We previously demonstrated that human platelets activated with SFLLRN release PAR-1 activation peptide, PAR-1-(1-41), even in the presence of hirudin. This observation suggests that during their activation, platelets generate a protease that activates PAR-1. In this study, PAR-1 and -4 activation peptides were detected 10 s after <1.0 nM ␣-thrombin, 10 M SFLLRN, or 100 M AYPGKF were added to platelets. When SFLLRN or AYGPKF were added to platelets, generation of PAR-1 and -4 activation peptides was complete at 10 s. Generation of both PAR-1 and -4 activation peptides in response to 1 nM ␣-throm- The function of protease-activated receptor 1 (PAR-1) 2 in directing the responses of human platelets to various concentrations of human ␣-thrombin has been well documented (1-3). Activation of human platelet PAR-1 arising from cleavage at Arg 41 -Ser 42 in response to ␣-thrombin and the simultaneous exposure of the previously cryptic tethered ligand domain (beginning with the sequence 42 SFLLRN), were first reported by Vu and colleagues (4). Two studies have confirmed cleavage at Arg 41 -Ser 42 by quantifying platelet PAR-1 activation peptide release (5, 6). Monoclonal antibodies directed against the hirudin-like ␣-thrombin-binding domain of PAR-1 or against residues spanning the reported ␣-thrombin cleavage site (PAR-1 span antibodies) practically eliminated all responses of human platelets to Յ1 nM ␣-thrombin. However, Ն10 nM ␣-thrombin overcame inhibition by either PAR-1 monoclonal antibody, allowing human platelets to respond normally (5, 7).A second thrombin receptor on human platelets, namely PAR-4, lacks the hirudin-like ␣-thrombin-binding domain of PAR-1, and apparently requires Ն10.0 nM ␣-thrombin for its activation and participation in human platelet activation (8 -10). Cleavage of human platelet PAR-4 at Arg 47 -Gly 48 and the release of PAR-4-(1-47) as a direct index of PAR-4 activation have not been reported. Whether Ն10 nM ␣-thrombin only activates PAR-4, or simultaneously activates PAR-1 when human platelets are activated in the presence of the monoclonal anti-PAR-1 antibodies above has not been reported (5,7,9). Dual protease-activated receptors, namely PAR-3 and -4, also govern the responses of mouse platelets to thrombin in vivo and in vitro (11-13). PAR-3 serves as a co-factor for PAR-4 activation on mouse platelets (11, 12) by altering exosite 1 of murine ␣-thrombin in a manner that promotes the diffusion of PAR-1 into the active center of murine ␣-thrombin (14).PAR-1 and -4 on human platelets are activated and signal inter-dependently. A recent study has reported that dimerization of PAR-1 and -4 on human platelets facilitates PAR-4 cleavage by ␣-thrombin (15). We have reported previously that SFLLRN propagates PAR-1 activation measured as the [PAR-1-(1-41)] that is released into activated platelet supernatants (16). The present study investigates whether PAR-1 activation also facilitates activation of PAR-4 on human platelets. Using a * This work was supported by a grant-in-aid from the Heart and S...