Target intelligence / Profile preview

Coagulation Factor XIIa (FXIIa)

Target
FXIIa
Molecular classification
Enzyme, Serine protease, Coagulation factor
01

Overview

Coagulation factor XIIa (FXIIa), also known as activated Hageman factor, is a serine protease enzyme that plays a central role in the initiation of the intrinsic pathway of blood coagulation and links coagulation with inflammation. It is generated from its zymogen precursor, coagulation factor XII (FXII), upon activation by contact with negatively charged surfaces. FXIIa initiates the intrinsic pathway of blood coagulation by activating factor XI to XIa and converting prekallikrein to kallikrein. Inhibiting FXIIa can reduce thrombosis risk without increasing bleeding tendency.

Other names
Activated Hageman factorHageman factorBeta-factor XIIA
02

Mechanism of action

Inhibition of FXIIa prevents activation of the intrinsic coagulation pathway and reduces thrombin generation without significantly affecting hemostasis, thus reducing thrombosis risk.

03

Biological functions

Initiates intrinsic coagulation cascadeActivates factor XIActivates prekallikrein/kallikrein systemReleases bradykininThrombin generationInflammation
04

Disease associations

ThrombosisInflammation
05

Safety considerations

Potential for off-target effects on other serine proteasesNeed for careful dose titration to avoid bleeding complications, although the bleeding risk is expected to be low compared to other anticoagulants.Long-term effects of FXIIa inhibition are not fully understood.

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