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Updated: Jul 14, 2026

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Extracellular Vesicle Tissue Factor Activity Assay
Published on: December 29, 2023
Parallel decrease of tissue factor surface exposure and increase of tissue factor microparticle release by the n-3
Serena Del Turco1, Giuseppina Basta, Guido Lazzerini
1C.N.R. Institute of Clinical Physiology, Pisa, Italy.
Thrombosis and Haemostasis
|June 29, 2007
Summary
Docosahexaenoate (DHA), an omega-3 fatty acid, reduces tissue factor (TF) on endothelial cells by increasing TF-exposing microparticle release. This finding may explain the cardiovascular benefits of fish oil consumption.
Area of Science:
- Endothelial biology
- Cardiovascular research
- Omega-3 fatty acids
Background:
- Endothelial cells express tissue factor (TF) under inflammatory conditions, promoting thrombosis.
- Fish-derived omega-3 fatty acids are linked to reduced myocardial infarction incidence.
- Docosahexaenoate (DHA) is a major omega-3 fatty acid with potential endothelial effects.
Purpose of the Study:
- To investigate the impact of docosahexaenoate (DHA) on tissue factor (TF) expression in endothelial cells.
- To elucidate the mechanisms by which DHA affects endothelial TF presentation and pro-thrombotic potential.
Main Methods:
- Human umbilical vein endothelial cells were pre-incubated with DHA, stearate, or arachidonate.
- Cells were subsequently stimulated with lipopolysaccharide (LPS) or tumor necrosis factor-alpha.
- TF surface protein exposure, mRNA, total protein, and microparticle release were analyzed.
Main Results:
- DHA pre-incubation concentration-dependently reduced TF surface protein exposure on endothelial cells.
- This reduction was independent of changes in TF mRNA or total protein levels.
- DHA treatment induced the release of TF-exposing microparticles, accounting for decreased cell surface TF.
Conclusions:
- DHA treatment increases the release of TF-exposing microparticles from endothelial cells.
- This microparticle release mechanism explains the observed decrease in endothelial cell TF surface exposure.
- DHA's effect on microparticle release may contribute to the cardioprotective effects associated with omega-3 fatty acids.

