“…The previous reports that wound healing is impaired in FXIII-de®cient patients (Lorand et al, 1980), FXIII stimulates ®broblast proliferation and suppresses collagen biosynthesis by ®broblasts (Beck et al, 1961;Paye et al, 1989), FXIIIa catalyzes the cross-linking of ®brin(ogen), ®bronectin itself, and ®bronectin to collagens type I, II, III, and V (Mosher et al, 1980;Mosher, 1984) may support this idea. By contrast, it has been demonstrated that FXIIIa, unlike tissue transglutaminase, does not catalyze the cross-linking of aminopropeptide of type III collagen (Bowness et al, 1987) or the cross-linking between collagens (Mosher, 1984). Intermolecular cross-linking of a 1 (XVI) molecule catalyzed by FXIIIa therefore may be unique in FXIIIa + DD, suggesting that the cross-linking may stabilize and support the placement of DD in the extracellular tissue.…”