A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development

Tissue factor pathway inhibitor (TFPI) is a critical anticoagulant protein present in endothelium and platelets. Mice lacking TFPI (Tfpi−/−) die in utero from disseminated intravascular coagulation. They are rescued by concomitant tissue factor (TF) deficiency, demonstrating that TFPI modulates TF f...

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Main Authors: Ellery, Paul, Maroney, S., Cooley, B., Luyendyk, J., Zogg, M., Weiler, H., Mast, A.
Format: Journal Article
Published: American Society of Hematology 2015
Online Access:http://hdl.handle.net/20.500.11937/22776
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author Ellery, Paul
Maroney, S.
Cooley, B.
Luyendyk, J.
Zogg, M.
Weiler, H.
Mast, A.
author_facet Ellery, Paul
Maroney, S.
Cooley, B.
Luyendyk, J.
Zogg, M.
Weiler, H.
Mast, A.
author_sort Ellery, Paul
building Curtin Institutional Repository
collection Online Access
description Tissue factor pathway inhibitor (TFPI) is a critical anticoagulant protein present in endothelium and platelets. Mice lacking TFPI (Tfpi−/−) die in utero from disseminated intravascular coagulation. They are rescued by concomitant tissue factor (TF) deficiency, demonstrating that TFPI modulates TF function in vivo. Recent studies have found TFPI inhibits prothrombinase activity during the initiation of coagulation and limits platelet accumulation during thrombus formation, implicating TFPI in modulating platelet procoagulant activity. To examine whether altered platelet function would compensate for the lack of TFPI and rescue TFPI-null embryonic lethality, Tfpi+/− mice lacking the platelet thrombin receptor, protease activated receptor 4 (PAR4; Par4−/−), or its coreceptor, PAR3, were mated. PAR3 deficiency did not rescue Tfpi−/− embryos, but >40% of expected Tfpi−/−:Par4−/− offspring survived to adulthood. Adult Tfpi−/−:Par4−/− mice did not exhibit overt thrombosis. However, they had focal sterile inflammation with fibrin(ogen) deposition in the liver and elevated plasma thrombin-antithrombin complexes, indicating activation of coagulation at baseline. Tfpi−/−:Par4−/− mice have platelet and fibrin accumulation similar to Par4−/− mice following venous electrolytic injury but were more susceptible than Par4−/− mice to TF-induced pulmonary embolism. In addition, ∼30% of the Tfpi−/−:Par4−/− mice were born with short tails. Tfpi−/−:Par4−/− mice are the first adult mice described that lack TFPI with unaltered TF. They demonstrate that TFPI physiologically modulates thrombin-dependent platelet activation in a manner that is required for successful embryonic development and identify a role for TFPI in dampening intravascular procoagulant stimuli that lead to thrombin generation, even in the absence of thrombin-mediated platelet activation.
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spelling curtin-20.500.11937-227762017-09-13T13:58:23Z A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development Ellery, Paul Maroney, S. Cooley, B. Luyendyk, J. Zogg, M. Weiler, H. Mast, A. Tissue factor pathway inhibitor (TFPI) is a critical anticoagulant protein present in endothelium and platelets. Mice lacking TFPI (Tfpi−/−) die in utero from disseminated intravascular coagulation. They are rescued by concomitant tissue factor (TF) deficiency, demonstrating that TFPI modulates TF function in vivo. Recent studies have found TFPI inhibits prothrombinase activity during the initiation of coagulation and limits platelet accumulation during thrombus formation, implicating TFPI in modulating platelet procoagulant activity. To examine whether altered platelet function would compensate for the lack of TFPI and rescue TFPI-null embryonic lethality, Tfpi+/− mice lacking the platelet thrombin receptor, protease activated receptor 4 (PAR4; Par4−/−), or its coreceptor, PAR3, were mated. PAR3 deficiency did not rescue Tfpi−/− embryos, but >40% of expected Tfpi−/−:Par4−/− offspring survived to adulthood. Adult Tfpi−/−:Par4−/− mice did not exhibit overt thrombosis. However, they had focal sterile inflammation with fibrin(ogen) deposition in the liver and elevated plasma thrombin-antithrombin complexes, indicating activation of coagulation at baseline. Tfpi−/−:Par4−/− mice have platelet and fibrin accumulation similar to Par4−/− mice following venous electrolytic injury but were more susceptible than Par4−/− mice to TF-induced pulmonary embolism. In addition, ∼30% of the Tfpi−/−:Par4−/− mice were born with short tails. Tfpi−/−:Par4−/− mice are the first adult mice described that lack TFPI with unaltered TF. They demonstrate that TFPI physiologically modulates thrombin-dependent platelet activation in a manner that is required for successful embryonic development and identify a role for TFPI in dampening intravascular procoagulant stimuli that lead to thrombin generation, even in the absence of thrombin-mediated platelet activation. 2015 Journal Article http://hdl.handle.net/20.500.11937/22776 10.1182/blood-2015-03-633958 American Society of Hematology unknown
spellingShingle Ellery, Paul
Maroney, S.
Cooley, B.
Luyendyk, J.
Zogg, M.
Weiler, H.
Mast, A.
A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development
title A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development
title_full A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development
title_fullStr A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development
title_full_unstemmed A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development
title_short A balance between TFPI and thrombin-mediated platelet activation is required for murine embryonic development
title_sort balance between tfpi and thrombin-mediated platelet activation is required for murine embryonic development
url http://hdl.handle.net/20.500.11937/22776