The coagulation protease Factor Xa (Xa) 1 triggers a variety of cellular responses that may be important for inflammatory reactions to tissue injury. Protease-activated receptors (PAR1, PAR2, and PAR4) can mediate Xa signaling in heterologous expression systems. However, other candidate Xa receptors have been described, and the extent to which one or more PARs account for Xa signaling in relevant differentiated cells is unknown. We examined Xa signaling in endothelial cells from wildtype and PAR-deficient mice. Wild-type endothelial cells responded to agonists for PAR1, PAR2, and PAR4. Relative to wild-type, Xa-triggered phosphoinositide hydrolysis was reduced by 60 -75% in Par2 ؊/؊ endothelial cells, by 20 -30% in Par1 ؊/؊ endothelial cells, and by ϳ90% in Par2 ؊/؊ endothelial cells treated with a PAR1 antagonist. Similar results were obtained when ERK1/2 phosphorylation was used to assess Xa signaling. Thus PAR2 is the main endogenous Xa receptor in these endothelial cell preparations and, together, PAR2 and PAR1 appear to account for ϳ90% of endothelial Xa signaling. By contrast, in fibroblasts, PAR1 by itself accounted for virtually all Xa-induced phosphoinositide hydrolysis. This information is critical for the design and interpretation of knockout mouse studies to probe the possible roles of Xa signaling in vivo.The coagulation protease factor Xa (Xa) is generated at sites of vascular injury and inflammation by the actions of the tissue factor/VIIa (TF⅐VIIa) 1 and VIIIa⅐IXa complexes (1, 2). The formation of Xa is localized to the surfaces of cells and membrane vesicles, and in addition to binding Va to form the prothrombinase complex, Xa can directly regulate cellular behavior. For example, Xa can cause endothelial cells to release cytokines (3, 4), display adhesion molecules (4), proliferate (5), and trigger endothelial-dependent vasorelaxation (6). Importantly, studies in animal models of septic shock and the recent clinical trial of activated protein C strongly suggest that coagulation proteases contribute to organ damage and death in this syndrome (7)(8)(9)(10)(11)(12). Such studies have also raised the possibility that coagulation proteases upstream of thrombin might contribute to the pathogenesis of septic shock via activities unrelated to thrombin generation (11). These considerations motivate efforts to identify the receptors that mediate Xa responses in endothelial cells and other cell types.Protease-activated receptors (PARs) are G protein-coupled receptors that mediate signaling to thrombin and other proteases by a mechanism that requires proteolytic cleavage of the receptor (13). Because inhibitors that block the proteolytic activity of Xa also ablate its ability to trigger cellular responses, PARs are candidates for mediating Xa signaling (14,15). Indeed, there is substantial evidence that Xa can signal via PARs. For example, expression of PAR1, PAR2, and PAR4 in Xenopus oocytes confers calcium signaling in response to Xa (16). TF⅐VIIa complex can also activate PAR2 expressed in oocytes and...