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Blood, 2 April 2009, Vol. 113, No. 14, pp. 3371-3374. Prepublished online as a Blood First Edition Paper on February 2, 2009; DOI 10.1182/blood-2008-05-159434.
THROMBOSIS AND HEMOSTASIS Role of activated protein C and its receptor in inhibition of tumor metastasisDepartments of 1 Anatomy and Neurobiology, 2 Surgery, and 3 Pathology, Dalhousie University, Halifax, NS; 4 Cardiovascular Biology Research Program, Oklahoma Medical Research Foundation, Oklahoma City; 5 Howard Hughes Medical Institute, Oklahoma City, OK; and Departments of 6 Medicine, 7 Microbiology and Immunology, and 8 Pediatrics, Dalhousie University, Halifax, NS
Engagement of endothelial protein C receptor (EPCR) by activated protein C (aPC) decreases expression of endothelial adhesion molecules implicated in tumor-endothelium interactions. We examined the role of the aPC/EPCR pathway on tumor migration and metastasis. In vitro, B16-F10 melanoma cells showed decreased adhesion to and transmigration through endothelium treated with recombinant human aPC (rhaPC). In murine B16-F10 metastasis models, transgenic EPCR overexpressing (Tie2-EPCR) mice exhibited marked reductions in liver (50%) and lung (92%) metastases compared with wild-type (WT) animals. Intravital imaging showed reduced B16-F10 entrapment within livers of Tie2-EPCR compared with WT mice. A similar reduction was observed in WT mice treated with rhaPC. Strikingly, rhaPC treatment resulted in a 44% reduction in lung metastases. This was associated with decreased lung P-selectin and TNF-
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