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Thromb Haemost 2009; 101(04): 724-733
DOI: 10.1160/TH08-10-0632
Cardiovascular Biology and Cell Signalling
Schattauer GmbH

Protection of vascular barrier integrity by activated protein C in murine models depends on protease-activated receptor-1

Reto A. Schuepbach   *
1   Department of Immunology and Microbial Science, The Scripps Research Institute, La Jolla, California, USA
,
Clemens Feistritzer   *
1   Department of Immunology and Microbial Science, The Scripps Research Institute, La Jolla, California, USA
,
José A. Fernández
2   Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, California, USA
,
John H. Griffin
2   Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, California, USA
,
Matthias Riewald
1   Department of Immunology and Microbial Science, The Scripps Research Institute, La Jolla, California, USA
› Institutsangaben Financial support:This study was supported by National Institutes of Health grants HL 73318 (to M.R.) and HL 31950 (to J.H.G.), grants from the University of Zurich, Switzerland (Zangger-Stiftung), the Swiss Foundation for Medical-Biological Grants (SSMBS) and the Mach-Gaensslen Stiftung (to R.A.S.), and an Austrian fellowship, Erwin SchrödingerAuslandsstipendium J2413-B13 (to C.F.).
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Publikationsverlauf

Received: 02. Oktober 2008

Accepted after major revision: 16. Januar 2009

Publikationsdatum:
23. November 2017 (online)

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Summary

Protease activated receptor-1 (PAR1) mediates barrier protective signalling of activated protein C (APC) in human endothelial cells in vitro and may contribute to APC’s beneficial effects in patients with severe sepsis. Mouse models are of key importance for translational research but species differences may limit conclusions for the human system. We analysed whether mouse APC can cleave, activate and induce signalling through murine PAR1 and tested in newly established mouse models if long-term infusion of APC prevents from vascular leakage. Cell surface immunoassays demonstrated efficient cleavage of endogenous murine endothelial PAR1 by either murine or human APC. Pharmacological concentrations of APC of either species had powerful barrier protective effects on cultured murine endothelial cells that required PAR1 cleavage. Vascular endothelial growth factor-mediated hyperpermeability in the skin was reduced by either endogenously generated as well as directly infused recombinant mouse APC in wild-type mice. However APC did not significantly alter the vascular barrier function in PAR1-deficient mice. In endotoxin-challenged mice, infused APC significantly prevented from pulmonary fluid accumulation in the wild-type mice but not in mice lacking PAR1. Our results directly show that murine APC cleaves and signals through PAR1 in mouse endothelial cells. APC reduces vascular permeability in mouse models and PAR1 plays a major role in mediating these effects. Our data in vitro and in vivo support the paradigm that PAR1 contributes to protective effects of APC on vascular barrier integrity in sepsis.

Keywords

Activated protein C - endothelial cells - protease-activated receptor-1 - sepsis - vascular barrier

* These authors contributed equally to this work.


 

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