Heparin mechanism of action

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Mechanism of action

  • Heparin is an indirect thrombin inhibitor.
  • It forms a complexes with antithrombin / AT III (predominantly) and other factors like factor Xa, factors XIIa, XIa, and IXa, that results in a conformational change in AT, converting antithrombin from a slow to a rapid inactivator of thrombin
  • Antithrombin has two active sites:
    • Reactive center, Arg393-Ser394
    • Heparin binding sites

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