Trombocitni faktor 4 (PF4) jest mali hemokin koji je kod ljudi kodiran genom CXCL4 sa hromosoma 4. Pripada porodici hemokina CXC koja je poznata i kao hemokinski ligand 4 (C-X-C motiv). Ovaj se hemokin oslobađa iz alfa-granule aktiviranih trombocita tokom njihove agregacije i podstiče koagulaciju krvi ublažavanjem učinaka molekula sličnih heparinu . Zbog ovih dejstava, predviđa se da ima ulogu u zarastanju rana i upalama.[5] Obično se nalazi u kompleksu s proteoglikanom.
Kratke činjenice PF4, Dostupne strukture ...
Zatvori
Dužina polipeptidnog lanca je101 aminokiselina, а molekulska težina 10.845 Da.[6].
10 | | 20 | | 30 | | 40 | | 50 |
MSSAAGFCAS | | RPGLLFLGLL | | LLPLVVAFAS | | AEAEEDGDLQ | | CLCVKTTSQV |
RPRHITSLEV | | IKAGPHCPTA | | QLIATLKNGR | | KICLDLQAPL | | YKKIIKKLLE |
S |
Trombocitni faktor-4 je protein od 70 aminokiselina koji se oslobađa iz alfa granula aktiviranih trombocita i veže se s visokim afinitetom za heparin. Čini se da je njegova glavna fiziološka uloga neutraliziranje molekula sličnih heparinu na endotelnoj površini krvnih dugova, čime se inhibira lokalna antitrombinska aktivnost i podstiče koagulacija. Kao snažan hemoatraktant za neutrofile i fibroblaste, PF4 vjerovatno ima ulogu u upali i popravci rana.[5][7]
PF4 je ima hemotaksijsku aktuvnost aa neutrofil , fibroblast e i monocit, te stupa u interakciju s prerađenim varijantama transkripta receptora hemokina CXCR3, poznatim kao CXCR3-B .[8]
Kompleks heparin: PF4 je antigen u heparin induciranoj trombocitopeniji, idiosinkratskoj autoimunskoj reakciji na primjenu antikoagulansa heparina.[9] PF4 autoantitijela također su pronađeni kod pacijenata sa trombozom i karakteristikama koje liče na HIT, ali bez prethodne primjene heparina.[10] Antitijela protiv PF4 implicirana su u slučajevima tromboze i trombocitopenije nakon vakcinacije Oxford–AstraZeneca ili Janssen COVID-19 vakcinama.[11][12] Ovaj fenomen nazvan je embolija i imunotrombozna trombocitopenija izazvana vakcinom (VITT).[13]
Povećava se kod pacijenata sa sistemskom sklerozom koji također imaju i intersticijsku plućnu bolest.[14]
Faktor ljudskih trombocita 4 ubija malarijske parazite unutar eritrocita, selektivnom razlaganjem njihove probavne vakuole.[15]
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