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Protein C

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1857: 1586: 335: 312: 4613: 234: 209: 586: 341: 240: 46: 4598: 6440: 1812:(TNF-α). Activated leukocytes release these inflammatory mediators during inflammation, inhibiting the creation of both thrombomodulin and EPCR, and inducing their shedding from the endothelial surface. Both of these actions down-regulate protein C activation. Thrombin itself may also have an effect on the levels of EPCR. In addition, proteins released from cells can impede protein C activation, for example 1736:. Activated protein C is found at levels approximately 2000 times lower than this. Mild protein C deficiency corresponds to plasma levels above 20 IU/dL, but below the normal range. Moderately severe deficiencies describe blood concentrations between 1 and 20 IU/dL; severe deficiencies yield levels of protein C that are below 1 IU/dL or are undetectable. Protein C levels in a healthy 1760:, with two main classes of functions: anticoagulation and cytoprotection (its direct effect on cells). Which function protein C performs depends on whether or not APC remains bound to EPCR after it is activated; the anticoagulative effects of APC occur when it does not. In this case, protein C functions as an anticoagulant by irreversibly proteolytically inactivating 1717:). Because of the accelerating effect of thrombomodulin on the activation of protein C, the protein may be said to be activated not by thrombin but the thrombin–thrombomodulin (or even thrombin–thrombomodulin–EPCR) complex. Once in active form, APC may or may not remain bound to EPCR, to which it has approximately the same affinity as the protein zymogen. 2020:
Treatment of cells with APC demonstrates that its gene expression modulation effectively controls major pathways for inflammatory and apoptotic behaviour. There are about 20 genes that are up-regulated by protein C, and 20 genes that are down-regulated: the former are generally anti-inflammatory
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Several studies have indicated that the proteolytic activity of APC contributes to the observed cytoprotective properties of APC, but variants that are proteolytically inactive also are able to regulate formation of PAR-activators thrombin and factor Xa and express cytoprotective properties in vitro
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Drotrecogin alfa-activated was the subject of significant controversy while it was approved for clinical use as it was found to increase bleeding and not to reduce mortality. In October 2011 rhAPC (Xigris) was withdrawn from the market by Eli Lilly due to a higher mortality in a trial among adults.
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When APC is bound to EPCR, it performs a number of important cytoprotective (i.e. cell-protecting) functions, most of which are known to require EPCR and PAR-1. These include regulating gene expression, anti-inflammatory effects, antiapoptotic effects and protecting endothelial barrier function.
1969:, and though the first of these sites is slow to be cleaved, it is entirely necessary to the functioning of Factor V. Protein S aids this process by catalysing the proteolysis at Arg, in which the A2 domain of Factor V is dissociated from the rest of the protein. Protein S also binds to Factor X 2182:
occurs when APC is unable to perform its functions. This disease has similar symptoms to protein C deficiency. The most common mutation leading to activated protein C resistance among Caucasians is at the cleavage site in Factor V for APC. There, Arg is replaced with Gln, producing
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targeting Factor V, and dysfunction of any of APC's cofactors. Also, some acquired conditions may reduce the efficacy of APC in performing its anticoagulative functions. Studies suggest that between 20% and 60% of thrombophilic patients suffer from some form of APC resistance.
72: 1616:-like serine protease domain (212–450). The light chain contains the Gla- and EGF-like domains and the aromatic segment. The heavy chain contains the protease domain and the activation petide. It is in this form that 85–90% of protein C circulates in the plasma as a 2234:
when warfarin is used to treat deep vein thrombosis associated with cancer. In these situations, warfarin may be restarted at a low dosage to ensure that the protein C deficiency does not present before the vitamin K coagulation factors II, IX and X are suppressed.
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The frequency of protein C deficiency among asymptomatic individuals is between 1 in 200 and 1 in 500. In contrast, significant symptoms of the deficiency are detectable in 1 in 20,000 individuals. No racial nor ethnic biases have been detected.
1389:, which measure global clotting function. Soon after this, Seegers recognised Stenflo's discovery was identical with his own. Activated protein C was discovered later that year, and in 1977 it was first recognised that APC inactivates Factor V 2021:
and antiapoptotic pathways, while the latter tend to be proinflammatory and proapoptotic. APC's mechanisms for altering gene expression profiles are not well understood, but it is believed that they at least partly involve an inhibitory effect on
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in the womb; this is very severe and usually fatal. Deletion of the protein C gene in mice causes fetal death around the time of birth. Fetal mice with no protein C develop normally at first, but experience severe bleeding,
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Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G (June 2008). "Pharmacology and management of the vitamin K antagonists: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)".
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injury, after studies showed that in patients with lung injury, reduced APC levels in specific parts of the lungs correlated with worse outcomes. APC also has been considered for use in improving patient outcome in cases of
2230:, which is a vitamin K antagonist and an anticoagulant itself. However, warfarin treatment may produce paradoxical skin lesions similar to those seen in purpura fulminans. A variant of this response presents as venous limb 2199:
mutation carry a risk of venous thrombosis 5–7 times higher than in the general population. Homozygous subjects have a risk 80 times higher. This mutation is also the most common hereditary risk for venous thrombosis among
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found that its use cannot be recommended since it does not improve survival and increases bleeding risk. In October 2011, Xigris was withdrawn from the market by Eli Lilly due to a higher mortality in a trial among adults.
1705:(cells on the inside of blood vessels). The presence of thrombomodulin accelerates activation by several orders of magnitude, and EPCR speeds up activation by a factor of 20. If either of these two proteins is absent in 1620:, waiting to be activated. The remaining protein C zymogen comprises slightly modified forms of the protein. Activation of the enzyme occurs when a thrombin molecule cleaves away the activation peptide from the 1506:
The biologic instructions for synthesising protein C in humans are encoded in the gene officially named "protein C (inactivator of coagulation factors Va and VIIIa)". The gene's symbol approved by the
2068:. APC inhibits the release of inflammatory-response mediators in leukocytes as well as endothelial cells, by reducing cytokine response, and maybe diminishing systemic inflammatory response, such as is seen in 348: 247: 2316:
Ceprotin was approved for medical used in the European Union in July 2001. Ceprotin is indicated in purpura fulminans and coumarin-induced skin necrosis in people with severe congenital protein C deficiency.
4612: 2293:, a medical emergency in which arterial blockage deprives a region of brain of oxygen, causing tissue death. Promising studies suggest that APC could be coupled with the only currently approved treatment, 1665:
residues in the protein sequence. This modification event is performed by a vitamin K-dependent microsomal carboxylase. The full complement of Gla is required to give full activity to protein C. (2) beta-
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Activated protein C also provides much protection of endothelial barrier function. Endothelial barrier breakdown, and the corresponding increase in endothelial permeability, are associated with
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average 40 IU/dL. The concentration of protein C increases until six months, when the mean level is 60 IU/dL; the level stays low through childhood until it reaches adult levels after
1417:. Homozygous protein C deficiency and the consequent serious health effects were described in 1984 by several scientists. cDNA cloning of protein C was first performed in 1984 by Beckmann 1950:
thus practically halts the production of thrombin. Factor VIII, on the other hand, is a cofactor in production of activated Factor X, which in turn converts prothrombin into thrombin. Factor VIII
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augments Factor X activation by a factor of around 200,000. Because of its importance in clotting, Factor VIII is also known as anti-haemophilic factor, and deficiencies of Factor VIII cause
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Bertina RM, Koeleman BP, Koster T, Rosendaal FR, Dirven RJ, de Ronde H, et al. (May 1994). "Mutation in blood coagulation factor V associated with resistance to activated protein C".
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Wildhagen KC, Lutgens E, Loubele ST, ten Cate H, Nicolaes GA (December 2011). "The structure-function relationship of activated protein C. Lessons from natural and engineered mutations".
3358:"Familial thrombophilia due to a previously unrecognized mechanism characterized by poor anticoagulant response to activated protein C: prediction of a cofactor to activated protein C" 2378:) on the endothelial surface bind to thrombomodulin and inhibit its participation in the activation of protein C by electrostatic interaction on the surface of thrombomodulin. 2859:
Mammen EF, Thomas WR, Seegers WH (December 1960). "Activation of purified prothrombin to autoprothrombin I or autoprothrombin II (platelet cofactor II or autoprothrombin II-A)".
1291:(EPCRs). Because of EPCR's role, activated protein C is found primarily near endothelial cells (i.e., those that make up the walls of blood vessels), and it is these cells and 2079:
Scientists recognise activated protein C's antiapoptotic effects, but are unclear as to the exact mechanisms by which apoptosis is inhibited. It is known that APC is
1793:. To a degree, APC's anticoagulant properties are independent of its cytoprotective ones, in that expression of one pathway is not affected by the existence of the other. 2064:. This reduces leukocyte adhesion and infiltration into tissues, while also limiting damage to underlying tissue. APC supports endothelial barrier function and reduces 1673:
to give erythro-L-beta-hydroxy-aspartate (bHA). The modification is required for functional activity as was demonstrated by mutating Asp71 to Glu. (3) N-linked
6094: 2187:. This mutation is also called a R506Q. The mutation leading to the loss of this cleavage site actually stops APC from effectively inactivating both Factor V 1756:
The protein C pathways are the specific chemical reactions that control the level of expression of APC and its activity in the body. Protein C is
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Riewald M, Petrovan RJ, Donner A, Mueller BM, Ruf W (June 2002). "Activation of endothelial cell protease activated receptor 1 by the protein C pathway".
3260:"The structure and evolution of a 461 amino acid human protein C precursor and its messenger RNA, based upon the DNA sequence of cloned human liver cDNAs" 1677:
at three possible glycosylation sites. Plasma human Protein C has been reported to be 23% carbohydrate by weight. (4) Disulfide formation. (5) Multiple
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Human protein C is a vitamin K-dependent glycoprotein structurally similar to other vitamin K-dependent proteins affecting blood clotting, such as
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Kisiel W, Canfield WM, Ericsson LH, Davie EW (December 1977). "Anticoagulant properties of bovine plasma protein C following activation by thrombin".
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MartĂ­-Carvajal AJ, SolĂ  I, Lathyris D, Cardona AF (March 2012). MartĂ­-Carvajal AJ (ed.). "Human recombinant activated protein C for severe sepsis".
4468:"Eosinophil cationic granule proteins impair thrombomodulin function. A potential mechanism for thromboembolism in hypereosinophilic heart disease" 2195:. Thus, the person's blood clots too readily, and he is perpetually at an increased risk for thrombosis. Individuals heterozygous for the Factor V 5694: 1685:, a 24 amino acid propeptide and then cleavages at amino acids 155-156 and 157-158 to yield the two-chain structure of the circulating zymogen. 5210: 2456: 2438: 1421:
which produced a map of the gene responsible for producing protein C in the liver. In 1987 a seminal experiment was performed (Taylor
2269:(DrotAA) for the clinical treatment of adults suffering from severe sepsis and with a high risk of death. Drotrecogin alfa-activated is a 5602: 2326: 1476:
may be ameliorated by infusion of APC, and mortality rates of septic patients may be significantly decreased. Near the end of that year,
1117: 4525: 1996:, and it is unknown to what degree Factor V and protein S are cofactors in its proteolysis. It is known that APC works on Factor VIII 1124: 3932:"Peptide bond cleavages and loss of functional activity during inactivation of factor Va and factor VaR506Q by activated protein C" 1829: 4621:: Crystal structure of the Endothelial protein C receptor with phospholipid in the groove in complex with Gla domain of protein C. 5714: 4653: 2723:
Eichacker PQ, Natanson C, Danner RL (October 2006). "Surviving sepsis--practice guidelines, marketing campaigns, and Eli Lilly".
2151: 1322:, has been surrounded by controversy. Eli Lilly ran an aggressive marketing campaign to promote its use for people with severe 3814:"Disruption of the endothelial cell protein C receptor gene in mice causes placental thrombosis and early embryonic lethality" 6472: 4577: 2519: 2494: 2421: 6462: 5471: 1965:
by making three cleavages (Arg, Arg, Arg). The cleavages at both Arg and Arg diminish the molecule's attraction to Factor X
69: 5687: 5030: 4122:"Refinement of evolutionary medicine predictions based on clinical evidence for the manifestations of Mendelian diseases" 2400: 5203: 3728:
Yan SC, Grinnell BW, Wold F (July 1989). "Post-translational modifications of proteins: some problems left to solve".
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España F, Berrettini M, Griffin JH (August 1989). "Purification and characterization of plasma protein C inhibitor".
1283:, another protein heavily involved in coagulation, and protein C's activation is greatly promoted by the presence of 5648: 1782:
respectively. When still bound to EPCR, activated protein C performs its cytoprotective effects, acting on the
4920: 1946:, increasing the rate at which thrombin is produced by four orders of magnitude (10,000x). Inactivation of Factor V 1508: 311: 2346: GLA-domainless protein C is produced by selective proteolysis between residues 82 and 83 to remove the 1551:. Protein C synthesis occurs in the liver and begins with a single-chain precursor molecule: a 32 amino acid 5476: 5312: 2425: 2404: 1821: 1797: 1713:
state. On the endothelium, APC performs a major role in regulating blood clotting, inflammation, and cell death (
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Vehar GA, Davie EW (February 1980). "Preparation and properties of bovine factor VIII (antihemophilic factor)".
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and inflammation, all problems of sepsis. APC protects endothelial barrier function by inducing PAR-1 dependent
1275:. Its structure is that of a two-chain polypeptide consisting of a light chain and a heavy chain connected by a 5680: 5252: 2179: 1790: 1698: 1495: 1300: 1288: 894: 6315: 5552: 5196: 4358:
Griffin JH, Fernández JA, Mosnier LO, Liu D, Cheng T, Guo H, et al. (2006). "The promise of protein C".
4024:"Effects of exogenous recombinant APC in mouse models of ischemia reperfusion injury and of atherosclerosis" 875: 5914: 5504: 5357: 4631: 4022:
Wildhagen KC, Schrijver R, Beckers L, ten Cate H, Reutelingsperger CP, Lutgens E, et al. (July 2014).
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Kisiel W, Ericsson LH, Davie EW (November 1976). "Proteolytic activation of protein C from bovine plasma".
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which are released during infection: cleavage of these histones eliminates their pro inflammatory effects.
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Bernard GR, Vincent JL, Laterre PF, LaRosa SP, Dhainaut JF, Lopez-Rodriguez A, et al. (March 2001).
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by reducing the amount either of available thrombomodulin or of EPCR. This may be done by inflammatory
1527:. The nucleotide sequence that codes for human protein C is approximately 11,000 bases long. 347: 246: 1992:
is present to stabilise it. Some have questioned the significance of APC's inactivation of Factor VIII
6416: 6403: 6390: 6377: 6364: 6351: 6338: 6300: 5829: 5814: 5592: 5120: 5080: 4570: 4401: 2888:"A new vitamin K-dependent protein. Purification from bovine plasma and preliminary characterization" 1327: 340: 239: 4228:"Plasmodium falciparum histones induce endothelial proinflammatory response and barrier dysfunction" 3763:
Weiler-Guettler H, Christie PD, Beeler DL, Healy AM, Hancock WW, Rayburn H, et al. (May 1998).
3309:"Protein C prevents the coagulopathic and lethal effects of Escherichia coli infusion in the baboon" 2354:(residues 47–88). The N-terminus was removed in order to make crystallization of the protein easier. 137: 6310: 6264: 6207: 5711: 5060: 5035: 2548:
Nicolaes GA, Dahlbäck B (February 2003). "Congenital and acquired activated protein C resistance".
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Nicolaes GA, Tans G, Thomassen MC, Hemker HC, Pabinger I, Varadi K, et al. (September 1995).
6212: 6104: 6069: 6064: 3001:"Protein C anticoagulant activity in relation to anti-inflammatory and anti-apoptotic activities" 2760:"Human recombinant protein C for severe sepsis and septic shock in adult and paediatric patients" 2107: 1430: 1402: 1385:. Seegers was, at the time, searching for vitamin K-dependent coagulation factors undetected by 1100: 1017: 993: 964: 5418: 5414: 5095: 4639: 2155: 2061: 2034: 5382: 3765:"A targeted point mutation in thrombomodulin generates viable mice with a prethrombotic state" 3112:"Regulation of activated protein C by a new protein. A possible function for bovine protein S" 6233: 6152: 6059: 5909: 5533: 5277: 5246: 5236: 4396: 4275:
Abraham E, Laterre PF, Garg R, Levy H, Talwar D, Trzaskoma BL, et al. (September 2005).
2274: 2240: 2143: 1319: 1295:(white blood cells) that APC affects. Because of the crucial role that protein C plays as an 1204: 2215:
does. These mutations include various other versions of Factor V, spontaneous generation of
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by cleaving at two sites, Arg and Arg, either of which is sufficient to disable Factor VIII
1605: 1480:, a recombinant human activated protein C, became the first drug approved by the U.S. 1410: 1257: 222: 5574: 178: 141:, APC, PC, PROC1, THPH3, THPH4, protein C, inactivator of coagulation factors Va and VIIIa 8: 6487: 6269: 5949: 5939: 5756: 5751: 5584: 5561: 5542: 5524: 5219: 5100: 5025: 4912: 4889: 4853: 4825: 4427:"Proteolytic formation and properties of gamma-carboxyglutamic acid-domainless protein C" 2367: 1845: 1443: 1238: 4137: 4039: 3593: 3428: 3373: 2617: 1191:, that is, an inactive enzyme. The activated form plays an important role in regulating 6482: 6477: 6202: 5227: 5050: 4306: 4252: 4227: 4208: 4154: 4121: 4058: 4023: 3999: 3972: 3705: 3678: 3656: 3613: 3557: 3532: 3448: 3240: 2836: 2811: 2784: 2759: 2573: 2111: 2095: 2042: 1864:
Protein C is a major component in anticoagulation in the human body. It acts as a
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Gillrie MR, Lee K, Gowda DC, Davis SP, Monestier M, Cui L, et al. (March 2012).
4200: 4195: 4178: 4159: 4102: 4063: 4004: 3973:"Inhibition of thrombin formation by active site mutated (S360A) activated protein C" 3953: 3912: 3908: 3877: 3835: 3794: 3745: 3741: 3710: 3648: 3605: 3562: 3510: 3440: 3397: 3392: 3357: 3338: 3289: 3232: 3227: 3210: 3182: 3133: 3092: 3057: 3022: 2944: 2909: 2868: 2841: 2789: 2740: 2705: 2641: 2577: 2565: 2515: 2490: 2302: 2223: 2147: 2135: 1928: 1833: 1828:. This cytokine is conjectured to improve activation of protein C by forming an 1825: 1702: 1640: 1567: 1498:(PAR-1) and this process accounts for the protein's modulation of the immune system. 1490: 1414: 130: 62: 4277:"Drotrecogin alfa (activated) for adults with severe sepsis and a low risk of death" 3812:
Gu JM, Crawley JT, Ferrell G, Zhang F, Li W, Esmon NL, et al. (November 2002).
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Taylor FB, Chang A, Esmon CT, D'Angelo A, Vigano-D'Angelo S, Blick KE (March 1987).
2211:. Other genetic mutations cause APC resistance, but none to the extent that Factor V 6248: 6243: 6217: 6145: 5723: 5625: 5620: 5040: 4857: 4810: 4487: 4479: 4438: 4367: 4336: 4332: 4310: 4288: 4247: 4239: 4212: 4190: 4149: 4141: 4094: 4053: 4043: 3994: 3984: 3943: 3904: 3869: 3825: 3784: 3776: 3737: 3700: 3690: 3660: 3640: 3597: 3552: 3548: 3544: 3500: 3452: 3432: 3387: 3377: 3328: 3320: 3279: 3271: 3258:
Beckmann RJ, Schmidt RJ, Santerre RF, Plutzky J, Crabtree GR, Long GL (July 1985).
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Around 5% of APC resistance are not associated with the above mutation and Factor V
2201: 2053: 1786: 1435: 1315: 1292: 427: 358: 302: 257: 30: 3873: 3533:"Drotrecogin alfa (activated): the first FDA-approved treatment for severe sepsis" 162: 6295: 6279: 6192: 5964: 5959: 5731: 5707: 5292: 5271: 5257: 4997: 4969: 4885: 4529: 4243: 4048: 2700: 2683: 2366: In hypereosinophilia, excess eosinophil-specific granule proteins (such as 2310: 2290: 2270: 2184: 2080: 2030: 1865: 1670: 1625: 1609: 1454: 1331: 1311: 1234: 1192: 402: 186: 3971:
Nicolaes GA, Bock PE, Segers K, Wildhagen KC, Dahlbäck B, Rosing J (July 2010).
3505: 3489:"Efficacy and safety of recombinant human activated protein C for severe sepsis" 3488: 2461:
National Center for Biotechnology Information, U.S. National Library of Medicine
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National Center for Biotechnology Information, U.S. National Library of Medicine
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Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
2371: 2131: 1904: 1694: 1682: 1636: 1597: 1589: 1579: 1555: 1469: 1379: 1303:, suffer from a significantly increased risk of forming dangerous blood clots ( 1284: 1276: 503: 1903:, which is a crucial element in blood clotting; together they are part of the 1464:). Two years later, Gla-domainless APC was imaged at a resolution of 2.8  6456: 6238: 6197: 6109: 5982: 5971: 5703: 5443: 5367: 5322: 5152: 5140: 4820: 3948: 3931: 3677:
D'Ursi P, Marino F, Caprera A, Milanesi L, Faioni EM, Rovida E (March 2007).
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MartĂ­-Carvajal AJ, SolĂ  I, Gluud C, Lathyris D, Cardona AF (December 2012).
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form of human activated protein C (rhAPC). It is marketed as Xigris by
563: 441: 6187: 6005: 5899: 5741: 5640: 5486: 5451: 5065: 4977: 4844: 4674: 4670: 4379: 4344: 4302: 4261: 4204: 4163: 4106: 4067: 4008: 3881: 3839: 3830: 3813: 3714: 3652: 3609: 3566: 3514: 3382: 3236: 3026: 2872: 2845: 2793: 2744: 2709: 2569: 2305:). Clinical use of APC has also been proposed for improving the outcome of 2216: 2160: 2057: 1924: 1757: 1725: 1632: 1426: 1393:. In 1980, Vehar and Davie discovered that APC also inactivates Factor VIII 1363: 1272: 1268: 1196: 585: 420: 199: 4501: 4452: 4098: 3957: 3916: 3798: 3749: 3444: 3401: 3342: 3293: 3186: 3137: 3096: 2913: 2645: 2178:
At least 177 disease-causing mutations in this gene have been discovered.
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specimens, the mouse dies from excessive blood-clotting while still in an
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Griffin JH, Evatt B, Zimmerman TS, Kleiss AJ, Wideman C (November 1981).
3061: 2948: 2561: 2298: 2099: 2049: 1939: 1876: 1768: 1741: 1678: 1585: 1574:-linked carbohydrates on each chain. The protein has one light chain (21 1246: 1227: 1216: 939: 920: 3088: 3053: 2940: 2736: 1631:
The Gla domain is particularly useful for binding to negatively charged
45: 6086: 6028: 5809: 5804: 5784: 5410: 5372: 5332: 5327: 5317: 5005: 4113: 2351: 2347: 2139: 2065: 1973:, inhibiting the latter from diminishing APC's inactivation of Factor V 1813: 1647:
efficiently. Another is necessary for interacting with thrombomodulin.
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structure of preproprotein C (top) and the mature heterodimer (bottom).
1575: 1559: 1552: 1540: 1520: 1304: 319: 216: 166: 5188: 4483: 3324: 3168: 1425:) whereby it was demonstrated that activated protein C prevented 107: 103: 99: 95: 91: 6385: 6359: 6114: 6100: 5919: 5799: 5789: 5509: 5466: 5461: 5342: 5337: 5115: 5085: 5075: 4987: 4466:
Slungaard A, Vercellotti GM, Tran T, Gleich GJ, Key NS (April 1993).
3436: 2812:"Recombinant human activated protein C for severe sepsis in neonates" 2512:
Concise dictionary of pharmacological agents: properties and synonyms
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Concise dictionary of pharmacological agents: properties and synonyms
2088: 2084: 2073: 2072:. Studies on both rats and humans have demonstrated that APC reduces 1916: 1745: 1733: 1714: 1563: 1544: 1398: 1264: 1200: 794: 386: 373: 285: 272: 174: 22: 3780: 6439: 6000: 5995: 5944: 5794: 5779: 5746: 5405: 5395: 5390: 4934: 4929: 4924: 4902: 4897: 4875: 4870: 4830: 2231: 2227: 2168: 1900: 1872: 1856: 1801: 1761: 1596:
Inactive protein C comprises 419 amino acids in multiple
1548: 1536: 1280: 1220: 1148: 3762: 1844:) for their reaction. In addition, Protein C is inhibited by 6054: 6044: 5990: 5904: 5736: 5657: 5499: 4982: 4865: 4662: 4549: 4539: 4326: 4021: 3017: 3000: 2244: 1868: 1721: 1617: 1613: 1566:
of Lys and Arg is removed; this causes the transformation into a
1453:. In 1994, the relatively common genetic mutation that produces 1375: 1188: 906: 861: 779: 775: 1860:
Blood coagulation and the protein C anticoagulation pathway
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published an article that first showed protein C activates
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is an acquired protein C deficiency due to treatment with
2164: 2069: 1888: 1710: 1485: 1473: 1323: 1242: 1132: 816: 594: 4555: 4465: 3679:"ProCMD: a database and 3D web resource for protein C mutants" 3414: 3257: 6372: 6090: 6076: 6015: 5889: 5884: 5879: 5874: 5869: 5864: 5472:
Protein Z-related protease inhibitor (ZPI) (inhibits FX, FXI)
5266: 5261: 4949: 4944: 4789: 4784: 4779: 4769: 4764: 4759: 4739: 4724: 4719: 4704: 4691: 2026: 1706: 1612:(97–132 and 136–176); an activation peptide (200–211); and a 4534:
Overview of all the structural information available in the
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portion of the protein that includes essentially all of the
2301:, in addition to preventing cell death from lack of oxygen ( 5859: 5854: 5849: 5844: 5839: 5834: 5824: 5819: 5286: 5130: 5045: 4939: 4754: 4749: 4744: 4729: 4714: 4709: 4699: 3970: 3929: 3486: 3150: 3039: 2285: 2025:
activity. Important proteins that APC up-regulates include
1805: 1524: 1253: 735:
positive regulation of establishment of endothelial barrier
6137: 4357: 3153:"Deficiency of protein C in congenital thrombotic disease" 2083:. Antiapoptosis is achieved with diminished activation of 2602:"The nucleotide sequence of the gene for human protein C" 2038: 1899:, are highly procoagulant cofactors in the generation of 1693:
The activation of protein C is strongly promoted by
1360: 745:
endoplasmic reticulum to Golgi vesicle-mediated transport
4083: 3355: 1643:
augments protein C's ability to inactivate Factor V
1472:
of 2001, it was recognised that many of the symptoms of
1314:
form of human Activated Protein C (rhAPC) known as
1299:, those with deficiencies in protein C, or some kind of 410: 3894: 3208: 2722: 2091:, improved Bax/Bcl-2 ratio and down-regulation of p53. 1984:
is not as well understood. The half-life of Factor VIII
1748:
of activated protein C is around 15 minutes.
1681:
of the polypeptide backbone to remove an 18 amino acid
1442:
In 1993, a heritable resistance to APC was detected by
5477:
Tissue factor pathway inhibitor (TFPI) (inhibits FIII)
4274: 2681: 1279:. The protein C zymogen is activated when it binds to 6428: 4521:
online database for peptidases and their inhibitors:
3811: 3356:
Dahlbäck B, Carlsson M, Svensson PJ (February 1993).
575: 4225: 3860:
Esmon CT (September 2003). "The protein C pathway".
2599: 2297:(tPA), to protect the brain from tPA's very harmful 2926: 2858: 2146:for the deficiency, there may be a presentation of 1207:of blood vessel walls in humans and other animals. 5543:Thrombin-activatable fibrinolysis inhibitor (TAFI) 2682:Mosnier LO, Zlokovic BV, Griffin JH (April 2007). 2417: 2415: 2413: 2396: 2394: 2392: 1701:(EPCR), the latter of which is found primarily on 1347:role in the human body was first noted by Seegers 5603:Activated protein C–protein C inhibitor (APC–PCI) 4424: 4179:"The discovery of activated protein C resistance" 4119: 3209:Goldenberg NA, Manco-Johnson MJ (November 2008). 1374:because it was the third protein ("peak C") that 357: 256: 6454: 4391: 4389: 2547: 1628:typical of serine proteases (His, Asp and Ser). 1624:of the heavy chain. The active site contains a 5452:Antithrombin (inhibits FII, FIX, FX, FXI, FXII) 3756: 3727: 2410: 2389: 1891:. These proteins that APC inactivates, Factor V 1351:in 1960, who gave protein C its original name, 4079: 4077: 2998: 2600:Foster DC, Yoshitake S, Davie EW (July 1985). 2422:GRCm38: Ensembl release 89: ENSMUSG00000024386 2056:. APC affects endothelial cells by inhibiting 1578:) and one heavy chain (41 kDa) connected by a 1405:by Walker. In 1982, a family study by Griffin 6153: 5688: 5204: 4647: 4571: 4386: 3204: 3202: 3200: 3198: 3196: 2037:. APC effects significant down-regulation of 1887:), and one of the amino acids in the bond is 1871:: APC proteolyses peptide bonds in activated 1836:(GAG) domain of thrombomodulin, reducing the 1653:. Human Protein C has at least five types of 4351: 2994: 2992: 2990: 2988: 2986: 2984: 2982: 2980: 2978: 2809: 2751: 2716: 2076:-induced pulmonary injury and inflammation. 750:negative regulation of inflammatory response 4425:Esmon NL, DeBault LE, Esmon CT (May 1983). 4329:The Cochrane Database of Systematic Reviews 4219: 4074: 2976: 2974: 2972: 2970: 2968: 2966: 2964: 2962: 2960: 2958: 2816:The Cochrane Database of Systematic Reviews 2764:The Cochrane Database of Systematic Reviews 2401:GRCh38: Ensembl release 89: ENSG00000115718 2134:, causes a significantly increased risk of 1988:is only around two minutes unless Factor IX 1907:. Cofactors in the inactivation of Factor V 1530: 1366:in 1976, and Stenflo determined it to be a 760:regulation of circulating fibrinogen levels 6160: 6146: 5695: 5681: 5211: 5197: 4654: 4640: 4578: 4564: 4015: 3193: 3074: 2677: 2675: 2543: 2541: 2539: 2537: 2535: 2533: 2531: 2509: 2484: 1851: 1728:at concentrations between 65 and 135  1610:epidermal growth factor (EGF)-like domains 5520:Plasminogen activator inhibitor-2 (PAI-2) 5515:Plasminogen activator inhibitor-1 (PAI-1) 4491: 4459: 4442: 4292: 4251: 4194: 4153: 4120:Ĺ imÄŤĂ­ková D, Heneberg P (December 2019). 4057: 4047: 3998: 3988: 3964: 3947: 3923: 3829: 3788: 3704: 3694: 3624: 3556: 3504: 3391: 3381: 3349: 3332: 3283: 3226: 3176: 3127: 3016: 2999:Mosnier LO, Griffin JH (September 2006). 2903: 2835: 2783: 2699: 2673: 2671: 2669: 2667: 2665: 2663: 2661: 2659: 2657: 2655: 2635: 2625: 2011: 1249:. In humans, protein C is encoded by the 1215:) performs these operations primarily by 534:fetal liver hematopoietic progenitor cell 4176: 4170: 3855: 3853: 3851: 3849: 3672: 3670: 3526: 3524: 3251: 2955: 2805: 2803: 2595: 2593: 2591: 2589: 2587: 2480: 2478: 2476: 2474: 2472: 2470: 2284:APC has been studied as way of treating 1855: 1832:from protein C's Gla domain to the 1584: 1326:and septic shock and sponsored the 2004 730:negative regulation of apoptotic process 720:negative regulation of blood coagulation 5218: 4960:Structural maintenance of chromosomes 3 4548:(Vitamin K-dependent protein C) at the 4268: 3573: 3459: 3408: 3144: 3033: 2885: 2879: 2852: 2528: 2327:Activated protein C–protein C inhibitor 1355:. Protein C was first isolated by 765:post-translational protein modification 16:Mammalian protein found in Homo sapiens 6455: 5708:serine proteases/serine endopeptidases 5313:High-molecular-weight kininogen (HMWK) 4418: 4322: 4320: 3888: 3300: 3109: 3103: 2920: 2684:"The cytoprotective protein C pathway" 2652: 2152:disseminated intravascular coagulation 1796:The activity of protein C may be 1724:form is present in normal adult human 6141: 5676: 5192: 4635: 4559: 4472:The Journal of Clinical Investigation 4360:Blood Cells, Molecules & Diseases 4183:Journal of Thrombosis and Haemostasis 3859: 3846: 3769:The Journal of Clinical Investigation 3667: 3530: 3521: 3465:PROWESS: recombinant Human Activated 3313:The Journal of Clinical Investigation 3157:The Journal of Clinical Investigation 3068: 2861:Thrombosis et Diathesis Haemorrhagica 2800: 2584: 2503: 2467: 2048:APC has anti-inflammatory effects on 1820:heart disease. Protein C may be 1263:The zymogenic form of protein C is a 362: 323: 318: 261: 220: 215: 1635:for anticoagulation and to EPCR for 1310:Research into the clinical use of a 1289:endothelial protein C receptors 5598:Thrombin–antithrombin complex (TAT) 4431:The Journal of Biological Chemistry 4317: 4281:The New England Journal of Medicine 3977:The Journal of Biological Chemistry 3936:The Journal of Biological Chemistry 3818:The Journal of Biological Chemistry 3493:The New England Journal of Medicine 3116:The Journal of Biological Chemistry 2892:The Journal of Biological Chemistry 2725:The New England Journal of Medicine 2250: 2180:Activated protein C resistance 2130:, in its mild form associated with 1699:endothelial protein C receptor 13: 5505:Tissue plasminogen activator (tPA) 5462:Protein S (cofactor for protein C) 3805: 2810:Kylat RI, Ohlsson A (April 2012). 2121: 1816:, which may explain thrombosis in 1562:. Protein C is formed when a 715:negative regulation of coagulation 648:serine-type endopeptidase activity 14: 6504: 5071:Cholesterylester transfer protein 4921:Chondroitin sulfate proteoglycans 4511: 4232:The American Journal of Pathology 6438: 4611: 4596: 4196:10.1046/j.1538-7836.2003.00016.x 3228:10.1111/j.1365-2516.2008.01838.x 2307:pancreatic islet transplantation 1655:post-translational modifications 1651:Post-translational modifications 1509:HUGO Gene Nomenclature Committee 584: 346: 339: 333: 310: 245: 238: 232: 207: 44: 5593:Prothrombin fragment 1+2 (F1+2) 5253:Platelet membrane glycoproteins 4585: 3721: 1980:The inactivation of Factor VIII 1519:". It is located on the second 5457:Protein C (inhibits FV, FVIII) 4337:10.1002/14651858.CD004388.pub5 3730:Trends in Biochemical Sciences 3549:10.1080/08998280.2002.11927844 2828:10.1002/14651858.CD005385.pub3 2776:10.1002/14651858.CD004388.pub6 2449: 2431: 1523:(2q13-q14) and comprises nine 1468:. Beginning with the PROWESS 1433:with lethal concentrations of 643:serine-type peptidase activity 595:More reference expression data 564:More reference expression data 484:olfactory zone of nasal mucosa 1: 5920:Urinary plasminogen activator 4444:10.1016/S0021-9258(20)81925-5 3874:10.1378/chest.124.3_suppl.26S 3129:10.1016/S0021-9258(19)70660-7 2905:10.1016/S0021-9258(17)33886-3 2550:Seminars in Vascular Medicine 2383: 2106:activation and up-regulating 2058:inflammatory mediator release 2004:and convert it to Factor VIII 1791:protease-activated receptor-1 1688: 1496:protease-activated receptor-1 1449:and associated with familial 331: 230: 6473:Peripheral membrane proteins 5915:Tissue plasminogen activator 4244:10.1016/j.ajpath.2011.11.037 4049:10.1371/journal.pone.0101446 3909:10.1016/0049-3848(89)90069-8 3742:10.1016/0968-0004(89)90060-1 2701:10.1182/blood-2006-09-003004 2358: 2338: 2295:tissue plasminogen activator 2263:Food and Drug Administration 2238:Activated protein C cleaves 1774:, turning them into Factor V 1604:(residues 43–88); a helical 1478:Drotrecogin alfa (activated) 1330:Guidelines. However, a 2012 1185:blood coagulation factor XIV 7: 6463:Genes on human chromosome 2 6167: 5333:Factor XII (Hageman factor) 5247:von Willebrand factor (vWF) 5168:Tumor necrosis factor alpha 4606:: Human activated protein C 4177:Dahlbäck B (January 2003). 3506:10.1056/NEJM200103083441001 2376:eosinophil cationic protein 2320: 2062:vascular adhesion molecules 1751: 1669:of Asp71 in one of the two 1501: 1368:vitamin K-dependent protein 674:endoplasmic reticulum lumen 10: 6509: 5653:-antiplasmin complex (PAP) 5368:Factor III (tissue factor) 5158:Thyroxine-binding proteins 4372:10.1016/j.bcmd.2005.12.023 4146:10.1038/s41598-019-54976-4 3696:10.1186/1471-2105-8-S1-S11 3633:Thrombosis and Haemostasis 2886:Stenflo J (January 1976). 2510:Hall JA, Morton I (1999). 2485:Hall JA, Morton I (1999). 2267:Drotrecogin alfa-activated 2254: 1383:ion-exchange chromotograph 1338: 1316:Drotrecogin alfa-activated 464:mucosa of transverse colon 20: 6324: 6316:Michaelis–Menten kinetics 6288: 6257: 6226: 6175: 6037: 6014: 6006:Proteinase 3/Myeloblastin 5980: 5930: 5767: 5722: 5639: 5611: 5583: 5560: 5551: 5485: 5442: 5381: 5356: 5301: 5235: 5226: 5121:Serum amyloid P component 5081:Colony-stimulating factor 5018: 4996: 4968: 4911: 4884: 4852: 4843: 4798: 4690: 4681: 4591: 4402:European Medicines Agency 2457:"Mouse PubMed Reference:" 2439:"Human PubMed Reference:" 2138:in adults. If a fetus is 2128:protein C deficiency 1411:protein C deficiency 1328:Surviving Sepsis Campaign 1233:. APC is classified as a 1163: 1158: 1154: 1147: 1131: 1118:Chr 2: 127.42 – 127.43 Mb 1112: 1085: 1081: 1040: 1016: 1009: 982: 978: 961: 957: 950: 937: 933: 918: 914: 905: 892: 888: 873: 869: 860: 847: 843: 828: 824: 815: 800: 793: 789: 773: 613: 609: 592: 583: 574: 561: 510: 501: 448: 439: 409: 401: 397: 380: 367: 330: 309: 300: 296: 279: 266: 229: 206: 197: 193: 148: 145: 135: 128: 123: 88: 83: 66: 61: 56: 52: 43: 38: 6208:Diffusion-limited enzyme 5575:β-Thromboglobulin (β-TG) 5061:B-cell activating factor 5036:Alpha 1-antichymotrypsin 3949:10.1074/jbc.270.36.21158 2332: 1961:APC inactivates Factor V 1921:high-density lipoprotein 1846:protein C inhibitor 1531:Structure and processing 1209:Activated protein C 1125:Chr 18: 32.26 – 32.27 Mb 21:Not to be confused with 5570:Platelet factor 4 (PF4) 5467:Protein Z (inhibits FX) 5401:Prothrombin (factor II) 3990:10.1074/jbc.M110.131029 3602:10.1126/science.1071699 3531:Hosac AM (April 2002). 3110:Walker FJ (June 1980). 3005:Frontiers in Bioscience 2627:10.1073/pnas.82.14.4673 2108:sphingosine-1-phosphate 1852:Anticoagulative effects 1810:tumor necrosis factor-α 6060:Proprotein convertases 5626:Fibrinopeptide B (FpB) 5621:Fibrinopeptide A (FpA) 5293:Glycoprotein VI (GPVI) 5258:Glycoprotein Ib (GPIb) 5096:Membrane glycoproteins 4093:(6 Suppl): 160S–198S. 3831:10.1074/jbc.M207538200 3383:10.1073/pnas.90.3.1004 3276:10.1093/nar/13.14.5233 3264:Nucleic Acids Research 3211:"Protein C deficiency" 2261:In November 2001, the 2156:venous thromboembolism 2012:Cytoprotective effects 1905:prothrombinase complex 1861: 1593: 1370:. He named it protein 1219:inactivating proteins 472:metanephric glomerulus 6301:Eadie–Hofstee diagram 6234:Allosteric regulation 5910:Plasminogen activator 5444:Anticoagulant factors 5411:Fibrinogen (factor I) 5406:Thrombin (factor IIa) 5278:Glycoprotein IIb/IIIa 5272:Glycoprotein IX (GP9) 5239:(platelet activation) 4099:10.1378/chest.08-0670 2275:Eli Lilly and Company 2241:Plasmodium falciparum 2144:compound heterozygous 2132:simple heterozygosity 1859: 1679:proteolytic cleavages 1608:segment (89–96); two 1588: 1582:between Cys and Cys. 1429:and death in baboons 1320:Eli Lilly and Company 684:endoplasmic reticulum 325:Chromosome 18 (mouse) 6311:Lineweaver–Burk plot 6050:Prolyl endopeptidase 5631:Fibrin monomers (FM) 5487:Fibrinolytic factors 5305:(contact activation) 4294:10.1056/NEJMoa050935 3868:(3 Suppl): 26S–32S. 3645:10.1160/TH11-08-0522 2562:10.1055/s-2003-38331 2104:sphingosine kinase-1 2060:and down-regulating 2023:transcription factor 1830:electrostatic bridge 1484:for treating severe 1401:was recognised as a 1353:autoprothrombin II-a 1318:, branded Xigris by 1256:, which is found on 1237:since it contains a 1203:and maintaining the 679:extracellular region 223:Chromosome 2 (human) 84:List of PDB id codes 57:Available structures 5585:Thrombin generation 5562:Platelet activation 5553:Coagulation markers 5228:Coagulation factors 5220:Coagulation cascade 5101:Myelin protein zero 5026:Activin and inhibin 4826:Phytohaemagglutinin 4406:. 17 September 2018 4138:2019NatSR...918577S 4040:2014PLoSO...9j1446W 3983:(30): 22890–22900. 3942:(36): 21158–21166. 3897:Thrombosis Research 3824:(45): 43335–43343. 3594:2002Sci...296.1880R 3588:(5574): 1880–1882. 3429:1994Natur.369...64B 3374:1993PNAS...90.1004D 3089:10.1021/bi00544a001 3054:10.1021/bi00645a029 2941:10.1021/bi00667a022 2737:10.1056/NEJMp068197 2618:1985PNAS...82.4673F 2514:. Kluwer Academic. 2489:. Kluwer Academic. 2368:major basic protein 1460:was noted (Bertina 1409:. first associated 1271:that circulates in 1181:autoprothrombin IIA 694:extracellular space 628:calcium ion binding 550:seminiferous tubule 452:right lobe of liver 6468:Coagulation system 6270:Enzyme superfamily 6203:Enzyme promiscuity 5425:Fibrin (factor Ia) 5237:Primary hemostasis 5051:Asialoglycoprotein 4528:2007-09-16 at the 4126:Scientific Reports 3683:BMC Bioinformatics 2112:sphingosine kinase 1929:glycosphingolipids 1862: 1838:Michaelis constant 1720:Protein C in 1661:on the first nine 1594: 1397:, and soon after, 895:ENSMUSG00000024386 703:Biological process 662:Cellular component 653:hydrolase activity 633:peptidase activity 621:Molecular function 514:left lobe of liver 27:C-reactive protein 6426: 6425: 6135: 6134: 5932:Complement system 5724:Digestive enzymes 5670: 5669: 5666: 5665: 5613:Fibrin generation 5438: 5437: 5358:Extrinsic pathway 5303:Intrinsic pathway 5186: 5185: 5126:Sialoglycoprotein 5014: 5013: 4955:Platelet factor 4 4839: 4838: 4629: 4628: 4484:10.1172/JCI116382 4287:(13): 1332–1341. 3325:10.1172/JCI112902 3270:(14): 5233–5247. 3169:10.1172/JCI110385 3122:(12): 5521–5524. 3048:(26): 5824–5831. 2935:(22): 4893–4900. 2731:(16): 1640–1642. 2612:(14): 4673–4677. 2521:978-0-7514-0499-9 2496:978-0-7514-0499-9 2224:Warfarin necrosis 2154:and simultaneous 2148:purpura fulminans 2136:venous thrombosis 1834:glycosaminoglycan 1826:platelet factor 4 1818:hypereosinophilic 1703:endothelial cells 1639:. One particular 1415:venous thrombosis 1413:with symptoms of 1301:resistance to APC 1174: 1173: 1170: 1169: 1143: 1142: 1108: 1107: 1075: 1074: 1005: 1004: 972: 971: 946: 945: 927: 926: 901: 900: 882: 881: 856: 855: 837: 836: 785: 784: 755:liver development 725:blood coagulation 605: 604: 601: 600: 570: 569: 557: 556: 495: 494: 393: 392: 292: 291: 119: 118: 115: 114: 67:Ortholog search: 6500: 6443: 6442: 6434: 6306:Hanes–Woolf plot 6249:Enzyme activator 6244:Enzyme inhibitor 6218:Enzyme catalysis 6162: 6155: 6148: 6139: 6138: 5697: 5690: 5683: 5674: 5673: 5558: 5557: 5233: 5232: 5213: 5206: 5199: 5190: 5189: 5041:Apolipoprotein H 4850: 4849: 4811:Intrinsic factor 4688: 4687: 4656: 4649: 4642: 4633: 4632: 4615: 4600: 4580: 4573: 4566: 4557: 4556: 4506: 4505: 4495: 4478:(4): 1721–1730. 4463: 4457: 4456: 4446: 4437:(9): 5548–5553. 4422: 4416: 4415: 4413: 4411: 4393: 4384: 4383: 4355: 4349: 4348: 4324: 4315: 4314: 4296: 4272: 4266: 4265: 4255: 4238:(3): 1028–1039. 4223: 4217: 4216: 4198: 4174: 4168: 4167: 4157: 4117: 4111: 4110: 4081: 4072: 4071: 4061: 4051: 4019: 4013: 4012: 4002: 3992: 3968: 3962: 3961: 3951: 3927: 3921: 3920: 3892: 3886: 3885: 3857: 3844: 3843: 3833: 3809: 3803: 3802: 3792: 3775:(9): 1983–1991. 3760: 3754: 3753: 3725: 3719: 3718: 3708: 3698: 3689:(Suppl 1): S11. 3674: 3665: 3664: 3639:(6): 1034–1045. 3628: 3622: 3621: 3577: 3571: 3570: 3560: 3528: 3519: 3518: 3508: 3463: 3457: 3456: 3437:10.1038/369064a0 3412: 3406: 3405: 3395: 3385: 3368:(3): 1004–1008. 3353: 3347: 3346: 3336: 3304: 3298: 3297: 3287: 3255: 3249: 3248: 3230: 3221:(6): 1214–1221. 3206: 3191: 3190: 3180: 3163:(5): 1370–1373. 3148: 3142: 3141: 3131: 3107: 3101: 3100: 3072: 3066: 3065: 3037: 3031: 3030: 3020: 2996: 2953: 2952: 2924: 2918: 2917: 2907: 2883: 2877: 2876: 2856: 2850: 2849: 2839: 2807: 2798: 2797: 2787: 2770:(12): CD004388. 2755: 2749: 2748: 2720: 2714: 2713: 2703: 2694:(8): 3161–3172. 2679: 2650: 2649: 2639: 2629: 2597: 2582: 2581: 2545: 2526: 2525: 2507: 2501: 2500: 2482: 2465: 2464: 2453: 2447: 2446: 2435: 2429: 2419: 2408: 2398: 2361: 2341: 2257:drotrecogin alfa 2251:Role in medicine 2163:, deposition of 1671:EGF-like domains 1511:is "PROC" from " 1179:, also known as 1156: 1155: 1127: 1120: 1103: 1079: 1078: 1070: 1014: 1013: 1010:RefSeq (protein) 1000: 976: 975: 967: 955: 954: 931: 930: 912: 911: 886: 885: 867: 866: 841: 840: 822: 821: 791: 790: 611: 610: 597: 588: 581: 580: 566: 506: 504:Top expressed in 499: 498: 444: 442:Top expressed in 437: 436: 416: 415: 399: 398: 389: 376: 365: 350: 343: 337: 326: 314: 298: 297: 288: 275: 264: 249: 242: 236: 225: 211: 195: 194: 189: 187:PROC - orthologs 140: 133: 110: 81: 80: 75: 54: 53: 48: 36: 35: 31:protein kinase C 6508: 6507: 6503: 6502: 6501: 6499: 6498: 6497: 6453: 6452: 6449: 6437: 6429: 6427: 6422: 6334:Oxidoreductases 6320: 6296:Enzyme kinetics 6284: 6280:List of enzymes 6253: 6222: 6193:Catalytic triad 6171: 6166: 6136: 6131: 6033: 6010: 5976: 5926: 5763: 5732:Enteropeptidase 5718: 5701: 5671: 5662: 5652: 5635: 5607: 5579: 5547: 5537: 5528: 5481: 5434: 5377: 5360:(tissue factor) 5359: 5352: 5304: 5297: 5238: 5222: 5217: 5187: 5182: 5010: 4992: 4964: 4907: 4880: 4835: 4794: 4677: 4660: 4630: 4625: 4622: 4616: 4607: 4601: 4587: 4584: 4530:Wayback Machine 4514: 4509: 4464: 4460: 4423: 4419: 4409: 4407: 4397:"Ceprotin EPAR" 4395: 4394: 4387: 4356: 4352: 4331:(3): CD004388. 4325: 4318: 4273: 4269: 4224: 4220: 4175: 4171: 4118: 4114: 4082: 4075: 4020: 4016: 3969: 3965: 3928: 3924: 3893: 3889: 3858: 3847: 3810: 3806: 3781:10.1172/JCI2006 3761: 3757: 3726: 3722: 3675: 3668: 3629: 3625: 3578: 3574: 3529: 3522: 3499:(10): 699–709. 3464: 3460: 3423:(6475): 64–67. 3413: 3409: 3354: 3350: 3305: 3301: 3256: 3252: 3207: 3194: 3149: 3145: 3108: 3104: 3073: 3069: 3038: 3034: 2997: 2956: 2925: 2921: 2884: 2880: 2857: 2853: 2822:(4): CD005385. 2808: 2801: 2756: 2752: 2721: 2717: 2680: 2653: 2598: 2585: 2546: 2529: 2522: 2508: 2504: 2497: 2483: 2468: 2455: 2454: 2450: 2437: 2436: 2432: 2420: 2411: 2399: 2390: 2386: 2379: 2355: 2335: 2323: 2311:type I diabetes 2291:ischemic stroke 2259: 2253: 2214: 2210: 2198: 2194: 2191:and Factor VIII 2190: 2185:Factor V Leiden 2124: 2122:Role in disease 2081:neuroprotective 2014: 2007: 2003: 1999: 1995: 1991: 1987: 1983: 1976: 1972: 1968: 1964: 1953: 1949: 1945: 1937: 1914: 1911:and Factor VIII 1910: 1898: 1895:and Factor VIII 1894: 1886: 1883:and Factor VIII 1882: 1866:serine protease 1854: 1843: 1781: 1778:and Factor VIII 1777: 1772: 1765: 1754: 1691: 1646: 1626:catalytic triad 1533: 1504: 1458: 1396: 1392: 1387:clotting assays 1341: 1332:Cochrane review 1235:serine protease 1231: 1224: 1217:proteolytically 1193:anticoagulation 1165:View/Edit Mouse 1160:View/Edit Human 1123: 1116: 1113:Location (UCSC) 1099: 1095: 1091: 1087: 1066: 1062: 1058: 1054: 1050: 1046: 1042: 1036: 1032: 1028: 1024: 1020: 996: 992: 988: 984: 963: 876:ENSG00000115718 769: 698: 669:Golgi apparatus 657: 638:protein binding 593: 562: 553: 548: 544: 540: 536: 532: 528: 526:proximal tubule 524: 520: 516: 502: 491: 486: 482: 478: 476:body of stomach 474: 470: 466: 462: 458: 454: 440: 384: 371: 363: 353: 352: 351: 344: 324: 301:Gene location ( 283: 270: 262: 252: 251: 250: 243: 221: 198:Gene location ( 149: 136: 129: 90: 68: 34: 17: 12: 11: 5: 6506: 6496: 6495: 6490: 6485: 6480: 6475: 6470: 6465: 6448: 6447: 6424: 6423: 6421: 6420: 6407: 6394: 6381: 6368: 6355: 6342: 6328: 6326: 6322: 6321: 6319: 6318: 6313: 6308: 6303: 6298: 6292: 6290: 6286: 6285: 6283: 6282: 6277: 6272: 6267: 6261: 6259: 6258:Classification 6255: 6254: 6252: 6251: 6246: 6241: 6236: 6230: 6228: 6224: 6223: 6221: 6220: 6215: 6210: 6205: 6200: 6195: 6190: 6185: 6179: 6177: 6173: 6172: 6165: 6164: 6157: 6150: 6142: 6133: 6132: 6130: 6129: 6128: 6127: 6122: 6112: 6107: 6098: 6084: 6079: 6074: 6073: 6072: 6067: 6057: 6052: 6047: 6041: 6039: 6035: 6034: 6032: 6031: 6026: 6020: 6018: 6012: 6011: 6009: 6008: 6003: 5998: 5993: 5987: 5985: 5978: 5977: 5975: 5974: 5969: 5968: 5967: 5962: 5952: 5947: 5942: 5936: 5934: 5928: 5927: 5925: 5924: 5923: 5922: 5917: 5907: 5895: 5894: 5893: 5892: 5887: 5882: 5877: 5872: 5867: 5862: 5857: 5852: 5847: 5842: 5837: 5832: 5827: 5822: 5817: 5807: 5802: 5797: 5792: 5787: 5782: 5773: 5771: 5765: 5764: 5762: 5761: 5760: 5759: 5754: 5744: 5739: 5734: 5728: 5726: 5720: 5719: 5704:Endopeptidases 5700: 5699: 5692: 5685: 5677: 5668: 5667: 5664: 5663: 5661: 5660: 5655: 5650: 5645: 5643: 5637: 5636: 5634: 5633: 5628: 5623: 5617: 5615: 5609: 5608: 5606: 5605: 5600: 5595: 5589: 5587: 5581: 5580: 5578: 5577: 5572: 5566: 5564: 5555: 5549: 5548: 5546: 5545: 5540: 5538:-Macroglobulin 5535: 5531: 5526: 5522: 5517: 5512: 5507: 5502: 5497: 5491: 5489: 5483: 5482: 5480: 5479: 5474: 5469: 5464: 5459: 5454: 5448: 5446: 5440: 5439: 5436: 5435: 5433: 5432: 5427: 5422: 5408: 5403: 5398: 5393: 5387: 5385: 5383:Common pathway 5379: 5378: 5376: 5375: 5370: 5364: 5362: 5354: 5353: 5351: 5350: 5345: 5340: 5335: 5330: 5325: 5320: 5315: 5309: 5307: 5299: 5298: 5296: 5295: 5290: 5284: 5275: 5269: 5264: 5249: 5243: 5241: 5230: 5224: 5223: 5216: 5215: 5208: 5201: 5193: 5184: 5183: 5181: 5180: 5175: 5170: 5165: 5160: 5155: 5150: 5148:Thrombopoietin 5145: 5144: 5143: 5138: 5133: 5123: 5118: 5113: 5108: 5103: 5098: 5093: 5088: 5083: 5078: 5073: 5068: 5063: 5058: 5053: 5048: 5043: 5038: 5033: 5028: 5022: 5020: 5016: 5015: 5012: 5011: 5009: 5008: 5002: 5000: 4994: 4993: 4991: 4990: 4985: 4980: 4974: 4972: 4966: 4965: 4963: 4962: 4957: 4952: 4947: 4942: 4937: 4932: 4927: 4917: 4915: 4909: 4908: 4906: 4905: 4900: 4894: 4892: 4882: 4881: 4879: 4878: 4873: 4868: 4862: 4860: 4847: 4841: 4840: 4837: 4836: 4834: 4833: 4828: 4823: 4818: 4813: 4808: 4802: 4800: 4796: 4795: 4793: 4792: 4787: 4782: 4777: 4772: 4767: 4762: 4757: 4752: 4747: 4742: 4737: 4732: 4727: 4722: 4717: 4712: 4707: 4702: 4696: 4694: 4685: 4679: 4678: 4667:glycoconjugate 4659: 4658: 4651: 4644: 4636: 4627: 4626: 4624: 4623: 4617: 4610: 4608: 4602: 4595: 4592: 4589: 4588: 4583: 4582: 4575: 4568: 4560: 4554: 4553: 4532: 4513: 4512:External links 4510: 4508: 4507: 4458: 4417: 4385: 4366:(2): 211–216. 4350: 4316: 4267: 4218: 4169: 4112: 4073: 4034:(7): e101446. 4014: 3963: 3922: 3903:(3): 369–384. 3887: 3845: 3804: 3755: 3736:(7): 264–268. 3720: 3666: 3623: 3572: 3543:(2): 224–227. 3520: 3458: 3407: 3348: 3319:(3): 918–925. 3299: 3250: 3192: 3143: 3102: 3083:(3): 401–410. 3067: 3032: 2954: 2919: 2898:(2): 355–363. 2878: 2851: 2799: 2750: 2715: 2651: 2583: 2527: 2520: 2502: 2495: 2466: 2448: 2430: 2409: 2387: 2385: 2382: 2381: 2380: 2372:erythropoietin 2356: 2334: 2331: 2330: 2329: 2322: 2319: 2252: 2249: 2217:autoantibodies 2212: 2208: 2196: 2192: 2188: 2171:of the liver. 2123: 2120: 2013: 2010: 2005: 2001: 1997: 1993: 1989: 1985: 1981: 1974: 1970: 1966: 1962: 1951: 1947: 1943: 1935: 1912: 1908: 1896: 1892: 1884: 1880: 1853: 1850: 1841: 1806:interleukin-1β 1798:down-regulated 1779: 1775: 1770: 1763: 1753: 1750: 1695:thrombomodulin 1690: 1687: 1683:signal peptide 1644: 1637:cytoprotection 1580:disulfide bond 1556:signal peptide 1532: 1529: 1503: 1500: 1470:clinical trial 1456: 1394: 1390: 1380:DEAE-Sepharose 1340: 1337: 1285:thrombomodulin 1277:disulfide bond 1229: 1222: 1177:Protein C 1172: 1171: 1168: 1167: 1162: 1152: 1151: 1145: 1144: 1141: 1140: 1138: 1136: 1129: 1128: 1121: 1114: 1110: 1109: 1106: 1105: 1083: 1082: 1076: 1073: 1072: 1038: 1037: 1011: 1007: 1006: 1003: 1002: 980: 979: 973: 970: 969: 959: 958: 952: 948: 947: 944: 943: 935: 934: 928: 925: 924: 916: 915: 909: 903: 902: 899: 898: 890: 889: 883: 880: 879: 871: 870: 864: 858: 857: 854: 853: 845: 844: 838: 835: 834: 826: 825: 819: 813: 812: 807: 802: 798: 797: 787: 786: 783: 782: 771: 770: 768: 767: 762: 757: 752: 747: 742: 737: 732: 727: 722: 717: 712: 706: 704: 700: 699: 697: 696: 691: 686: 681: 676: 671: 665: 663: 659: 658: 656: 655: 650: 645: 640: 635: 630: 624: 622: 618: 617: 607: 606: 603: 602: 599: 598: 590: 589: 578: 572: 571: 568: 567: 559: 558: 555: 554: 552: 551: 547: 543: 539: 538:primary oocyte 535: 531: 527: 523: 519: 515: 511: 508: 507: 496: 493: 492: 490: 489: 485: 481: 477: 473: 469: 465: 461: 457: 453: 449: 446: 445: 433: 432: 424: 413: 407: 406: 403:RNA expression 395: 394: 391: 390: 382: 378: 377: 369: 366: 361: 355: 354: 345: 338: 332: 328: 327: 322: 316: 315: 307: 306: 294: 293: 290: 289: 281: 277: 276: 268: 265: 260: 254: 253: 244: 237: 231: 227: 226: 219: 213: 212: 204: 203: 191: 190: 147: 143: 142: 134: 126: 125: 121: 120: 117: 116: 113: 112: 86: 85: 77: 76: 65: 59: 58: 50: 49: 41: 40: 15: 9: 6: 4: 3: 2: 6505: 6494: 6491: 6489: 6486: 6484: 6481: 6479: 6476: 6474: 6471: 6469: 6466: 6464: 6461: 6460: 6458: 6451: 6446: 6441: 6436: 6435: 6432: 6418: 6414: 6413: 6408: 6405: 6401: 6400: 6395: 6392: 6388: 6387: 6382: 6379: 6375: 6374: 6369: 6366: 6362: 6361: 6356: 6353: 6349: 6348: 6343: 6340: 6336: 6335: 6330: 6329: 6327: 6323: 6317: 6314: 6312: 6309: 6307: 6304: 6302: 6299: 6297: 6294: 6293: 6291: 6287: 6281: 6278: 6276: 6275:Enzyme family 6273: 6271: 6268: 6266: 6263: 6262: 6260: 6256: 6250: 6247: 6245: 6242: 6240: 6239:Cooperativity 6237: 6235: 6232: 6231: 6229: 6225: 6219: 6216: 6214: 6211: 6209: 6206: 6204: 6201: 6199: 6198:Oxyanion hole 6196: 6194: 6191: 6189: 6186: 6184: 6181: 6180: 6178: 6174: 6170: 6163: 6158: 6156: 6151: 6149: 6144: 6143: 6140: 6126: 6123: 6121: 6118: 6117: 6116: 6113: 6111: 6110:Streptokinase 6108: 6106: 6102: 6099: 6096: 6092: 6088: 6085: 6083: 6080: 6078: 6075: 6071: 6068: 6066: 6063: 6062: 6061: 6058: 6056: 6053: 6051: 6048: 6046: 6043: 6042: 6040: 6036: 6030: 6027: 6025: 6022: 6021: 6019: 6017: 6013: 6007: 6004: 6002: 5999: 5997: 5994: 5992: 5989: 5988: 5986: 5984: 5983:immune system 5979: 5973: 5972:C3-convertase 5970: 5966: 5963: 5961: 5958: 5957: 5956: 5953: 5951: 5948: 5946: 5943: 5941: 5938: 5937: 5935: 5933: 5929: 5921: 5918: 5916: 5913: 5912: 5911: 5908: 5906: 5903: 5901: 5897: 5896: 5891: 5888: 5886: 5883: 5881: 5878: 5876: 5873: 5871: 5868: 5866: 5863: 5861: 5858: 5856: 5853: 5851: 5848: 5846: 5843: 5841: 5838: 5836: 5833: 5831: 5828: 5826: 5823: 5821: 5818: 5816: 5813: 5812: 5811: 5808: 5806: 5803: 5801: 5798: 5796: 5793: 5791: 5788: 5786: 5783: 5781: 5778: 5775: 5774: 5772: 5770: 5766: 5758: 5755: 5753: 5750: 5749: 5748: 5745: 5743: 5740: 5738: 5735: 5733: 5730: 5729: 5727: 5725: 5721: 5716: 5713: 5709: 5705: 5698: 5693: 5691: 5686: 5684: 5679: 5678: 5675: 5659: 5656: 5654: 5647: 5646: 5644: 5642: 5638: 5632: 5629: 5627: 5624: 5622: 5619: 5618: 5616: 5614: 5610: 5604: 5601: 5599: 5596: 5594: 5591: 5590: 5588: 5586: 5582: 5576: 5573: 5571: 5568: 5567: 5565: 5563: 5559: 5556: 5554: 5550: 5544: 5541: 5539: 5532: 5530: 5523: 5521: 5518: 5516: 5513: 5511: 5508: 5506: 5503: 5501: 5498: 5496: 5493: 5492: 5490: 5488: 5484: 5478: 5475: 5473: 5470: 5468: 5465: 5463: 5460: 5458: 5455: 5453: 5450: 5449: 5447: 5445: 5441: 5431: 5428: 5426: 5423: 5420: 5416: 5412: 5409: 5407: 5404: 5402: 5399: 5397: 5394: 5392: 5389: 5388: 5386: 5384: 5380: 5374: 5371: 5369: 5366: 5365: 5363: 5361: 5355: 5349: 5346: 5344: 5341: 5339: 5336: 5334: 5331: 5329: 5326: 5324: 5323:Prekallikrein 5321: 5319: 5316: 5314: 5311: 5310: 5308: 5306: 5300: 5294: 5291: 5288: 5285: 5283: 5279: 5276: 5273: 5270: 5268: 5265: 5263: 5259: 5256: 5254: 5250: 5248: 5245: 5244: 5242: 5240: 5234: 5231: 5229: 5225: 5221: 5214: 5209: 5207: 5202: 5200: 5195: 5194: 5191: 5179: 5176: 5174: 5171: 5169: 5166: 5164: 5161: 5159: 5156: 5154: 5153:Thyroglobulin 5151: 5149: 5146: 5142: 5141:Glycophorin C 5139: 5137: 5134: 5132: 5129: 5128: 5127: 5124: 5122: 5119: 5117: 5114: 5112: 5109: 5107: 5104: 5102: 5099: 5097: 5094: 5092: 5089: 5087: 5084: 5082: 5079: 5077: 5074: 5072: 5069: 5067: 5064: 5062: 5059: 5057: 5054: 5052: 5049: 5047: 5044: 5042: 5039: 5037: 5034: 5032: 5029: 5027: 5024: 5023: 5021: 5017: 5007: 5004: 5003: 5001: 4999: 4995: 4989: 4986: 4984: 4981: 4979: 4976: 4975: 4973: 4971: 4967: 4961: 4958: 4956: 4953: 4951: 4948: 4946: 4943: 4941: 4938: 4936: 4933: 4931: 4928: 4926: 4922: 4919: 4918: 4916: 4914: 4910: 4904: 4901: 4899: 4896: 4895: 4893: 4891: 4887: 4883: 4877: 4874: 4872: 4869: 4867: 4864: 4863: 4861: 4859: 4855: 4851: 4848: 4846: 4845:Proteoglycans 4842: 4832: 4829: 4827: 4824: 4822: 4821:Peptidoglycan 4819: 4817: 4814: 4812: 4809: 4807: 4804: 4803: 4801: 4797: 4791: 4788: 4786: 4783: 4781: 4778: 4776: 4773: 4771: 4768: 4766: 4763: 4761: 4758: 4756: 4753: 4751: 4748: 4746: 4743: 4741: 4738: 4736: 4733: 4731: 4728: 4726: 4723: 4721: 4718: 4716: 4713: 4711: 4708: 4706: 4703: 4701: 4698: 4697: 4695: 4693: 4689: 4686: 4684: 4680: 4676: 4675:glycopeptides 4672: 4671:glycoproteins 4668: 4664: 4657: 4652: 4650: 4645: 4643: 4638: 4637: 4634: 4620: 4614: 4609: 4605: 4599: 4594: 4593: 4590: 4581: 4576: 4574: 4569: 4567: 4562: 4561: 4558: 4551: 4547: 4546: 4541: 4537: 4533: 4531: 4527: 4524: 4520: 4516: 4515: 4503: 4499: 4494: 4489: 4485: 4481: 4477: 4473: 4469: 4462: 4454: 4450: 4445: 4440: 4436: 4432: 4428: 4421: 4405: 4403: 4398: 4392: 4390: 4381: 4377: 4373: 4369: 4365: 4361: 4354: 4346: 4342: 4338: 4334: 4330: 4323: 4321: 4312: 4308: 4304: 4300: 4295: 4290: 4286: 4282: 4278: 4271: 4263: 4259: 4254: 4249: 4245: 4241: 4237: 4233: 4229: 4222: 4214: 4210: 4206: 4202: 4197: 4192: 4188: 4184: 4180: 4173: 4165: 4161: 4156: 4151: 4147: 4143: 4139: 4135: 4131: 4127: 4123: 4116: 4108: 4104: 4100: 4096: 4092: 4088: 4080: 4078: 4069: 4065: 4060: 4055: 4050: 4045: 4041: 4037: 4033: 4029: 4025: 4018: 4010: 4006: 4001: 3996: 3991: 3986: 3982: 3978: 3974: 3967: 3959: 3955: 3950: 3945: 3941: 3937: 3933: 3926: 3918: 3914: 3910: 3906: 3902: 3898: 3891: 3883: 3879: 3875: 3871: 3867: 3863: 3856: 3854: 3852: 3850: 3841: 3837: 3832: 3827: 3823: 3819: 3815: 3808: 3800: 3796: 3791: 3786: 3782: 3778: 3774: 3770: 3766: 3759: 3751: 3747: 3743: 3739: 3735: 3731: 3724: 3716: 3712: 3707: 3702: 3697: 3692: 3688: 3684: 3680: 3673: 3671: 3662: 3658: 3654: 3650: 3646: 3642: 3638: 3634: 3627: 3619: 3615: 3611: 3607: 3603: 3599: 3595: 3591: 3587: 3583: 3576: 3568: 3564: 3559: 3554: 3550: 3546: 3542: 3538: 3534: 3527: 3525: 3516: 3512: 3507: 3502: 3498: 3494: 3490: 3484: 3480: 3477:valuation in 3476: 3472: 3468: 3462: 3454: 3450: 3446: 3442: 3438: 3434: 3430: 3426: 3422: 3418: 3411: 3403: 3399: 3394: 3389: 3384: 3379: 3375: 3371: 3367: 3363: 3359: 3352: 3344: 3340: 3335: 3330: 3326: 3322: 3318: 3314: 3310: 3303: 3295: 3291: 3286: 3281: 3277: 3273: 3269: 3265: 3261: 3254: 3246: 3242: 3238: 3234: 3229: 3224: 3220: 3216: 3212: 3205: 3203: 3201: 3199: 3197: 3188: 3184: 3179: 3174: 3170: 3166: 3162: 3158: 3154: 3147: 3139: 3135: 3130: 3125: 3121: 3117: 3113: 3106: 3098: 3094: 3090: 3086: 3082: 3078: 3071: 3063: 3059: 3055: 3051: 3047: 3043: 3036: 3028: 3024: 3019: 3014: 3011:: 2381–2399. 3010: 3006: 3002: 2995: 2993: 2991: 2989: 2987: 2985: 2983: 2981: 2979: 2977: 2975: 2973: 2971: 2969: 2967: 2965: 2963: 2961: 2959: 2950: 2946: 2942: 2938: 2934: 2930: 2923: 2915: 2911: 2906: 2901: 2897: 2893: 2889: 2882: 2874: 2870: 2866: 2862: 2855: 2847: 2843: 2838: 2833: 2829: 2825: 2821: 2817: 2813: 2806: 2804: 2795: 2791: 2786: 2781: 2777: 2773: 2769: 2765: 2761: 2754: 2746: 2742: 2738: 2734: 2730: 2726: 2719: 2711: 2707: 2702: 2697: 2693: 2689: 2685: 2678: 2676: 2674: 2672: 2670: 2668: 2666: 2664: 2662: 2660: 2658: 2656: 2647: 2643: 2638: 2633: 2628: 2623: 2619: 2615: 2611: 2607: 2603: 2596: 2594: 2592: 2590: 2588: 2579: 2575: 2571: 2567: 2563: 2559: 2555: 2551: 2544: 2542: 2540: 2538: 2536: 2534: 2532: 2523: 2517: 2513: 2506: 2498: 2492: 2488: 2481: 2479: 2477: 2475: 2473: 2471: 2462: 2458: 2452: 2444: 2440: 2434: 2427: 2423: 2418: 2416: 2414: 2406: 2402: 2397: 2395: 2393: 2388: 2377: 2373: 2369: 2365: 2360: 2357: 2353: 2349: 2345: 2340: 2337: 2336: 2328: 2325: 2324: 2318: 2314: 2312: 2308: 2304: 2300: 2296: 2292: 2287: 2282: 2278: 2276: 2272: 2268: 2264: 2258: 2248: 2246: 2243: 2242: 2236: 2233: 2229: 2225: 2221: 2218: 2205: 2203: 2186: 2181: 2176: 2172: 2170: 2166: 2162: 2157: 2153: 2149: 2145: 2141: 2137: 2133: 2129: 2119: 2118:and in vivo. 2115: 2113: 2109: 2105: 2101: 2097: 2092: 2090: 2086: 2082: 2077: 2075: 2071: 2067: 2063: 2059: 2055: 2051: 2046: 2044: 2040: 2036: 2032: 2028: 2024: 2018: 2009: 1978: 1959: 1957: 1956:haemophilia A 1941: 1932: 1930: 1926: 1925:phospholipids 1922: 1918: 1906: 1902: 1890: 1878: 1874: 1870: 1867: 1858: 1849: 1847: 1839: 1835: 1831: 1827: 1823: 1819: 1815: 1811: 1808:(IL-1β ) and 1807: 1803: 1799: 1794: 1792: 1788: 1785: 1773: 1766: 1759: 1749: 1747: 1743: 1739: 1735: 1731: 1727: 1723: 1718: 1716: 1712: 1708: 1704: 1700: 1696: 1686: 1684: 1680: 1676: 1675:glycosylation 1672: 1668: 1667:Hydroxylation 1664: 1663:glutamic acid 1660: 1659:carboxylation 1656: 1652: 1648: 1642: 1638: 1634: 1633:phospholipids 1629: 1627: 1623: 1619: 1615: 1611: 1607: 1603: 1599: 1591: 1587: 1583: 1581: 1577: 1573: 1569: 1565: 1561: 1557: 1554: 1550: 1546: 1542: 1538: 1528: 1526: 1522: 1518: 1514: 1510: 1499: 1497: 1493: 1492: 1487: 1483: 1479: 1475: 1471: 1467: 1463: 1459: 1452: 1451:thrombophilia 1448: 1445: 1440: 1439: 1437: 1432: 1428: 1424: 1420: 1416: 1412: 1408: 1404: 1400: 1388: 1384: 1381: 1377: 1373: 1369: 1365: 1362: 1358: 1357:Johan Stenflo 1354: 1350: 1346: 1345:anticoagulant 1336: 1333: 1329: 1325: 1321: 1317: 1313: 1308: 1306: 1302: 1298: 1297:anticoagulant 1294: 1290: 1286: 1282: 1278: 1274: 1270: 1266: 1261: 1259: 1255: 1252: 1248: 1244: 1240: 1236: 1232: 1225: 1218: 1214: 1210: 1206: 1202: 1198: 1194: 1190: 1186: 1182: 1178: 1166: 1161: 1157: 1153: 1150: 1146: 1139: 1137: 1134: 1130: 1126: 1122: 1119: 1115: 1111: 1104: 1102: 1098: 1094: 1090: 1084: 1080: 1077: 1071: 1069: 1065: 1061: 1057: 1053: 1049: 1045: 1039: 1035: 1031: 1027: 1023: 1019: 1015: 1012: 1008: 1001: 999: 995: 991: 987: 981: 977: 974: 968: 966: 960: 956: 953: 951:RefSeq (mRNA) 949: 942: 941: 936: 932: 929: 923: 922: 917: 913: 910: 908: 904: 897: 896: 891: 887: 884: 878: 877: 872: 868: 865: 863: 859: 852: 851: 846: 842: 839: 833: 832: 827: 823: 820: 818: 814: 811: 808: 806: 803: 799: 796: 792: 788: 781: 777: 772: 766: 763: 761: 758: 756: 753: 751: 748: 746: 743: 741: 738: 736: 733: 731: 728: 726: 723: 721: 718: 716: 713: 711: 708: 707: 705: 702: 701: 695: 692: 690: 687: 685: 682: 680: 677: 675: 672: 670: 667: 666: 664: 661: 660: 654: 651: 649: 646: 644: 641: 639: 636: 634: 631: 629: 626: 625: 623: 620: 619: 616: 615:Gene ontology 612: 608: 596: 591: 587: 582: 579: 577: 573: 565: 560: 549: 545: 541: 537: 533: 529: 525: 521: 517: 513: 512: 509: 505: 500: 497: 487: 483: 479: 475: 471: 467: 463: 459: 456:kidney tubule 455: 451: 450: 447: 443: 438: 435: 434: 431: 429: 425: 423: 422: 418: 417: 414: 412: 408: 404: 400: 396: 388: 383: 379: 375: 370: 364:18|18 B1 360: 356: 349: 342: 336: 329: 321: 317: 313: 308: 304: 299: 295: 287: 282: 278: 274: 269: 259: 255: 248: 241: 235: 228: 224: 218: 214: 210: 205: 201: 196: 192: 188: 184: 180: 176: 172: 168: 164: 160: 156: 152: 144: 139: 132: 127: 122: 111: 109: 105: 101: 97: 93: 87: 82: 79: 78: 74: 71: 64: 60: 55: 51: 47: 42: 37: 32: 28: 24: 19: 6450: 6412:Translocases 6409: 6396: 6383: 6370: 6357: 6347:Transferases 6344: 6331: 6188:Binding site 5900:fibrinolysis 5898: 5776: 5742:Chymotrypsin 5658:D-Dimer (DD) 5641:Fibrinolysis 5529:-Antiplasmin 5456: 5251: 5110: 5066:4-1BB ligand 4978:Fibromodulin 4683:Mucoproteins 4618: 4603: 4543: 4475: 4471: 4461: 4434: 4430: 4420: 4408:. Retrieved 4400: 4363: 4359: 4353: 4328: 4284: 4280: 4270: 4235: 4231: 4221: 4186: 4182: 4172: 4132:(1): 18577. 4129: 4125: 4115: 4090: 4086: 4031: 4027: 4017: 3980: 3976: 3966: 3939: 3935: 3925: 3900: 3896: 3890: 3865: 3861: 3821: 3817: 3807: 3772: 3768: 3758: 3733: 3729: 3723: 3686: 3682: 3636: 3632: 3626: 3585: 3581: 3575: 3540: 3536: 3496: 3492: 3482: 3478: 3474: 3470: 3466: 3461: 3420: 3416: 3410: 3365: 3361: 3351: 3316: 3312: 3302: 3267: 3263: 3253: 3218: 3214: 3160: 3156: 3146: 3119: 3115: 3105: 3080: 3077:Biochemistry 3076: 3070: 3045: 3042:Biochemistry 3041: 3035: 3018:10.2741/1977 3008: 3004: 2932: 2929:Biochemistry 2928: 2922: 2895: 2891: 2881: 2864: 2860: 2854: 2819: 2815: 2767: 2763: 2753: 2728: 2724: 2718: 2691: 2687: 2609: 2605: 2556:(1): 33–46. 2553: 2549: 2511: 2505: 2486: 2460: 2451: 2442: 2433: 2363: 2359: 2343: 2339: 2315: 2309:in treating 2299:side effects 2283: 2279: 2260: 2239: 2237: 2222: 2206: 2177: 2173: 2161:coagulopathy 2125: 2116: 2093: 2078: 2047: 2019: 2015: 1979: 1960: 1942:and Factor X 1933: 1919:, Factor V, 1863: 1822:up-regulated 1795: 1755: 1726:blood plasma 1719: 1692: 1657:: (1) gamma- 1650: 1649: 1630: 1595: 1571: 1558:preceding a 1534: 1516: 1512: 1505: 1489: 1461: 1446: 1441: 1434: 1427:coagulopathy 1422: 1418: 1406: 1371: 1352: 1348: 1343:Protein C's 1342: 1309: 1273:blood plasma 1269:glycoprotein 1262: 1258:chromosome 2 1250: 1212: 1208: 1205:permeability 1197:inflammation 1184: 1180: 1176: 1175: 1097:NP_001300867 1093:NP_001036233 1089:NP_001036232 1086: 1068:NP_001362542 1064:NP_001362540 1060:NP_001362539 1056:NP_001362538 1052:NP_001362537 1048:NP_001362536 1044:NP_001362535 1041: 1034:NP_001362534 1030:NP_001362533 1026:NP_001362532 1022:NP_001362531 998:NM_001313938 990:NM_001042768 986:NM_001042767 983: 962: 938: 919: 893: 874: 848: 829: 809: 804: 522:human kidney 518:right kidney 460:human kidney 426: 419: 284:127,429,246 271:127,418,427 146:External IDs 89: 18: 6183:Active site 5805:Factor XIIa 5785:Factor VIIa 5769:Coagulation 5495:Plasminogen 5430:Factor XIII 5348:Factor VIII 5178:Vitronectin 5173:Uteroglobin 5163:Transcortin 5136:Glycophorin 5106:Osteonectin 5091:Lactoferrin 4816:Orosomucoid 4806:Haptoglobin 4586:PDB gallery 4410:29 November 3537:Proceedings 3215:Haemophilia 2867:: 218–249. 2271:recombinant 2100:hypotension 2050:endothelial 1940:prothrombin 1877:Factor VIII 1769:Factor VIII 1758:pleiotropic 1742:adolescence 1738:term infant 1568:heterodimer 1537:prothrombin 1488:. In 2002, 1312:recombinant 1267:-dependent 1247:active site 1228:Factor VIII 740:proteolysis 689:Golgi lumen 546:Paneth cell 530:gallbladder 480:granulocyte 385:32,272,623 372:32,256,179 124:Identifiers 6488:Hematology 6457:Categories 6386:Isomerases 6360:Hydrolases 6227:Regulation 6087:Subtilisin 6029:Batroxobin 5810:Kallikrein 5800:Factor XIa 5790:Factor IXa 5757:Pancreatic 5752:Neutrophil 5373:Factor VII 5328:Kallikrein 5318:Bradykinin 5006:Syndecan 1 4189:(1): 3–9. 2428:, May 2017 2407:, May 2017 2384:References 2352:GLA domain 2348:N-terminal 2255:See also: 2202:Caucasians 2140:homozygous 2126:A genetic 2066:chemotaxis 2054:leukocytes 2052:cells and 1923:, anionic 1814:eosinophil 1804:, such as 1689:Physiology 1622:N-terminus 1602:Gla domain 1560:propeptide 1553:N-terminus 1541:Factor VII 1521:chromosome 1305:thrombosis 1293:leukocytes 1201:cell death 710:hemostasis 468:glomerulus 430:(ortholog) 167:HomoloGene 6483:Angiology 6478:EC 3.4.21 6265:EC number 6115:Cathepsin 6101:Sedolisin 6077:Prostasin 5795:Factor Xa 5649:Plasmin-α 5510:Urokinase 5343:Factor IX 5338:Factor XI 5116:Protein S 5111:Protein C 5086:Hemopexin 5076:Clusterin 4988:Keratocan 3473:orldwide 2578:260369702 2265:approved 2150:, severe 2089:caspase 8 2085:caspase 3 2074:endotoxin 1938:binds to 1917:protein S 1879:(Factor V 1802:cytokines 1787:substrate 1746:half-life 1715:apoptosis 1711:embryonic 1564:dipeptide 1545:Factor IX 1466:Ă…ngströms 1399:Protein S 1265:vitamin K 1101:NP_032960 1018:NP_000303 994:NM_008934 965:NM_000312 795:Orthologs 175:GeneCards 23:C-peptide 6493:Zymogens 6289:Kinetics 6213:Cofactor 6176:Activity 6016:Venombin 6001:Tryptase 5996:Granzyme 5950:Factor I 5945:Factor D 5940:Factor B 5780:Thrombin 5777:factors: 5747:Elastase 5396:Factor V 5391:Factor X 4935:Brevican 4930:Neurocan 4925:Aggrecan 4903:Perlecan 4898:Testican 4876:Versican 4871:Biglycan 4831:Ovomucin 4526:Archived 4380:16464623 4345:22419295 4303:16192478 4262:22260922 4205:12871530 4164:31819097 4107:18574265 4068:25032959 4028:PLOS ONE 4009:20484050 3882:12970121 3840:12218060 3715:17430555 3653:22072231 3618:43006410 3610:12052963 3567:16333441 3515:11236773 3237:19141162 3027:16720321 2873:13765990 2846:22513930 2794:23235609 2745:17050887 2710:17110453 2570:15199491 2424:– 2403:– 2321:See also 2245:histones 2232:gangrene 2228:warfarin 2169:necrosis 2096:swelling 1934:Factor V 1915:include 1901:thrombin 1873:Factor V 1784:effector 1762:Factor V 1752:Pathways 1606:aromatic 1549:Factor X 1502:Genetics 1455:Factor V 1444:Dahlbäck 1403:cofactor 1281:thrombin 1221:Factor V 1149:Wikidata 774:Sources: 542:yolk sac 6445:Biology 6399:Ligases 6169:Enzymes 6055:Pronase 6045:Acrosin 5991:Chymase 5905:Plasmin 5737:Trypsin 5500:Plasmin 4983:Lumican 4866:Decorin 4663:Protein 4550:PDBe-KB 4540:UniProt 4523:S01.218 4502:8386194 4453:6304092 4311:6918625 4253:3448071 4213:2147784 4155:6901466 4134:Bibcode 4059:4102480 4036:Bibcode 4000:2906281 3958:7673148 3917:2551064 3799:9576763 3750:2672445 3706:1885840 3661:3060393 3590:Bibcode 3582:Science 3558:1276518 3485:epsis; 3469:tein C 3453:4314040 3445:8164741 3425:Bibcode 3402:8430067 3370:Bibcode 3343:3102560 3294:2991859 3245:2979452 3187:6895379 3138:6892911 3097:7356933 2914:1245477 2837:6984667 2785:6464614 2646:2991887 2614:Bibcode 2426:Ensembl 2405:Ensembl 2303:hypoxia 1869:zymogen 1789:PAR-1, 1722:zymogen 1641:exosite 1618:zymogen 1614:trypsin 1598:domains 1491:Science 1436:E. coli 1431:infused 1378:from a 1339:History 1245:in its 1239:residue 1189:zymogen 1187:, is a 907:UniProt 862:Ensembl 801:Species 780:QuickGO 405:pattern 131:Aliases 6431:Portal 6373:Lyases 6082:Reelin 6024:Ancrod 5981:Other 5715:3.4.21 5287:GPIIIa 5056:Avidin 4735:MUC5AC 4545:P04070 4519:MEROPS 4500:  4493:288152 4490:  4451:  4378:  4343:  4309:  4301:  4260:  4250:  4211:  4203:  4162:  4152:  4105:  4066:  4056:  4007:  3997:  3956:  3915:  3880:  3838:  3797:  3790:508785 3787:  3748:  3713:  3703:  3659:  3651:  3616:  3608:  3565:  3555:  3513:  3481:evere 3451:  3443:  3417:Nature 3400:  3390:  3341:  3334:424237 3331:  3292:  3285:321861 3282:  3243:  3235:  3185:  3178:370934 3175:  3136:  3095:  3062:588557 3060:  3025:  2949:990250 2947:  2912:  2871:  2844:  2834:  2792:  2782:  2743:  2708:  2644:  2637:390448 2634:  2576:  2568:  2518:  2493:  2362:  2342:  2213:Leiden 2209:Leiden 2197:Leiden 2165:fibrin 2070:sepsis 1889:serine 1744:. The 1707:murine 1600:: one 1590:Domain 1486:sepsis 1474:sepsis 1462:et al. 1457:Leiden 1447:et al. 1423:et al. 1419:et al. 1376:eluted 1364:plasma 1361:bovine 1349:et al. 1324:sepsis 1243:serine 1199:, and 1135:search 1133:PubMed 940:P33587 921:P04070 817:Entrez 576:BioGPS 488:fundus 263:2q14.3 155:612283 6325:Types 6091:Furin 6038:Other 5965:MASP2 5960:MASP1 5890:KLK15 5885:KLK14 5880:KLK13 5875:KLK12 5870:KLK11 5865:KLK10 5282:GPIIb 5267:GP1BB 5262:GP1BA 5019:Other 4950:CSPG5 4945:CSPG4 4799:Other 4790:MUC20 4785:MUC19 4780:MUC17 4775:MUC16 4770:MUC15 4765:MUC13 4760:MUC12 4740:MUC5B 4725:MUC3B 4720:MUC3A 4705:CD164 4692:Mucin 4404:(EMA) 4307:S2CID 4209:S2CID 4087:Chest 3862:Chest 3657:S2CID 3614:S2CID 3449:S2CID 3393:45799 3241:S2CID 2688:Blood 2574:S2CID 2333:Notes 2110:with 2027:Bcl-2 1570:with 1525:exons 1515:tein 1407:et al 1359:from 850:19123 810:Mouse 805:Human 776:Amigo 428:Mouse 421:Human 368:Start 303:Mouse 267:Start 200:Human 171:37288 163:97771 29:, or 6417:list 6410:EC7 6404:list 6397:EC6 6391:list 6384:EC5 6378:list 6371:EC4 6365:list 6358:EC3 6352:list 6345:EC2 6339:list 6332:EC1 6105:TPP1 5955:MASP 5860:KLK9 5855:KLK8 5850:KLK7 5845:KLK6 5840:KLK5 5835:KLK4 5830:KLK3 5825:KLK2 5820:KLK1 5131:CD43 5046:CD70 5031:ADAM 4940:CD44 4755:MUC8 4750:MUC7 4745:MUC6 4730:MUC4 4715:MUC2 4710:MUC1 4700:CD43 4673:and 4619:1lqv 4604:1aut 4538:for 4517:The 4498:PMID 4449:PMID 4412:2020 4376:PMID 4341:PMID 4299:PMID 4258:PMID 4201:PMID 4160:PMID 4103:PMID 4064:PMID 4005:PMID 3954:PMID 3913:PMID 3878:PMID 3836:PMID 3795:PMID 3746:PMID 3711:PMID 3649:PMID 3606:PMID 3563:PMID 3511:PMID 3441:PMID 3398:PMID 3339:PMID 3290:PMID 3233:PMID 3183:PMID 3134:PMID 3093:PMID 3058:PMID 3023:PMID 2945:PMID 2910:PMID 2869:PMID 2842:PMID 2820:2012 2790:PMID 2768:2018 2741:PMID 2706:PMID 2642:PMID 2566:PMID 2516:ISBN 2491:ISBN 2374:and 2286:lung 2167:and 2087:and 2041:and 2033:and 2031:eNOS 1927:and 1875:and 1767:and 1697:and 1547:and 1287:and 1254:gene 1251:PROC 1226:and 1183:and 831:5624 411:Bgee 359:Band 320:Chr. 258:Band 217:Chr. 179:PROC 151:OMIM 138:PROC 108:4DT7 104:3JTC 100:3F6U 96:1LQV 92:1AUT 73:RCSB 70:PDBe 39:PROC 6095:S1P 5815:PSA 5419:FGG 5415:FGA 4536:PDB 4488:PMC 4480:doi 4439:doi 4435:258 4368:doi 4333:doi 4289:doi 4285:353 4248:PMC 4240:doi 4236:180 4191:doi 4150:PMC 4142:doi 4095:doi 4091:133 4054:PMC 4044:doi 3995:PMC 3985:doi 3981:285 3944:doi 3940:270 3905:doi 3870:doi 3866:124 3826:doi 3822:277 3785:PMC 3777:doi 3773:101 3738:doi 3701:PMC 3691:doi 3641:doi 3637:106 3598:doi 3586:296 3553:PMC 3545:doi 3501:doi 3497:344 3467:PRO 3433:doi 3421:369 3388:PMC 3378:doi 3329:PMC 3321:doi 3280:PMC 3272:doi 3223:doi 3173:PMC 3165:doi 3124:doi 3120:255 3085:doi 3050:doi 3013:doi 2937:doi 2900:doi 2896:251 2832:PMC 2824:doi 2780:PMC 2772:doi 2733:doi 2729:355 2696:doi 2692:109 2632:PMC 2622:doi 2558:doi 2142:or 2043:Bax 2039:p53 2035:IAP 1824:by 1576:kDa 1513:pro 1482:FDA 1307:). 1241:of 1213:APC 381:End 280:End 183:OMA 159:MGI 63:PDB 6459:: 5712:EC 5706:: 5417:, 4998:HS 4970:KS 4923:: 4913:CS 4890:CS 4886:HS 4858:DS 4854:CS 4669:: 4665:, 4542:: 4496:. 4486:. 4476:91 4474:. 4470:. 4447:. 4433:. 4429:. 4399:. 4388:^ 4374:. 4364:36 4362:. 4339:. 4319:^ 4305:. 4297:. 4283:. 4279:. 4256:. 4246:. 4234:. 4230:. 4207:. 4199:. 4185:. 4181:. 4158:. 4148:. 4140:. 4128:. 4124:. 4101:. 4089:. 4076:^ 4062:. 4052:. 4042:. 4030:. 4026:. 4003:. 3993:. 3979:. 3975:. 3952:. 3938:. 3934:. 3911:. 3901:55 3899:. 3876:. 3864:. 3848:^ 3834:. 3820:. 3816:. 3793:. 3783:. 3771:. 3767:. 3744:. 3734:14 3732:. 3709:. 3699:. 3685:. 3681:. 3669:^ 3655:. 3647:. 3635:. 3612:. 3604:. 3596:. 3584:. 3561:. 3551:. 3541:15 3539:. 3535:. 3523:^ 3509:. 3495:. 3491:. 3447:. 3439:. 3431:. 3419:. 3396:. 3386:. 3376:. 3366:90 3364:. 3360:. 3337:. 3327:. 3317:79 3315:. 3311:. 3288:. 3278:. 3268:13 3266:. 3262:. 3239:. 3231:. 3219:14 3217:. 3213:. 3195:^ 3181:. 3171:. 3161:68 3159:. 3155:. 3132:. 3118:. 3114:. 3091:. 3081:19 3079:. 3056:. 3046:16 3044:. 3021:. 3009:11 3007:. 3003:. 2957:^ 2943:. 2933:15 2931:. 2908:. 2894:. 2890:. 2863:. 2840:. 2830:. 2818:. 2814:. 2802:^ 2788:. 2778:. 2766:. 2762:. 2739:. 2727:. 2704:. 2690:. 2686:. 2654:^ 2640:. 2630:. 2620:. 2610:82 2608:. 2604:. 2586:^ 2572:. 2564:. 2552:. 2530:^ 2469:^ 2459:. 2441:. 2412:^ 2391:^ 2370:, 2364:β: 2344:α: 2313:. 2277:, 2204:. 2114:. 2098:, 2045:. 2029:, 2008:. 1977:. 1958:. 1931:. 1848:. 1840:(K 1734:dL 1730:IU 1543:, 1539:, 1260:. 1195:, 778:/ 387:bp 374:bp 286:bp 273:bp 181:; 177:: 173:; 169:: 165:; 161:: 157:; 153:: 106:, 102:, 98:, 94:, 25:, 6433:: 6419:) 6415:( 6406:) 6402:( 6393:) 6389:( 6380:) 6376:( 6367:) 6363:( 6354:) 6350:( 6341:) 6337:( 6161:e 6154:t 6147:v 6125:G 6120:A 6103:/ 6097:4 6093:/ 6089:/ 6070:2 6065:1 5902:: 5717:) 5710:( 5696:e 5689:t 5682:v 5651:2 5536:2 5534:α 5527:2 5525:α 5421:) 5413:( 5289:) 5280:( 5274:) 5260:( 5255:: 5212:e 5205:t 5198:v 4888:/ 4856:/ 4655:e 4648:t 4641:v 4579:e 4572:t 4565:v 4552:. 4504:. 4482:: 4455:. 4441:: 4414:. 4382:. 4370:: 4347:. 4335:: 4313:. 4291:: 4264:. 4242:: 4215:. 4193:: 4187:1 4166:. 4144:: 4136:: 4130:9 4109:. 4097:: 4070:. 4046:: 4038:: 4032:9 4011:. 3987:: 3960:. 3946:: 3919:. 3907:: 3884:. 3872:: 3842:. 3828:: 3801:. 3779:: 3752:. 3740:: 3717:. 3693:: 3687:8 3663:. 3643:: 3620:. 3600:: 3592:: 3569:. 3547:: 3517:. 3503:: 3483:S 3479:S 3475:E 3471:W 3455:. 3435:: 3427:: 3404:. 3380:: 3372:: 3345:. 3323:: 3296:. 3274:: 3247:. 3225:: 3189:. 3167:: 3140:. 3126:: 3099:. 3087:: 3064:. 3052:: 3029:. 3015:: 2951:. 2939:: 2916:. 2902:: 2875:. 2865:5 2848:. 2826:: 2796:. 2774:: 2747:. 2735:: 2712:. 2698:: 2648:. 2624:: 2616:: 2580:. 2560:: 2554:3 2524:. 2499:. 2463:. 2445:. 2193:a 2189:a 2006:i 2002:a 1998:a 1994:a 1990:a 1986:a 1982:a 1975:a 1971:a 1967:a 1963:a 1952:a 1948:a 1944:a 1936:a 1913:a 1909:a 1897:a 1893:a 1885:a 1881:a 1842:M 1780:i 1776:i 1771:a 1764:a 1732:/ 1645:a 1572:N 1517:C 1438:. 1395:a 1391:a 1372:C 1230:a 1223:a 1211:( 305:) 202:) 185:: 33:.

Index

C-peptide
C-reactive protein
protein kinase C

PDB
PDBe
RCSB
1AUT
1LQV
3F6U
3JTC
4DT7
Aliases
PROC
OMIM
612283
MGI
97771
HomoloGene
37288
GeneCards
PROC
OMA
PROC - orthologs
Human
Chromosome 2 (human)
Chr.
Chromosome 2 (human)
Chromosome 2 (human)
Genomic location for PROC

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