Binding of the zymogen serine protease Factor VII (FVII) to its cellular co
factor tissue factor (TF) triggers blood coagulation. Several recent report
s have suggested that the formation of this complex may serve additional fu
nctions. We have used cDNA arrays to study differential gene expression in
response to the interaction of activated FVII (FVIIa) with TF on a human ke
ratinocyte cell line, Of 931 mRNA species observed up to 6 h after FVIIa (1
0 nM) addition, 24 were significantly up-regulated in what may resemble a w
ound-type response. Responders included mRNA species coding for transcripti
on regulators (c-fos, egr-1, ETR101, BTEB2, c-myc, fra-1, and tristetraprol
ine), growth factors (amphiregulin, hbEGF, CTGF, and FGF-5), proinflammator
y cytokines (IL-1 beta, IL-8, LIF, and MIP2 alpha), proteins involved in ce
llular reorganization/migration (RhoE, uPAR, and collagenases 1 and 3), and
others (PAI-2, cyclophilin, GADD45, Jagged1, and prostaglandin E-2 recepto
r). The transcriptional response to FVIIa was abrogated by antibodies to TF
and left unaffected by hirudin, The pattern of genes induced suggests that
the FVIIa.TF complex may play an active role in early wound repair as well
as hemostasis. The former is a novel function ascribed to the complex that
may also be contributing to the pathophysiology of unwarranted TF expressi
on.