2010
DOI: 10.1016/j.thromres.2010.01.039
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Interdependent biological systems, multi-functional molecules: The evolving role of tissue factor pathway inhibitor beyond anti-coagulation

Abstract: Coagulation, innate immunity, angiogenesis, and lipid metabolism represent fundamental and interdependent biological systems. While tissue factor pathway inhibitor (TFPI) is the major physiological inhibitor of TF, its unique structure and endothelial expression allow multi-modal interactions with constituent molecules in each of these systems. We review emerging data describing roles for TFPI beyond simply opposing the action of TF, particularly with regard to the highly basic c-terminus of TFPI, and highligh… Show more

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Cited by 13 publications
(7 citation statements)
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“…The lipid and haemostatic systems are closely intertwined, mediating the pathological processes of inflammation and thrombosis (67). TFPI is transported by low-density lipoprotein cholesterol, and plasma levels of TFPI correlate with measures of total cholesterol, low-density lipoprotein cholesterol, triglycerides, and markers of endothelial cell dysfunction, a hallmark of inflammation (4,10,68).…”
Section: Discussionmentioning
confidence: 99%
“…The lipid and haemostatic systems are closely intertwined, mediating the pathological processes of inflammation and thrombosis (67). TFPI is transported by low-density lipoprotein cholesterol, and plasma levels of TFPI correlate with measures of total cholesterol, low-density lipoprotein cholesterol, triglycerides, and markers of endothelial cell dysfunction, a hallmark of inflammation (4,10,68).…”
Section: Discussionmentioning
confidence: 99%
“…Thus, TFPI plays a protective role in maintaining cellular and systemic homeostasis of immune system. Additionally, TFPI has been demonstrated to be involved in three interdependent biological processes that is coagulation, angiogenesis and lipid metabolism (Holroyd and Simari, 2010). Excess cellular lipid forms lipotoxic metabolites (such as cholesterol crystals) which on one hand induce inflammatory cytokine production and on the other induce TFPI (Holroyd and Simari, 2010; Espada et al, 2017).…”
Section: Resultsmentioning
confidence: 99%
“…Additionally, TFPI has been demonstrated to be involved in three interdependent biological processes that is coagulation, angiogenesis and lipid metabolism (Holroyd and Simari, 2010). Excess cellular lipid forms lipotoxic metabolites (such as cholesterol crystals) which on one hand induce inflammatory cytokine production and on the other induce TFPI (Holroyd and Simari, 2010; Espada et al, 2017). TFPI not only regulates the inflammatory processes through their inhibition but also reduces cholesterol concentration (through stimulation of internalization and degradation of VLDLs through HSPG-dependent pathway) (Holroyd and Simari, 2010).…”
Section: Resultsmentioning
confidence: 99%
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“…41 Moreover, TFPI on endothelial and other cells probably has roles beyond the control of TF procoagulant activity, 30 such as modulation of innate immunity, angiogenesis, and lipid metabolism. 42 It will be interesting to elucidate whether APC affects these functions of TFPI.…”
Section: Discussionmentioning
confidence: 99%