Coagulation - Coagulation Factors

Coagulation Factors

Coagulation factors and related substances
Number and/or name Function Associated genetic disorders
I (fibrinogen) Forms clot (fibrin) Congenital afibrinogenemia, Familial renal amyloidosis
II (prothrombin) Its active form (IIa) activates I, V, VII, VIII, XI, XIII, protein C, platelets Prothrombin G20210A, Thrombophilia
III Tissue factor Co-factor of VIIa (formerly known as factor III)
IV Calcium Required for coagulation factors to bind to phospholipid (formerly known as factor IV)
V (proaccelerin, labile factor) Co-factor of X with which it forms the prothrombinase complex Activated protein C resistance
VI Unassigned – old name of Factor Va
VII (stable factor, proconvertin) Activates IX, X congenital proconvertin/factor VII deficiency
VIII (Antihemophilic factor A) Co-factor of IX with which it forms the tenase complex Haemophilia A
IX (Antihemophilic factor B or Christmas factor) Activates X: forms tenase complex with factor VIII Haemophilia B
X (Stuart-Prower factor) Activates II: forms prothrombinase complex with factor V Congenital Factor X deficiency
XI (plasma thromboplastin antecedent) Activates IX Haemophilia C
XII (Hageman factor) Activates factor XI, VII and prekallikrein Hereditary angioedema type III
XIII (fibrin-stabilizing factor) Crosslinks fibrin Congenital Factor XIIIa/b deficiency
von Willebrand factor Binds to VIII, mediates platelet adhesion von Willebrand disease
prekallikrein (Fletcher factor) Activates XII and prekallikrein; cleaves HMWK Prekallikrein/Fletcher Factor deficiency
high-molecular-weight kininogen (HMWK) (Fitzgerald factor) Supports reciprocal activation of XII, XI, and prekallikrein Kininogen deficiency
fibronectin Mediates cell adhesion Glomerulopathy with fibronectin deposits
antithrombin III Inhibits IIa, Xa, and other proteases Antithrombin III deficiency
heparin cofactor II Inhibits IIa, cofactor for heparin and dermatan sulfate ("minor antithrombin") Heparin cofactor II deficiency
protein C Inactivates Va and VIIIa Protein C deficiency
protein S Cofactor for activated protein C (APC, inactive when bound to C4b-binding protein) Protein S deficiency
protein Z Mediates thrombin adhesion to phospholipids and stimulates degradation of factor X by ZPI Protein Z deficiency
Protein Z-related protease inhibitor (ZPI) Degrades factors X (in presence of protein Z) and XI (independently)
plasminogen Converts to plasmin, lyses fibrin and other proteins Plasminogen deficiency, type I (ligneous conjunctivitis)
alpha 2-antiplasmin Inhibits plasmin Antiplasmin deficiency
tissue plasminogen activator (tPA) Activates plasminogen Familial hyperfibrinolysis and thrombophilia
urokinase Activates plasminogen Quebec platelet disorder
plasminogen activator inhibitor-1 (PAI1) Inactivates tPA & urokinase (endothelial PAI) Plasminogen activator inhibitor-1 deficiency
plasminogen activator inhibitor-2 (PAI2) Inactivates tPA & urokinase (placental PAI)
cancer procoagulant Pathological factor X activator linked to thrombosis in cancer

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