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Vitamin K–dependent factor X (FX) is best known for its central role in hemostasis. Its functional deficiency is associated with severe bleeding, including epistaxis, hemarthrosis, and gastrointestinal bleeding. In addition, Nonhemostatic functions for FX include inhibition of angiogenesis, regulation of the immune response toward viral infections, and stimulation of proinflammatory and profibrotic responses in fibroblasts. SR-AI is known for its hyperendocytic ability to acetylate LDL, which binds to but does not internalize FX. The pentraxin-2 (PTX2) was identified as a hitherto unidentified FX binding protein. PTX2 forms complexes with FX in plasma and prevents the internalization of FX/SR-AI complexes. In addition, PTX2 contributes to the mechanism of maintaining normal FX plasma levels and allowing FX accumulation on the surface of macrophages.