Matrix metalloproteases (MMPs) play many important roles in normal and pathological remodeling processes including atherothrombotic disease, inflammation, angiogenesis and cancer. Traditionally, MMPs have been viewed as matrix-degrading enzymes, but recent studies have shown that they possess direct signaling capabilities. Platelets harbor several MMPs that modulate hemostatic function and platelet survival, however their mode of action remains unknown. We demonstrated that platelet MMP-1 activates protease-activated receptor-1 (PAR1) on the surface of platelets. Exposure of platelets to fibrillar collagen converts the surface-bound proMMP-1 zymogen to active MMP-1 which promotes aggregation through PAR1. Unexpectedly, we found that MMP-1 cleaved PAR1 at a novel site which strongly activated Rho-GTP pathways, cell shape change and motility, and MAPK signaling. Blockade of MMP1-PAR1 greatly curtailed thrombogenesis under arterial flow conditions and inhibited thrombosis in animals. These studies provide a link between matrix-dependent activation of metalloproteases and platelet-G protein signaling and identify MMP1-PAR1 as a new target for the prevention of arterial thrombosis.

G-protein-coupled receptors (GPCRs