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Blood, 15 March 2005, Vol. 105, No. 6, pp. 2384-2391.
Prepublished online as a Blood First Edition Paper on November 18, 2004; DOI 10.1182/blood-2004-09-3422.
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Submitted September 3, 2004
Accepted November 12, 2004
Regulation of tissue factor-induced signaling by endogenous and recombinant tissue factor pathway inhibitor-1
Jasimuddin Ahamed, Mattias Belting, and Wolfram Ruf*
Department of Immunology, The Scripps Research Institute, La Jolla, CA, USA
* Corresponding author; email: ruf{at}scripps.edu.
Tissue factor (TF) triggers upstream coagulation signaling via the activation of protease activated receptors (PARs) of relevance for inflammation and angiogenesis. TF pathway inhibitor-1 (TFPI-1) is the physiological inhibitor of TF-initiated coagulation, but its role in regulating TF signaling is poorly understood. Here, we demonstrate that endogenous, endothelial cell-expressed TFPI-1 controls TF-mediated signaling through PARs. In endothelial cells transduced with TF to mimic exacerbated TF expression in vascular cells, TF-VIIa-Xa ternary complex-dependent activation of PAR1 remained intact when TF-mediated Xa generation was blocked with 2.5-5 nM recombinant TFPI-1 (rTFPI-1). Concordantly, inhibition of signaling in PAR1-expressing CHO cells required ~30-fold higher rTFPI-1 concentrations than necessary for anticoagulation. Studies with proteoglycan-deficient CHO cells document a crucial role of accessory receptors in supporting rTFPI-1's anticoagulant and anti-signaling activities. Co-expression of PAR2 with TF enhanced rTFPI-mediated inhibition of TF-VIIa-Xa-mediated PAR1 signaling, suggesting an unexpected role of PAR2 in the inhibitory control of TF signaling. These experiments are of potential significance for the limited therapeutic benefit of rTFPI-1 in systemic inflammation and recommend caution to use anticoagulant potency as a measure to predict how efficacious TF-directed inhibitors block cell signaling during initiation of coagulation.

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