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.

Science (New York, N.Y.)
|June 8, 2002
PubMed

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.

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