ABSTRACT
The complex of the cell surface receptor tissue factor (TF) and its ligand coagulation
factor VIIa (FVIIa) is the primary initiator of the coagulation cascade. It is now
clear the TF-initiated coagulation pathway also plays major nonhemostatic roles in
inflammation, tumor growth, and angiogenesis. Direct or indirect cell signaling by
TF-FVIIa or downstream coagulation proteases is an essential part of these nonhemostatic
functions. The TF-FVIIa complex activates protease-activated receptor 2 and thus regulates
gene transcription and protein translation, cell proliferation and survival, or cell
motility and integrin activation. In this review, we relate our current understanding
of direct TF signaling pathways to the emerging roles of TF in (patho)physiology.
KEYWORDS
Tissue factor - TF-FVIIa complex - coagulation - cell signaling - PAR-2 - tumor growth
- angiogenesis
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Henri H VersteegPh.D.
Research Associate, Department of Immunology, The Scripps Institute, La Jolla, CA
92037
eMail: versteeg@scripps.edu