Factor X
Factor X is a protein that plays a key role in the blood clotting process. It is part of the coagulation cascade, a series of reactions that ultimately leads to the formation of a blood clot. Factor X is activated by either Factor IX (in the intrinsic pathway) or Factor VII (in the extrinsic pathway). Once activated, Factor X converts prothrombin into thrombin, which then converts fibrinogen into fibrin, the main substance of a clot.
Structure[edit | edit source]
Factor X is a single-chain serine protease (enzyme) that is synthesized in the liver. It is a vitamin K-dependent protein, meaning it requires vitamin K for its synthesis.
Function[edit | edit source]
The primary function of Factor X is to initiate the final common pathway of the coagulation cascade. It does this by converting prothrombin into thrombin in a reaction that is greatly accelerated by Factor V. The thrombin then converts soluble fibrinogen into insoluble fibrin, which aggregates to form a blood clot.
Clinical significance[edit | edit source]
Deficiency of Factor X is a rare condition that can lead to increased bleeding. This can be due to a genetic disorder known as Factor X deficiency, or it can be acquired as a result of liver disease, vitamin K deficiency, or use of certain medications such as warfarin.
See also[edit | edit source]
- Coagulation
- Factor IX
- Factor VII
- Prothrombin
- Thrombin
- Fibrinogen
- Fibrin
- Factor X deficiency
- Liver disease
- Vitamin K deficiency
- Warfarin
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Contributors: Prab R. Tumpati, MD