“…Similarly, the prothrombinase complex that comprises the serine protease, factor Xa, a cofactor Va, and Ca 2+ converts the inactive zymogen prothrombin (factor II) to thrombin (factor IIa) [109] . This first committed step is very critical in the blood coagulation cascade for thrombus formation, and venom proteins from PLA 2 (Cc1-PLA 2 , Cc2-PLA 2 , Daboxin P, Nk-PLA 2 α, RVVA-PLA 2 -I), Kunitz-type serine protease inhibitors (KSPI; Rusvikunin II), and snaclec (ACF isoforms, Cc-Lec, RVsnaclec) families, and a few peptides (ACH-11, Ruviprase) inhibit the catalytic activation of prothrombin [94] , [103] , [104] , [110] , [111] , [112] , [113] , [114] , [115] , [116] , [117] . Consequently, thrombin, which catalyzes fibrin clot formation from fibrinogen, is hindered, resulting in inhibition of thrombus formation.…”