Thrombomodulin

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Thrombomodulin

Existing structural data : 1adx , 1dqb , 1dx5 , 1zaq , 2adx

Properties of human protein
Mass / length primary structure 557 amino acids
Secondary to quaternary structure single pass type 1 membrane protein
Identifier
Gene names THBD  ; TM; CD141; THRM
External IDs
Occurrence
Homology family TH
Parent taxon Higher mammals

Thrombomodulin (THBD) is a protein that acts as a transmembrane receptor for thrombin in endothelial cells , and a thousandfold the ability of thrombin to activate protein C. It thus plays a key role in inhibiting blood clotting (anticoagulation). A lack of thrombomodulin due to mutations in the THBD gene can lead to thrombophilia and a tendency to infarct .

The ligand thrombin acts as a coagulation factor in hemostasis for blood clotting. However, the blood should only clot where the injury is. And if it has coagulated, it should only be released again when it is healed. Thrombomodulin is the binding site for thrombin in the blood vessel , which is not damaged. From here on, the process continues in two ways:

On the one hand, thrombin is inactivated by the binding, but is still able to activate the protein C / protein S complex, which inactivates the coagulation factors FV and FVIII . These factors can therefore no longer trigger blood clotting.

On the other hand, by binding thrombin, thrombomodulin activates TAFI (thrombin activatable fibrinolysis inhibitor = "thrombin-activatable inhibitor of fibrinolysis "). This ensures the inhibition of coagulation dissolution. The plug that has already formed is not released again as long as the coagulation is still running.

On the surface of the endothelium there is thrombomodulin (TM) which binds trombin (II) so that it can no longer form fibrin (I). At the same time, the formation of protein C (PC) by the bound thrombin (II) is a thousandfold, so that thrombin now has an anticoagulant effect. Protein C (aPC) then forms a complex with protein S (PS) which deactivates coagulation factors V and VIII.

Individual evidence

  1. Thrombomodulin.  In: Online Mendelian Inheritance in Man . (English).