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Article
Revised model of the tissue factor pathway of thrombin generation: Role of the feedback activation of FXI
Journal of Thrombosis and Haemostasis
  • Hari Hara Sudhan Lakshmanan, OHSU School of Medicine
  • Aldrich Estonilo, San Jose State University
  • Stéphanie E. Reitsma, OHSU School of Medicine
  • Alexander R. Melrose, OHSU School of Medicine
  • Jayaram Subramanian, Enginuity Power Systems
  • Tony J. Zheng, OHSU School of Medicine
  • Jeevan Maddala, West Virginia University
  • Erik I. Tucker, OHSU School of Medicine
  • David Gailani, Vanderbilt University Medical Center
  • Owen J.T. McCarty, OHSU School of Medicine
  • Patrick L. Jurney, San Jose State University
  • Cristina Puy, OHSU School of Medicine
Publication Date
6-1-2022
Document Type
Article
DOI
10.1111/jth.15716
Abstract

Background: Biochemical reaction networks are self-regulated in part due to feedback activation mechanisms. The tissue factor (TF) pathway of blood coagulation is a complex reaction network controlled by multiple feedback loops that coalesce around the serine protease thrombin. Objectives: Our goal was to evaluate the relative contribution of the feedback activation of coagulation factor XI (FXI) in TF-mediated thrombin generation using a comprehensive systems-based analysis. Materials and Methods: We developed a systems biology model that improves the existing Hockin-Mann (HM) model through an integrative approach of mathematical modeling and in vitro experiments. Thrombin generation measured using in vitro assays revealed that the feedback activation of FXI contributes to the propagation of thrombin generation based on the initial concentrations of TF or activated coagulation factor X (FXa). We utilized experimental data to improve the robustness of the HM model to capture thrombin generation kinetics without a role for FXI before including the feedback activation of FXI by thrombin to construct the extended (ext.) HM model. Results and Conclusions: Using the ext.HM model, we predicted that the contribution of positive feedback of FXI activation by thrombin can be abolished by selectively eliminating the inhibitory function of tissue factor pathway inhibitor (TFPI), a serine protease inhibitor of FXa and TF-activated factor VII (FVIIa) complex. This prediction from the ext.HM model was experimentally validated using thrombin generation assays with function blocking antibodies against TFPI and plasmas depleted of FXI. Together, our results demonstrate the applications of combining experimental and modeling techniques in predicting complex biochemical reaction systems.

Funding Number
F30HL158079
Funding Sponsor
National Institutes of Health
Keywords
  • coagulation factor XI,
  • feedback regulation,
  • systems biology,
  • thrombin,
  • tissue factor pathway inhibitor
Citation Information
Hari Hara Sudhan Lakshmanan, Aldrich Estonilo, Stéphanie E. Reitsma, Alexander R. Melrose, et al.. "Revised model of the tissue factor pathway of thrombin generation: Role of the feedback activation of FXI" Journal of Thrombosis and Haemostasis Vol. 20 Iss. 6 (2022) p. 1350 - 1363
Available at: http://works.bepress.com/patrick-jurney/29/