Figure 3.
The role of coagulation FVIII in bone health. Current knowledge tells us that several modes of action for FVIII impacting bone mineral density are feasible: either FVIII plays a role outside the coagulation system and directly interacts with main players of bone physiology, including the RANK/RANKL/OPG axis and/or the Wnt/β-catenin pathway, as well as pro-inflammatory cytokines, or the effect happens downstream of FVIII and e.g., the missing interaction with vWF or decreased thrombin production is causative. References for original publications and further reading are written in brackets.