Semin Thromb Hemost 1996; 22(5): 409-413
DOI: 10.1055/s-2007-999039
Copyright © 1996 by Thieme Medical Publishers, Inc.

Platelet-Associated Factor XIII in Platelet Activation, Adhesion, and Clot Stabilization

Dana V. Devine* , Paul D. Bishop
  • From the *Department of Pathology, University of British Columbia, Vancouver, Canada and
  • †ZymoGenetics, Inc., Seattle, Washington.
Further Information

Publication History

Publication Date:
08 February 2008 (online)

Abstract

Platelet-associated factor XIII provides a means by which to promote clot stabilization and platelet interaction with proteins of the coagulation and fibrinolytic pathways. In addition to its intracellular role within the platelet cytoplasm, activated factor XIII will bind to the surface of activated platelets. These platelets then participate in cell-cell or cell-clot interactions, thereby increasing the local concentration of factor XIIIa. The platelet-associated factor XIIIa may increase the amount of crosslinking in a fibrin clot, thereby contributing to the aging of the clot and the reduction in the degree of platelet binding. Clot resistance to fibrinolysis is enhanced by platelet factor XIIIa-mediated crosslinking of α2-antiplasmin to fibrin. The binding of factor XIIIa to the platelet surface requires the activation of the platelet fibrinogen receptor, glycoprotein IIb-IIIa. Thus, platelet-associated factor XIIIa may be used as a marker of in vivo platelet activation. Since half of the factor XIII present in blood is provided by the platelets, it is not surprising that this form of factor XIII plays an important role in hemostasis.