Fibrinogen and fibrin: scaffold proteins in hemostasis

Fibrinogen and fibrin: scaffold proteins in hemostasis
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DOI:
10.1097/moh.0b013e3280dce58c
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发表时间:
2007-05-01
影响因子:
3.2
通讯作者:
Lord, Susan T.
Lord, Susan T.
中科院分区:
医学3区
文献类型:
--
作者:
Lord, Susan T.

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Purpose of review Elevated fibrinogen is a cardiovascular risk factor. Recent work provides a rationale for this risk, as abnormal fibrin clot structure, strength and stability correlates with coronary artery disease. This review describes in-vitro experiments whose intent is to define the molecular mechanisms that control clot architecture and function in vivo.Recent findings Biochemical and structural data continue to define the interactions between monomer units that assemble into a fibrin clot. In particular, 'A: a' interactions dominate the first step in fiber formation, while the analogous 'B: U interactions have a minor role. Studies show the N-terminus of BP, the C-terminus of A alpha, and the splice variant gamma' modulate fibrin clot structure. Measurement of the mechanical properties of fibrinogen and fibrin show fibrin fibers are among the strongest in nature. Studies have identified fibrinogen-binding proteins that influence clot structure and function.Summary These findings defined mechanisms that control fibrin clot structure, strength and stability. This basic information provides direction for clinical studies to examine clot properties in pathologic thrombosis and pharmaceutical studies to develop therapeutic interventions to prevent or control cardiovascular disease. These studies also establish novel techniques to examine individual bonds, molecules and fibers.