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Blood, Vol. 95 No. 5 (March 1), 2000:
pp. 1687-1693
Endotoxin and thrombin elevate rodent endothelial cell protein C
receptor mRNA levels and increase receptor shedding in vivo
Jian-Ming Gu,
Yasuhiro Katsuura,
Gary L. Ferrell,
Paula Grammas, and
Charles T. Esmon
From the Cardiovascular Biology Research Program, Oklahoma Medical
Research Foundation, Oklahoma City, Oklahoma; Pharmaceuticals
Development Research Laboratories, Teijin, Ltd, Tokyo, Japan; Howard
Hughes Medical Institute, Oklahoma City, Oklahoma; and the Departments
of Pathology and Biochemistry and Molecular Biology, University of
Oklahoma Health Science Center, Oklahoma City, Oklahoma.
The endothelial cell protein C receptor (EPCR) facilitates protein C
activation by the thrombin-thrombomodulin complex. Protein C activation
has been shown to be critical to the host defense against septic shock.
In cell culture, tumor necrosis factor- (TNF- ) down-regulates
EPCR expression, raising the possibility that EPCR might be
down-regulated in septic shock. We examined EPCR mRNA and soluble EPCR
levels in mice and rats challenged with lethal dose 95 levels of
endotoxin. Toxic doses of TNF- failed to alter EPCR mRNA levels in
mice. Rather than EPCR mRNA levels falling in response to
endotoxin, as predicted from cell-culture experiments, they rose
approximately 3-fold 6 hours after exposure to endotoxin before
returning toward baseline levels at 24 hours after exposure. Soluble
EPCR levels rose approximately 4-fold. Infusion of hirudin, a
specific thrombin inhibitor, before endotoxin exposure almost
completely blocked the increase in EPCR mRNA and soluble EPCR.
Consistent with the idea that the responses were mediated by
thrombin, thrombin infusion (5 U/kg of body weight for 3 hours)
resulted in an approximately 2-fold increase in EPCR mRNA
and soluble EPCR. Incubation of rat endothelial cells with thrombin or
murine protease-activated receptor 1 agonist peptide resulted in a
2-fold increase in EPCR mRNA. These results indicate that thrombin
plays a major role in up-regulating EPCR mRNA and shedding in vivo.

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