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Coagulation factor VIIIa is the activated form of coagulation factor VIII, a critical non-enzymatic plasma protein essential for normal blood clotting. It acts as a cofactor in the intrinsic pathway of the coagulation cascade, specifically facilitating the activation of factor X by factor IXa in the presence of calcium ions and phospholipids on activated platelet surfaces. Deficiency or dysfunction leads to hemophilia A. High levels are associated with increased risk for deep vein thrombosis and pulmonary embolism.
Replacement therapy with FVIII concentrates; bispecific antibodies mimic FVIIIa cofactor function; gene therapy aims to restore endogenous FVIII production.
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