“…85 When coupled with the interactions of both proteins with the membrane, both the light and heavy chains of factor Va interact with factor Xa; each contributing to dissociation constants in the millimolar range, resulting in a tight association of the 2 proteins (K d ϳ 1 nM) when coupled with membrane binding. 81,82,86 The membrane-bound factor Va-factor Xa complex cleaves membrane-bound prothrombin to produce ␣-thrombin only in the local environment of membrane-bound complex (principally the immobilized activated platelet membrane surface). As a consequence of the common membrane binding of both substrate and enzyme, the effective K m for prothrombin activation is decreased by 2 orders of magnitude.…”