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Coagulation factor complex on phosphatidylserine surface

Molecular classification
Enzyme, Protein complex, Other
01

Overview

During hemostasis, coagulation factors assemble into enzymatically active complexes (notably the prothrombinase complex: factor Xa and Va) on surfaces exposing phosphatidylserine, particularly activated platelet membranes[1][2][3][4]. Phosphatidylserine provides a negatively charged surface that accelerates thrombin generation by up to 150,000-fold, making it critical for efficient clot formation[2][3]. This membrane-anchored assembly is essential for proper blood coagulation and is implicated in a range of pathologies: excess activity can contribute to thrombosis, while deficiency or aberrant exposure (as seen in rare disorders such as Scott syndrome, or in certain autoimmune and infectious states) leads to bleeding or inappropriate coagulation[2][4]. The therapeutic targeting of these complexes typically involves inhibitors of factor Xa or thrombin, or the interference with phosphatidylserine binding domains, and is a key strategy in modern anticoagulation therapy[1][3]. Note: - This entry combines several individual protein targets (coagulation factors) and a lipid cofactor (phosphatidylserine), describing a multi-component, membrane-associated enzymatic complex rather than a single molecule or receptor. - Because “Coagulation Factors on Phosphatidylserine Surface” refers to a functional assembly/process and not a singular, uniquely-named molecule, the query is *partially incorrect* in the context of standard molecular target nomenclature. The provided information reflects this specificity.

Other names
Coagulation factor complexesProthrombinase complex on phosphatidylserineBlood clotting factors on activated platelet membrane
02

Mechanism of action

Inhibition of assembly or activity of coagulation complexes (e.g., prothrombinase) on phosphatidylserine surface; competitive binding to phosphatidylserine; direct enzyme inhibition (factor Xa, thrombin)

03

Biological functions

Blood coagulationHemostasisThrombin generationPlatelet activation
04

Disease associations

ThrombosisHemostatic disordersCardiovascular diseaseAutoimmune disorders (e.g., lupus)Viral infection (as cofactor/exposed PS facilitating viral entry)
05

Safety considerations

Bleeding risk from excessive inhibitionunintended immunological effects (e.g., phosphatidylserine exposure affecting immune cell clearance)off-target effects in non-hemostatic cells
06

Interacting drugs

Anticoagulants (e.g., direct factor Xa inhibitors such as rivaroxaban, apixaban; direct thrombin inhibitors such as dabigatran)

2 more in the full profile.

07

Biomarkers

Externalization of phosphatidylserine on platelets (annexin V binding)circulating prothrombin fragment F1+2thrombin generation assays

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