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Updated: Apr 22, 2026

Author Spotlight: High-Sensitivity Tissue Factor Activity Assay for Plasma Diagnosis
Published on: December 29, 2023
Tissue factor and atherothrombosis
1I.P. Pavlov 1st Saint Petersburg State Medical University, Lev Tolstoy Street 6/8, Staint- Petersburg, 197022, Russia. ele195738@yandex.ru.
Tissue factor (TF) initiates blood clotting and drives atherosclerosis. Inhibiting TF may prevent cardiovascular events like heart attack and stroke by reducing thrombus formation.
Area of Science:
- Cardiovascular Biology
- Hemostasis and Thrombosis
- Atherosclerosis Pathogenesis
Background:
- Tissue factor (TF) initiates the extrinsic coagulation pathway, crucial for thrombin generation.
- TF is expressed in subendothelial tissues and can be induced on endothelial cells by inflammatory mediators.
- TF plays a critical role in atherosclerotic plaque thrombogenicity and cardiovascular death prediction.
Purpose of the Study:
- To review the role of tissue factor in atherothrombosis.
- To explore TF as a therapeutic target for cardiovascular diseases.
Main Methods:
- Literature review of TF's role in coagulation and atherosclerosis.
- Analysis of TF expression in atherosclerotic plaques.
- Discussion of potential TF-targeted therapies.
Main Results:
- TF is a key determinant of atherosclerotic plaque thrombogenicity.
- Elevated TF levels in plaques correlate with unstable angina.
- Baseline plasma TF activity predicts cardiovascular death in myocardial infarction patients.
Conclusions:
- TF is central to atherothrombosis, particularly after plaque rupture.
- Inhibiting TF activity offers a promising therapeutic strategy for cardiovascular diseases.
- Targeting the TF pathway could reduce the incidence of myocardial infarction, stroke, and sudden death.
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