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Blood
Clotting
Now let's talk about a different biochemical
system of blood clotting. Amusingly, the way in which the blood clotting
system works is reminiscent of a Rube Goldberg machine.
The name of Rube Goldberg; the great cartoonist
who entertained America with his silly machines, lives on in our
culture, but the man himself has pretty much faded from view. Here's a
typical example of his humor. In this cartoon Goldberg imagined a system
where water from a drain-pipe fills a flask, causing a cork with
attached needle to rise and puncture a paper cup containing beer, which
sprinkles on a bird. The intoxicated bird falls onto a spring, bounces
up to a platform, and pulls a string thinking it's a worm. The string
triggers a cannon which frightens a dog. The dog flips over, and his
rapid breathing raises and lowers a scratcher over a mosquito bite,
causing no embarrassment while talking to a lady.
When you think about it for a moment you realize
that the Rube Goldberg machine is irreducibly complex. It is a single
system which is composed of several interacting parts, and where the
removal of any one of the parts causes the system to break down. If the
dog is missing the machine doesn't work; if the needle hasn't been put
on the cork, the whole system is useless.
It turns out that we all have Rube Goldberg in
our blood. Here's a picture of a cell trapped in a clot. The meshwork is
formed from a protein called fibrin. But what controls blood clotting?
Why does blood clot when you cut yourself, but not at other times when a
clot would cause a stroke or heart attack? Here's a diagram of what's
called the blood clotting cascade. Let's go through just some of the
reactions of clotting.
When an animal is cut a protein called Hageman
factor sticks to the surface of cells near the wound. Bound Hageman
factor is then cleaved by a protein called HMK to yield activated
Hageman factor. Immediately the activated Hageman factor converts
another protein, called prekallikrein, to its active form, kallikrein.
Kallikrein helps HMK speed up the conversion of more Hageman factor to
its active form. Activated Hageman factor and HMK then together
transform another protein, called PTA, to its active form. Activated PTA
in turn, together with the activated form of another protein (discussed
below) called convertin, switch a protein called Christmas factor to its
active form. Activated Christmas factor, together with antihemophilic
factor (which is itself activated by thrombin in a manner similar to
that of proaccelerin) changes Stuart factor to its active form. Stuart
factor,working with accelerin, converts prothrombin to thrombin. Finally
thrombin cuts fibrinogen to give fibrin, which aggregates with other
fibrin molecules to form the meshwork clot you saw in the last picture.
Blood clotting requires extreme precision. When a
pressurized blood circulation system is punctured, a clot must form
quickly or the animal will bleed to death. On the other hand, if blood
congeals at the wrong time or place, then the clot may block circulation
as it does in heart attacks and strokes. Furthermore, a clot has to stop
bleeding all along the length of the cut, sealing it completely. Yet
blood clotting must be confined to the cut or the entire blood system of
the animal might solidify, killing it. Consequently, clotting requires
this enormously complex system so that the clot forms only when and only
where it is required. Blood clotting is the ultimate Rube Goldberg
machine. |
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