Article
A 3.3-Å cryo-EM structure of an engineered high-affinity human prothrombinase complex.
Blood - 29 Jan 2026
Üstok Fatma Işık, Faille Alexandre, Huntington James A
Abstract excerpt
ABSTRACT: Thrombin is generated from prothrombin through cleavage at 2 sites by the enzyme prothrombinase, composed of factor Xa (fXa) and fVa. The affinity of fXa for fVa is low, with assembly and function dependent on phospholipid (PL) membranes. Some snakes have evolved venom versions of fXa that bind to fVa with high affinity and efficiently activate prothrombin in the absence of PL. We created a similar...
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