Determination of the activation of fII in fIIWT and fIIMZ plasmas. To evaluate the activation potential of fII in either fIIWT or fIIMZ plasma, we used thrombin generation assays to assess fIIa/fIIaMZ generation over time. Representative thrombin generation curves from fIIWT (A) and fIIMZ (B) plasma. Time to the start of thrombin generation was significantly delayed in fIIMZ plasma (C), as well as time to peak thrombin generation (D). Peak fIIa/fIIaMZ generation was also significantly decreased in the fIIMZ animals (E). Of note, plasma from 4 fIIMZ animals did not have any appreciable (meizo)thrombin generation. Therefore, they were excluded from the time-to-peak (meizothrombin) analysis. Total fIIa/fIIaMZ generation, as represented by area under the curve, was also significantly reduced in fIIMZ plasma compared with fIIWT plasma (F).