Preferred Label : Intrinsic Prothrombin Activation Pathway;
Alternative definition : BIOCARTA: Blood coagulation or clotting takes place in 3 essential phases. The first
phase is the activation of a prothrombin activator complex. The second phase is the
activation of prothrombin. The third stage is clot formation as a result of fibrinogen
cleavage by activated thrombin. The prothrombin activation complex is formed by two
pathways each of which results in a different form of the prothrombin activator. The
intrinsic mechanism of prothrombin activator formation begins with trauma to the blood
or exposure of blood to collagen in a traumatized vessel wall. This usually also results
in damage to fragile platelets. The formation of a clot by this mechanism usually
takes 1 to 6 minutes. This cascade begins with the activation of factor XII and the
release of platelet factor 3 (PF3) from damaged platelets. Activated factor XII cleaves
and actives factor XI and prekallikrein (PK). Factor XII is also activated by activated
prekallikrein (aPK) in an internal amplification loop. Calcium (Ca ) is required
for the initial three steps. The prothrombin activator in the intrinsic pathway is
very similar to the activator in the extrinsic pathway. Antithrombin III inhibits
the activity of thrombin and also two of the steps in the formation of the activator.
Protein C is activated by thrombin and with the Protein S cofactor provides a strong
negative feedback in this phase of clot formation. (This definition may be outdated
- see the DesignNote.);
NCIt note : The BIOCARTA Definition (ALT_DEFINITION) for this pathway concept was provided by
BioCarta. This property was not created by, nor is it maintained by the NCI Thesaurus
staff. Additionally, BioCarta is no longer updating its pathway data; thus, the BIOCARTA
Definition might be outdated or inaccurate. Please see the Terms and Conditions for
Use at http://www.biocarta.com/.;
Biocarta ID : h_intrinsicPathway;
Origin ID : C39132;
UMLS CUI : C1517573;
Semantic type(s)
has_gene_product_element
pathway_has_gene_element