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Updated: Aug 18, 2026

Optimizing Isolation and Purification of Murine Glomerular Mesangial Cells
Published on: March 7, 2025
Role of coagulation factor Xa and protease-activated receptor 2 in human mesangial cell proliferation
Misa Tanaka1, Hidenori Arai, Ning Liu
1Division of Nephrology, Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Background:
Fibrin deposition and mesangial cell proliferation are frequently observed in the active type of mesangioproliferative glomerulonephritis. Coagulation factors, such as factor V and factor Xa are colocalized with fibrin in the mesangial areas in active type of IgA nephropathy with mesangial cell proliferation. In this study, therefore, we studied the role of factor Xa and its receptor, protease-activated receptor 2 (PAR2) in mesangial cell proliferation and fibrin deposition, and examined ant-proliferative effects of a specific factor Xa inhibitor, DX-9065a, in cultured human mesangial cells.
Methods:
To examine the effect of DX-9065a on the factor Xa-induced proliferation of cultured human mesangial cells, we measured thymidine incorporation and cell numbers. We also examined the effect of DX-9065a on extracellular regulated kinase (ERK) activation and fibrin production induced by factor Xa in human mesangial cells.
Results:
Factor Xa increased [(3)H]-thymidine incorporation and cell numbers in a dose-dependent manner in mesangial cells, which was inhibited by DX-9065a. DX-9065a also suppressed factor Xa-triggered fibrin deposition on mesangial cell surface. Factor Xa induced the activation of ERK in mesangial cells and this activation was also completely inhibited by DX-9065a, but not inhibited by PAR1 antagonist. Factor Xa-induced cell proliferation and ERK activation were inhibited by PD98059.
Conclusion:
There results suggest that factor Xa can induce mesangial cell proliferation through the activation of ERK via PAR2 in mesangial cells and that PAR2 may play a crucial role in the cell proliferation induced by factor Xa. Our results implicate that DX-9065a may be a promising agent to regulate proliferation of mesangial cellss and inhibit the coagulation process in mesangium.
Insights
Factor Xa promotes mesangial cell proliferation and fibrin deposition via protease-activated receptor 2 (PAR2). A factor Xa inhibitor, DX-9065a, effectively reduced this proliferation and ERK activation, suggesting therapeutic potential.
Area of Science:
- Nephrology
- Hematology
- Cell Biology
Background:
- Mesangioproliferative glomerulonephritis involves fibrin deposition and mesangial cell proliferation.
- Coagulation factors like factor Xa are found with fibrin in active IgA nephropathy.
Purpose of the Study:
- Investigate the role of factor Xa and protease-activated receptor 2 (PAR2) in mesangial cell proliferation and fibrin deposition.
- Evaluate the anti-proliferative effects of the factor Xa inhibitor DX-9065a in human mesangial cells.
Main Methods:
- Assessed DX-9065a's effect on factor Xa-induced mesangial cell proliferation using thymidine incorporation and cell counts.
- Measured extracellular regulated kinase (ERK) activation and fibrin production in response to factor Xa and DX-9065a.
Main Results:
- Factor Xa dose-dependently increased mesangial cell proliferation and ERK activation, both inhibited by DX-9065a.
- DX-9065a also reduced factor Xa-induced fibrin deposition.
- Factor Xa-induced proliferation and ERK activation were blocked by PD98059, but not by a PAR1 antagonist.
Conclusions:
- Factor Xa induces mesangial cell proliferation via ERK activation through PAR2.
- PAR2 plays a key role in factor Xa-mediated mesangial cell proliferation.
- DX-9065a shows promise for regulating mesangial cell proliferation and inhibiting mesangial coagulation.
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