“…Other APC cofactors can possibly replace EPCR's cofactor function for PAR3 cleavage by APC on podocytes. [38][39][40] Alternatively, inflammatory mediators and various cytokines have known deleterious effects on EPCR expression and therefore, the effect on EPCR expression of continuous inclusion of interferon-g in the culture media of conditionally immortalized podocytes to keep them proliferating and undifferentiated is difficult to predict. 24,41,42 How do the APC-derived PAR3 tethered ligand peptides induce APC-like endothelial-and vascular-protective effects?…”
Key Points
APC activates PAR3 in the presence of EPCR by noncanonical cleavage at Arg41. APC-derived PAR3 tethered-ligand peptides induced APC-like vascular barrier protective effects in vitro and in vivo.
“…Other APC cofactors can possibly replace EPCR's cofactor function for PAR3 cleavage by APC on podocytes. [38][39][40] Alternatively, inflammatory mediators and various cytokines have known deleterious effects on EPCR expression and therefore, the effect on EPCR expression of continuous inclusion of interferon-g in the culture media of conditionally immortalized podocytes to keep them proliferating and undifferentiated is difficult to predict. 24,41,42 How do the APC-derived PAR3 tethered ligand peptides induce APC-like endothelial-and vascular-protective effects?…”
Key Points
APC activates PAR3 in the presence of EPCR by noncanonical cleavage at Arg41. APC-derived PAR3 tethered-ligand peptides induced APC-like vascular barrier protective effects in vitro and in vivo.
“…Upregulation of ABCA1 expression and augmentation of cholesterol efflux in macrophages could be a mechanism to offset the pro-atherogenic effect of VLDLR and apoER2 related to uptake of cholesterol-rich lipoproteins. In addition to macrophages, cells in vascular tissues, including endothelial cells and vascular smooth muscle cells, also express ABCA1 (34,35), VLDLR, and apoER2 (36,37). The ABCA1 protein expressed in these cells has been suggested to play a protective role against atherosclerosis (34,35).…”
Background: VLDLR and apoER2 are receptors for reelin and apoE. Results: Reelin or apoE3 induced macrophage ABCA1 expression and increased cholesterol efflux. Down-regulation of VLDLR, apoER2, or inhibition of Dab1, PI3K, PKC and Sp1 attenuated reelin-or apoE3-induced ABCA1 expression. Conclusion: Activation of VLDLR-and apoER2-mediated signaling up-regulates ABCA1 expression. Significance: Up-regulation of ABCA1 expression is a novel function of VLDLR and apoER2.
“…Thus, other PAR3-effector interactions are required for signal induction, diversification, and regulation ( Figure 3). PAR-effector complexes are hypothesized to involve the formation of PAR-PAR heterodimers and homodimers, 43 which may enable PARinduced transactivation of other PARs, integrate the transactivation of other GPCRs such as S1P1, 18,25,26 and incorporate cooperative cross talk with integrins such as Mac1 44,45 or other receptors such as ApoER2 46,47 or Tie2. 20,42,48 Formation of these complexes may achieve a signaling bias by promoting or discouraging the association of particular G-protein ensembles, 49,50 by recruiting b-arrestins, 30 or by incorporating nontraditional PAR signaling pathways via transactivations such as the activation of Tie2 by noncanonical activation of PAR3.…”
The homeostatic blood protease, activated protein C (APC), can function as (1) an antithrombotic on the basis of inactivation of clotting factors Va and VIIIa; (2) a cytoprotective on the basis of endothelial barrier stabilization and anti-inflammatory and antiapoptotic actions; and (3) a regenerative on the basis of stimulation of neurogenesis, angiogenesis, and wound healing. Pharmacologic therapies using recombinant human and murine APCs indicate that APC provides effective acute or chronic therapies for a strikingly diverse range of preclinical injury models. APC reduces the damage caused by the following: ischemia/reperfusion in brain, heart, and kidney; pulmonary, kidney, and gastrointestinal inflammation; sepsis; Ebola virus; diabetes; and total lethal body radiation. For these beneficial effects, APC alters cell signaling networks and gene expression profiles by activating protease-activated receptors 1 and 3. APC’s activation of these G protein–coupled receptors differs completely from thrombin’s activation mechanism due to biased signaling via either G proteins or β-arrestin-2. To reduce APC-associated bleeding risk, APC variants were engineered to lack >90% anticoagulant activity but retain normal cell signaling. Such a neuroprotective variant, 3K3A-APC (Lys191-193Ala), has advanced to clinical trials for ischemic stroke. A rich data set of preclinical knowledge provides a solid foundation for potential translation of APC variants to future novel therapies.
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