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Hemostasis
EXAM 2
40
Medical
Professional
08/28/2010

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Cards

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