Actions and interactions of antithrombin and heparin

RD Rosenberg - New England Journal of Medicine, 1975 - Mass Medical Soc
RD Rosenberg
New England Journal of Medicine, 1975Mass Medical Soc
THE coagulation of blood occurs via two pathways in which activation of specific plasma
proteins initiates a cascade of reactions that ultimately lead to a fibrin clot. In the first
pathway, injury to the endothelial cell layer exposes collagen1, 2 or other subintimal
components that activate Factor XII. Activated Factor XII activates Factor XI, 3 which, in turn,
activates Factor IX. 4 Together with platelets and a cofactor, Factor VIII, activated Factor IX
then activates Factor X. 4 In the second pathway, subtle alterations in the endothelium …
THE coagulation of blood occurs via two pathways in which activation of specific plasma proteins initiates a cascade of reactions that ultimately lead to a fibrin clot. In the first pathway, injury to the endothelial cell layer exposes collagen1 , 2 or other subintimal components that activate Factor XII. Activated Factor XII activates Factor XI,3 which, in turn, activates Factor IX.4 Together with platelets and a cofactor, Factor VIII, activated Factor IX then activates Factor X.4
In the second pathway, subtle alterations in the endothelium expose tissue factor, which activates Factor VII,5 which in turn directly activates Factor X.5 Once activated by . . .
The New England Journal Of Medicine