Tissue factor pathway inhibitor regulates the extrinsic pathway. The protein has three Kunitz domains; these are domains which can bind to and inhibit serine proteases. The first Kunitz domain inhibits factor VIIa in the tissue factor:VIIa complex. The second Kunitz domain inhibits factor Xa. The second Kunitz domain has been co-crystallized with trypsin, a serine protease related to factor X.
The TFP inhibitor blocks access to the active site of the protease