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. Author manuscript; available in PMC: 2017 Jun 1.
Published in final edited form as: Semin Thromb Hemost. 2016 May 4;42(4):397–407. doi: 10.1055/s-0036-1579655

Table 1.

Role of hemostatic system and fibrinogen in models of liver disease

Liver disease model Activation of
coagulation?a
Effects of hemostatic system
modification on the liver disease?
Role of fibrinogen? References
Hepatic
ischemia/reperfusion
Anticoagulation: ↓ liver injury Unknown 15, 25, 26
Lipopolysaccharide
(LPS) administration
Thrombin inhibition: ↓ liver injury Fibrinogen deficiency (ancrod):
no effect on liver injury
12, 31
Ethanol/LPS co-
exposure
Thrombin inhibition: ↓ liver injury
PAI-1 deficiency: ↓ liver injury
Unknown 19,35
LPS-potentiated
hepatotoxic responses
Thrombin inhibition: ↓ liver injury
PAI-1 deficiency: ↓ liver injury
Unknown 23, 33, 34
Acetaminophen
toxicity
Thrombin inhibition: ↓ liver injury
PAR-1 deficiency: ↓ liver injury
PAR-4 deficiency: ↓ liver injury
PAI-1 deficiency: ↑ liver injury
Plasminogen deficiency: ↓ liver
injury
Fibrinogen deficiency (ancrod):
no effect on liver injury

Fibrinogen deficiency (Fga−/−):
no effect on liver ALT levels
2, 20, 38,
39
Jo2-induced apoptosis Thrombin inhibition: ↓ secondary
liver necrosis
Tissue factor deficiency: ↓
secondary liver necrosis
Unknown 10, 11
Acute cholestasis by
alpha-
naphthylisothiocyanate
(ANIT)
Tissue factor deficiency: ↓ liver
injury
PAR-1 deficiency: no effect on
liver injury
Fibrinogen deficiency (Fga−/−):
↓ liver injury
9, 50
Obstructive cholestasis
by bile duct ligation
(BDL)
PAI-1 deficiency: ↓ liver injury
tPA deficiency: ↑ liver injury
Unknown 16, 17, 49
Acute carbon
tetrachloride (CCl4)
toxicity
Anticoagulation: ↑↓liver injury Fibrinogen deficiency (Fga−/−):
no effect on liver injury
8, 48, 64,
65
Chronic CCl4 toxicity Anticoagulation:↓ liver fibrosis
Factor V Leiden mutation: ↑ liver
fibrosis
PAR-1 deficiency: ↓ liver fibrosis
PAR-2 deficiency:↓ liver fibrosis
Fibrinogen deficiency (Fga−/−):
no effect on gross liver
pathology
68, 69, 71,
72, 73
Cholestasis-associated
fibrosis after BDL
Tissue factor deficiency: no effect
on liver fibrosis
Thrombocytopenia: ↓ liver necrosis
Thrombocytopenia: ↑ liver fibrosis
Unknown 47, 76, 77
Cholestasis-associated
fibrosis after chronic
ANIT feeding
Tissue factor deficiency: ↓ liver
fibrosis
PAR-1 deficiency: ↓ liver fibrosis
PAI-1 deficiency: ↑liver injury and
liver fibrosis
Fibrinogen deficiency (Fga−/−):
↑liver injury
81, 82, 84,
86
Non-alcoholic fatty
liver disease
Tissue factor/PAR-2 signaling: ↑
liver injury, steatosis, obesity
Tissue factor deficiency: ↓liver
injury, steatosis
Thrombin inhibition: ↓ liver injury,
steatosis, obesity
PAR-1 deficiency: ↓liver injury,
steatosis
Unknown 90, 91, 92,
93, 94
a

Activation of coagulation defined as evidence of thrombin generation, depletion of plasma fibrinogen, and/or thrombin-mediated hepatic fibrin(ogen) deposition