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Prepublished online as a Blood First Edition Paper on May 8, 2003; DOI 10.1182/blood-2003-01-0157.

Submitted January 21, 2003
Accepted April 28, 2003
Anti-apoptotic effect of coagulation factor VIIa
Brit B Sorensen*, L. Vijaya Mohan Rao, Ditte Tornehave, Steen Gammeltoft, and Lars C Petersen
Hemostasis Biology, Novo Nordisk A/S, Maaloev, Denmark; Department of Clinical Biochemistry, University of Copenhagen, Glostrup Hospital, Glostrup, Denmark
Department of Biochemistry, University of Texas Health Center, Tyler, TX, USA
Pharmacology Research, Novo Nordisk A/S, Bagsvaerd, Denmark
Department of Clinical Biochemistry, University of Copenhagen, Glostrup Hospital, Glostrup, Denmark
Hemostasis Biology, Novo Nordisk A/S, Maaloev, Denmark
* Corresponding author; email: bbsn{at}novonordisk.com.
Binding of factor VIIa (FVIIa) to its cellular receptor tissue factor (TF) was previously shown to induce various intracellular signaling events, which were thought to be responsible for TF-mediated biological effects, including angiogenesis, tumor metastasis and restenosis. To understand the mechanisms behind these processes, we have examined the effect of FVIIa on apoptosis. Serum deprivation-induced apoptosis of BHK(+TF) cells was characterized by apoptotic blebs, nuclei with chromatin-condensed bodies, DNA degradation, and activation of caspase 3. FVIIa markedly decreased the number of cells with apoptotic morphology and prevented the DNA degradation as measured by means of TUNEL. The anti-apoptotic effect of FVIIa was confirmed by the observation that FVIIa attenuated caspase 3 activation. FVIIa-induced anti-apoptotic effect was dependent on its proteolytic activity and TF, but independent of factor Xa and thrombin. FVIIa-induced cell survival correlated with the activation of Akt and was inhibited markedly by the specific PI3-kinase inhibitor, LY294002. Blocking the activation of p44/42 MAPK by the specific MEK inhibitor, U0126, impaired modestly the ability of FVIIa to promote cell survival. In conclusion, FVIIa binding to TF provided protection against apoptosis induced by growth factor deprivation, primarily through activation of PI3-kinase/Akt pathway, and to a lesser extent, p44/42 MAPK pathway.

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