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Blood, 15 June 2007, Vol. 109, No. 12, pp. 5251-5259.
Prepublished online as a Blood First Edition Paper on March 1, 2007; DOI 10.1182/blood-2006-10-051334.
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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Regulation of macrophage procoagulant responses by the tissue factor cytoplasmic domain in endotoxemia
Jasimuddin Ahamed1,
Frank Niessen2,
Toru Kurokawa2,
Young Kyung Lee2,
Gourab Bhattacharjee2,
James H. Morrissey3, and
Wolfram Ruf2
1 The Rockefeller University, New York, NY;
2 Department of Immunology, Scripps Research Institute, La Jolla, CA;
3 Department of Biochemistry, University of Illinois, Champaign-Urbana, IL
Tissue factor (TF) is the primary initiator of coagulation, and the TF pathway mediates signaling through protease-activated receptors (PARs). In sepsis, TF is up-regulated as part of the proinflammatory response in lipopolysaccharide (LPS)stimulated monocytes leading to systemic coagulation activation. Here we demonstrate that TF cytoplasmic domaindeleted (TF CT) mice show enhanced and prolonged systemic coagulation activation relative to wild-type upon LPS challenge. However, TF CT mice resolve inflammation earlier and are protected from lethality independent of changes in coagulation. Macrophages from LPS-challenged TF CT mice or LPS-stimulated, in vitrodifferentiated bone marrowderived macrophages show increased TF mRNA and functional activity relative to wild-type, identifying up-regulation of macrophage TF expression as a possible cause for the increase in coagulation of TF CT mice. Increased TF expression of TF CT macrophages does not require PAR2 and is specific for toll-like receptor, but not interferon receptor, signaling. The presence of the TF cytoplasmic domain suppresses ERK1/2 phosphorylation that is reversed by p38 inhibition leading to enhanced TF expression specifically in wild-type but not TF CT mice. The present study demonstrates a new role of the TF cytoplasmic domain in an autoregulatory pathway that controls LPS-induced TF expression in macrophages and procoagulant responses in endotoxemia.

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