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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.


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Submitted June 19, 2007
Accepted August 23, 2007

The ligand occupancy of endothelial protein C receptor switches the PAR-1-dependent signaling specificity of thrombin from a permeability-enhancing to a barrier-protective response in endothelial cells

Jong-Sup Bae, Likui Yang, Chandrashekhara Manithody, and Alireza R. Rezaie*

Edward A. Doisy Dept of Biochemistry & Molecular Biology, St. Louis University School of Medicine, St. Louis, MO, United States

* Corresponding author; email: rezaiear{at}slu.edu.

Recent studies have indicated that activated protein C (APC) may exert its cytoprotective and antiinflammatory activities through the endothelial protein C receptor (EPCR)-dependent cleavage of protease activated receptor 1 (PAR-1) on vascular endothelial cells. Noting that i) the activation of protein C on endothelial cells requires thrombin, ii) relative to APC, thrombin cleaves PAR-1 with ~3-4-orders of magnitude higher catalytic efficiency, and iii) 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 Gla-domain of protein C/APC leads to its dissociation from caveolin-1 and recruitment of PAR-1 to a protective signaling pathway through coupling of PAR-1 to the pertussis toxin sensitive Gi-protein. Thus, when EPCR is bound by protein C, the PAR-1 cleavage-dependent protective signaling responses in endothelial cells can be mediated by either thrombin or APC. These results provide a new paradigm for understanding how PAR-1 and EPCR participate in cytoprotective signaling events in endothelial cells.


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