Transglutaminase 2 contributes to the blood clotting cascade
Abstract Cross-linking of fibrin and associated proteins via Nε-(γ-glutamyl)lysine bonds in clot formation is a well-established component of the hemodynamic mechanism, providing clot rigidity and reducing the rate of fibrinolysis. The latter effect occurs predominantly through the incorporation of fibrinolytic inhibitors. To date, this function has been attributed exclusively to Factor XIIIa, also known as plasma transglutaminase (TG), one of eight identified in mammals. In this report, we demonstrate that tissue transglutaminase (TG2), a ubiquitous enzyme abundantly present in erythrocytes, also contributed to clot stabilisation. We observed clear differences between whole thrombi isolated from TG2-deficient and wild-type mice. Similarly, human thrombi were more stable in the presence of TG2 than when TG2 activity is specifically inhibited, revealing a previously unrecognized role for this enzyme in haemostasis. Therefore, we propose TG2 as an additional factor involved in blood coagulation.
Authors
- Nicola J. Mutch (ORCID: https://orcid.org/0000-0002-7452-0813)
- Mauro Piacentini (ORCID: https://orcid.org/0000-0003-2919-1296)
- Mara Mancini (ORCID: https://orcid.org/0000-0001-5173-4854)
- Manuel Scimeca (ORCID: https://orcid.org/0000-0003-0585-1309)
- Gerry Melino (ORCID: https://orcid.org/0000-0001-9428-5972)
- Martin Griffin (ORCID: https://orcid.org/0000-0003-3824-306X)
- Eleonora Candi (ORCID: https://orcid.org/0000-0001-8332-4825)
- Alessandro Mauriello (ORCID: https://orcid.org/0000-0002-7351-5676)
- Valerio Da Ros (ORCID: https://orcid.org/0000-0001-7167-7594)
- Zhuo Wang
- Yufang Shi (ORCID: https://orcid.org/0000-0001-8964-319X)
- Francesco Barilla’
Institutions
- University of Rome Tor Vergata (IT)
- Aston University (GB)
- University of Aberdeen (GB)
- Soochow University (CN)
- The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital)
Publication Details
- Journal
- Cell Death Discovery
- Published
- 2026-10-17
- DOI
- https://doi.org/10.1038/s41420-026-03388-1
- Primary Topic
- Blood properties and coagulation
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- European Commission
- Associazione Italiana per la Ricerca sul Cancro
- NextGenerationEU