Abstract
Blood coagulation is regulated through a complex network of biochemical reactions of blood factors. The main acting enzyme is thrombin whose propagation in blood plasma leads to fibrin clot formation. Spontaneous clot formation is normally controlled through the action of different plasma inhibitors, in particular, through the thrombin binding by antithrombin. In the current study we develop a mathematical model of clot formation both in quiescent plasma and in blood flow and determine the analytical conditions on the antithrombin concentration corresponding to different regimes of blood coagulation.
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Appendix
Appendix
1.1 Model of the Intrinsic Pathway Functioning
We model the reactions of coagulation cascade presented in the Fig. 8. Straight arrows indicate factors activation, curved arrows indicate the catalytic actions of factors on other factors activation reactions. Ia, IIa, Va, VIIIa, IXa, Xa, XIa denote the concentrations of activated factor forms and I, II, V, VIII, IX, X, XI denote the inactivated forms. Coagulation cascade is launched when sufficient initial amount of thrombin (IIa) is formed and starts the positive feedback loops. As the result we have the conversion of fibrinogen (I) to fibrin (Ia) and fibrin polymerization (Ip). Fibrin polymer finally forms the clot scaffold.
1.2 Parameter Values for Numerical Simulations
Parameter values are taken from Zarnitsina et al. (2001), and Butenas and Mann (2001) (Table 1).
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Bouchnita, A., Galochkina, T. & Volpert, V. Influence of Antithrombin on the Regimes of Blood Coagulation: Insights from the Mathematical Model. Acta Biotheor 64, 327–342 (2016). https://doi.org/10.1007/s10441-016-9291-2
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DOI: https://doi.org/10.1007/s10441-016-9291-2