Objective-The serine protease MT-SP1/matriptase plays an important role in cell migration and matrix degradation.Hepatocyte growth factor (HGF), urokinase-type plasminogen activator (uPA), and protease-activated receptor 2 (PAR-2) have been identified as in vitro substrates of MT-SP1/matriptase. Because PAR-2 is expressed in endothelial cells and contributes to inflammatory processes, we sought to investigate the effects of MT-SP1/matriptase on endothelial cytokine expression and analyzed MT-SP1/matriptase expression in vascular cells and atherosclerotic lesions.
Methods and Results-In endothelial cells, recombinant MT-SP1/matriptase dose-dependently induced interleukin (IL)-8and IL-6 mRNA and protein expression dependent on its proteolytic activity. MT-SP1/matriptase time-dependently induced phosphorylation of p38 MAPK and p42/44 MAPK. Inhibitor experiments revealed that p38 MAPK and PKC␣ were necessary for IL-8 induction. PAR-2 downregulation abolished and PAR-2 overexpression augmented MT-SP1/ matriptase-induced IL-8 expression as evidence for PAR-2 signaling. In human atherectomies, MT-SP1/matriptase was expressed in blood cells adherent to the endothelium. Concordantly, basal MT-SP1/matriptase expression was detected in isolated monocytes. Coincubation of monocytes and endothelial cells resulted in an increased IL-8 release, which was reduced after downregulation of endothelial PAR-2 and monocytic MT-SP1/matriptase. Key Words: pathophysiology Ⅲ growth factors Ⅲ endothelium M T-SP1/matriptase is a trypsin-like, multi-domain serine protease expressed primarily in epithelial cells. [1][2][3][4] Its importance in the biology of surface-lining epithelial cells became apparent in MT-SP1/matriptase knockout mice presenting with a severe deficient epidermal barrier function as well as abnormal hair follicle development and disturbed thymic homeostasis. 5 Moreover, MT-SP1/matriptase is upregulated in different malignant tissues 6 -8 and may be expressed in microvascular endothelial cells. 9 Besides its N-terminal transmembrane signal anchor MT-SP1/matriptase contains two putative regulatory modules: 2 tandem repeats of a CUB domain (C1r/s, Uegf, Bone morphogenetic protein-1) and 4 tandem repeats of a low density lipoprotein (LDL) receptor domain. 1,4 The C-terminal serine protease domain consists of a catalytic triad comprising His-57, In addition to the membrane-anchored form of MT-SP1/matriptase, a soluble form of the protease has been identified lacking the N-terminal 172 amino acids. 1 Shedding from the extracellular surface 11,12 or alternative splicing 3,10 may be the mechanisms leading to the truncated form of MT-SP1/matriptase isolated from human milk. 13 Cleavage within its activation motif generates the 2-chain active protease from a single-chain zymogen. The activation of MT-SP1/matriptase requires its cognate Kunitz-type inhibitor hepatocyte growth factor activator inhibitor (HAI)-1, its noncatalytic domains as well as its serine protease domain. 14 Three macromolecular substrates of MT-SP1/matriptase h...