2021
DOI: 10.1055/a-1528-0499
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Mechanism, Functions, and Diagnostic Relevance of FXII Activation by Foreign Surfaces

Abstract: Factor XII (FXII) is a serine protease zymogen produced by hepatocytes and secreted into plasma. The highly glycosylated coagulation protein consists of six domains and a proline-rich region that regulate activation and function. Activation of FXII results from a conformational change induced by binding (“contact”) with negatively charged surfaces. The activated serine protease FXIIa drives both the proinflammatory kallikrein–kinin pathway and the procoagulant intrinsic coagulation cascade, respectively. Defic… Show more

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Cited by 11 publications
(9 citation statements)
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“…Namely, the FXII protein is composed of light and heavy chains. The catalytic domain is located in the light chain, while the heavy chain contains positively charged regions that promote binding to anionic surfaces . We thus propose that AuMBA binding to the heavy chain of FXIIa may induce less perturbation to the active site geometry of FXIIa, compared to Try and Thr, due to the overall size of FXII.…”
Section: Resultsmentioning
confidence: 95%
“…Namely, the FXII protein is composed of light and heavy chains. The catalytic domain is located in the light chain, while the heavy chain contains positively charged regions that promote binding to anionic surfaces . We thus propose that AuMBA binding to the heavy chain of FXIIa may induce less perturbation to the active site geometry of FXIIa, compared to Try and Thr, due to the overall size of FXII.…”
Section: Resultsmentioning
confidence: 95%
“…An uncommon preanalytic factor is FXII deficiency, which causes marked prolongation of both APTT and ACT. The condition does not cause bleeding tendency, but excludes the use of APTT and ACT for heparin therapeutic monitoring in these patients [ 25 ]. Preoperative APTT testing will reveal this condition.…”
Section: Discussionmentioning
confidence: 99%
“…45 46 While PK and FXI are structurally similar, the latter undergoes reciprocal activation with FXII weakly in solution and is a poor FXIIa substrate in the absence of a surface. 2 3…”
Section: Disease Processes Involving the Kallikrein-kinin Systemmentioning
confidence: 99%
“…4 5 7 While FXII serves a limited role in stemming injury-induced bleeding (hemostasis), it contributes to several host–defense and injury-response pathways, and a variety of pathologic processes. 1 2 8 9 There is particular interest in the protein as a therapeutic target because of its roles in inflammation and thrombosis, and its limited contribution to hemostasis. 10 11 12 13 14 15 In this review, we discuss recent work on the structure and enzymology of FXII that provides insights into mechanisms by which it contributes to thrombo-inflammatory processes.…”
mentioning
confidence: 99%
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