Thromb Haemost 2014; 111(04): 590-597
DOI: 10.1160/TH13-09-0802
Theme Issue Article
Schattauer GmbH

Synergies of phosphatidylserine and protein disulfide isomerase in tissue factor activation

Florian Langer
1   II. Medizinische Klinik und Poliklinik (Onkologie, Hämatologie und Knochenmarktransplantation mit Sektion Pneumologie), Universitätsklinikum Eppendorf, Hamburg, Germany
,
Wolfram Ruf
2   Immunology and Microbial Sciences, The Scripps Research Institute, La Jolla, California, USA
3   Center for Thrombosis and Hemostasis, Universittsmedizin Mainz, Germany
› Author Affiliations
Further Information

Publication History

Received: 29 September 2013

Accepted after major revision: 19 January 2013

Publication Date:
29 November 2017 (online)

Summary

Tissue factor (TF), the cellular receptor and cofactor for factor VII/VIIa, initiates haemostasis and thrombosis. Initial tissue distribution studies suggested that TF was sequestered from the circulation and only present at perivascular sites. However, there is now clear evidence that TF also exists as a blood-borne form with critical contributions not only to arterial thrombosis following plaque rupture and to venous thrombosis following endothelial perturbation, but also to various other clotting abnormalities associated with trauma, infection, or cancer. Because thrombin generation, fibrin deposition, and platelet aggregation in the contexts of haemostasis, thrombosis, and pathogen defence frequently occur without TF de novo synthesis, considerable efforts are still directed to understanding the molecular events underlying the conversion of predominantly non-coagulant or cryptic TF on the surface of haematopoietic cells to a highly procoagulant molecule following cellular injury or stimulation. This article will review some of the still controversial mechanisms implicated in cellular TF activation or decryption with particular focus on the coordinated effects of outer leaflet phosphatidylserine exposure and thiol-disulfide exchange pathways involving protein disulfide isomerase (PDI). In this regard, our recent findings of ATP-triggered stimulation of the purinergic P2X7 receptor on myeloid and smooth muscle cells resulting in potent TF activation and shedding of procoagulant microparticles as well as of rapid monocyte TF decryption following antithymocyte globulin-dependent membrane complement fixation have delineated specific PDIdependent pathways of cellular TF activation and thus illustrated additional and novel links in the coupling of inflammation and coagulation.

 
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