Imperial College London

Dr Josefin Ahnström

Faculty of MedicineDepartment of Immunology and Inflammation

Senior Lecturer in Haematology
 
 
 
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Contact

 

+44 (0)20 3313 4236j.ahnstrom

 
 
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Location

 

5S5Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Publication Type
Year
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68 results found

Santamaria S, Crawley JTB, Yamamoto K, Ahnstrom J, de Groot Ret al., 2017, A comparison of COMP (TSP5) proteolysis by ADAMTS7 and ADAMTS4, Autumn Meeting of the British-Society-for-Matrix-Biology (BSMB), Publisher: WILEY, Pages: A3-A4, ISSN: 0959-9673

Conference paper

Santamaria S, Reglińska-Matveyev N, Gierula M, Camire RM, Crawley JTB, Lane DA, Ahnström Jet al., 2017, Factor V anticoagulant cofactor activity that targets the early phase of coagulation, Journal of Biological Chemistry, Vol: 292, Pages: 9335-9344, ISSN: 0021-9258

Tissue factor pathway inhibitor (TFPI), the main inhibitor of initiation of coagulation, exerts an important anticoagulant role through the factor Xa (FXa)-dependent inhibition of tissue factor/factor VIIa (FVIIa). Protein S is a TFPI cofactor, enhancing the efficiency of FXa inhibition. TFPI can also inhibit prothrombinase assembly by directly interacting with coagulation factor V (FV) which has been activated by FXa. Since full-length TFPI associates with FV in plasma, we hypothesized that FV may influence TFPI inhibitory function. Using pure component FXa inhibition assays, we found that while FV alone did not influence TFPI-mediated FXa inhibition, it further enhanced TFPI in the presence of protein S, resulting in an ~8-fold reduction in Ki compared with TFPI alone. A FV variant (R709Q/R1018Q/R1545Q, FVΔIIa) that cannot be cleaved/activated by thrombin or FXa, also enhanced TFPI-mediated inhibition of FXa ~12-fold in the presence of protein S. In contrast, neither activated FV (FVa) nor recombinant B-domain-deleted FV could enhance TFPI-mediated inhibition of FXa in the presence of protein S, suggesting a functional contribution of the B domain. Using TFPI and protein S variants we show further that the enhancement of TFPI-mediated FXa inhibition by protein S and FV depends on a direct protein S/TFPI interaction and that the TFPI C-terminal tail is not essential for this enhancement. In FXa-catalyzed prothrombin activation assays, both FV and FVΔIIa (but not FVa) enhanced TFPI function in the presence of protein S. These results demonstrate a new anticoagulant (cofactor) function of FV that targets the early phase of coagulation before prothrombinase assembly.

Journal article

Khan E, Ambrose N, Ahnstrom J, Kiprianos A, Stanford M, Eleftheriou D, Brogan P, Mason J, Johns M, Laffan M, Haskard Det al., 2016, A low balance between microparticles expressing tissue factor pathway inhibitor and tissue factor is associated with thrombosis in Behçet’s Syndrome, Clinical and Experimental Rheumatology, Vol: 6, ISSN: 1593-098X

Thrombosis is common in Behçet’s Syndrome (BS), and there is a need for better biomarkers for risk assessment. As microparticles expressing Tissue Factor (TF) can contribute to thrombosis in preclinical models, we investigated whether plasma microparticles expressing Tissue Factor (TF) are increased in BS. We compared blood plasma from 72 healthy controls with that from 88 BS patients (21 with a history of thrombosis (Th+) and 67 without (Th−). Using flow cytometry, we found that the total plasma MP numbers were increased in BS compared to HC, as were MPs expressing TF and Tissue Factor Pathway Inhibitor (TFPI) (all p < 0.0001). Amongst BS patients, the Th+ group had increased total and TF positive MP numbers (both p ≤ 0.0002) compared to the Th- group, but had a lower proportion of TFPI positive MPs (p < 0.05). Consequently, the ratio of TFPI positive to TF positive MP counts (TFPI/TF) was significantly lower in Th+ versus Th− BS patients (p = 0.0002), and no patient with a TFPI/TF MP ratio >0.7 had a history of clinical thrombosis. We conclude that TF-expressing MP are increased in BS and that an imbalance between microparticulate TF and TFPI may predispose to thrombosis.

Journal article

Khan E, Ambrose N, Ahnstrom J, Kiprianos A, Stanford M, Eleftheriou D, Brogan P, Mason J, Johns M, Laffan M, Haskard Det al., 2016, A LOW BALANCE BETWEEN MICROPARTICLES EXPRESSING TISSUE FACTOR PATHWAY INHIBITOR AND TISSUE FACTOR IS ASSOCIATED WITH THROMBOSIS IN BEHCET'S SYNDROME, Publisher: CLINICAL & EXPER RHEUMATOLOGY, Pages: S143-S143, ISSN: 0392-856X

Conference paper

Ogbechi J, Ruf M-T, Hall BS, Bodman-Smith K, Vogel M, Wu H-L, Stainer A, Esmon CT, Ahnstroem J, Pluschke G, Simmonds REet al., 2015, Mycolactone-Dependent Depletion of Endothelial Cell Thrombomodulin Is Strongly Associated with Fibrin Deposition in Buruli Ulcer Lesions, PLOS PATHOGENS, Vol: 11, ISSN: 1553-7366

Journal article

Gierula M, Salles-Crawley II, Crawley JTB, Lane DA, Ahnstroem Jet al., 2015, Factor VA in synergy with protein s enhances activated protein C binding to phospholipids, Publisher: WILEY-BLACKWELL, Pages: 313-313, ISSN: 1538-7933

Conference paper

Reglinska-Matveyev N, Crawley JT, Camire R, Lane DA, Ahnstroem Jet al., 2015, FV enhances protein S cofactor function for TFPI in the inhibition of FXa, Publisher: WILEY-BLACKWELL, Pages: 54-54, ISSN: 1538-7933

Conference paper

Somajo S, Ahnstroem J, Fernandez-Recio J, Gierula M, Villoutreix BO, Dahlback Bet al., 2015, Amino acid residues in the laminin G domains of protein S involved in tissue factor pathway inhibitor interaction, THROMBOSIS AND HAEMOSTASIS, Vol: 113, Pages: 976-987, ISSN: 0340-6245

Journal article

Somajo S, Ahnstroem J, Gierula M, Fernandez-Recio J, Villoutreix BO, Dahlbaeck Bet al., 2015, Amino acid residues in the laminin G domains of protein S involved in tissue factor pathway inhibitor interaction, Journal of Thrombosis and Haemostasis, Vol: 113, Pages: 976-987, ISSN: 1538-7933

Protein S functions as a cofactor for tissue factor pathway inhibitor (TFPI) and activated protein C (APC). The sex hormone binding globulin (SHBG)-like region of protein S, consisting of two laminin G-like domains (LG1 and LG2), contains the binding site for C4b-binding protein (C4BP) and TFPI. Furthermore, the LG-domains are essential for the TFPI-cofactor function and for expression of full APC-cofactor function. The aim of the current study was to localise functionally important interaction sites in the protein S LG-domains using amino acid substitutions. Four protein S variants were created in which clusters of surface-exposed amino acid residues within the LG-domains were substituted. All variants bound normally to C4BP and were fully functional as cofactors for APC in plasma and in pure component assays. Two variants, SHBG2 (E612A, I614A, F265A, V393A, H453A), involving residues from both LG-domains, and SHBG3 (K317A, I330A, V336A, D365A) where residues in LG1 were substituted, showed 50-60 % reduction in enhancement of TFPI in FXa inhibition assays. For SHBG3 the decreased TFPI cofactor function was confirmed in plasma based thrombin generation assays. Both SHBG variants bound to TFPI with decreased affinity in surface plasmon resonance experiments. The TFPI Kunitz 3 domain is known to contain the interaction site for protein S. Using in silico analysis and protein docking exercises, preliminary models of the protein S SHBG/TFPI Kunitz domain 3 complex were created. Based on a combination of experimental and in silico data we propose a binding site for TFPI on protein S, involving both LG-domains.

Journal article

Reglinska-Matveyev N, Andersson HM, Rezende SM, Dahlback B, Crawley JTB, Lane DA, Ahnstroem Jet al., 2014, TFPI cofactor function of protein S: essential role of the protein S SHBG-like domain, Blood, Vol: 123, Pages: 3979-3987, ISSN: 0006-4971

Protein S is a cofactor for tissue factor pathway inhibitor (TFPI), accelerating the inhibition of activated factor X (FXa). TFPI Kunitz domain 3 residue Glu226 is essential for enhancement of TFPI by protein S. To investigate the complementary functional interaction site on protein S, we screened 44 protein S point, composite or domain swap variants spanning the whole protein S molecule for their TFPI cofactor function using a thrombin generation assay. Of these variants, two protein S/growth arrest–specific 6 chimeras, with either the whole sex hormone–binding globulin (SHBG)-like domain (Val243-Ser635; chimera III) or the SHBG laminin G-type 1 subunit (Ser283-Val459; chimera I), respectively, substituted by the corresponding domain in growth arrest–specific 6, were unable to enhance TFPI. The importance of the protein S SHBG-like domain (and its laminin G-type 1 subunit) for binding and enhancement of TFPI was confirmed in FXa inhibition assays and using surface plasmon resonance. In addition, protein S bound to C4b binding protein showed greatly reduced enhancement of TFPI-mediated inhibition of FXa compared with free protein S. We show that binding of TFPI to the protein S SHBG-like domain enables TFPI to interact optimally with FXa on a phospholipid membrane.

Journal article

Salles-Crawley II, Monkman JH, Ahnstroem J, Lane DA, Crawley JTBet al., 2014, Vessel wall BAMBI contributes to hemostasis and thrombus stability., Blood, Vol: 123, Pages: 2873-2881, ISSN: 0006-4971

Bone morphogenetic protein and activin membrane-bound inhibitor (BAMBI) is a transmembrane protein related to the transforming growth factor-β superfamily, and is highly expressed in platelets and endothelial cells. We previously demonstrated its positive role in thrombus formation using a zebrafish thrombosis model. In the present study, we used Bambi-deficient mice and radiation chimeras to evaluate the function of this receptor in the regulation of both hemostasis and thrombosis. We show that Bambi−/− and Bambi+/− mice exhibit mildly prolonged bleeding times compared with Bambi+/+ littermates. In addition, using 2 in vivo thrombosis models in mesenterium or cremaster muscle arterioles, we demonstrate that Bambi-deficient mice form unstable thrombi compared with Bambi+/+ mice. No defects in thrombin generation in Bambi−/− mouse plasma could be detected ex vivo. Moreover, the absence of BAMBI had no effect on platelet counts, platelet activation, aggregation, or platelet procoagulant function. Similar to Bambi−/− mice, Bambi−/− transplanted with Bambi+/+ bone marrow formed unstable thrombi in the laser-induced thrombosis model that receded more rapidly than thrombi that formed in Bambi+/+ mice receiving Bambi−/− bone marrow transplants. Taken together, these results provide strong evidence for an important role of endothelium rather than platelet BAMBI as a positive regulator of both thrombus formation and stability.

Journal article

Reglinska NB, Andersson HMH, Rezende SM, Dahlback B, Crawley JTB, Lane DA, Ahnstroem Jet al., 2013, The search for functionally important residues in protein S required for its enhancement of TFPI, JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol: 11, Pages: 328-328, ISSN: 1538-7933

Journal article

Salles I, Monkman JH, Ahnstroem J, Lane DA, Crawley JTBet al., 2013, BMP and activin membrane bound inhibitor (BAMBI): A novel regulator of thrombus formation, Publisher: WILEY-BLACKWELL, Pages: 274-275, ISSN: 1538-7933

Conference paper

Ahnstroem J, Andersson HM, Hockey V, Meng Y, McKinnon TAJ, Hamuro T, Crawley JTB, Lane DAet al., 2012, Identification of functionally important residues in TFPI Kunitz domain 3 required for the enhancement of its activity by protein S, BLOOD, Vol: 120, Pages: 5059-5062, ISSN: 0006-4971

Journal article

Elsoe S, Ahnstrom J, Christoffersen C, Hoofnagle AN, Plomgaard P, Heinecke JW, Binder CJ, Bjorkbacka H, Dahlback B, Nielsen LBet al., 2012, Apolipoprotein M binds oxidized phospholipids and increases the antioxidant effect of HDL, ATHEROSCLEROSIS, Vol: 221, Pages: 91-97, ISSN: 0021-9150

Journal article

Ahnstrom J, Andersson HM, Canis K, Norstrom E, Yu Y, Dahlback B, Panico M, Morris HR, Crawley JTB, Lane DAet al., 2011, Activated protein S cofactor function of protein S: a novel function for a γ-carboxyglutamic acid residue, Publisher: WILEY-BLACKWELL, Pages: 14-14, ISSN: 1538-7933

Conference paper

Ahnstroem J, Andersson HM, Canis K, Norstrom E, Yu Y, Dahlback B, Panico M, Morris HR, Crawley JTB, Lane DAet al., 2011, Activated protein C cofactor function of protein S: a novel role for a γ-carboxyglutamic acid residue, BLOOD, Vol: 117, Pages: 6685-6693, ISSN: 0006-4971

Journal article

Christoffersen C, Obinata H, Kumaraswamy SB, Galvani S, Ahnstrom J, Sevvana M, Egerer-Sieber C, Muller YA, Hla T, Nielsen LB, Dahlback Bet al., 2011, Endothelium-protective sphingosine-1-phosphate provided by HDL-associated apolipoprotein M, PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, Vol: 108, Pages: 9613-9618, ISSN: 0027-8424

Journal article

Nielsen SE, Ahnstrom J, Christoffersen C, Hoofnagle AN, Plomgaard P, Heinecke JW, Bjorkbacka H, Dahlback B, Nielsen LBet al., 2011, APOLIPOPROTEIN M BINDS OXIDIZED PHOSPHOLIPIDS AND INCREASES THE ANTIOXIDANT EFFECT OF HDL, 79th Congress of the European-Atherosclerosis-Society (EAS), Publisher: ELSEVIER IRELAND LTD, Pages: 52-52, ISSN: 1567-5688

Conference paper

Sevvana M, Kassler K, Ahnstrom J, Weiler S, Dahlback B, Sticht H, Muller YAet al., 2010, Mouse ApoM Displays an Unprecedented Seven-Stranded Lipocalin Fold: Folding Decoy or Alternative Native Fold?, JOURNAL OF MOLECULAR BIOLOGY, Vol: 404, Pages: 363-371, ISSN: 0022-2836

Journal article

Kappelle PJWH, Ahnstrom J, Dikkeschei BD, de Vries R, Sluiter WJ, Wolffenbuttel BHR, van Tol A, Nielsen LB, Dahlback B, Dullaart RPFet al., 2010, Plasma apolipoprotein M responses to statin and fibrate administration in type 2 diabetes mellitus, ATHEROSCLEROSIS, Vol: 213, Pages: 247-250, ISSN: 0021-9150

Journal article

Ahnstrom J, Lindqvist PG, Walle U, Dahlback Bet al., 2010, Plasma levels of apolipoprotein M in normal and complicated pregnancy, ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, Vol: 89, Pages: 1214-1217, ISSN: 0001-6349

Journal article

Ahnstrom J, Gottsater A, Lindblad B, Dahlback Bet al., 2010, Plasma concentrations of apolipoproteins A-I, B, and M in patients with critical limb ischemia, CLINICAL BIOCHEMISTRY, Vol: 43, Pages: 599-603, ISSN: 0009-9120

Journal article

Ahnstrom J, Gottsater A, Lindblad B, Dahlback Bet al., 2010, Plasma concentrations of apolipoproteins A-I, B and M in patients with abdominal aortic aneurysms, CLINICAL BIOCHEMISTRY, Vol: 43, Pages: 407-410, ISSN: 0009-9120

Journal article

Ahnstrom J, Axler O, Dahlback B, 2010, HDL Stimulates apoM Secretion, PROTEIN AND PEPTIDE LETTERS, Vol: 17, Pages: 1285-1289, ISSN: 0929-8665

Journal article

Sevvana M, Ahnstrom J, Egerer-Sieber C, Lange HA, Dahlback B, Muller YAet al., 2009, Serendipitous Fatty Acid Binding Reveals the Structural Determinants for Ligand Recognition in Apolipoprotein M, JOURNAL OF MOLECULAR BIOLOGY, Vol: 393, Pages: 920-936, ISSN: 0022-2836

Journal article

Ahnstrom J, Axler O, Dahlback B, 2009, RECOMBINANT APOLIPOPROTEIN M SECRETION STIMULATED BY HDL, ATHEROSCLEROSIS SUPPLEMENTS, Vol: 10, ISSN: 1567-5688

Journal article

Ahnstrom J, Axler O, Dahlback B, 2009, RECOMBINANT APOLIPOPROTEIN M SECRETION STIMULATED BY HDL, ATHEROSCLEROSIS SUPPLEMENTS, Vol: 10, ISSN: 1567-5688

Journal article

Nielsen LB, Christoffersen C, Ahnstrom J, Dahlback Bet al., 2009, ApoM: gene regulation and effects on HDL metabolism, TRENDS IN ENDOCRINOLOGY AND METABOLISM, Vol: 20, Pages: 66-71, ISSN: 1043-2760

Journal article

Dahlback B, Ahnstrom J, Christoffersen C, Nielsen LBet al., 2008, Apolipoprotein M: structure and function, FUTURE LIPIDOLOGY, Vol: 3, Pages: 495-503, ISSN: 1746-0875

Journal article

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