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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.


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Submitted May 28, 2008
Accepted January 21, 2009

Role of activated protein C and its receptor in inhibition of tumor metastasis

Michael Bezuhly, Robyn Cullen, Charles T. Esmon, Steven F. Morris, Kenneth A. West, Brent Johnston, and Robert S. Liwski*

Department of Anatomy and Neurobiology, Dalhousie University, Halifax, NS, Canada
Department of Pathology, Dalhousie University, Halifax, NS, Canada
Cardiovascular Biology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, United States
Department of Surgery, Dalhousie University, Halifax, NS, Canada
Department of Medicine, Dalhousie University, Halifax, NS, Canada
Department of Microbiology and Immunology, Dalhousie University, Halifax, NS, Canada

* Corresponding author; email: rliwski{at}dal.ca.

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 to wildtype (WT) animals. Intravital imaging revealed reduced B16-F10 entrapment within livers of Tie2-EPCR compared to 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-{alpha} mRNA levels. These findings support an important role for the aPC/EPCR pathway in reducing metastasis via inhibition of tumor cell adhesion and transmigration.


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