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Updated: Jul 15, 2026

Flow Cytometry Analysis of Tissue Factor Expression in Human Platelets
Published on: November 22, 2024
Fibronectin-adherent monocytes express tissue factor and tissue factor pathway inhibitor whereas endotoxin-stimulated
M S Bajaj1, M Ghosh, S P Bajaj
1Department of Medicine, David Geffen School of Medicine, and UCLA/Orthopedic Hospital, Los Angeles, CA 90095-1690, USA. mbajaj@mednet.ucla.edu
Background:
Monocytes are critical cells in initiating physiologic and/or pathologic tissue factor (TF)-induced intravascular and extravascular coagulation. Monocytes constitutively express small amounts of TF and tissue factor pathway inhibitor (TFPI). Non-adherent lipopolysaccharide (LPS)-stimulated monocytes express significant amounts of TF; however, increased expression of TFPI by these cells is controversial. Further, whether fibronectin-adherent monocytes (mimicking conditions in the extravascular space) express sufficient TFPI to inhibit TF-procoagulant activity (PCA) is unknown.
Objective:
To compare TF and TFPI expression by fibronectin-adherent and LPS-stimulated non-adherent monocytes.
Methods:
Monocytes were isolated from normal peripheral blood, adhered to fibronectin or stimulated with lipopolysaccharide (LPS) under non-adherent conditions and examined for expression of TF and TFPI using quantitative real-time reverse transcription-polymerase chain reaction (RT-PCR), ELISA and factor X (FX) activation.
Results:
Under LPS-free conditions, the fibronectin-adherent monocyte TF mRNA, antigen and activity were markedly upregulated. Notably, cell and microparticle (MP)-associated TF and alternatively spliced TF (asTF) were all upregulated. TFPI mRNA and antigen were also upregulated in the fibronectin-adherent monocytes, which significantly inhibited TF-PCA. TFPI mRNAs for both alpha and beta forms were detected. The peak in TFPI activity occurred in tandem with the peak in TF-PCA. In contrast, LPS-stimulated monocytes, which expressed cell and MP-associated TF and asTF, demonstrated only minimal expression of TFPI as determined by mRNA, antigen or inhibition of TF activity.
Conclusion:
Both LPS-stimulated and fibronectin-adherent monocytes demonstrate a procoagulant phenotype by expressing TF but only fibronectin-adherent monocytes express significant amounts of TFPI to control thrombin generation and fibrin formation in the context of extravascular space.
Insights
Fibronectin-adherent monocytes upregulate tissue factor (TF) and tissue factor pathway inhibitor (TFPI), controlling coagulation. Lipopolysaccharide-stimulated monocytes express TF but minimal TFPI, suggesting a role for TFPI in extravascular coagulation.
Area of Science:
- Coagulation biology
- Monocyte and immune cell function
- Extravascular space physiology
Background:
- Monocytes initiate coagulation via tissue factor (TF) and express TF pathway inhibitor (TFPI).
- Lipopolysaccharide (LPS) stimulation increases monocyte TF but TFPI expression is debated.
- The role of fibronectin-adherent monocytes in TFPI expression and TF inhibition is unclear.
Purpose of the Study:
- To compare TF and TFPI expression in fibronectin-adherent versus LPS-stimulated non-adherent monocytes.
Main Methods:
- Monocytes were isolated and adhered to fibronectin or stimulated with LPS.
- TF and TFPI expression were quantified using RT-PCR, ELISA, and FX activation assays.
Main Results:
- Fibronectin-adherent monocytes showed marked upregulation of TF (mRNA, antigen, activity) and TFPI (mRNA, antigen).
- Fibronectin-adherent monocytes exhibited significant TFPI activity that inhibited TF procoagulant activity (PCA).
- LPS-stimulated monocytes expressed TF but minimal TFPI, with limited inhibition of TF activity.
Conclusions:
- Both monocyte types express TF, indicating a procoagulant phenotype.
- Fibronectin-adherent monocytes uniquely express sufficient TFPI to regulate thrombin generation and fibrin formation.
- TFPI expression by fibronectin-adherent monocytes is crucial for controlling coagulation in extravascular settings.
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