Clotting of human plasma by human alpha-thrombin was prolonged in the
presence of haemoglobin as was human and bovine fibrinogen. Specifical
ly, the clot time doubled for human plasma, human fibrinogen and bovin
e fibrinogen at 483, 233, and 116 mu M haemoglobin, respectively. Fibr
inopeptide A release was not inhibited at concentrations in similar to
16000 molar excess compared with alpha-thrombin. Turbidometric analys
is of fibrin polymerization showed a lengthening of the lag phase as w
ell as the fibrin assembly process in the presence of haemoglobin. The
se findings suggested that neither fibrinogen recognition nor catalyti
c efficiency of thrombin was affected, implying that haemoglobin inter
feres with fibrin polymerization. Since human blood contains sufficien
t haemoglobin in erythrocytes to generate concentrations of up to 2.3
mM upon cell lysis, and haemoglobin concentrations of 0.16-0.48 mM cau
sed 1.25 to two times longer clotting times in fresh human plasma, res
pectively, haemoglobin may act to modulate clot formation under condit
ions of haemolysis.