Mechanism, Functions, and Diagnostic Relevance of FXII Activation by Foreign Surfaces
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Mechanism, Functions, and Diagnostic Relevance of FXII Activation by Foreign Surfaces. / Konrath, Sandra; Mailer, Reiner K; Renné, Thomas.
In: HAMOSTASEOLOGIE, Vol. 41, No. 6, 12.2021, p. 489-501.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Mechanism, Functions, and Diagnostic Relevance of FXII Activation by Foreign Surfaces
AU - Konrath, Sandra
AU - Mailer, Reiner K
AU - Renné, Thomas
N1 - Thieme. All rights reserved.
PY - 2021/12
Y1 - 2021/12
N2 - 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. Deficiency in FXII is associated with a prolonged activated partial thromboplastin time (aPTT) but not with an increased bleeding tendency. However, genetic or pharmacological deficiency impairs both arterial and venous thrombosis in experimental models. This review summarizes current knowledge of FXII structure, mechanisms of FXII contact activation, and the importance of FXII for diagnostic coagulation testing and thrombosis.
AB - 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. Deficiency in FXII is associated with a prolonged activated partial thromboplastin time (aPTT) but not with an increased bleeding tendency. However, genetic or pharmacological deficiency impairs both arterial and venous thrombosis in experimental models. This review summarizes current knowledge of FXII structure, mechanisms of FXII contact activation, and the importance of FXII for diagnostic coagulation testing and thrombosis.
U2 - 10.1055/a-1528-0499
DO - 10.1055/a-1528-0499
M3 - SCORING: Review article
C2 - 34592776
VL - 41
SP - 489
EP - 501
JO - HAMOSTASEOLOGIE
JF - HAMOSTASEOLOGIE
SN - 0720-9355
IS - 6
ER -