2008
DOI: 10.1080/14767050802034859
|View full text |Cite
|
Sign up to set email alerts
|

Over-expression of the thrombin receptor (PAR-1) in the placenta in preeclampsia: A mechanism for the intersection of coagulation and inflammation

Abstract: Placentas from pregnancies complicated by preterm PE had a significantly higher frequency of strong PAR-1 expression than placentas from women with spontaneous preterm labor. This observation is consistent with a role for PAR-1 as a mediator of the effect of thrombin on coagulation and inflammation in PE. We propose that the effects of thrombin in PE are due to increased thrombin generation and higher expression of PAR-1, the major receptor for this enzyme.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
25
0

Year Published

2009
2009
2022
2022

Publication Types

Select...
6
2

Relationship

3
5

Authors

Journals

citations
Cited by 43 publications
(25 citation statements)
references
References 144 publications
(171 reference statements)
0
25
0
Order By: Relevance
“…55 Activating proteases include thrombin, trypsin, factor Xa, factor XIIa/X, 56 and MMP-1. 33 Although overexpression of PAR-1 in the preeclamptic placenta has been previously demonstrated, 35 we show herein, for the first time to our knowledge, that PAR-1 expression is increased in the vasculature of women with preeclampsia. Because PAR-1 is mostly confined to the endothelium in healthy human arteries, whereas during an inflammatory process, its expression is enhanced in regions associated with leukocyte influx, 57 it is logical to infer that the increase in vascular PAR-1 during preeclampsia is mediated by infiltrating neutrophils.…”
Section: Discussionmentioning
confidence: 42%
See 1 more Smart Citation
“…55 Activating proteases include thrombin, trypsin, factor Xa, factor XIIa/X, 56 and MMP-1. 33 Although overexpression of PAR-1 in the preeclamptic placenta has been previously demonstrated, 35 we show herein, for the first time to our knowledge, that PAR-1 expression is increased in the vasculature of women with preeclampsia. Because PAR-1 is mostly confined to the endothelium in healthy human arteries, whereas during an inflammatory process, its expression is enhanced in regions associated with leukocyte influx, 57 it is logical to infer that the increase in vascular PAR-1 during preeclampsia is mediated by infiltrating neutrophils.…”
Section: Discussionmentioning
confidence: 42%
“…18 Matrix metalloproteinase-1 is known to activate PAR-1, 33 which plays critical roles in coagulation, inflammation, and vascular homeostasis 34 ; and its expression is increased in preeclamptic compared with healthy placentas. 35 We hypothesized that neutrophils infiltrated into the vasculature of women with preeclampsia promote VSMC expression of PAR-1. Thus, we evaluated the potential of neutrophils, TNF-␣, and ROS to induce expression of PAR-1 in vitro.…”
Section: Vascular Par-1 Is Increased In Preeclampsiamentioning
confidence: 99%
“…Endothelial cells also secrete sFlt-1, and this secretion is induced by the activation of PAR-2, a receptor that is activated by blood coagulation serine proteinases (37). In this context, it is of interest to note that PAR-1, a receptor for thrombin, is more highly expressed in preeclamptic placenta than in normal pregnancy (38). Therefore, together with our findings, we speculate that thrombin, generated in the placenta, activates PAR-1 and acts as an enhancer of sFlt-1 expression in trophoblasts and consequently promotes preeclampsia.…”
Section: Discussionmentioning
confidence: 98%
“…Each of these pathways is central in the deployment of an inflammatory response: cytokine-cytokine receptor interaction, Jak-STAT signaling, the complement and coagulation pathway, NOD-like receptor signaling, systemic lupus erythematosus (specifically the complement C1q complex), and chemokine signaling. Interestingly, components of these pathways have been previously linked to both normal parturition [57, 75, 76, 159, 180, 201, 213, 221, 226–228, 235, 271, 274, 308] and the “Great Obstetrical Syndromes” [32, 33, 64, 7982, 84, 85, 89, 238, 267, 291, 295, 307, 320], including preterm labor [28, 58, 74, 77, 83, 8688, 119, 120, 164, 165, 211, 223, 246, 252, 254, 290, 292, 293, 316319]. Indeed, our group has reported an association between activation of the NALP3 inflammasome and the common pathway of parturition [119].…”
Section: Discussionmentioning
confidence: 99%