task
Another factor that participates in the coagulation cascade is
factor XIa. Like other proteases in the blood, factor XIa is
regulated by an inhibitor, antithrombin III, which is a member of
the serine protease inhibitor family (serpins).
1. Why does the body need an inhibitor like antithrombin?
Heparin is a highly sulfated glycosaminoglycan polymer that affects the activity of serpins like antithrombin III. It is used in medicine to treat inter alia thrombosis (formation of blood clots in the blood) and as an additive to donor blood, to counteract coagulation during storage. The chemical structure of a heparin unit is shown below.

2. Which group of substances belong to heparin and what
functional groups contain it?
The figure below shows the results of an experiment in which the
effect of antithrombin III on factor XIa's proteolytic function was
measured, with and without heparin present.

The effect of antithrombin III (x-axis, μM) on factor XIa's
proteolytic activity (at 8 nM) is indicated along the y-axis of
arbitrary units in the presence as well as without heparin (0.28
μM).
Heparin binds to an XBBXBX consensus motif in the protease, where X
is an uncharged and B is a basic amino acid residue.
3. Explain how heparin interacts with the consensus motif.
4. Suggest how heparin affects the interaction between serpine and protease?
task Another factor that participates in the coagulation cascade is factor XIa. Like other proteases in...