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Activation of endothelial cell protease activated receptor 1 by the protein C pathway
Matthias Riewald1, Ramona J Petrovan, Aaron Donner
1Department of Immunology, C204, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA.
Insights
The protein C (PC) pathway protects against sepsis. Activated PC (APC) uses EPCR to signal through PAR1, inducing protective genes like MCP-1, crucial for sepsis defense.
Area of Science:
- Biochemistry
- Molecular Biology
- Immunology
Background:
- Sepsis involves harmful coagulation and inflammation.
- The protein C (PC) pathway offers protection against sepsis.
- Activated protein C (APC) interacts with endothelial cells.
Purpose of the Study:
- To investigate the mechanism of APC's protective effects in sepsis.
- To identify the specific receptor and signaling pathway involved in APC's protective actions.
- To determine if PAR1 signaling mediates APC-induced protective gene expression.
Main Methods:
- Gene profiling to analyze gene expression changes induced by APC.
- Investigating the role of endothelial cell PC receptor (EPCR) as a coreceptor.
- Examining the cleavage of protease-activated receptor 1 (PAR1) by APC.
- Comparing signaling through PAR1 versus PAR2.
Main Results:
- APC utilizes EPCR as a coreceptor for PAR1 cleavage on endothelial cells.
- PAR1 signaling fully explains the induction of all APC-protective genes.
- Monocyte chemoattractant protein-1 (MCP-1), an immunomodulatory gene, was selectively induced by PAR1 activation.
- PAR2 activation did not induce MCP-1.
Conclusions:
- The prototypical thrombin receptor, PAR1, is the target for EPCR-dependent APC signaling.
- This receptor cascade plays a significant role in protecting against sepsis.
- Targeting the EPCR-PAR1 pathway could offer therapeutic strategies for sepsis.
Abstract:
The coagulant and inflammatory exacerbation in sepsis is counterbalanced by the protective protein C (PC) pathway. Activated PC (APC) was shown to use the endothelial cell PC receptor (EPCR) as a coreceptor for cleavage of protease activated receptor 1 (PAR1) on endothelial cells. Gene profiling demonstrated that PAR1 signaling could account for all APC-induced protective genes, including the immunomodulatory monocyte chemoattractant protein-1 (MCP-1), which was selectively induced by activation of PAR1, but not PAR2. Thus, the prototypical thrombin receptor is the target for EPCR-dependent APC signaling, suggesting a role for this receptor cascade in protection from sepsis.
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