2012
DOI: 10.1182/blood-2012-03-306605
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Polyphosphate: an ancient molecule that links platelets, coagulation, and inflammation

Abstract: AbstractInorganic polyphosphate is widespread in biology and exhibits striking prohemostatic, prothrombotic, and proinflammatory effects in vivo. Long-chain polyphosphate (of the size present in infectious microorganisms) is a potent, natural pathophysiologic activator of the contact pathway of blood clotting. Medium-chain polyphosphate (of the size secreted from activated human platelets) accelerates factor V activation, completely abrogates the anticoagulant function of tissu… Show more

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Cited by 324 publications
(303 citation statements)
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References 108 publications
(99 reference statements)
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“…Artificial surfaces that are used in catheters or cardiopulmonary bypass will also lead to activation of the contact system and, over recent years, more and more physiological surfaces have been identified, such as RNA, polyphosphates, neutrophil extracellular traps, and misfolded proteins. [6][7][8][9][10] Factor XII binds directly to these surfaces. HK also binds directly and, because it is in the circulation in complex with PK and factor XI, the complete contact system becomes assembled on the surface.…”
Section: Biochemistry Of the Contact Systemmentioning
confidence: 99%
“…Artificial surfaces that are used in catheters or cardiopulmonary bypass will also lead to activation of the contact system and, over recent years, more and more physiological surfaces have been identified, such as RNA, polyphosphates, neutrophil extracellular traps, and misfolded proteins. [6][7][8][9][10] Factor XII binds directly to these surfaces. HK also binds directly and, because it is in the circulation in complex with PK and factor XI, the complete contact system becomes assembled on the surface.…”
Section: Biochemistry Of the Contact Systemmentioning
confidence: 99%
“…Besides these common roles, many specific functions have been attributed to polyP in eukaryotes (see reviews in refs. [9][10][11]. Recently its ability to function as a protein-folding chaperone (12) and to drive a newly discovered posttranslational protein modification, protein polyphosphorylation (13), have provided further insight into the mechanism of action of this simple polymer.…”
mentioning
confidence: 99%
“…The recent discoveries that polyP can be released from some mammalian cells, such as blood platelets (3) and mast cells (4), and has potent modulatory activity on blood coagulation (5) and inflammation (6) have renewed interest in this polymer. Interestingly, polyP with chain lengths characteristic of microorganisms modulates coagulation and inflammation differently than polyP with chain lengths typically found in mammalian cells (7).…”
mentioning
confidence: 99%