Regulation of clotting cascade

Summary
Organism
Homo sapiens (human)
Reactome
R-HSA-9769739
PubChem
R-HSA-9769739
Description
  • The coagulation pathway is tightly regulated by numerous mechanisms to maintain hemostatic balance and ensure effective clot formation. Dysregulation of any component can lead to bleeding or thrombotic disorders. This Reactome module describes key endogenous regulators of the clotting pathway, including:
  • Tissue factor pathway inhibitor (TFPI): Forms a quaternary complex with FXa, FVIIa and TF, effectively inactivating FXa and FVIIa to restrict coagulation during the initiation phase (Broze GJ et al., 1990; Maroney SA et al., 2013).
  • Protein C: Activated by the thrombin–thrombomodulin complex on intact endothelial cells. Together with its cofactor, protein S, it inhibits FVa and FVIIIa activities, contributing to anticoagulation (Stavenuiter F et al., 2013).
  • Serine endopeptidase inhibitors, including SERPINC1 (antithrombin III), SERPINA5, SERPINA10 and SERPIND1: Inactivate serine proteases such as thrombin and FXa by irreversibly binding to their serine activation sites (Mushunje A et al., 2003; Boulaftali Y et al., 2010; Huang X et al., 2010).
  • A disintegrin and metalloproteinase with thrombospondin motifs 13 (ADAMTS13): A metalloprotease, that regulates thrombus formation by cleaving VWF multimers on the platelet surface or in the circulation in the presence of factor VIII (Cao W et al., 2008; DeYoung V et al., 2022;
  • This Reactome module also highlights selected drugs that target clotting factors or their regulators to promote effective clot formation (Petersen LC 2012; Nutescu EA et al., 2016).

Click on a node on the pathway to see its details. Glycoproteins are marked with a glycoprotein icon in their name.
Displaying entries 1 - 10 of 45 in total
UniProt ID Protein Name Gene Symbol Pathway Viewer
O00468 Agrin
  • AGRIN
  • AGRN
view
O75056 Syndecan-3
  • KIAA0468
  • SDC3
view
O75487 Glypican-4
  • GPC4
  • UNQ474/PRO937
view
P00451 Coagulation factor VIII
  • F8
  • F8C
view
P00734 Prothrombin
  • F2
view
P00740 Coagulation factor IX
  • F9
view
P00742 Coagulation factor X
  • F10
view
P01008 Antithrombin-III
  • AT3
  • PRO0309
  • SERPINC1
view
P03951 Coagulation factor XI
  • F11
view
P04070 Vitamin K-dependent protein C
  • PROC
view
Displaying all 3 entries
GlyCosmos Lectin UniProt ID Lectin Name Pathway Viewer
GL_005327 O00468 Agrin view
GL_005334 P98160 Basement membrane-specific heparan sulfate proteoglycan core protein view
GL_005529 P07204 Thrombomodulin view

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Acknowledgements

Supported by JST NBDC Grant Number JPMJND2204

Partly supported by NIH Common Fund Grant #1U01GM125267-01


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Last updated: April 6, 2026