Tissue factor (TF) is an integral membrane glycoprotein that serves as
a cofactor for blood coagulation factor VIIa. The induction of TF on
the surface of endothelial cells is initiated by various stimuli inclu
ding lipopolysaccharide, interleukin-1 beta, and tumor necrosis factor
alpha. We have demonstrated that recombinant human C5a induces TF act
ivity in a dose-dependent fashion in human umbilical vein endothelial
cells (HUVEC). Peak activity (4.9-fold increase) was obtained 3-6 h af
ter treatment with 10 mu M C5a. TF mRNA as assessed by RT-PCR method w
as also significantly increased (3.75-fold) after 3 h incubation with
C5a, suggesting that C5a induces TF activity on HUVEC, at least in par
t, by enhancing the level of TF mRNA. The increase in TF activity by C
5a was inhibited by methylprednisolone. The induction of TF on endothe
lial cells by C5a may represent one of many potential interrelationshi
ps between the inflammatory and coagulation schemes.