Term
what is the function of the von Willebrand factor? |
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Definition
mediates binding of platelets to collagen during initial phase |
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Term
what happens when fibrinogen is activated? |
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Definition
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Term
what particularly is cleaved in fibrinogen that allows it to be active? |
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Definition
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Term
tissue factor binds to what factor in the initial stage of clotting? |
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Definition
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Term
What does factor 10 and 5 activate |
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Definition
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Term
what does thrombin activates? |
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Definition
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Term
what is the enzyme amplification cascade? |
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Definition
one enzyme at the start of the activation pathway can activate many molecules of a given substrate |
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Term
how many sites of binding are there in tissue factor? |
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Definition
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Term
what is the structure of factor 7? |
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Definition
TF inhibitory peptide, Ca2+ binding site, and a substrate binding pocket labeled the catalytic triad |
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Term
what is the structure of the catalytic triad? |
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Definition
histidine, serine, aspartate |
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Term
What are the types of hemophilia? |
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Definition
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Term
What is characterized by type A hemophilia? |
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Definition
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Term
Type B hemophilia is characterized by? |
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Definition
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Term
Which type of hemophilia can be treated? |
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Definition
type A (recombinant factor) |
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Term
activation of prothrombin requires how many proteolytic cleavages? |
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Definition
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Term
what is the bond that keeps the prothrombin molecules together? |
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Definition
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Term
What is the structure of the alpha thrombin |
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Definition
F 1-2, A and B (connected by disulfide bonds) |
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Term
the peptides that are cleaved by thrombin contain many of these AA's |
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Definition
Aspartate, Glutamate, and sulfated-tyrosine |
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Term
what's the overall charge of the peptide that is cleaved from fibrinogen? |
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Definition
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Term
Thrombin activates this factor, which forms fibrin cross-links |
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Definition
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Term
What is the specific bond catalyzed by activated Factor 13? |
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Definition
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Term
What are the two amino acids that transglutaminase cleave? |
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Definition
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Term
Name an example of an anti-protease? |
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Definition
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Term
what is the mech of action of anti-thrombin 3? |
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Definition
binds and inactivates thrombin |
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Term
What is heparin used for? |
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Definition
promotes tighter binding of anti thrombin 3 to thrombin |
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Term
how does thrombin auto-regulate itself? |
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Definition
it binds to thrombomodulin |
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Term
what acts as cofactors of thrombin activation of Protein C |
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Definition
thrombomodulin and calcium |
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Term
this is Gla containing protease |
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Definition
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Term
what happens when protein C is activated? |
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Definition
in conjunction w/protein S proteolyze and inactivate Factors 5a and 8a |
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Term
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Definition
protease that converts plasminogen to plasmin |
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Term
plasmin provides what in the inactivation compounds? |
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Definition
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Term
t-PA provides what in the inactive complexe? |
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Definition
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Term
what is the function of carboxyglutamate? |
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Definition
brings enzymes onto the surface of the cell membrane |
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Term
what is the structure of the carboxyglutamate? |
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Definition
modified glutamate residue (extra COO-) |
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Term
Glutamate has a natural high affinity of? |
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Definition
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Term
Which factors contain carboxyglutamate? |
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Definition
thrombin, factor 7,9, and 10 |
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Term
what is the function of vitamin K? |
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Definition
co factor that attaches a carboxy onto the glutamate |
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Term
What is function of dicoumarol and warfarin? |
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Definition
vit-K analog that inhibits the formation of carboxyglutamate, inhibiting coagulation |
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Term
the liver is signaled to do what in the presence of carboxypeptides? |
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Definition
synthesis of factors 2, 7, 9, 10 and protein C |
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Term
why should you monitor patients on vit K antagonist? |
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Definition
you wana make sure that carboxy protein production is still being formed. |
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