Two studies link signaling of the anticoagulant thrombomodulin–protein C pathway to successful implantation during pregnancy and protection from ischemic brain injury. The data call for a reassessment of the causes of pre-eclampsia, and also provide hope for a new type of stroke therapy (pages 331–337 and 338–342).
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References
Isermann, B. et al. The thrombomodulin–protein C system is essential for the maintenance of pregnancy. Nat. Med. 9 331–337 (2003).
Cheng, T. et al. Activated protein C blocks p53-mediated apoptosis in ischemic human brain endothelium and is neuroprotective. Nat. Med. 338–342 (2003).
Bernard, G.R. et al. Efficacy and safety of recombinant human activated protein C for severe sepsis. N. Engl. J. Med. 344, 759–762 (2001).
Coughlin, S.R. & Camerer, E. PARticipation in inflammation. J. Clin. Invest. 111, 25–27 (2003).
Isermann, B. et al. Endothelium-specific loss of murine thrombomodulin disrupts the protein C anticoagulant pathway and causes juvenile-onset thrombosis. J. Clin. Invest. 108, 537–546 (2001).
Esmon, C.T. Role of coagulation inhibitors in inflammation. Thromb. Haemost. 86, 51–56 (2001).
Riewald, M., Petrovan, R.J., Donner, A., Mueller, B.M. & Ruf, W. Activation of endothelial cell protease activated receptor 1 by the protein C pathway. Science 296, 1880–1882 (2002).
Cross, J.C. et al. Trophoblast functions, angiogenesis and remodeling of the maternal vasculature in the placenta. Mol. Cell. Endocrinol. 187, 207–212 (2002).
Erlich, J. et al. Tissue factor is required for uterine hemostasis and maintenance of the placental labyrinth during gestation. Proc. Natl. Acad. Sci. USA 96, 8138–8143 (1999).
Wang, W., Nagashima, M., Schneider, M., Morser, J. & Nesheim, M. Elements of the primary structure of thrombomodulin required for efficient thrombin-activable fibrinolysis inhibitor activation. J. Biol. Chem. 275, 22942–22947 (2000).
Connolly, A.J., Ishihara, H., Kahn, M.L., Farese, R.V. Jr. & Coughlin, S.R. Role of the thrombin receptor in development and evidence for a second receptor. Nature 381, 516–519 (1996).
Gu, J.M. et al. Disruption of the endothelial cell protein C receptor gene in mice causes placental thrombosis and early embryonic lethality. J. Biol. Chem. 277, 43335–43343 (2002).
Riewald,M. & Ruf,W. Mechanistic coupling of protease signaling and initiation of coagulation by tissue factor. Proc. Natl. Acad. Sci. USA 98, 7742–7747 (2001).
Weiss, E.J., Hamilton, J.R., Lease, K.E. & Coughlin, S.R. Protection against thrombosis in mice lacking PAR3. Blood 100, 3240–3244 (2002).
Joyce, D.E., Gelbert, L., Ciaccia, A., DeHoff, B. & Grinnell, B.W. Gene expression profile of antithrombotic protein C defines new mechanisms modulating inflammation and apoptosis. J. Biol. Chem. 276, 11199–11203 (2001).
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Ruf, W. PAR1 signaling: more good than harm?. Nat Med 9, 258–260 (2003). https://doi.org/10.1038/nm0303-258
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DOI: https://doi.org/10.1038/nm0303-258
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