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Updated: Aug 4, 2026

Assessment of Vascular Tone Responsiveness using Isolated Mesenteric Arteries with a Focus on Modulation by Perivascular Adipose Tissues
Published on: June 3, 2019
FXa-induced responses in vascular wall cells are PAR-mediated and inhibited by ZK-807834
Abstract:
During thrombosis, vascular wall cells are exposed to clotting factors, including the procoagulant proteases thrombin and factor Xa (FXa), both known to induce cell signaling. FXa shows dose-dependent induction of intracellular Ca(2+) transients in vascular wall cells that is active-site-dependent, Gla-domain-independent, and enhanced by FXa assembly into the prothrombinase complex. FXa signaling is independent of prothrombin activation as shown by the lack of inhibition by argatroban, hirudin and the sulfated C-terminal peptide of hirudin (Hir(54-65)(SO3(-))). This peptide binds to both proexosite I in prothrombin and exosite I in thrombin. In contrast, signaling is completely blocked by the FXa inhibitor ZK-807834 (CI-1031). No inhibition is observed by peptides which block interaction of FXa with effector cell protease 1 receptor (EPR-1), indicating that this receptor does not mediate signaling in the cells assayed. Receptor desensitization studies with thrombin or peptide agonists (PAR-1 or PAR-2) and experiments with PAR-1-blocking antibodies indicate that signaling by FXa is mediated by both PAR-1 and PAR-2. Potential pathophysiological responses to FXa include increased cell proliferation, increased production of the proinflammatory cytokine IL-6 and increased production of prothrombotic tissue factor. These cellular responses, which may complicate vascular disease, are inhibited by ZK-807834.
Insights
Factor Xa (FXa), a clotting factor, triggers vascular cell signaling and proliferation, potentially worsening vascular disease. An FXa inhibitor, ZK-807834, effectively blocks these harmful cellular responses.
Area of Science:
- Biochemistry
- Cell Biology
- Vascular Biology
Background:
- Vascular wall cells encounter clotting factors like thrombin and Factor Xa (FXa) during thrombosis.
- Both thrombin and FXa are known to activate cell signaling pathways.
- FXa's role in vascular cell signaling, independent of prothrombin activation, requires further elucidation.
Purpose of the Study:
- To investigate the mechanisms by which FXa induces cell signaling in vascular wall cells.
- To identify the specific receptors and pathways involved in FXa-mediated signaling.
- To evaluate the potential of FXa inhibitors in mitigating FXa-induced cellular responses.
Main Methods:
- Dose-dependent induction of intracellular Ca(2+) transients in response to FXa.
- Assessment of FXa signaling inhibition using specific inhibitors (argatroban, hirudin, ZK-807834) and peptides.
- Evaluation of FXa interaction with protease-activated receptors (PAR-1, PAR-2) and effector cell protease 1 receptor (EPR-1).
- Analysis of FXa-induced cellular responses including proliferation, IL-6 production, and tissue factor expression.
Main Results:
- FXa induces dose-dependent intracellular Ca(2+) transients in vascular wall cells.
- FXa signaling is active-site-dependent, Gla-domain-independent, and enhanced by assembly into the prothrombinase complex.
- Signaling is independent of prothrombin activation but completely blocked by the FXa inhibitor ZK-807834 (CI-1031).
- FXa signaling is mediated by PAR-1 and PAR-2, not EPR-1.
- FXa promotes cell proliferation, IL-6 production, and tissue factor expression.
- These FXa-induced responses are inhibited by ZK-807834.
Conclusions:
- FXa activates vascular cell signaling through PAR-1 and PAR-2, independent of prothrombin activation.
- FXa induces pathophysiological responses including proliferation and cytokine/tissue factor production.
- The FXa inhibitor ZK-807834 effectively blocks FXa-mediated signaling and associated cellular responses.
- Targeting FXa signaling may offer a therapeutic strategy for vascular diseases.
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