Sandbox Reserved 1482: Difference between revisions

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== Function ==
== Function ==
Factor VIII plays a central role in blood coagulation:
====Factor VIII plays a central role in blood coagulation====




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The coagulation process:
====The coagulation process====


In response to an injury, the coagulation factor VIII is separated from von Willebrand factor. The active form is called “Factor VIIIa” and is obtained by a proteolytic cleavage of the B-domain of Factor VIII by thrombin <sup>[8,9]</sup>. Then the two remaining chains are linked together thanks to a metal link (probably calcium ion) <sup>[9]</sup>.
In response to an injury, the coagulation factor VIII is separated from von Willebrand factor. The active form is called “Factor VIIIa” and is obtained by a proteolytic cleavage of the B-domain of Factor VIII by thrombin <sup>[8,9]</sup>. Then the two remaining chains are linked together thanks to a metal link (probably calcium ion) <sup>[9]</sup>.
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== Structure ==
== Structure ==
'''Primary Structure'''
====Primary Structure====
In humans, factor VIII is encoded by the F8 gene <sup>[1,2,9]</sup>. This gene maps on the most distant band of the long arm of the X-chromosome (region Xq28). It is 186 kb in size (0.1 % of the whole size of the chromosome) and contains 26 exons <sup>[4]</sup>.
In humans, factor VIII is encoded by the F8 gene <sup>[1,2,9]</sup>. This gene maps on the most distant band of the long arm of the X-chromosome (region Xq28). It is 186 kb in size (0.1 % of the whole size of the chromosome) and contains 26 exons <sup>[4]</sup>.




'''Secondary Structure'''
====Secondary Structure====
Factor VIII protein is composed of six globular domains: A<sub>1</sub>-A<sub>2</sub>-B-A<sub>3</sub>-C<sub>1</sub>-C<sub>2</sub> and contains one Ca<sup>2+</sup> and two Cu<sup>2+</sup> ions. It has a molecular weight of 330 kDa [1,9,14].
Factor VIII protein is composed of six globular domains: A<sub>1</sub>-A<sub>2</sub>-B-A<sub>3</sub>-C<sub>1</sub>-C<sub>2</sub> and contains one Ca<sup>2+</sup> and two Cu<sup>2+</sup> ions. It has a molecular weight of 330 kDa [1,9,14].


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'''Ligands'''
====Ligands====
Alpha-D-mannose, calcium ion (Ca<sup>2+</sup>), copper ion (Cu<sup>2+</sup>) and N-acetl-D-glucosamine are the four ligands the factor VIII is able to bind to <sup>[2]</sup>.  
Alpha-D-mannose, calcium ion (Ca<sup>2+</sup>), copper ion (Cu<sup>2+</sup>) and N-acetl-D-glucosamine are the four ligands the factor VIII is able to bind to <sup>[2]</sup>.  
In factor VIII there are two copper ions and their binding sites are located internally within the A<sub>3</sub> and the A<sub>1</sub> domain. In the latter, there is another ligand, a single calcium ion, bound to its binding site <sup>[9]</sup>.
In factor VIII there are two copper ions and their binding sites are located internally within the A<sub>3</sub> and the A<sub>1</sub> domain. In the latter, there is another ligand, a single calcium ion, bound to its binding site <sup>[9]</sup>.
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Inheritance:
====Inheritance====
Hemophilia A is inherited in an X-linked recessive manner:
Hemophilia A is inherited in an X-linked recessive manner:
Females inherit two X chromosomes, one from their mother and one from their father (XX). Males inherit an X chromosome from their mother and a Y chromosome from their father (XY). This means that if a son inherits an X chromosome carrying hemophilia from his mother, he will have hemophilia. By contrast, daughters have two X chromosomes, even if they inherit the hemophilia gene from their mother, they inherit a healthy X chromosome from their father and as a result they are only carrier but not affected.  
Females inherit two X chromosomes, one from their mother and one from their father (XX). Males inherit an X chromosome from their mother and a Y chromosome from their father (XY). This means that if a son inherits an X chromosome carrying hemophilia from his mother, he will have hemophilia. By contrast, daughters have two X chromosomes, even if they inherit the hemophilia gene from their mother, they inherit a healthy X chromosome from their father and as a result they are only carrier but not affected.