Thrombin (factor IIa) is a serine protease that performs a numberof functions in blood coagulation.1 Among its most importantactions is converting fibrinogen into fibrin monomers, whichpolymerize to form the fibrin clot. Thrombin participates inthe activation of factors V, VIII, and XIII, as well as of platelets.2By binding to thrombomodulin on vascular endothelial cells,it forms a complex that activates protein C, thereby limitingthe extent of an emerging clot.3 Cleavage of thrombin's inactivezymogen precursor, prothrombin (factor II), is required to generatefunctionally active thrombin.
Acquired inhibitors of certain coagulation factors are relativelycommon, but . . . [Full Text of this Article]
Case Report
Methods
Enzyme Immunoassays
Immunoblotting
Results
Discussion
Source Information
From the Departments of Laboratory Medicine (A.R.L.S., R.H., G.S., W.C.), Pharmacology (B.S.S.), and Pathology (R.P.), University of Washington Medical Center, Seattle.
Address reprint requests to Dr. La Spada at the Department of Laboratory Medicine, Box 357110, University of Washington Medical Center, 1959 N.E. Pacific St., Seattle, WA 98195.
References
This article has been cited by other articles:
Madoiwa, S., Nakamura, Y., Mimuro, J., Furusawa, S., Koyama, T., Sugo, T., Matsuda, M., Sakata, Y.
(2001). Autoantibody against prothrombin aberrantly alters the proenzyme to facilitate formation of a complex with its physiological inhibitor antithrombin III without thrombin conversion. Blood
97: 3783-3789
[Abstract][Full Text]