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Discussion Starter · #1 ·
Heparin binds to Antithrombin III (ATIII) and dramatically accelerates its enzymatic activity. As a serine protease inhibitor, ATIII-heparin can inactivate the serine proteases of the intrinsic pathway, XIIIa, XIa, IXa, and Xa - but what is its primary anti-coagulative activity?
  • ATIII stimulates the release of plasminogen activators from tissues
  • Activated ATIII dissolves the cross-linking of fibrin by proteolysis
  • ATIII catalyses the binding of thrombin to thrombomodulin, allowing Protein C to be activated
  • One molecule of ATIII inactivates one molecule of thrombin; heparin is catalytic
  • Plasmin is cleaved from plasminogen by ATIII
 

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D) One molecule of ATIII inactivates one molecule of thrombin; heparin is catalytic

My ans is D) One molecule of ATIII inactivates one molecule of thrombin; heparin is catalytic.

heparin-AT complex mainly acts on intrinsic pathway of coagulation, especially on factors XIIIa, XIa, IXa, and Xa. Heparin binds on AT-III to activates the inhibitory effect on the clotting factors.

"One molecule of ATIII inactivates one molecule of thrombin" ....:rolleyes: I don't know anything about the ratio...:eek:
 

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Discussion Starter · #7 ·
Correct!

D is correct: one molecule of ATIII inactivates one molecule of thrombin; heparin is catalytic, and can quickly bind to another ATIII.
  • Bradykinin and thrombin, among other agents, stimulate the release of plasminogen activators from tissues (A).
  • Fibrin is digested by plasmin (B).
  • ATIII does not catalyse the binding of thrombin to thrombomodulin (C); however, thrombin does activate Protein C, and this is greatly enhanced with thrombomodulin.
  • Plasminogen activators convert plasminogen to active plasmin (E).
 
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