PMID- 28816340 OWN - NLM STAT- MEDLINE DCOM- 20180611 LR - 20201209 IS - 2567-689X (Electronic) IS - 0340-6245 (Linking) VI - 117 IP - 10 DP - 2017 Oct 5 TI - Coagulation factor XII regulates inflammatory responses in human lungs. PG - 1896-1907 LID - 10.1160/TH16-12-0904 [doi] AB - Increased procoagulant activity in the alveolar compartment and uncontrolled inflammation are hallmarks of the acute respiratory distress syndrome (ARDS). Here, we investigated whether the contact phase system of coagulation is activated and may regulate inflammatory responses in human lungs. Components of the contact phase system were characterized in bronchoalveolar lavage fluids (BALF) from 54 ARDS patients and 43 controls, and their impact on cytokine/chemokine expression in human precision cut lung slices (PCLS) was assessed by a PCR array. Activation of the contact system, associated with high levels of coagulation factor XIIa (Hageman factor, FXIIa), plasma kallikrein and bradykinin, occurred rapidly in ARDS lungs after the onset of the disease and virtually normalized within one week from time of diagnosis. FXII levels in BALF were higher in ARDS non-survivors than survivors and were positively correlated with tumor necrosis factor (TNF)-alpha concentration. FXII induced the production and release of interleukin (IL)-8, IL-1beta, IL-6, leukemia inhibitory factor (LIF), CXCL5 and TNF-alpha in human PCLS in a kallikrein-kinin-independent manner. In conclusion, accumulation of FXII in ARDS lungs may contribute to the release of pro-inflammatory mediators and is associated with clinical outcome. FXII inhibition may thus offer a novel and promising therapeutic approach to antagonize overwhelming inflammatory responses in ARDS lungs without interfering with vital haemostasis. FAU - Hess, Rosanna AU - Hess R FAU - Wujak, Lukasz AU - Wujak L FAU - Hesse, Christina AU - Hesse C FAU - Sewald, Katherina AU - Sewald K FAU - Jonigk, Danny AU - Jonigk D FAU - Warnecke, Gregor AU - Warnecke G FAU - Fieguth, Hans-Gerd AU - Fieguth HG FAU - de Maat, Steven AU - de Maat S FAU - Maas, Coen AU - Maas C FAU - Bonella, Francesco AU - Bonella F FAU - Preissner, Klaus T AU - Preissner KT FAU - Weiss, Benjamin AU - Weiss B FAU - Schaefer, Liliana AU - Schaefer L FAU - Kuebler, Wolfgang M AU - Kuebler WM FAU - Markart, Philipp AU - Markart P FAU - Wygrecka, Malgorzata AU - Wygrecka M AD - Malgorzata Wygrecka, PhD, Department of Biochemistry, Faculty of Medicine,, Universities of Giessen and Marburg Lung Center, Friedrichstrasse 24, 35392 Giessen, Germany, Tel.: +49 641 99 47482, Fax: +49 641 99 47509, E-mail: malgorzata.wygrecka@innere.med.uni-giessen.de. LA - eng PT - Journal Article DEP - 20170817 PL - Germany TA - Thromb Haemost JT - Thrombosis and haemostasis JID - 7608063 RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - 9001-30-3 (Factor XII) SB - IM MH - Adult MH - *Blood Coagulation MH - Bronchoalveolar Lavage Fluid/chemistry MH - Cytokines/genetics/*metabolism MH - Factor XII/*metabolism MH - Female MH - Humans MH - Inflammation Mediators/*metabolism MH - Lung/immunology/*metabolism MH - Male MH - Middle Aged MH - Pneumonia/blood/genetics/immunology/*metabolism MH - Respiratory Distress Syndrome/blood/genetics/immunology/*metabolism MH - Retrospective Studies MH - Signal Transduction MH - Young Adult OTO - NOTNLM OT - Acute respiratory distress syndrome OT - coagulation factor XII OT - contact phase system EDAT- 2017/08/18 06:00 MHDA- 2018/06/12 06:00 CRDT- 2017/08/18 06:00 PHST- 2016/12/01 00:00 [received] PHST- 2017/06/23 00:00 [accepted] PHST- 2017/08/18 06:00 [pubmed] PHST- 2018/06/12 06:00 [medline] PHST- 2017/08/18 06:00 [entrez] AID - 16-12-0904 [pii] AID - 10.1160/TH16-12-0904 [doi] PST - ppublish SO - Thromb Haemost. 2017 Oct 5;117(10):1896-1907. doi: 10.1160/TH16-12-0904. Epub 2017 Aug 17.