Evidence map›Paper›PMID 19365080›Full record

ArticleBlood2009

Venom factor V from the common brown snake escapes hemostatic regulation through procoagulant adaptations.

Mettine H A Bos, Michael Boltz, Liam St Pierre, Paul P Masci, John de Jersey, Martin F Lavin, Rodney M Camire

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 43 citations in OpenAlex.

  1. The genomic origins and evolutionary path to a key innovation in the world's most venomous snakes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. ptFVa (Arteriosclerosis, thrombosis, and vascular biology · 2021
    Article
  10. Review
  11. Snakebites and microvesicles: Popping bubbles.Research and practice in thrombosis and haemostasis · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. A new look at blood coagulation factor V.Current opinion in hematology · 2011
    Review
  18. Article
  19. Review
  20. The molecular basis of factor V and VIII procofactor activation.Journal of thrombosis and haemostasis : JTH · 2009
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Mettine H A BosDepartment of Pediatrics, Division of Hematology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, 3615 Civic Center Blvd., Philadelphia, PA 19104, USA.
Michael Boltz
Liam St Pierre
Paul P Masci
John de Jersey
Martin F Lavin
Rodney M Camire
QIMR Berghofer Medical Research Institute · AUUniversity of Pennsylvania · USChildren's Hospital of Philadelphia · USFaculty of Public Health · GB

Funding

Structural Correlates of Protease and Cofactor FunctionP01HL074124 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KRISHNASWAMY, SRIRAM · 2003 to 2013
$17.6M
Molecular Basis of Procofactor ActivationR01HL088010 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI CAMIRE, RODNEY M · 2008 to 2012
$1.6M
NHLBI NIH HHS P01 HL074124NHLBI NIH HHS P01 HL-74124NHLBI NIH HHS R01 HL088010NHLBI NIH HHS R01 HL-88010
6 · The paper itself

Abstract

Venomous snakes produce an array of toxic compounds, including procoagulants to defend themselves and incapacitate prey. The Australian snake Pseudonaja textilis has a venom-derived prothrombin activator homologous to coagulation factors V (FV) and Xa (FXa). Here we show that the FV component (pt-FV) has unique biologic properties that subvert the normal regulatory restraints intended to restrict an unregulated procoagulant response. Unlike human FV, recombinant pt-FV is constitutively active and does not require proteolytic processing to function. Sequence comparisons show that it has shed a large portion of the central B-domain, including residues that stabilize the inactive procofactor state. Remarkably, pt-FV functions in the absence of anionic membranes as it binds snake-FXa with high affinity in solution. Furthermore, despite cleavage in the heavy chain, pt-FV is functionally resistant to activated protein C, an anticoagulant. We speculate this stability is the result of noncovalent interactions and/or a unique disulfide bond in pt-FV linking the heavy and light chains. Taken together, these findings provide a biochemical rationale for the strong procoagulant nature of venom prothrombinase. Furthermore, they illustrate how regulatory mechanisms designed to limit the hemostatic response can be uncoupled to provide a sustained, disseminated procoagulant stimulus for use as a biologic toxin.

Indexed as

Blood CoagulationAnimalsFactor VFactor XaHemostasisHumansProtein StabilitySequence AlignmentSnakesSnake VenomsThromboplastinFactor VFactor XaSnake VenomsThromboplastin

Identifiers

PMID19365080
PMCPMC2713460
OpenAlexW2051906491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.