“…In particular, given the widespread distribution of PAR 2 and the restricted expression of trypsin I/II to the pancreas, where activity is tightly controlled by endogenous inhibitors, the proteases that activate PAR 2 in tissues other than the pancreas and intestine remain to be identified. Other proteases that can cleave PAR 2 at Arg 36 2Ser 37 include trypsin IV (mesotrypsin) (17,18), tryptase (19,20), coagulation factors VIIa and Xa (21), acrosin (22), granzyme A (23), membrane-type serine protease 1 or matriptase (24), TMPRSS2 (25), and kallikrein 2, 4, 5, 6, and 14 (26 -29). These proteases would be expected to trigger the same canonical signaling events as trypsin I/II, leading to similar physiological outcomes.…”