TABLE 1.
Selected Key Mediators of the Intersection of Coagulation and Inflammation
| Selected Mediator | Source | Role in Thromboinflammation |
|---|---|---|
| Activated protein C | Plasma | Natural anticoagulant with cytoprotective role; promotes endothelial barrier; inhibits proinflammatory mediators |
| Complement cascade | Plasma | Stimulates platelet activation and adhesion |
| DAMPs | Injured cells | Cytokine release and inflammatory response amplification |
| Elastase | Neutrophils | Decreased circulating antithrombin |
| EVs | Multiple | Propagates inflammatory response |
| Factor VIIa | Plasma | Triggers release of inflammatory mediators from immune cells |
| Fibrin | Plasma | Promotes leukocyte adhesion, migration, and cytokine release |
| P-selectin | Platelets | Recruits immune cells; induces cytokine release; receptor for C3b, initiates complement activation |
| Phosphatidylserine | Platelets | Recruits immune cells; induces cytokine release |
| Platelet factor 4 | Platelets | Recruitment and activation of neutrophils and monocytes |
| Cytokines | Multiple | Increased TF expression on endothelial cells and monocytes |
| Thrombin | Plasma | Cleaves protease-activated receptors leading to cytokine release |
| TF | Multiple | Triggers release of inflammatory mediators |
| Toll like receptors | Platelets | Recognizes PAMPs and DAMPs, triggers inflammatory responses |
| vWF | Multiple | Propagates platelet adhesion |
PAMP, pathogen-associated molecular pattern.