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P.J. Hohensinner et al.
already back in 1989, Wilcox et al. demonstrated that not all TF was associated with cells,57 a notion our data from both atherosclerotic tissue and cancer tissue would sup- port. Within the atherosclerotic environment macrophages are polarized into different subsets. Both proinflammatory and alternatively activated macrophages were reported to coexist within this environment.58 Our data demonstrate that both proinflammatory CD80+ macrophages as well as alternatively activated CD206+ macrophages are sources for TF. Nonetheless, CD206+ macrophages are associated with an increased production of TF within the atheroscle- rotic lesion, supporting our in vitro data showing induction of TF through alternative activation.
In conclusion, we provide new evidence that alternative polarization of macrophages leads to a procoagulatory phenotype through the expression of TF and the produc- tion of TF-containing extracellular vesicles and might change overall cellular behavior including migratory prefer- ences. Together with our previously published results showing that alternatively activated macrophages express
increased levels of the antifibrinolytic serpin plasminogen activator inhibitor-1,7 our results suggest that alternatively polarized macrophages support thrombus formation and suppress thrombolysis59 and thus represent a novel cellular mediator linking macrophages and thrombosis in patholo- gies characterized by these events.
Disclosures
This work was supported by a grant from the FWF, the Austrian Science Fund to JW (SFB-54).
Contributions
PJH, JM, JK, JKP, BT, CK, LH, PH, MM, SS and KW per- formed the research; JKPWSS analyzed the data; PJH and JW wrote the manuscript; JAS, SD, MBF, KH, CH, RO, IP and JW supervised the study.
Acknowledgments
This work was supported by a grant from the FWF, the Austrian Science Fund, to IP, JS and JW (SFB-54).
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