Protease activated receptors (PARs) represent a novel class of seven transmembrane domain G-protein coupled receptors activated by proteolytic cleavage. Up to now, four members of this class of receptors have been identified, PAR1 to PAR4 (Hollenberg, 1999). The mechanism for activation of PARs involves a proteolytic unmasking of an N-terminal sequence that acts as a tethered ligand. In the absence of proteolysis, PAR1, PAR2 and PAR4, but not PAR3, can be activated by synthetic peptides (PAR-activated peptides, PAR-APs) ranging between five and 14 aminoacids, whose sequence mimics the tethered ligand (Dery et al., 1998). The thrombin receptor PAR1 was the first PAR to be discovered and cloned (Vu et al., 1991). Successively, a second member of PAR family was identified by Nystedt (1994) who cloned a mouse genomic DNA sequence encoding a proteolitically activated receptor, related to but with a different sequence from the thrombin receptor PAR1. The receptor was termed PAR2 and it was found to be activated by trypsin that cleaves the receptor within the sequence N34SKGR/SLIGRLETQP48 of its extracellular -NH2 terminus, exposing a tethered ligand, SLIGRLETQP, that binds the cleaved receptor (Figure 1). Synthetic peptides mimicking the tethered ligand sequence, SLIGRLETQ . , can activate the receptor even in the absence of proteolysis. The site for the receptor proteolytic cleavage contains the sequence SLIGRL and SLIGKV, murine and human respectively (Nystedt et al., 1994). Figure 1 Schematic representation of PAR2 activation by trypsin. PAR2 is activated upon trypsin cleavage within the sequence N34SKGR/SLIGRLETQP48 of its extracellular -NH2 terminus. This event unmasks a tethered ligand, SLIGRLETQP, that binds the cleaved receptor ... The physiological ligand of PAR2 has not as yet been identified. However, it has been shown that besides trypsin, the receptor may be activated by tryptase (Molino et al., 1997) and factor Xa (Fox et al., 1997), but it is resistant to activation by thrombin, even at concentrations as high as 100 nM. PAR2 mRNA has been found in several human and animal tissues, including kidney, stomach, pancreas, liver, colon and small intestine (Nystedt et al., 1994). Furthermore, by using immunohistochemical techniques, PAR2 has been localized in almost all human organs; in particular, a strong immunoreactivity has been detected in endothelial and epithelial cells, and in smooth muscle of both vascular and non vascular origin (D'andrea et al., 1998). To date, the physiological and/or pathological role of PAR2 is unknown. The presence of PAR2 on highly vascularized organs strongly suggests a role for the receptor in the control of vascular reactivity (D'andrea et al., 1998). This hypothesis is supported by a large amount of work that has been produced, since its discovery and cloning, giving evidence for the ability of PAR2 in regulating vascular function. On the basis of the present knowledge, the aim of this review is to recapitulate the cardiovascular functions of PAR2.
Read full abstract