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. Author manuscript; available in PMC: 2024 Apr 8.
Published in final edited form as: J Trauma Acute Care Surg. 2023 Nov 13;96(3):347–356. doi: 10.1097/TA.0000000000004190

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.