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Updated: Jun 26, 2026

Experimental Analysis of Apoptotic Thymocyte Engulfment by Macrophages
Published on: May 24, 2019
Protease-activated receptors, apoptosis and tumor growth
Keren S Borensztajn1, C Arnold Spek
1Center for Experimental and Molecular Medicine, Academic Medical Center, Amsterdam, The Netherlands. K.S.Borensztajn@amc.uva.nl
Abstract:
Protease-activated receptors (PARs) are G-protein-coupled receptors (GPCRs) that are activated by a unique proteolytic mechanism. Besides the important role of blood coagulation factors in preventing bleeding after vascular injury, these serine proteinases actively engage target cells thereby fulfilling critical functions in cell biology. Cellular responses triggered by coagulation factor-induced PAR activation suggest that PARs play an important role in proliferation, survival and/or malignant transformation of tumor cells. Indeed, PAR expression correlates with cancer malignancy and clinical studies show that anticoagulant treatment is beneficial in cancer patients. In this review, we provide an overview on the PAR family, their mode of activation and mechanisms by which PAR signaling is terminated. In addition, we discuss the relationship between blood coagulation and cancer biology focusing on the potential role of PAR-induced modulation of cell survival, apoptosis and tumor growth.
Insights
Protease-activated receptors (PARs), activated by blood coagulation factors, play a role in cancer. Anticoagulant therapy may benefit cancer patients by modulating PAR signaling in tumor cells.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Protease-activated receptors (PARs) are G-protein-coupled receptors activated via a unique proteolytic mechanism by serine proteinases.
- Blood coagulation factors, beyond hemostasis, engage target cells through PAR activation, influencing critical cellular functions.
Purpose of the Study:
- To review the PAR family, their activation mechanisms, and signal termination pathways.
- To discuss the link between blood coagulation and cancer biology.
- To explore the role of PARs in tumor cell proliferation, survival, apoptosis, and growth.
Main Methods:
- Literature review of PAR family activation and signaling.
- Analysis of studies linking coagulation factors to cancer.
- Discussion of clinical evidence for anticoagulant therapy in cancer.
Main Results:
- PAR activation by coagulation factors influences cell proliferation, survival, and malignant transformation.
- PAR expression correlates with cancer malignancy.
- Clinical studies suggest benefits of anticoagulant treatment in cancer patients.
Conclusions:
- PARs are implicated in cancer biology through their modulation of cell survival and apoptosis.
- The interplay between blood coagulation and cancer warrants further investigation.
- Targeting PAR signaling represents a potential therapeutic strategy in oncology.
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