CXCL4
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.
Aminokiselinska sekvenca
urediDužina 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 |
Funkcija
urediTrombocitni 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]
Klinički značaj
urediKompleks 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]
Također pogledajte
urediReference
uredi- ^ a b c GRCh38: Ensembl release 89: ENSG00000163737 - Ensembl, maj 2017
- ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000029373 - Ensembl, maj 2017
- ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
- ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
- ^ a b Eisman R, Surrey S, Ramachandran B, Schwartz E, Poncz M (juli 1990). "Structural and functional comparison of the genes for human platelet factor 4 and PF4alt". Blood. 76 (2): 336–44. doi:10.1182/blood.V76.2.336.336. PMID 1695112.
- ^ "UniProt, P02776" (jezik: engleski). Pristupljeno 23. 10. 2021.
- ^ "Entrez Gene: PF4 platelet factor 4 (chemokine (C-X-C motif) ligand 4)".
- ^ Lasagni L, Francalanci M, Annunziato F, Lazzeri E, Giannini S, Cosmi L, et al. (juni 2003). "An alternatively spliced variant of CXCR3 mediates the inhibition of endothelial cell growth induced by IP-10, Mig, and I-TAC, and acts as functional receptor for platelet factor 4". The Journal of Experimental Medicine. 197 (11): 1537–49. doi:10.1084/jem.20021897. PMC 2193908. PMID 12782716.
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- ^ Schultz NH, Sørvoll IH, Michelsen AE, Munthe LA, Lund-Johansen F, Ahlen MT, et al. (april 2021). "Thrombosis and Thrombocytopenia after ChAdOx1 nCoV-19 Vaccination". The New England Journal of Medicine. 384 (22): 2124–2130. doi:10.1056/NEJMoa2104882. PMC 8112568 Provjerite vrijednost parametra
|pmc=
(pomoć). PMID 33835768. - ^ Greinacher A, Thiele T, Warkentin TE, Weisser K, Kyrle PA, Eichinger S (april 2021). "Thrombotic Thrombocytopenia after ChAdOx1 nCov-19 Vaccination". The New England Journal of Medicine. 384 (22): 2092–2101. doi:10.1056/NEJMoa2104840. PMC 8095372. PMID 33835769.
- ^ Arepally GM, Ortel TL (juni 2021). "Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT): What We Know and Don't Know". Blood. doi:10.1182/blood.2021012152. PMC 8172307 Provjerite vrijednost parametra
|pmc=
(pomoć). PMID 34061166 Provjerite vrijednost parametra|pmid=
(pomoć). - ^ Volkmann ER, Tashkin DP, Roth MD, Clements PJ, Khanna D, Furst DE, et al. (decembar 2016). "Changes in plasma CXCL4 levels are associated with improvements in lung function in patients receiving immunosuppressive therapy for systemic sclerosis-related interstitial lung disease". Arthritis Research & Therapy. 18 (1): 305. doi:10.1186/s13075-016-1203-y. PMC 5203703. PMID 28038680.
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Dopunska literstura
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Vanjski linkovi
uredi- Platelet factor 4 na US National Library of Medicine Medical Subject Headings (MeSH)
Ovaj članak uključuje tekst iz Nacionalne medicinske biblioteke Sjedinjenih Država, koji je u javnom vlasništvu.