urbanus
  63. Carin Uyl
  64. Jan Voorberg
  65. Huan Zhang
  66. Minka Zivkovic

Methods and tools

  • Coagulation plasma peptidomics: Peptidomics with de novo-assisted identification maps the limited proteolysis events of in vitro plasma coagulation.

Methods it uses

  • PEAKS: Commercial DP-based de novo

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