What is the sequence of events in the blood clotting cascade?
- Thromboplastin catalyses the conversion of a large soluble protein called prothrombin found in the plasma into another soluble protein, the enzyme thrombin. Calcium ions need to be present in the blood at the correct concentration for this reaction to happen.
- Thrombin acts on another soluble plasma protein called fibrinogen, converting it into insoluble fibrin.
- Fibrin forms a mesh of fibres to cover the wound.
- More platelets and blood cells pouring from the wound get trapped in the fibrin mesh to form a clot.
- Proteins in the structure of the platelets contract, making the clot tighter and tougher to form a scab that protects the skin and vessels underneath as they heal.