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Ch. 19 Blood
Chapter 19, Problem 19.15a

Which of the following is not an anticlotting agent produced by endothelial cells?


a. Prostacyclin
b. Protein C
c. Antithrombin-III
d. Warfarin

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1
Identify the role of endothelial cells in preventing blood clotting.
Understand that endothelial cells produce substances that inhibit clot formation.
Review the list of substances: Prostacyclin, Protein C, Antithrombin-III, and Warfarin.
Recognize that Prostacyclin, Protein C, and Antithrombin-III are naturally occurring anticlotting agents produced by endothelial cells.
Determine that Warfarin is a synthetic anticoagulant, not produced by endothelial cells.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Endothelial Cells

Endothelial cells line the blood vessels and play a crucial role in maintaining vascular health. They produce various substances that regulate blood flow, coagulation, and inflammation. Understanding their function is essential for recognizing how they contribute to the body's hemostatic balance and the mechanisms of clot formation and dissolution.
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Anticlotting Agents

Anticlotting agents, also known as anticoagulants, are substances that prevent blood clot formation. They can be naturally produced by the body, such as prostacyclin and antithrombin-III, or administered as medications, like warfarin. Recognizing the difference between naturally occurring agents and pharmaceutical anticoagulants is vital for answering questions about their sources and functions.
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Warfarin

Warfarin is a synthetic anticoagulant medication that inhibits vitamin K-dependent clotting factors, thereby preventing blood clots. Unlike the other options listed, which are produced by endothelial cells, warfarin is an externally administered drug. Understanding its mechanism and classification helps clarify its distinction from naturally occurring anticlotting agents.