Coagulation factor VII

Coagulation factor VII (EC 3.4.21.21, formerly known as proconvertin) is one of the proteins that causes blood to clot in the coagulation cascade, and in humans is coded for by the gene F7. It is an enzyme of the serine protease class. Once bound to tissue factor released from damaged tissues, it is converted to factor VIIa (or blood-coagulation factor VIIa, activated blood coagulation factor VII), which in turn activates factor IX and factor X.

F7
Available structures
PDBOrtholog search: PDBe RCSB
Identifiers
AliasesF7, SPCA, coagulation factor VII
External IDsOMIM: 613878 MGI: 109325 HomoloGene: 7710 GeneCards: F7
Orthologs
SpeciesHumanMouse
Entrez

2155

14068

Ensembl

ENSG00000057593

ENSMUSG00000031443

UniProt

P08709

P70375

RefSeq (mRNA)

NM_000131
NM_001267554
NM_019616

NM_010172

RefSeq (protein)

NP_000122
NP_001254483
NP_062562

NP_034302

Location (UCSC)Chr 13: 113.11 – 113.12 MbChr 8: 13.08 – 13.09 Mb
PubMed search
Wikidata
View/Edit HumanView/Edit Mouse

Using genetic recombination a recombinant factor VIIa (eptacog alfa) (trade names include NovoSeven) has been approved by the FDA for the control of bleeding in hemophilia. It is sometimes used unlicensed in severe uncontrollable bleeding, although there have been safety concerns. A biosimilar form of recombinant activated factor VII (AryoSeven) is also available, but does not play any considerable role in the market.

In April 2020, the US FDA approved a new rFVIIa product, eptacog beta (SEVENFACT), the first bypassing agent (BPA) approved in more than 2 decades. As an rFVIIa product, eptacog beta works in a complex with tissue factor to activate factor X to Xa, thereby bypassing FVIII and FIX. The activation of Factor X to Xa initiates the coagulation cascade’s common pathway, leading to clot formation at the site of hemorrhage. Activated FVII binds to endothelial protein C receptor (EPCR), which enhances hemostasis.14 One study showed that eptacog beta binds to EPCR with 25% to 30% more affinity than eptacog alfa, displacing protein C from EPCR binding sites and downregulating activated protein C generation, contributing to its hemostatic effect.

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