“…TM biosynthesis is decreased by tumor necrosis factor (TNF), 6 -15 interleukin-1, 11,16 endotoxin, 17 hypoxia, 18 and transforming growth factor  (TGF). 19 Agonists, including retinoic acid, 20 -22 cAMP, 10,11,[23][24][25][26][27][28][29] histamine, 30 forskolin, 23,25 phorbol esters, 11,23,31,32 vascular endothelial growth factor (VEGF), 33 and thrombin, 34 enhance TM transcription in different cell types. Heat shock of vascular endothelial cells induces an upregulatory transcriptional response that abrogates the suppressive effect of TNF.…”