Polyphosphate: an ancient molecule that links platelets, coagulation, and inflammation

被引:284
作者
Morrissey, James H. [1 ]
Choi, Sharon H. [1 ]
Smith, Stephanie A. [1 ]
机构
[1] Univ Illinois, Dept Biochem, Urbana, IL 61801 USA
基金
美国国家卫生研究院;
关键词
FACTOR PATHWAY INHIBITOR; FACTOR-XI ACTIVATION; INORGANIC POLYPHOSPHATE; TISSUE FACTOR; CONTACT SYSTEM; STORAGE-POOL; PLASMA PREKALLIKREIN; BLOOD-COAGULATION; ESCHERICHIA-COLI; HAGEMAN-FACTOR;
D O I
10.1182/blood-2012-03-306605
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inorganic polyphosphate is widespread in biology and exhibits striking prohemostatic, prothrombotic, and proinflammatory effects in vivo. Long-chain polyphosphate (of the size present in infectious microorganisms) is a potent, natural pathophysiologic activator of the contact pathway of blood clotting. Medium-chain polyphosphate (of the size secreted from activated human platelets) accelerates factor V activation, completely abrogates the anticoagulant function of tissue factor pathway inhibitor, enhances fibrin clot structure, and greatly accelerates factor XI activation by thrombin. Polyphosphate may have utility as a hemostatic agent, whereas antagonists of polyphosphate may function as novel antithrombotic/antiinflammatory agents. The detailed molecular mechanisms by which polyphosphate modulates blood clotting reactions remain to be elucidated. (Blood. 2012; 119(25): 5972-5979)
引用
收藏
页码:5972 / 5979
页数:8
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