Formation of Fibrin Clot (Clotting Cascade) (Homo sapiens)

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Description

The formation of a fibrin clot at the site of an injury to the wall of a normal blood vessel is an essential part of the process to stop blood loss after vascular injury. The reactions that lead to fibrin clot formation are commonly described as a cascade, in which the product of each step is an enzyme or cofactor needed for following reactions to proceed efficiently. The entire clotting cascade can be divided into three portions, the extrinsic pathway, the intrinsic pathway, and the common pathway. The extrinsic pathway begins with the release of tissue factor at the site of vascular injury and leads to the activation of factor X. The intrinsic pathway provides an alternative mechanism for activation of factor X, starting from the activation of factor XII. The common pathway consists of the steps linking the activation of factor X to the formation of a multimeric, cross-linked fibrin clot. Each of these pathways includes not only a cascade of events that generate the catalytic activities needed for clot formation, but also numerous positive and negative regulatory events.

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CompareRevisionActionTimeUserComment
42041view21:52, 4 March 2011MaintBotAutomatic update
39844view05:52, 21 January 2011MaintBotNew pathway

External references

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Name Type Database reference
NH4+ Metabolite28938 (ChEBI)
factor Xa ComplexREACT_3099 (Reactome)
tissue factor ProteinP13726 (UniProt)
sequestered tissue

factor

ProteinP13726 (UniProt)
factor VII ProteinP08709 (UniProt)
fibrin

monomer

ComplexREACT_5594 (Reactome)
TF:F7 ComplexREACT_4908 (Reactome)
activated

thrombin: thrombomodulin

ComplexREACT_5904 (Reactome)
factor X ComplexREACT_3749 (Reactome)
kallikrein:alpha2-

macroglobulin

ComplexREACT_4115 (Reactome)
factor Xa ComplexREACT_5349 (Reactome)
Va:Xa complex

(prothrombinase)

ComplexREACT_5441 (Reactome)
factor X activation

peptide

ProteinP00742 (UniProt)
factor XIII cleaved

tetramer

ComplexREACT_2648 (Reactome)
factor VIIa ComplexREACT_2419 (Reactome)
thrombin:

antithrombin III: heparin

ComplexREACT_2423 (Reactome)
TF:F7a ComplexREACT_4532 (Reactome)
Platelet Factor 4 UnknownREACT_12205 (Reactome)
Calcium Metabolite29108 (ChEBI)
kallikrein:C1Inh ComplexREACT_5874 (Reactome)
factor IX ProteinP00740 (UniProt)
prothrombin (factor

II)

ProteinP00734 (UniProt)
factor IX activation

peptide

ProteinP00740 (UniProt)
factor V activation

peptide

ProteinP12259 (UniProt)
factor IXa ComplexREACT_3075 (Reactome)
fibrinopeptide B ProteinP02675 (UniProt)
TFPI ProteinP10646 (UniProt)
factor XIII ComplexREACT_4285 (Reactome)
TFPI:TF:F7a:factor Xa ComplexREACT_2685 (Reactome)
factor XIIIa ComplexREACT_4387 (Reactome)
kininogen ProteinP01042 (UniProt)
Heparin UnknownREACT_4737 (Reactome)
C1q binding protein

tetramer

ComplexREACT_2937 (Reactome)
thrombin:cleaved

antithrombin III

ComplexREACT_4175 (Reactome)
kininogen:C1q binding

protein tetramer

ComplexREACT_4804 (Reactome)
protein C heavy chain

activation peptide

ProteinP04070 (UniProt)
Zn++ Metabolite29105 (ChEBI)
activated protein C ComplexREACT_5044 (Reactome)
prekallikrein ProteinP03952 (UniProt)
C1Inh ProteinP05155 (UniProt)
prekallikrein:

kininogen:C1q binding protein tetramer

ComplexREACT_3461 (Reactome)
alpha2-

macroglobulin

ComplexREACT_3449 (Reactome)
kallikrein:kininogen:

C1q binding protein tetramer

ComplexREACT_4714 (Reactome)
factor XIIa:C1Inh ComplexREACT_2283 (Reactome)
prolylcarboxypeptida

se dimer

ComplexREACT_5699 (Reactome)
thrombin

activation peptide

ProteinP00734 (UniProt)
activated kininogen:

C1q binding protein tetramer

ComplexREACT_3121 (Reactome)
factor V ProteinP12259 (UniProt)
kallikrein ComplexREACT_4124 (Reactome)
factor Va ComplexREACT_2497 (Reactome)
Bradykinin ProteinP01042 (UniProt)
Fibrinogen ComplexREACT_4095 (Reactome)
factor XII ProteinP00748 (UniProt)
fibrinopeptide

A

ProteinP02671 (UniProt)
factor XIIa ComplexREACT_4236 (Reactome)
fibrin

multimer

ComplexREACT_4444 (Reactome)
GPIb:GPIX:GPV

complex

ComplexREACT_2987 (Reactome)
factor XIII A chain

activation peptide

ProteinP00488 (UniProt)
factor XI ComplexREACT_4915 (Reactome)
factor XIII B chain ProteinP05160 (UniProt)
factor XI:GPIb:GPIX:

GPV complex

ComplexREACT_5726 (Reactome)
fibrin multimer,

crosslinked

UnknownREACT_2721 (Reactome)
factor XIa:GPIb:GPIX:

GPV complex

ComplexREACT_4765 (Reactome)
antithrombin

III

ProteinP01008 (UniProt)
Activated thrombin

(factor IIa)

ComplexREACT_3298 (Reactome)
antithrombin III:

heparin

ComplexREACT_2653 (Reactome)
factor VIII ComplexREACT_4493 (Reactome)
thrombin:cleaved

antithrombin III: heparin

ComplexREACT_2621 (Reactome)
von Willibrand factor

multimer

ComplexREACT_5706 (Reactome)
thrombomodulin ProteinP07204 (UniProt)
factor VIII:von

Willebrand factor multimer

ComplexREACT_3248 (Reactome)
protein C ComplexREACT_4912 (Reactome)
factor VIIIa ComplexREACT_4190 (Reactome)
activated protein C ComplexREACT_2599 (Reactome)
factor VIIIa B A3

acidic polypeptide

ProteinP00451 (UniProt)
factor Vi ComplexREACT_4020 (Reactome)
factor VIIIa:factor IXa ComplexREACT_3217 (Reactome)
protein S ProteinP07225 (UniProt)
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