Target intelligence / Profile preview

Vitamin K-dependent clotting factor (specifically, Factor II [Prothrombin], Factor VII [often used as activated FVIIa], Factor IX, Factor X) (None)

Target
None
Molecular classification
Enzyme, Other (coagulation factor)
01

Overview

Vitamin K–dependent clotting factors (prothrombin [FII], factor VII, factor IX, factor X) are serine proteases essential for the propagation of the coagulation cascade. Their activity depends on post-translational gamma-carboxylation, a process that requires vitamin K, allowing these proteins to bind membranes and calcium, enabling proteolytic activation steps in clot formation. Therapeutic provision of these factors, via plasma-derived concentrates or recombinant proteins, is a mainstay for correcting deficiencies due to inherited or acquired disorders, or for reversal of vitamin K antagonist therapy[1][2][4][5].

Other names
Vitamin K–dependent coagulation factorsVK-dependent clotting factorsprothrombin complex factorsvitamin K–dependent serine proteases
02

Mechanism of action

Replacement or supplementation of deficient clotting factor(s) to restore hemostasis Promotion of coagulation cascade via enzymatic cleavage of pro-enzymes to active forms (serine protease activity)

03

Biological functions

Blood coagulationHemostasis
04

Disease associations

Bleeding disorders (hemophilia, vitamin K deficiency)Thrombosis (excess factor activity, e.g. factor IX Padua mutation)Cardiovascular disease (as complication)
05

Safety considerations

Thrombosis (overcorrection)Disseminated intravascular coagulation (DIC)Hypersensitivity or allergic reactions (to plasma-derived or recombinant products)Pathogen transmission (with plasma products)
06

Interacting drugs

Prothrombin complex concentrates (PCC, containing II, IX, X, and sometimes VII)

3 more in the full profile.

07

Biomarkers

Prothrombin time (PT/INR)Activated partial thromboplastin time (aPTT)Specific factor activity assays (e.g., FII, FVII, FIX, FX levels)

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