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Updated: May 12, 2026

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
Tissue factor in atherosclerosis
E Tremoli1, M Camera, V Toschi
1Institute of Pharmacological Sciences, E. Grossi Paoletti Center, University of Milan, Italy. Elena.Tremoli@unimi.it
Insights
Tissue factor (TF) is crucial in atherosclerosis and thrombosis, leading to heart attack and stroke. Understanding TF
Area of Science:
- Cardiovascular Biology
- Thrombosis Research
- Atherosclerosis Pathogenesis
Background:
- Thrombosis is central to atherosclerosis development and complications like myocardial infarction and stroke.
- Vessel wall thrombogenicity, blood components, and lipid interactions influence thrombotic events.
- Acute thrombosis can complicate arterial interventions such as bypass surgery and stenting.
Purpose of the Study:
- To review the role of tissue factor (TF) in atherogenesis.
- To highlight current knowledge on TF's involvement in plaque thrombogenicity.
- To focus on potential pharmacological strategies targeting TF in atherosclerosis.
Main Methods:
- Literature review of existing research on tissue factor and atherosclerosis.
- Analysis of studies investigating TF presence in human coronary artery specimens.
- Discussion of pharmacological interventions targeting the coagulation pathway.
Main Results:
- Tissue factor (TF) is a key cellular cofactor initiating coagulation.
- Active TF is found in human coronary arteries, associated with lipid areas, macrophages, and smooth muscle cells.
- These findings suggest TF significantly contributes to atherosclerotic plaque thrombogenicity.
Conclusions:
- Tissue factor plays a critical role in the thrombotic nature of atherosclerotic plaques.
- Further research into TF's function is essential for developing targeted therapies.
- Pharmacological inhibition of TF represents a promising therapeutic avenue for atherosclerosis.
Abstract:
Thrombosis is a key feature of the initiation and progression of atherosclerosis and its clinical sequelae. Acute thrombosis can lead to arterial occlusion and consequently provoke myocardial infarction, unstable angina, stroke and sudden death. Acute thrombosis can also be a complication of arterial bypass surgery, balloon angioplasty, atherectomy, or coronary artery stenting. The thrombotic response is influenced by several factors, among them the thrombogenicity of the vessel wall and of certain blood components as well as their interaction with the lipid pool. Tissue factor (TF) is considered to be the primary cofactor of cellular origin that is involved in activation of the coagulation pathway. The active form of TF has been shown to be present in specimens of human coronary artery in association both with acellular lipid areas and with macrophages and smooth muscle cells, which suggests that TF plays a major role in determining plaque thrombogenicity. We discuss here what is currently known about the role of tissue factor in atherogenesis, and focus attention on pharmacological approaches in this area.
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