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Blood, 1 December 2007, Vol. 110, No. 12, pp. 3909-3916. Prepublished online as a Blood First Edition Paper on September 6, 2007; DOI 10.1182/blood-2007-06-096651.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY The ligand occupancy of endothelial protein C receptor switches the protease-activated receptor 1-dependent signaling specificity of thrombin from a permeability-enhancing to a barrier-protective response in endothelial cells1 Edward A. Doisy Department of Biochemistry and Molecular Biology, Saint Louis University School of Medicine, MO
Recent studies have indicated that activated protein C (APC) may exert its cytoprotective and anti-inflammatory activities through the endothelial protein C receptor (EPCR)-dependent cleavage of protease-activated receptor 1 (PAR-1) on vascular endothelial cells. Noting that (1) the activation of protein C on endothelial cells requires thrombin, (2) relative to APC, thrombin cleaves PAR-1 with approximately 3 to 4 orders of magnitude higher catalytic efficiency, and (3) PAR-1 is a target for the proinflammatory activity of thrombin, it is not understood how APC can elicit a protective signaling response through the cleavage of PAR-1 when thrombin is present. In this study, we demonstrate that EPCR is associated with caveolin-1 in lipid rafts of endothelial cells and that its occupancy by the
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