Related Experiment Video
Updated: Jun 24, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Procoagulant mechanisms in tumour cells
Anna Falanga1, Marina Panova-Noeva, Laura Russo
1Haemostasis and Thrombosis Centre, Department of Haematology-Oncology, Ospedali Riuniti Bergamo, Largo Barozzi n. 1, Bergamo 24128, Italy.
Cancer cells activate the coagulation system, contributing to a prothrombotic state. These interactions promote tumor growth and metastasis through complex mechanisms involving clotting proteins.
Area of Science:
- Oncology
- Hematology
- Biochemistry
Background:
- Cancer patients often exhibit a prothrombotic state, increasing the risk of blood clots.
- The exact mechanisms linking cancer and thrombosis are complex and not fully understood.
- Malignant cells interact with the hemostatic system, shifting the balance towards a procoagulant state.
Purpose of the Study:
- To summarize the prothrombotic mechanisms employed by tumor cells.
- To elucidate the role of these mechanisms in coagulation and tumor progression.
- To focus on how tumor cells activate the coagulation system and how clotting proteins influence tumor growth and metastasis.
Main Methods:
- Review of existing literature on cancer-associated thrombosis.
- Analysis of molecular interactions between tumor cells and the coagulation cascade.
- Examination of the role of inflammatory cytokines and cell adhesion in thrombosis.
Main Results:
- Tumor cells express hemostatic proteins, contributing to coagulation activation.
- Tumor cells and host cells produce inflammatory cytokines that influence hemostasis.
- Direct adhesion of tumor cells to platelets, endothelial cells, and monocytes facilitates prothrombotic events.
Conclusions:
- Tumor cell-induced activation of the coagulation system is a key factor in cancer-associated thrombosis.
- Clotting proteins play a significant role in promoting tumor growth and metastasis.
- Understanding these interactions is crucial for developing targeted therapies.
Related Concept Videos
Anticoagulant Drugs: Low-Molecular-Weight Heparins
Metastasis
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Extrinsic and Intrinsic Pathways of Hemostasis
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which forms a...
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
The Tumor Microenvironment
Clot Retraction and Fibrinolysis

