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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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Submitted October 12, 2006
Accepted February 27, 2007

Regulation of macrophage procoagulant responses by the tissue factor cytoplasmic domain in endotoxemia

Jasimuddin Ahamed, Frank Niessen, Toru Kurokawa, Young Kyung Lee, Gourab Bhattacharjee, James H. Morrissey, and Wolfram Ruf*

The Rockefeller University, New York, NY
Dept of Immunology, The Scripps Research Institute, La Jolla, CA
Dept of Biochemistry, University of Illinois, Champaign-Urbana, IL

* Corresponding author; email: ruf{at}scripps.edu.

Tissue factor (TF) is the primary initiator of coagulation and the TF pathway mediates signaling through protease-activated receptors (PARs). In sepsis, TF is upregulated as part of the pro-inflammatory response in lipopolysaccharide (LPS)-stimulated monocytes leading to systemic coagulation activation. Here we demonstrate that TF cytoplasmic domain-deleted (TF{Delta}CT) mice show enhanced and prolonged systemic coagulation activation relative to wild-type upon LPS challenge. However, TF{Delta}CT mice resolve inflammation earlier and are protected from lethality independent of changes in coagulation. Macrophages from LPS-challenged TF{Delta}CT mice or LPS-stimulated, in vitro differentiated bone marrow-derived macrophages show increased TF mRNA and functional activity relative to wild-type, identifying upregulation of macrophage TF expression as a possible cause for the increase in coagulation of TF{Delta}CT mice. Increased TF expression of TF{Delta}CT macrophages does not require PAR2 and is specific for toll-like receptor, but not interferon {gamma} 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{Delta}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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