Prekallikrein
Prekallikrein is a protein that in humans is encoded by the KLKB1 gene. It is a glycoprotein present in blood plasma that is converted into kallikrein by the action of Factor XII. This conversion process is important in the blood coagulation pathway and the kinin-kallikrein system, which mediates inflammation and blood pressure.
Function[edit]
Prekallikrein is part of the contact activation system, which is a minor pathway of blood coagulation. It is converted into its active form, kallikrein, by factor XII. Kallikrein then cleaves high-molecular-weight kininogen (HMWK) to produce bradykinin, a potent vasodilator. This process is important in the regulation of blood pressure and the mediation of inflammation.
Clinical significance[edit]
Mutations in the KLKB1 gene can lead to Fletcher factor deficiency, a rare coagulation disorder. This condition is characterized by prolonged partial thromboplastin time (PTT) and can lead to a mild bleeding tendency. However, individuals with Fletcher factor deficiency do not typically have a significant bleeding risk.
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