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Updated: Jul 11, 2026

Studying the Effects of Tumor-Secreted Paracrine Ligands on Macrophage Activation using Co-Culture with Permeable Membrane Supports
Published on: November 28, 2019
Inhibition of tissue factor signaling suppresses tumor growth
Henri H Versteeg1, Florence Schaffner, Marjolein Kerver
1Department of Immunology, SP258, Scripps Research Institute, La Jolla, CA 92037, USA.
Abstract:
Coagulation activation by tissue factor (TF) is implicated in cancer progression, cancer-associated thrombosis and metastasis. The role of direct TF signaling pathways in cancer, however, remains incompletely understood. Here we address how TF contributes to primary tumor growth by using a unique pair of isotype-matched antibodies that inhibit either coagulation (monoclonal antibody [Mab]-5G9) or direct signaling (Mab-10H10). We demonstrate that the inhibitory antibody of direct TF-VIIa signaling not only blocks TF-VIIa mediated activation of PAR2, but also disrupts the interaction of TF with integrins. In epithelial and TF-expressing endothelial cells, association of TF with beta1 integrins is regulated by TF extracellular ligand binding and independent of PAR2 signaling or proteolytic activity of VIIa. In contrast, alpha3beta1 integrin association of TF is constitutive in breast cancer cells and blocked by Mab-10H10 but not by Mab-5G9. Mab-5G9 has antitumor activity in vivo, but we show here that Mab-10H10 is at least as effective in suppressing human xenograft tumors in 2 different models. Breast tumor growth was also attenuated by blocking PAR2 signaling. These results show that tumor cell TF-PAR2 signaling is crucial for tumor growth and suggest that anti-TF strategies can be applied in cancer therapy with minor impairment of TF-dependent hemostatic pathways.
Insights
Direct tissue factor (TF) signaling, not just its role in coagulation, drives primary tumor growth. Inhibiting TF signaling pathways, particularly TF-PAR2, shows significant potential for cancer therapy with minimal impact on blood clotting.
Area of Science:
- Oncology
- Hematology
- Molecular Biology
Background:
- Tissue factor (TF) plays a known role in cancer progression and thrombosis.
- The direct signaling functions of TF in cancer remain less understood.
- TF's involvement in primary tumor growth requires further elucidation.
Purpose of the Study:
- To investigate how direct TF signaling pathways contribute to primary tumor growth.
- To differentiate the effects of inhibiting TF coagulation versus TF signaling.
- To explore TF's interaction with integrins and PAR2 in cancer cells.
Main Methods:
- Utilized isotype-matched monoclonal antibodies (mAbs) targeting TF: Mab-5G9 (inhibits coagulation) and Mab-10H10 (inhibits direct signaling).
- Assessed TF-VIIa signaling, PAR2 activation, and TF-integrin interactions in epithelial, endothelial, and breast cancer cells.
- Evaluated the in vivo antitumor efficacy of Mab-10H10 and PAR2 inhibition in human xenograft models.
Main Results:
- Mab-10H10 blocked TF-VIIa mediated PAR2 activation and disrupted TF-integrin interactions.
- TF association with alpha3beta1 integrin in breast cancer cells was constitutive and blocked by Mab-10H10.
- Mab-10H10 demonstrated significant antitumor activity in vivo, comparable or superior to Mab-5G9.
- Blocking PAR2 signaling also attenuated breast tumor growth.
Conclusions:
- Tumor cell TF-PAR2 signaling is critical for tumor growth.
- Targeting direct TF signaling pathways offers a promising therapeutic strategy for cancer.
- Anti-TF strategies can be developed for cancer therapy with limited impact on hemostasis.
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