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Blood, 1 March 2007, Vol. 109, No. 5, pp. 1931-1937. Prepublished online as a Blood First Edition Paper on November 2, 2006; DOI 10.1182/blood-2006-07-037283.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY Active tissue factor pathway inhibitor is expressed on the surface of coated platelets1 Blood Research Institute, Blood Center of Wisconsin, Milwaukee; 2 Department of Pediatrics, The Medical College of Wisconsin, Milwaukee; 3 Department of Medicine, University of Oklahoma School of Medicine, Oklahoma City
The incorporation of blood-borne forms of tissue factor (TF) into a growing blood clot is necessary for normal fibrin generation and stabilization of the blood clot. Tissue factor pathway inhibitor (TFPI) is the primary physiologic inhibitor of tissue factor and is present within platelets. Expression of TFPI on the platelet surface may be the optimal location for it to abrogate blood-borne TF activity that incorporates within the blood clot, balancing the need for adequate hemostasis while preventing development of occlusive thrombosis. TFPI is produced by megakaryocytes but is not expressed on the platelet surface. Activation of platelets with thrombin receptor activation peptide does not cause release or surface expression of TFPI, demonstrating that TFPI is not stored within platelet
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