Institute of Pathology, Case Western Reserve University, Cleveland, Ohio.
Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Am J Pathol. 2022 Feb;192(2):361-378. doi: 10.1016/j.ajpath.2021.09.011.
As per the classical view of the coagulation system, it functions solely in plasma to maintain hemostasis. An experimental approach modeling vascular reconstitution was used to show that vascular endothelial cells (ECs) endogenously synthesize coagulation factors during angiogenesis. Intracellular thrombin generated from this synthesis promotes the mitotic function of vascular endothelial cell growth factor A (VEGF-A). The thrombin concurrently cleaves C5a from EC-synthesized complement component C5 and unmasks the tethered ligand for EC-expressed protease-activated receptor 4 (PAR4). The two ligands jointly trigger EC C5a receptor-1 (C5ar1) and PAR4 signaling, which together promote VEGF receptor 2 growth signaling. C5ar1 is functionally associated with PAR4, enabling C5a or thrombin to elicit Gαi and/or Gαq signaling. EC coagulation factor and EC complement component synthesis concurrently down-regulate with contact inhibition. The connection of these processes with VEGF receptor 2 signaling provides new insights into mechanisms underlying angiogenesis. Knowledge of endogenous coagulation factor/complement component synthesis and joint PAR4/C5ar1 signaling could be applied to other cell types.
根据凝血系统的经典观点,它仅在血浆中发挥作用以维持止血。一种模拟血管重建的实验方法表明,血管内皮细胞(EC)在血管生成过程中内源性合成凝血因子。从这种合成产生的细胞内凝血酶促进血管内皮细胞生长因子 A(VEGF-A)的有丝分裂功能。凝血酶同时从 EC 合成的补体成分 C5 中切割 C5a,并揭示了 EC 表达的蛋白酶激活受体 4(PAR4)上的束缚配体。这两种配体共同触发 EC C5a 受体-1(C5ar1)和 PAR4 信号,共同促进 VEGF 受体 2 生长信号。C5ar1 与 PAR4 具有功能关联,使 C5a 或凝血酶能够引发 Gαi 和/或 Gαq 信号。EC 凝血因子和 EC 补体成分的合成与接触抑制同时下调。这些过程与 VEGF 受体 2 信号的联系为血管生成的机制提供了新的见解。对内源性凝血因子/补体成分合成和联合 PAR4/C5ar1 信号的了解可应用于其他细胞类型。