Entomological Evolution: Substance H Various insects rely on human blood for survival. Feeding behaviors typically involve puncture of the epidermis. Blood withdrawal is facilitated by injecting the host with various salivary agents. One of these, Substance H, has been reported to have both anticoagulant and antithrombotic activities. This has led researchers to conclude that Substance H could be used to treat thromboembolic disease.
Normal blood flow occurs within a high-pressure, closed circulatory system. The hemostatic process involves both cellular and aqueous phases, and provides the host with a defense against injury and blood loss. The first step in the overall reaction consists of platelet adhesion and aggregation to form a hemostatic plug. Second, with blood coagulation, fibrinogen polymerization occurs. Ultimately, the platelet plug is replaced with a chemically stable fibrin clot.
Platelets essentially consist cytoplasmic fragments of megakaryocytes. These small anucleate cells circulate for about 10 days before being removed by the spleen. The cells have two primary functions which are essential for normal hemostasis. For one, platelet aggregations form a physical barrier to blood loss at sites of vascular injury. In addition, platelet surface phospholipids accelerate blood coagulation.
In their unactivated state, platelets are disc-shaped. With some deterioration in the circulation, however,