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Cited by 325

The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

Bacterial Endotoxin Activates the Coagulation Cascade through Gasdermin D-Dependent Phosphatidylserine Exposure

Open access
Yang, Xinyu, Cheng, Xiaoye, Tang, Yiting, Qiu, Xianhui, Wang, Yupeng, Kang, Haixia, Wu, Jianfeng, Wang, Zhongtai, Liu, Yukun, Chen, Fangping, Xiao, Xianzhong, Mackman, Nigel, Billiar, Timothy R., Han, Jiahuai, Lu, Ben·2019·Immunity

Abstract

Excessive activation of the coagulation system leads to life-threatening disseminated intravascular coagulation (DIC). Here, we examined the mechanisms underlying the activation of coagulation by lipopolysaccharide (LPS), the major cell-wall component of Gram-negative bacteria. We found that caspase-11, a cytosolic LPS receptor, activated the coagulation cascade. Caspase-11 enhanced the activation of tissue factor (TF), an initiator of coagulation, through triggering the formation of gasdermin D (GSDMD) pores and subsequent phosphatidylserine exposure, in a manner independent of cell death. GSDMD pores mediated calcium influx, which induced phosphatidylserine exposure through transmembrane protein 16F, a calcium-dependent phospholipid scramblase. Deletion of Casp11, ablation of Gsdmd, or neutralization of phosphatidylserine or TF prevented LPS-induced DIC. In septic patients, plasma concentrations of interleukin (IL)-1α and IL-1β, biomarkers of GSDMD activation, correlated with phosphatidylserine exposure in peripheral leukocytes and DIC scores. Our findings mechanistically link immune recognition of LPS to coagulation, with implications for the treatment of DIC.

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Metadata

Authors
Yang, X., Cheng, X., Tang, Y., Qiu, X., Wang, Y., Kang, H., Wu, J., Wang, Z., Liu, Y., Chen, F., Xiao, X., Mackman, N., Billiar, T. R., Han, J., & Lu, B.
Venue
Immunity
Publisher
Elsevier BV
Published
2019-12
Volume
51
Issue
6
Pages
983-996.e6
ISSN
1074-7613 (ISSN-L)
OpenAlex
W2995381881
Cited by
325
References
64
FWCI
9.31
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Bacterial Endotoxin Activates the Coagulation Cascade through Gasdermin D-Dependent Phosphatidylserine Exposure. https://app.cochat.ai/papers/10.1016/j.immuni.2019.11.005
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Yang, X., Cheng, X., Tang, Y., Qiu, X., Wang, Y., Kang, H., Wu, J., Wang, Z., Liu, Y., Chen, F., Xiao, X., Mackman, N., Billiar, T. R., Han, J., & Lu, B. (2019). Bacterial Endotoxin Activates the Coagulation Cascade through Gasdermin D-Dependent Phosphatidylserine Exposure. Immunity. https://doi.org/10.1016/j.immuni.2019.11.005

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