1water will form bonds with other polar mo;ecules in a solution and almost all the time act as this
solvent
2a substance that can release hydrogen ions (protons) in a solution
acid
3a substanc hat can accept hydrogen ions in a solution
base
4a mixture of an undissociated acid and its conjugate base (the form of the acid that has lost its proton)
buffer
5when is a buffer most affective
greatest buffering capacity in the pH range near its pKa
6what is the body's natural buffer mechanism (expiration)(excretion)
excrete NH4+
expire CO2

7Image occlusion: name the hidden labels
8Image occlusion: name the hidden labels
9Image occlusion: name the hidden labels
10Image occlusion: name the hidden labels
11Image occlusion: name the hidden labels
12blood gass analysis: For oxygen, ________________ is used; oxygen diffuses through a membrane specific for oxygen permeability, and once oxygen passes through the membrane it diffuses to the cathode. When oxygen reaches the cathode, electrons are attracted from the anode, thereby reducing the oxygen to water
clark electrode
13blood gas analysis: pCO2 is determined using a S_________________, which consists of an outer gas-permeable membrane, specific for CO2, and a bicarbonate buffer within the electrode. Once the CO2 crosses the membrane, the gas interacts with bicarbonate, altering the equilibrium among CO2, carbonic acid, and bicarbonate.
Severinghaus electrode
14water: Its heat of fusion is (high/low), so a large drop in temperature is needed to convert liquid water to the solid state of ice.
hugh
15a general term applied to bicarbonate and inorganic anions and cations.
electrolytes
16water will move from a compartment with a ____________ concentration of solutes (lower osmolality) to one with a ____________ concentration to achieve an equal osmolality on both sides of the membrane.
low; high
17pH equation with H+ ions
18Acidic solutions have a __________ hydrogen ion concentration and a __________hydroxide ion concentration than pure water (pH < 7.0), and basic solutions have a ____________hydrogen ion concentration and a ____________ hydroxide ion concentration (pH > 7.0).

greater; lower
lower; greater
19increased urine volume
polyruria
20The tendency of the acid (HA) to dissociate and donate a hydrogen ion to a solution is denoted by

Ka
21the higher the ______- the reater is the tendency to dissacociate a proton

Ka
23strong acid in the body
sulfuric acid (H2SO4)
24what are the major sources of sulfuirc acid in the body (H2SO4)
dietary sulfate and S- containing amino acids
25you can see that a weak acid is 50% dissociated at a pH equal to its __________
pKa
26what is the henderson hasselbalch eq for wk acids
27Buffers allow solutions to resist changes in _____ when hydrogen ions or hydroxide ions are added
pH
28a buffer can only compensate for an influx or removal of hydrogen ions within approximately __________ pH unit of its pKA

1
29normal pH range of the body
7.36-7.44
31major buffer systems of the body
bicarbonate–carbonic acid buffer system, which operates principally in ECF; the hemoglobin (Hb) buffer system in red blood cells; the phosphate buffer system in all types of cells; and the protein buffer system of cells and plasma

32major source of metabolic acid in the body
gas CO2, produced principally from fuel oxidation in the tricarboxylic acid (TCA) cycle
33henderson hasselbalch for bicarbonate buffer system
34Buffering systems of the body: CO2 produced from cellular metabolism is converted to ________________(x2) in the red blood cells. Within the red blood cells, the_______ is buffered by hemoglobin (Hb) and phosphate (HPO42−) (
H+ and bicarbonate; H+

35occurs when salt and water intake are less than the combined rates of renal plus extrarenal volume loss
dehydration
36symptoms of moderate dehydration
increased thirst, dry mouth, drowsiness, decreased urine output of a more concentrated (yellow) urine, headache, dry skin, dizziness, and a reduced ability to generate tears.
37symptoms of severe dehydration
no urine output, inability to walk or stand normally, orthostatic hypotension, rapid heart rate, fever, lethargy or confusion, shock, and even a coma.
38ketone bodies symthesized in the liver (x2)
β-hydroxybutyrate and acetoacetate
39branched carbon chain prefix

iso
40another name for a ring group
phenyl

41Image occlusion: name the hidden labels
42Image occlusion: name the hidden labels
43Image occlusion: name the hidden labels
44Image occlusion: name the hidden labels
45Image occlusion: name the hidden labels
46Image occlusion: name the hidden labels
47Image occlusion: name the hidden labels
48Image occlusion: name the hidden labels
49Image occlusion: name the hidden labels
50Image occlusion: name the hidden labels
51Image occlusion: name the hidden labels
52Image occlusion: name the hidden labels
53Image occlusion: name the hidden labels
54Image occlusion: name the hidden labels
55loss of electrons and results in the loss of hydrogen atoms together with one or two electrons or the gain of an oxygen atom or hydroxyl group.
oxidation
56the gain of electrons and results in the gain of hydrogen atoms or the loss of an oxygen atom.
reduction
57at physiological pH, many amines cary (+/-) charge

+
58Image occlusion: name the hidden labels
59Image occlusion: name the hidden labels
60Image occlusion: name the hidden labels
61Image occlusion: name the hidden labels
62Image occlusion: name the hidden labels
63Image occlusion: name the hidden labels
64Image occlusion: name the hidden labels
65Image occlusion: name the hidden labels
66Image occlusion: name the hidden labels
67Image occlusion: name the hidden labels
68sugars assumed to be (D/L) unless specifically added to the name because glucose is this
D

69have the same chemical formula but differ in the position of the hydroxyl group on one or more of their asymmetric carbons

sterioisomers

70sugars wit n asymetric centers have (____) stereoisomers unless it has a plane of symetry

2n

71stereoisomers that differ in the position of the hydroxyl group at only one of their asymmetric carbons

epimers

72sugars can be oxidixed at the aldehyde carbon to form _______
acids
73if the carbon containing the treminal hydroyl group is oxidixed, the sugar is called...
uronic acid

74glycosidic bonds found in nucleosides and nucleotides

N-glycosidic bonds
75glycosidic bondids found in lactose and other sugars that join one sugar to another
O-glycosidic bonds
76 usually straight aliphatic chains with a methyl group at one end (called the ω-carbon) and a carboxyl group at the other end
fatty acid

77 usually straight aliphatic chains with a methyl group at one end (called the _-carbon) and a carboxyl group at the other end
w

78fatty acids w have single bonds between the carbons in the chain

satturated fatty acids
79fatty acids with one or more double bonds in the chain

unsatutrated fatty acids
80most common saturated fatty acids in the cell
palmitic acid (C16) and stearic acid (C18)

81Lipids with lower melting points are more __________ at body temperature and contribute to the fluidity of our cellular membranes.
fluid
82 a group of hormone-like compounds produced by many cells in the body. They are derived from polyunsaturated fatty acids such as arachidonic acid that contain 20 carbons (eicosa) and have 3, 4, or 5 double bonds.

eicosanoids

83comprises glycerol with one or more fatty acids (the acyl group) attached through ester linkages

acylglycerol
84contain fatty acids esterified to positions 1 and 2 of glycerol and a phosphate (alone or with a substituent) attached to carbon 3

phosphoacylglycerols
85precursor for the synthesis of the other phosphoacylglycerols.

86a class of lipids in cell membranes that have a backbone of sphingosine and are crucial for structural integrity and cell signaling

sphingolipids
87are amides formed from sphingosine by attaching a fatty acid to the amino group.

ceramides
88which contains a phosphorylcholine group attached to ceramide, is a component of cell membranes and the myelin sheath around neurons.

sphingomyelin
89the steroid precursor in human cells from which all of the steroid hormones are synthesized by modifications to the ring or C-20 side chain.

cholesterol

90compounds that contain an amino group and a carboxylic acid group.

amino acid
91in prpteins, the amino acids are always _______ amino acids, (the amino group is attached to the α carbon in the L-configuration)

L-alpha
92pyridines in the body
the vitamins nicotinic acid, also called niacin, and pyridoxine, also called vitamin B6
93purpose of nitrogen containing ring stuctures
ability of the nitrogen to form hydrogen bonds and to accept and donate electrons while still part of the ring.
94In many of the nitrogen-containing rings, the hydrogen can shift to produce a ________, a compound in which the hydrogen and double bonds have changed position
tautomer
95compounds that have a single electron, usually in an outer orbital. Free radicals are radicals that exist independently in a solution or a lipid environment.
radicals
96are radicals that exist independently in a solution or a lipid environment.
free radcals
97normal value for anion gap
12 (8to 16)
98refers to the difference in concentration between routinely measured anions (chloride and bicarbonate) and cations (sodium and potassium) in the blood
anion gap
99what does exposiure to high levels of DDT cause in humans
reversible neurologic symptoms, hepatotoxic effects, or cancer.
100what is a method to remove polychlorinated fderiities from the environment
utilize genetically engineered bacteria that can utilize these compounds as a food source and will safely metabolize the toxins.
101lysosomes contain _____ enzymes that degrade proteins and other large molecules
hydrolytic
102peroxisomes contain enzymes that use or produce...
hydrogen oerxide
103receptors that span the membrane and contain an ecxtracellular binding domain for the messenger
plasma membrane receptors
104receptrors inside rge cell (cytoplasm or nucleus)
intracellular binding protein
105Uric acid levels in blood or urine can be determined enzymatically through use of the enzyme _________e, which converts uric acid (plus oxygen) to allantoin and hydrogen peroxide
uricase
106an acquired autoimmune disease in which most patients have developed pathogenic antibodies against these receptors(acetylcholine nictoinic r)
myasthenia gravis
107The membrane layer facing the “inside” of the organelle or cell is termed the ________t; the other layer is the __________.
innetr leaflet; outer leaflet
108The principal phospholipids in the membrane are (4)
glycerol lipids phosphatidylcholine (also named lecithin), phosphatidylethanolamine, and phosphatidylserine, and the sphingolipid sphingomyelin
109wat lipids are more concentrated in the outer leaflet
phosphatidylcholine and sphingomyelin
110what lipids are more concentrated in the inner leaflet
phosphatidylserine and phosphatidylethanolamine
111family of proteins, which are bound to the intracellular membrane surface and provide mechanical support for the membrane
spectrin
112a covalently attached lipid that anchors proteins to the external surface of the membrane
GPI anchor
113The A, B, and O blood groups are determined by the carbohydrate composition of the _____________ on the surface of red blood cells.
glycolipids
114Once acetylcholine secretion stops, the message is rapidly terminated by _____________, an enzyme located on the postsynaptic membrane that cleaves acetylcholine
AChE
115Lipophilic hormones that use intracellular gene-specific transcription factors include
steroid hormones (such as estrogen and cortisol), thyroid hormone, retinoic acid (the active form of vitamin A), and vitamin D
116how are hydrophobic intracellular signals moved trough the blood
cinnected to a blood bound serum albumin
117Image occlusion: name the hidden labels
118Image occlusion: name the hidden labels
119Image occlusion: name the hidden labels
120Image occlusion: name the hidden labels
121Image occlusion: name the hidden labels
122Image occlusion: name the hidden labels
123Image occlusion: name the hidden labels
124Image occlusion: name the hidden labels
125Image occlusion: name the hidden labels
126Image occlusion: name the hidden labels
127Stimulates adenylyl cyclase
Gas
128inhibits adenylene cyclase
Gai
129Stimulates cGMP phosphodiesterase
Gat
130Activates phospholipase Cβ
Ga(q/11)
131Activate Rho-GEF (guanine nucleotide exchange factor)
Ga(12/13)
141what determines how a protein can fold and how it interacyts with other molecules in the cell
primary structure
142what makes up a basic amino acid
carboxylic acid group
amino group attached to the a-carbon in the L-configuration
hydrogen atom
side chain
143at physiological pH, the free amino acids exist as ________: ions in which the amino groip is positively charge and the carboxylate group is negatively charged
zwitterions
144with chronic hemolusis, the amount of heme degraded to ________ is increased; this is a result of the chronic excretion of excessive amounts of ______- from the liber into the bile, leading to bilrubinate crystal depositions in the gallbladder lumen
bilirubin
145crushing or compressive pain in the chest area often radiating to the neck or arms
angina pectoris
146(posititive/negative) hydropathic index, the greater is the tendency to cluster with other nonpolar molecules and exclude water in the hydrophobic effect
positive
147what amino acid, because of its side chain, causes the least amount if steric hinderence in a protein
glycine
148glycine
gly G

149alanine
ALA A

150valine
val V

151leucine
leu L

152Methionine
MET, M

153Isoleucine
Ile I

154Serine
Ser, S

155Threonine
THR, T

156Cysteine
Cys, C

157Proline
PRO, P

158Asparagine
asn, N

159Glutamine
gln, Q

160Lysine
lys K

161arginine
arg R

162histidine
his, h

163aspartate
asp, D

164glutamate
glu, E

165phenylalanine
phe, F

166tyrosine
tyr, Y

168The pH at which the net charge on the molecules in solution is zero is called the
isoelectric point (pI)
171If many different amino acid residues are tolerated at a position, the region is called
hypervariable
172isoforms of a protein all have the same ______ wjile isoenzymes all ________
function; catalyze the same reactions
173refers to the addition of carbohydrates to a molecule.
glycosylation
174what does the mutation in sickle cell anemia affect? (structure)
quaternary structure
175protein: regions of structure that fold independently.
domains
176The affinity of a binding site for its ligand is characterized quantitatively by an association or affinity constant
Ka
177dissociation constant
Kd
178how do you solve the Kd from Ka?
Kd= 1/Ka
179enlarged tongue
macroglossia
180proteins: usually soluble in aqueous medium and resemble irregular balls
globular proteins
181proteins: geometrically linear, arranged around a single axis, and have a repeating unit structure.
fibrous oroteins
182proteins: consists of proteins that have one or more regions aligned to cross the lipid membrane
transmembrane proteins
183protein structure: has a rigid, stable conformation that maximizes hydrogen bonding while staying within the allowed rotation angles of the polypeptide backbone.
alpha helix
184why cant proline make up an alpha helix
ring structure
185Parallel sheets tend to have hydrophobic residues on (both/one side) sides of the sheets; antiparallel sheets usually have a hydrophobic side and a hydrophilic side.
both
186are hytdrogen bonds stronger in parallel or antiparallel beta sheets
parallel
187structure of LDH domain
typical of globular proteins, which average approximately 31% α-helical structure and approximately 28% β-pleated sheets
188relatively small arrangements of secondary structure that are recognized in many different proteins.
motifs
189relatively large patterns of three-dimensional structure that have been recognized in many proteins, including proteins from different branches of the phylogenetic tree.
folds
190characteristic of actin folds
ATP binding and hydrolysis
191trasmembrane domain: The amino terminus (residues 1 through 34) extends out of the membrane and has branched high-mannose oligosaccharides linked through N-glycosidic bonds to the amide of ___________
asparagine
192structure of insulin
two nonidentical polypeptide chains attached to each other through disulfide bonds between the chains
193pO2 is (high/low), as in the lungs, both myoglobin and hemoglobin are saturated with oxygen.
high
194at the (low/high) levels of pO2 in oxygen-using tissues, hemoglobin cannot bind oxygen as well as myoglobin
low
195passes into the urine (myoglobinuria) and turns the urine red because the heme (which is red) remains covalently attached to the protein.
myoglobin
196tert structure og myoglobin
globin fold: eight α-helices connected by short coils
197Organic ligands that are tightly bound to proteins, such as the heme of myoglobin, are called
prosthetic groups
198protein with its attached prosthetic group is called
holoprotein
199The conformational change of hemoglobin is usually described as changing from a _______ state with low affinity for O2 to a _______ state with a high affinity for O2.
T; R
200fx 2,3-BPG
inds to hemoglobin in the central cavity formed by the four subunits, increasing the energy required for the conformational changes that facilitate the binding of oxygen.
201what do protons binding do to hemoglovin
lowers affionity for O2 (Bohr effect)
202As the pH (decreases/increases)(, the affinity of hemoglobin for oxygen decreases,

decreases
203strucxture if immunoglobulins
two identical small polypeptide chains (the light or L chains) and two identical large polypeptide chains (the heavy or H chains)
-chains joined by fdisulfide bonds
204antigens: The variable regions of the L and H chains (VL and VH, respectively) interact to produce
antigen binding site
205what is the kd for antigens?
very small with no tendency to dissacocitate
206AAs in Collagen (1)
33% glycine and 21% proline and hydroxyproline.
207Because the reaction is nonenzymatic, the rate of glycation is proportionate to the concentration of glucose present, and individuals with hyperglycemia have much (higher/lower) levels of glycated proteins than individuals with normal blood glucose levels.
higher
208end product of glycilation reacyions
AGEs
209an unstable high-energy complex with a strained electronic configuration that is intermediate between substrate and product.
transition state complex
210a condition in which bonds in the substrate are maximally strained.
transition state
211enzymes increase rate of reaction by decreasing
activation energy
212what are the nmost potent inhibitors if ebzymes
transition-state analogs
213Image occlusion: name the hidden labels
214Image occlusion: name the hidden labels
215Image occlusion: name the hidden labels
216a functional group on the protein either donates a proton (acid catalysis) or accepts a proton (general base catalysis) during the course of the reaction.
acid base catalysis
217the substrate is covalently linked during the course of the reaction to an amino acid side chain at the active site of the enzyme.
covalent catalysis
218catalysis by approximation
219required cofactor for an enzyme usually forms a covalent bond with the substrate during the course of the reaction.
cofactor catalysis
220these AA can participate in covalent catalysis
Serine, cysteine, lysine, and histidine
221aa that most often poarticipates in acid based catalysis
histidine
222usually participate directly in catalysis by forming a covalent bond with a portion of the substrate; the tightly held substrate moiety is then activated for transfer, addition of water, or some other reaction.
activation transfer coenzymes
223nonprotein organic cofactors that participate in reactions.
coenzymes
224involved in oxidation–reduction reactions catalyzed by enzymes categorized as oxidoreductases
oxidation reduction coenzymes
225oxidation–reduction coenzymes that can act as antioxidants and protect against oxygen free-radical injury.
vitamin E and C
226transfer hydrogen (hydrogen atoms or hydride ions) from the substrate to an electron-accepting coenzyme, such as NAD+.
dehydrogenases
227how do metal ion catalysts act in reactions
electrophiles
228optimal human enzyme temp
37C
229inhibitors mimic or participate in an intermediate step of the catalytic reaction.
-irreversibly bind
mechanism based inhibitirs
230inhbitrs form covalent or extremely tight bonds with functional groups in the active catalytic site. These functional groups are activated by their interactions with other amino acid residues and are therefore far more likely to be targeted by drugs and toxins than amino acid residues outside the active site.
covalent inhibitirs
231how does DFP work?
forming a covalent intermediate in the active site of acetylcholinesterase, thereby preventing the enzyme from degrading the neurotransmitter acetylcholine. Once the covalent bond is formed, the inhibition by DFP is essentially irreversible and activity can only be recovered as new enzyme is synthesized.
232extremely potent and specific inhibitors of enzymes because they bind so much more tightly to the enzyme than do substrates or products. Drugs cannot be designed that precisely mimic the transition state because of its highly unstable structure.
transition state analogs
233metabolized in the liver to a toxic derivative (malaoxon) that binds to the active-site serine in acetylcholinesterase and other enzymes, an action similar to that of DFP.
malathion
234a drug used to treat gout, decreases urate production by inhibiting xanthine oxidase.
allopurinol
235what causes heavy metal tox
tight binding of a metal such as mercury (Hg), lead (Pb), aluminum (Al), or iron (Fe) to a functional group in an enzyme.
236reaction: at least one substrate gains electrons and becomes reduced, and another substrate loses electrons and becomes oxidized
oxidation reduction recation
237catalyze group transfer reactions—the transfer of a functional group from one molecule to another.
transferases
238nitrogen group from an amino acid is donated to an α-keto acid, forming a new amino acid and the α-keto acid corresponding to the donor amino acid.
transaminations
239 C–O, C–N, or C–S bonds are cleaved by the addition of H2O in the form of OH– and H+ to the atoms forming the bond.
hydrolases
240cleave C–C, C–O, and C–N bonds by means other than hydrolysis or oxidation.
lyases
241simply rearrange the existing atoms of a molecule; that is, create isomers of the starting material
isomerases
242synthesize C–C, C–S, C–O, and C–N bonds in reactions coupled to the cleavage of a high-energy phosphate bond in ATP or another nucleotide.
ligases
243blood clearance rate of etoh per hr
0.5oz/hr
244ethanol clearance equation
Ethanol + NAD+ → acetaldehyde + NADH + H+
245the concentration of substrate required to reach ½Vmax.
Km
246michelis menten equation
247The approach to the finite limit of Vmax is
saturation kinetics
248Image occlusion: name the hidden labels
249Image occlusion: name the hidden labels
250Image occlusion: name the hidden labels
251Image occlusion: name the hidden labels
252enzymes that do not fit michaelis meten model
multisubstrate enzymes, enzymes present in a higher concentration than their substrates
253MEOS makes a greater contribution to ethanol oxidation and clearance from the blood at (high/low) ethanol levels
high
254“competes” with a substrate for binding at the enzyme’s substrate-recognition site and therefore is usually a close structural analog of the substrate
competitive inhibitr
255competitive inhibitors effect on Km and vmax
Km incresae; Vmax same
256noncompetitive inhibitors Vmax and
vmax decreases, km unchanged
258activators of allosteric enzymes bind more tightly to the high-affinity _____ state of the enzyme than the ________ state
R; T
259allosteric inhibitors bind more tightly to the __________ state, so either substrate concentration or activator concentration must be increased to overcome the effects of the allosteric inhibitor.
T
260what causes the modulation by phosphorlation and dephosphorylation?
conformational change is caused by alterations in ionic interactions and/or hydrogen bond patterns resulting from the presence of the phosphate group.
261what type of kinase is protein kinase A
serine/threonine protein kinase
262bind to other proteins and regulate their activity by causing a conformational change at the catalytic site or by blocking the catalytic site (steric hindrance).
modulator proteins
263increase the rate of GTP hydrolysis by the G-protein, and therefore the rate of dissociation of the G-protein–target protein complex
GAPs
264binds to a G-protein, it increases the rate of GTP exchange for a bound GDP, and therefore activates the G-protein
GEF protein
265bind to the GDP–G-protein complex and inhibit dissociation of GDP, thereby keeping the G-protein inactive.
GDI protein
266 the regulatory enzyme, which catalyzes the ___________step in the pathway. This is the slowest step and is usually not readily reversible
rate limiting
267refers to a situation in which the end product of a pathway controls its own rate of synthesis
feedback regulation
268may occur through an increased supply of substrate to an enzyme with a high Km, allosteric activation of a rate-limiting enzyme through a compound related to substrate supply, substrate-related induction of gene transcription (e.g., induction of cytochrome P450-2E1 by ethanol), or increased concentration of a hormone that stimulates a storage pathway by controlling enzyme phosphorylation state.
feed forward regulation
269that is, the number of reactions the enzyme can catalyze per unit time
turnover number
270deficientr gactor in hemophilia A
plasma factor VIII
271The hydrostatic pressure in the arteriolar end of the capillaries (~37 mm Hg) exceeds the sum of the tissue pressure (~1 mm Hg) and the osmotic pressure of the plasma proteins (~25 mm Hg). Thus, water tends to _________ the capillaries and enter extravascular spaces.
leave
272At the venous end of the capillaries, the hydrostatic pressure falls to approximately 17 mm Hg while the osmotic pressure and the tissue pressure remain constant, resulting in movement of fluid _________ from the extravascular (interstitial) spaces and into the blood
back
273individuals who lack albumin
analbuminemia
274liver: Binds free fatty acids, calcium, zinc, steroid hormones, copper, bilirubin
albumin
275liver:
Binds copper; appears to be more important as a copper storage pool than as a transport protein; integrates iron and copper homeostasis
ceruloplasmin
276liver: binds cortisol
corticosteroid-binding globulin
277liver:
Binds extracorpuscular heme
haptoglobin
278liver: Transport cholesterol and fatty acids
lipoproteins
279liver: Binds vitamin A
retinol binding proteins
280liver: Binds estradiol and testosterone
sex hormone-binding globulin
281liver: Transports iron
transferrin
282liver: Binds thyroxine (T4); also forms a complex with retinol-binding protein
transthyretin
283what makes platelets
magakaryocytes
284Binding to collagen by ______ (integrin α2β1) causes the platelet to change its shape from a flat disk to a spherical cell.
GPIa
285Binding of subendothelial vWF by _________ causes changes in the platelet membrane that expose GPIIb/IIIa (integrin αIIbβ3)-binding sites to fibrinogen and vWF.
GPIb
286Mutations in GPIb
-Platelet aggregation is affected because of the inability of GPIb to adhere to subendothelial vWF.
Bernard Soulier syndrome
287a disease characterized by the formation in the circulation of microclots (microthrombi) consisting of aggregated platelets
thyrombotic thrombocytopenic purpura (TTP)
288________ released from the platelets and from damaged red blood cells binds to a receptor on the platelet membrane, which leads to the further unmasking of GPIIb/IIIa-binding sites.
ADP
289factors VII, XI, IX, X, and prothrombin) are _________- that, when activated by cleavage, cleave the next proenzyme in the cascade.
serine proteases
290The cofactor proteins (tissue factor, factors V and VIII) serve as ______ for other factors.
binding sites
291how does warfarin work to compete with VKOR1
The structural similarity allows the compound to compete with vitamin K and prevent γ-carboxylation of glutamate residues in factors II, VII, IX, X, and proteins C and S.
292Upon binding to the factor Va–platelet complex, prothrombin undergoes a conformational change, rendering it more susceptible to_______
enzamatic cleavage
293what reduces vitamin K (reaction type
microsomal quinone reductase
294Antithrombotic effects of thrombin result from its binding to an endothelial cell receptor called
thrombomodulin
295Protein S anchors the activated protein C complex (APC) to the clot through...
Ca2+/γ-carboxyglutamate binding to platelet phospholipids
296 The APC destroys the active blood coagulation cofactors factor VIIIa and Va by (rxn)
proteolytic cleavage
297 (serine protease inhibitors) are a group of naturally occurring inhibitory proteins that are present in the plasma at high concentration
serpins
298 Fibrinolysis involves the degradation of fibrin in a clot by ___, a serine protease that is formed from its zymogen, _________
plasmin; plasminogen
299a circulating serum protein that has a high affinity for fibrin, promoting the incorporation of ________ in the developing clot
plasminogen
300Image occlusion: name the hidden labels