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Coagulation Made Simple

Coagulation Made Simple

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The Many Roles of Thrombin<br />

<strong>Coagulation</strong> System<br />

Clot formation:<br />

Fibrinogen Fibrin<br />

F XIII F XIIIa<br />

Amplification/Activiation<br />

F V F Va<br />

F VIII F VIIIa<br />

Platelets<br />

Aggregation<br />

Release reaction<br />

TxA 2 -synthesis<br />

Leukocytes<br />

Chemotaxis<br />

Cytokine<br />

production<br />

Macrophages<br />

Chemotaxis<br />

Antithrombin<br />

Thrombin<br />

Tumor cells<br />

Adhesion<br />

Metastasis<br />

Cell growth<br />

Neurons<br />

Neurite<br />

growth<br />

regulation<br />

Endothelial Cells<br />

Synthesis and release:<br />

Prostacyclin<br />

EDRF, t-PA<br />

Endothelin<br />

Tissue factor<br />

Activation:<br />

Protein C PCa<br />

Thrombomodulin<br />

Fibroblasts<br />

Proliferation<br />

Smooth Muscle<br />

Contraction<br />

Mitogenesis<br />

Heart<br />

Positive inotrope

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