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Factor X is a vitamin K dependent, two-chain glycoprotein
zymogen (Mr = 59,000) synthesized in the liver that circulates in
plasma at a concentration of approximately 10 μg/mL. The NH2-
terminal light chain (Mr = 17,000) possesses the gammacarboxyglutamic
(gla) residues that enable factor X/Xa to bind to
phospholipids/membranes in a calcium dependent manner. The
COOH-terminal heavy chain (Mr = 42,000) possesses the latent
catalytic domain.
Activation to factor Xa occurs by interaction with the intrinsic factor
Xase complex (Factor VIIa/IXa/Ca+2/phospholipid) or the extrinsic
factor Xase complex (Factor VIIa/tissue factor/
Ca+2/phospholipid). Both complexes cleave the molecule at
Arg52-lle53, releasing an activation peptide from the heavy chain,
resulting in factor Xa as a two-chain molecule where the light
chain remains with a Mr of 17,000 and the heavy chain has been
reduced to a Mr of 29,000.
Factor Xa provides the enzymatic activity of the Prothrombinase
complex (Factor Xa/Factor Va/ Ca+2/phospholipid) which converts
prothrombin to thrombin. While factor Xa can convert prothrombin
to thrombin alone, its activity is greatly enhanced when a part of
the complex. Its activity may be inhibited by inactivation of the
factor Va cofactor or directly by a natural inhibitor such as
antithrombin III.