What pathway is activated by tissue factor (TF) release?

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The pathway activated by tissue factor (TF) release is the extrinsic pathway. Tissue factor is typically expressed on the surface of subendothelial cells and becomes exposed upon injury to the vascular endothelium. When tissue factor is released into the bloodstream, it interacts with factor VII, leading to the formation of the TF-factor VII complex. This complex then activates factor X, which marks the initiation of the extrinsic pathway in the coagulation cascade.

The extrinsic pathway plays a crucial role in the rapid response to vascular injury and focuses on the initial stages of hemostasis. It is distinct from other pathways, such as the intrinsic pathway, which is triggered by factors already present in the blood and is characterized by a more complex series of reactions. The common pathway, which ultimately joins both intrinsic and extrinsic pathways, starts at the activation of factor X. The term "clotting cascade pathway" is a broader reference to the entire coagulation system, including both the intrinsic and extrinsic pathways, but it doesn't specifically pinpoint the activation mechanism initiated by tissue factor.

Overall, the correct answer highlights the specific role of tissue factor in initiating rapid clot formation through its involvement in the extrinsic pathway.

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