title: Lipid-protein interactions in blood coagulation.
abstract: It has long been appreciated that lipids, particularly anionic phospholipids, promote blood coagulation. The last two decades have seen an increasing insight into the kinetic and mechanistic aspects regarding the mode of action of phospholipids in blood coagulation. This essay attempts to review these developments with particular emphasis on the structure of lipid-binding domains of blood coagulation proteins, and the variable effect of phospholipid composition on the interaction with these proteins. Some examples are discussed of how lipid membranes direct the pathway of enzymatic conversions in blood coagulation complexes, also illustrating that the membrane lipid surface is more than an inert platform for the assembly of coagulation factors. Finally, the controlled exposure of procoagulant lipid on the surface of blood cells is shortly reviewed, and an example is discussed of how interference with lipid-protein interactions in blood coagulation may result in pathological phenomena.
authors.affiliation: Department of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, P.O. Box 616, 6200 MD Maastricht, Netherlands.
authors.forename: R F
authors.initials: RF
authors.lastname: Zwaal
authors.forename: P
authors.initials: P
authors.lastname: Comfurius
authors.forename: E M
authors.initials: EM
authors.lastname: Bevers
mesh_terms: D000818:Animals; D001665:Binding Sites; D001777:Blood Coagulation; D001779:Blood Coagulation Factors / Q000737:chemistry*; D006801:Humans; D008560:Membrane Fluidity; D008563:Membrane Lipids / Q000737:chemistry*; D010743:Phospholipids / Q000737:chemistry; D018180:Thrombomodulin / Q000737:chemistry; D013925:Thromboplastin / Q000737:chemistry
chemical_list: D001779:Blood Coagulation Factors; D008563:Membrane Lipids; D010743:Phospholipids; D018180:Thrombomodulin; D013925:Thromboplastin