Table 1

Coagulation glycoproteins—carbohydrate composition and biological relevance

Haemostatic glycoproteinN-linked sitesO-linked sitesFunctional significance of glycan structuresPhysiological and pathological glycoforms
Fibrinogen Promotes fibrinogen solubility93  Pathological: fibrinogens Lima,80  Caracas II,81  Niigata,94  Pontoise, Asahi,82  and Kaiserslautern95  
Prothrombin None described None described 
TF ND Glycans modulate procoagulant activity of TF36 -38  None described 
Factor V 26 ND Glycans modulate intracellular trafficking from ER to Golgi.13 ,14 N-linked glycans also influence FVa phospholipid binding affinity and FVa susceptibility to APC mediated proteolysis.58 -60  Physiological: FVa1 and FVa2 
Pathological: factor V Liverpool (Ile359Thr)79  
Factor VII Influence hepatic clearance and plasma half-life of recombinant FVIIa. Loss of O-linked glycans impairs procoagulant activity of FVIIa in plasma.96  None described 
Factor VIII 24 Glycans influence FVIII folding and intracellular trafficking during biosynthesis.13 ,14 N-linked glycans also regulate FVIII uptake by dendritic cells91 ,97  and clearance by the ASGPR. Pathological: factor VIII (Met1772Thr) and (Ile566Thr) 25  
Factor IX None described Pathological: factor IX (Arg94Ser) 83  
Factor X Both N- and O-linked glycans are negative modulators of FX zymogen activation.42 N-linked glycans also regulate FX clearance.45  None described 
Factor XI ND None described None described 
Factor XII None described None described 
Factor XIII ND None described None described 
VWF 12 10 N-linked and O-linked glycans influence VWF synthesis, secretion, and biological activity.27 ,35 ,98  Glycan expression also regulates susceptibility to ADAMTS13 proteolysis34  and is a critical determinant of VWF clearance.67  Physiological: ABO blood group–specific glycoforms 
PC Modulate PC zymogen activation by thrombin thrombomodulin complex.54  Glycans also influence the anticoagulant and antiinflammatory properties of APC.55  Physiological: α-protein C, β-protein C, γ- protein C53  
Protein S ND None described Pathological: protein S Heerlen (Ser460Pro) 84  
Antithrombin Glycans influence conformational changes in antithrombin after heparin binding, and thereby regulate serpin activity.47 ,51  Physiological: α-antithrombin and β-antithrombin47  
Pathological: antithrombin (Ile7Asn),99  antithrombin (Ser82Asn) 100  
Haemostatic glycoproteinN-linked sitesO-linked sitesFunctional significance of glycan structuresPhysiological and pathological glycoforms
Fibrinogen Promotes fibrinogen solubility93  Pathological: fibrinogens Lima,80  Caracas II,81  Niigata,94  Pontoise, Asahi,82  and Kaiserslautern95  
Prothrombin None described None described 
TF ND Glycans modulate procoagulant activity of TF36 -38  None described 
Factor V 26 ND Glycans modulate intracellular trafficking from ER to Golgi.13 ,14 N-linked glycans also influence FVa phospholipid binding affinity and FVa susceptibility to APC mediated proteolysis.58 -60  Physiological: FVa1 and FVa2 
Pathological: factor V Liverpool (Ile359Thr)79  
Factor VII Influence hepatic clearance and plasma half-life of recombinant FVIIa. Loss of O-linked glycans impairs procoagulant activity of FVIIa in plasma.96  None described 
Factor VIII 24 Glycans influence FVIII folding and intracellular trafficking during biosynthesis.13 ,14 N-linked glycans also regulate FVIII uptake by dendritic cells91 ,97  and clearance by the ASGPR. Pathological: factor VIII (Met1772Thr) and (Ile566Thr) 25  
Factor IX None described Pathological: factor IX (Arg94Ser) 83  
Factor X Both N- and O-linked glycans are negative modulators of FX zymogen activation.42 N-linked glycans also regulate FX clearance.45  None described 
Factor XI ND None described None described 
Factor XII None described None described 
Factor XIII ND None described None described 
VWF 12 10 N-linked and O-linked glycans influence VWF synthesis, secretion, and biological activity.27 ,35 ,98  Glycan expression also regulates susceptibility to ADAMTS13 proteolysis34  and is a critical determinant of VWF clearance.67  Physiological: ABO blood group–specific glycoforms 
PC Modulate PC zymogen activation by thrombin thrombomodulin complex.54  Glycans also influence the anticoagulant and antiinflammatory properties of APC.55  Physiological: α-protein C, β-protein C, γ- protein C53  
Protein S ND None described Pathological: protein S Heerlen (Ser460Pro) 84  
Antithrombin Glycans influence conformational changes in antithrombin after heparin binding, and thereby regulate serpin activity.47 ,51  Physiological: α-antithrombin and β-antithrombin47  
Pathological: antithrombin (Ile7Asn),99  antithrombin (Ser82Asn) 100  

ND, not determined.

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