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TH open : companion journal to thrombosis and haemostasis最新文献

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Coagulation Factor XIII in Cerebral Venous Thrombosis 凝血因子XIII在脑静脉血栓中的作用
Pub Date : 2019-07-01 DOI: 10.1055/s-0039-1693487
Bojun Li, M. Heldner, M. Arnold, J. Coutinho, S. Zuurbier, J. Meijers, H. Kohler, V. Schroeder
Coagulation factor XIII (FXIII) is activated in the last stage of the coagulation cascade in the presence of thrombin and Ca 2 þ by cleavage and release of the activation peptide (FXIII activation peptide, AP-FXIII) from the A-subunit and disso-ciation of the carrier B-subunits. Activated FXIII then cross-links fi brin fi bers and incorporates anti fi brinolytic proteins into the clot. Therefore, FXIII has a crucial role in stabilizing fi brin: it determines clot properties and fi brinolysis, and contributes to clot formation in every acute thrombotic event. 1 Consequently, FXIII is consumed during acute thrombotic events leading to a reduction in systemic circulating FXIII plasma levels which are also associated with outcome, e.g., in acute myocardial infarction, 2 stroke, 3 – 5 and venous thromboembolism. 6 – 9 In patients with acute stroke, we could detect circulating free AP-FXIII
凝血因子XIII (FXIII)在凝血酶和ca2 þ存在下,通过从a亚基裂解和释放激活肽(FXIII激活肽,AP-FXIII)和载体b亚基解离,在凝血级联的最后阶段被激活。激活的FXIII然后与纤维蛋白交联,并将抗纤维溶栓蛋白结合到血栓中。因此,FXIII在稳定血凝素中起着至关重要的作用:它决定了血栓的性质和血凝素的溶解,并在每一个急性血栓事件中都有助于血栓的形成。因此,在急性血栓事件中,FXIII被消耗,导致全身循环FXIII血浆水平降低,这也与结果相关,例如急性心肌梗死、2卒中、3 - 5和静脉血栓栓塞。6 - 9在急性脑卒中患者中,我们可以检测到循环游离AP-FXIII
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TH open : companion journal to thrombosis and haemostasis
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