ABSTRACT
The activation of the coagulation cascade in the tumor microenvironment is a key feature
of advanced malignancies. On tumor cells, tissue factor (TF) plays a central role
to initiate cross-talk through the release of procoagulant microparticles or through
direct, protease-activated receptor (PAR)-mediated cell signaling that leads to the
production of soluble cytokines and angiogenic growth factors. In addition, the hemostatic
system in the host compartment sustains crucial circuits that promote metastasis and
support tumor growth and angiogenesis. Experimental tumor and genetic models have
defined specific pathways that are supported by tumor cell and host TF and have identified
potential therapeutic modalities to specifically interrupt TF signaling in tumor biology
without impairment of hemostatic functions.
KEYWORDS
Tissue factor - breast cancer - coagulation - protease-activated receptors - angiogenesis
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Wolfram RufM.D.
Department of Immunology, SP258, The Scripps Research Institute
10550 North Torrey Pines Road, La Jolla, CA 92037
eMail: ruf@scripps.edu