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on October 19, 2007

Arteriosclerosis, Thrombosis, and Vascular Biology. 2007
Published online before print October 11, 2007, doi: 10.1161/ATVBAHA.107.153734
A more recent version of this article appeared on December 1, 2007
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Submitted on May 17, 2007
Accepted on September 7, 2007

Activated Protein C Decreases Tumor Necrosis Factor–Related Apoptosis-Inducing Ligand by an EPCR Independent Mechanism Involving Egr-1/Erk-1/2 Activation

Lee A. O'Brien ; Mark A. Richardson ; Sean F. Mehrbod ; David T. Berg ; Bruce Gerlitz ; Akanksha Gupta ; and Brian W. Grinnell *

From the Division of Biotechnology Discovery Research, Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, Ind.

* To whom correspondence should be addressed. E-mail: bgrinnell{at}lilly.com.

Background—APC is an antithrombotic and antiinflammatory serine protease that plays an important role in vascular function. We report that APC can suppress the proapoptotic mediator TRAIL in human umbilical vein endothelial cells, and we have investigated the signaling mechanism.

Methods and Results—APC inhibited endothelial TRAIL expression and secretion and its induction by cell activation. To explore the mechanism, we examined factors associated with TRAIL regulation and demonstrated that APC increased the level of EGR-1, a transcriptional factor known to suppress the TRAIL promoter. APC also induced a significant increase in phosphorylation of ERK-1/2, required to activate EGR-1 expression. Activation of ERK-1/2 was dependent on the protease activated receptor-1 (PAR-1), but independent of the endothelial protein C receptor (EPCR). Using siRNA, we found that the effect of APC on the EGR-1/ERK signaling required for TRAIL inhibition was dependent on the S1P1 receptor and S1P1 kinase.

Conclusions—Our data suggest that APC may provide cytoprotective activity by activating the ERK pathway, which upregulates EGR-1 thereby suppressing the expression of TRAIL. Moreover, we provide evidence that APC can induce a cell signaling response through a PAR-1/S1P1-dependent but EPCR-independent mechanism.


Key words: endothelial protein C receptor • apoptosis • protease activated receptor • APC • TRAIL


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Protective Signaling Pathways of Activated Protein C in Endothelial Cells
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