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1. Functions and regulation of polyphosphate in mammalians
In mammals, inorganic polyphosphate (polyP) is a linear polymer of orthophosphate residues with emerging roles in hemostasis, inflammation, and cellular stress responses. PolyP can act as a procoagulant by activating factor XII and modulating fibrin structure, thereby influencing thrombus formation and stability. While the enzymatic machinery for polyP metabolism in mammals remains incompletely defined, we have generated ex vivo and in vivo models to analyze distribution, functions, predictive value as a biomarker, and regulation of the inorganic polymer in mice and humans.
2. The polyphosphate/factor XII-axis in thromboinflammatory disease
The polyphosphate/factor XII (polyP/FXII) axis plays a central role in thromboinflammatory disease by linking innate immunity with coagulation. PolyP released from activated platelets, mast cells, or damaged tissue activates FXII, initiating the contact pathway of coagulation and promoting thrombin generation. Beyond coagulation, FXII activation drives kallikrein-kinin signaling, contributing to vascular permeability and leukocyte recruitment. We analyze dysregulation of this axis in a range of disorders, including thrombosis, angioedema, and septic inflammation to highlight its potential as a therapeutic target.
3. Role of the factor XII-driven contact system in host defense
The factor XII (FXII)-driven contact system contributes to host defense by integrating coagulation, inflammation, and innate immunity. Upon activation by negatively charged surfaces such as microbial polyphosphates or neutrophil extracellular traps (NETs), FXII initiates the kallikrein-kinin cascade, leading to bradykinin release and increased vascular permeability, which facilitates immune cell recruitment to sites of infection or injury. Concurrently, FXII activation supports thrombus formation that can entrap pathogens and limit their dissemination. Moreover, recent evidence suggests that FXII modulates neutrophil function and cytokine release. We study the role of polyanions/FXII in innate immunity and their multifaceted role in coordinating immune responses during infection and tissue injury with impact on cardiovascular disease states.