1. Immunological role of Gas6/TAM signaling in hemostasis and thrombosis.
- Author
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Li, Fanshu, Xu, Liling, Li, Chun, Hu, Fanlei, and Su, Yin
- Subjects
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HEMOSTASIS , *THROMBOSIS , *VASCULAR smooth muscle , *VASCULAR endothelial cells , *CELLULAR signal transduction - Abstract
The immune system is an emerging regulator of hemostasis and thrombosis. The concept of immunothrombosis redefines the relationship between coagulation and immunomodulation, and the Gas6/Tyro3-Axl-MerTK (TAM) signaling pathway builds the bridge across them. During coagulation, Gas6/TAM signaling pathway not only activates platelets, but also promotes thrombosis through endothelial cells and vascular smooth muscle cells involved in inflammatory responses. Thrombosis appears to be a common result of a Gas6/TAM signaling pathway-mediated immune dysregulation. TAM TK and its ligands have been found to be involved in coagulation through the PI3K/AKT or JAK/STAT pathway in various systemic diseases, providing new perspectives in the understanding of immunothrombosis. Gas6/TAM signaling pathway serves as a breakthrough target for novel therapeutic strategies to improve disease management. Many preclinical and clinical studies of TAM receptor inhibitors are in process, confirming the pivotal role of Gas6/TAM signaling pathway in immunothrombosis. Therapeutics targeting the TAM receptor show potential both in anticoagulation management and immunotherapy. Here, we review the immunological functions of the Gas6/TAM signaling pathway in coagulation and its multiple mechanisms in diseases identified to date, and discuss the new clinical strategies that may generated by these roles. • Gas6/TAM signaling pathway bridges hemostasis and immunoregulation. • TAM receptor is a pivotal driver of immunothrombosis in diseases. • TAM receptor inhibitors are effective anticoagulants in preclinical studies, yet the clinical application is challenging. • Therapeutic strategies targeting TAM reveal great perspectives in therapy for immunothrombosis. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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