Abstract-Tissue factor pathway inhibitor (TFPI) in vivo is thought to be synthesized mainly by endothelial cells. To date, no significant regulator of TFPI synthesis has been described. Vascular smooth muscle cells (VSMC) express tissue factor in vitro and in vivo, which may contribute to vascular thrombosis. We hypothesized that VSMC might also express TFPI. To determine this, we examined growth-arrested coronary VSMC in culture and found that VSMC secreted an amount of TFPI similar to that seen in endothelial cells. Immunohistochemistry of normal human coronary arteries showed TFPI staining throughout the media and intima of the vessel with localization to VSMC and endothelial cells. To determine regulation of TFPI expression in VSMC, we examined the effects of serum stimulation on TFPI secretion and found that FBS induced a 5-fold increase in TFPI antigen and activity levels in conditioned medium at 48 hours (PϽ0.001) when compared with serum-free conditions. A similar stimulatory effect was seen with 10% pooled human serum. Moreover, epidermal growth factor and platelet-derived growth factor-B increased TFPI secretion by 4-to 5-fold and 2-to 3-fold, respectively (PϽ0.05), and these growth factors accounted for Ϸ50% of the TFPI secretion effects of human serum. The serum effect was associated with a 3-fold increase in TFPI mRNA 24 hours after release from growth arrest and a 50% decrease in TFPI secretion after treatment with actinomycin D. Taken together, this study suggests that there is significant TFPI expression in VSMC in culture and in VSMC within the intima and media of the normal coronary artery wall. We present the first evidence for TFPI regulation by serum in VSMC and more specifically by its constituent growth factors, epidermal growth factor and platelet-derived growth factor-B. (Circ Res. 1998;83:1264-1270.)Key Words: tissue factor Ⅲ inhibitor Ⅲ smooth muscle Ⅲ regulation A rterial thrombosis is a significant complication of primary atherosclerosis. The complex of tissue factor (TF) and factor VIIa is one of the most potent initiators of in vivo arterial thrombosis, leading to activation of factors IX and X. 1 Several studies have shown that TF is expressed in the adventitia of normal human arteries, 2,3 intima of human atherosclerotic plaque, and neointima of the balloon-injured rat arteries. 4 An important inhibitor of TF-mediated coagulation is tissue factor pathway inhibitor (TFPI), a multivalent protease inhibitor with 3 Kunitz-type domains that inactivates factor Xa generation by binding initially via its Kunitz II domain to factor Xa and subsequently by its Kunitz I domain to TF-VIIa catalytic complex. 5 The formation of a quaternary TF-VIIa-TFPI-Xa complex dampens ongoing coagulation and may allow modulation of thrombosis in vivo. TFPI was purified initially from conditioned medium of a hepatoma cell line (HepG2) 6 and since has been described in platelets, microvascular endothelium, and stimulated blood monocytes. 7-10 The endothelium currently is thought to be the principle site of in...