Modulation of Endothelial Coagulant Properties and Barrier Function by Factors in the Vascular Microenvironment

  • H. Gerlach
  • M. Clauss
  • S. Ogawa
  • D. M. Stern


As the cells forming the luminal vascular surface, endothelium regulates both barrier and hemostatic functions, comprising pro- and anti-coagulant reactions.1–3 Endothelial cells carry out these functions by controlling the expression of cell surface molecules, such as receptors which regulate the hemostatic balance, those which affect permeability across the endothelial monolayers, and those which mediate leukocyte adhesion. The schematic representation in Fig. 1 emphasizes that endothelial regulation of these processes occurs in response to environmental stimuli, and that these stimuli include both blood-borne mediators, as well as factors in the vessel wall. In response to these perturbants, barrier function of the endothelial monolayer is affected and coagulant function can be shifted to favor clot formation. Barrier function of the monolayer and cell surface coagulant properties are closely linked since activation of coagulation leads to formation of proteases and fibrin, which can, in turn, increase endothelial permeability. Conversely, diminished barrier function and ingress of plasma proteins into the subendothelium promotes clotting.


Tissue Factor Tumor Vasculature Endothelial Monolayer Tissue Factor Activity Human Fibrinogen 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • H. Gerlach
    • 1
  • M. Clauss
    • 1
  • S. Ogawa
    • 1
  • D. M. Stern
    • 1
  1. 1.Rover Research Laboratory, Department of Physiology and Cellular BiophysicsCollege of Physicians and Surgeons, Columbia UniversityNew YorkUSA

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