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Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor.

Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor. Research Abstract Details 

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  • Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor. Abstract Text:

    haiwang tangHaiwang Tang,lacramioara ivanciuLacramioara Ivanciu,narcis popescuNarcis Popescu,glenn peerGlenn Peer,erik hackErik Hack,cristina lupuCristina Lupu,fletcher b taylorFletcher B Taylor,florea lupuFlorea Lupu,haiwang tangHaiwang Tang,lacramioara ivanciuLacramioara Ivanciu,narcis popescuNarcis Popescu,glenn peerGlenn Peer,erik hackErik Hack,cristina lupuCristina Lupu,fletcher b taylorFletcher B Taylor,florea lupuFlorea Lupu,

    Increased tissue factor (TF)-dependent procoagulant activity in sepsis may be partly due to decreased expression or function of tissue factor pathway inhibitor (TFPI). To test this hypothesis, baboons were infused with live Escherichia coli and sacrificed after 2, 8, or 24 hours. Confocal and electron microscopy revealed increased leukocyte infiltration and fibrin deposition in the intravascular and interstitial compartments. Large amounts of TF were detected by immunostaining in leukocytes and platelet-rich microthrombi. TF induction was documented by quantitative reverse transcriptase-polymerase chain reaction, enzyme-linked immunosorbent assay, and coagulation assays. Lung-associated TFPI antigen and mRNA decreased during sepsis, and TFPI activity diminished abruptly at 2 hours. Blocking antibodies against TFPI increased fibrin deposition in septic baboon lungs, suggesting that TF-dependent coagulation might be aggravated by reduced endothelial TFPI. Decreased TFPI activity coincided with the release of tissue plasminogen activator and the peak of plasmin generation, suggesting that TFPI could undergo proteolytic inactivation by plasmin. Enhanced plasmin produced in septic baboons by infusion of blocking antibodies against plasminogen activator inhibitor-1 led to decreased lung-associated TFPI and unforeseen massive fibrin deposition. We conclude that activation of TF-driven coagulation not adequately countered by TFPI may underlie the widespread thrombotic complications of sepsis.

    Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor. Publishing Authors By Initials

    h tangH Tang,l ivanciuL Ivanciu,n popescuN Popescu,g peerG Peer,e hackE Hack,c lupuC Lupu,fb taylorFB Taylor,f lupuF Lupu,h tangH Tang,l ivanciuL Ivanciu,n popescuN Popescu,g peerG Peer,e hackE Hack,c lupuC Lupu,fb taylorFB Taylor,f lupuF Lupu,

    For similar abstracts research abstracts see: abstracts research

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    Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: The American journal of pathology

    VOLUME: 171

    Page Numbers: 1066-77

    Journal Abbreviation: Am. J. Pathol.

    ISSN: 0002-9440

    DAY: 19

    MONTH: 07

    YEAR: 2007

    Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor. Information

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    LANGUAGE: eng

    NlmUniqueID: 370502

    Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor. Keywords Mesh Terms:

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    Grant and Affiliation Information for Sepsis-induced coagulation in the baboon lung is associated with decreased tissue factor pathway inhibitor.

    AFFILIATION: Cardiovascular Biology Research Program, Oklahoma Medical Research Foundation, 825 NE 13th St., Oklahoma City, OK 73104, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIGMS

    GRANT: 5R01GM037704-17

    ACRONYM: GM

    MEDLINETA: Am J Pathol

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