Molecular Classification
Enzyme (proteases—serine proteases for most), Cofactor (for some, e.g., FV, FVIII), Other (calcium, tissue factor)
Other Names
Coagulation factor, Clotting factor, Blood clotting factor, Coagulation protein
Disease Roles
Cardiovascular disease (thrombosis, embolism)Bleeding disorders (hemophilia, von Willebrand disease)Liver disease

Blood coagulation factor Overview

Clotting factor" is a generic, non-canonical term describing a group of at least 13 (often numbered I–XIII) *proteins and cofactors in blood plasma* that act sequentially in the coagulation cascade to form blood clots[1][3][7]. These include both **serine proteases** (e.g., thrombin—Factor IIa, Factor Xa, Factor IXa) and **non-enzymatic cofactors** (e.g., Factor V, Factor VIII), as well as calcium ions and tissue factor[1][7]. Deficiency or dysfunction of specific clotting factors underlies bleeding disorders such as hemophilia A (FVIII) and hemophilia B (FIX)[1][6][7]. Overactivity or resistance can lead to thrombosis (clot formation within vessels)[7]. Numerous anticoagulant drugs act by targeting specific clotting factors, either inhibiting them directly (heparin, direct oral anticoagulants) or by affecting their synthesis (warfarin, vitamin K antagonists)[5][7]. Measurement of individual factor concentrations and activity is used as a biomarker for diagnosis and management of various bleeding and thrombotic disorders[3][7]. Since "clotting factor" is not a specific protein or receptor, but a class, it should be replaced with the precise factor of interest for structured data work. **Note:** - “Clotting factor” is not a unique molecule but a class comprising multiple distinct proteins, ions, and cofactors each with specific roles and names (e.g., “Factor VIII,” “Factor Xa,” “Fibrinogen”). - For structured information, use the full name of the specific factor (e.g., "Coagulation factor VIII") instead of the generic "clotting factor."[1][3][7] - This answer reflects the plural, imprecise nature of the target as provided and marks `is_incorrect: true` for database use.

Mechanism of Action

Inhibition (anticoagulants inhibit one or more factors), Replacement/augmentation (factor concentrates), Vitamin K antagonism (warfarin), Protease inhibition (heparin enhances antithrombin’s inhibition)

Biological Functions

Blood coagulation (hemostasis)
Wound healing
Hemostatic balance
Inflammation

Disease Associations

Cardiovascular disease (thrombosis, embolism)
Bleeding disorders (hemophilia, von Willebrand disease)
Liver disease
Inflammation

Safety Considerations

  • Bleeding (deficiency or over-inhibition)
  • Thrombosis (excess activity or resistance, e.g. Factor V Leiden)
  • Allergic reaction (replacement therapy)
  • Pathogen transmission (plasma products)

Interacting Drugs

Warfarin
Heparin
Direct oral anticoagulants (e.g. rivaroxaban, apixaban, dabigatran)
Vitamin K
Factor concentrates (replacement therapies)
Fresh frozen plasma

Associated Biomarkers

Biomarker
Coagulation factor levels (e.g., FVIII, FIX)
Prothrombin time (PT)
Activated partial thromboplastin time (aPTT)
D-dimer
Fibrinogen level