How does a protease act like a hormone to regulate cellular functions? The coagulation protease thrombin (EC 3.4.21.5) activates platelets and regulates the behavior of other cells by means of G protein-coupled proteaseactivated receptors (PARs). PAR1 is activated when thrombin binds to and cleaves its amino-terminal exodomain to unmask a new receptor amino terminus. This new amino terminus then serves as a tethered peptide ligand, binding intramolecularly to the body of the receptor to effect transmembrane signaling. The irreversibility of PAR1's proteolytic activation mechanism stands in contrast to the reversible ligand binding that activates classical G protein-coupled receptors and compels special mechanisms for desensitization and resensitization. In endothelial cells and fibroblasts, activated PAR1 rapidly internalizes and then sorts to lysosomes rather than recycling to the plasma membrane as do classical G protein-coupled receptors. This trafficking behavior is critical for termination of thrombin signaling. An intracellular pool of thrombin receptors refreshes the cell surface with naïve receptors, thereby maintaining thrombin responsiveness. Thus cells have evolved a trafficking solution to the signaling problem presented by PARs. Four PARs have now been identified. PAR1, PAR3, and PAR4 can all be activated by thrombin. PAR2 is activated by trypsin and by trypsin-like proteases but not by thrombin. Recent studies with knockout mice, receptoractivating peptides, and blocking antibodies are beginning to define the role of these receptors in vivo.Among their myriad roles, extracellular proteases can function like hormones to regulate cellular behaviors. Perhaps the best-studied example of such a process is activation of platelets by the coagulation protease thrombin (EC 3.4.21.5). This article briefly reviews our current understanding of the receptors that mediate protease signaling in platelets and other cells and points out some of the interesting questions they raise.
How Does a Protease Talk to a Cell?Because platelets and thrombin are important in myocardial infarction and other thrombotic processes, understanding how thrombin activates platelets has long been an important goal (1). How does thrombin talk to platelets? Thrombin signaling is mediated at least in part by a family of G protein-coupled protease-activated receptors (PARs), for which PAR1 is the prototype (2, 3). Thrombin activates PAR1 by binding to and cleaving its amino-terminal exodomain to unmask a new receptor amino terminus (2). This new amino terminus then serves as a tethered peptide ligand, binding intramolecularly to the body of the receptor to effect transmembrane signaling ( Fig. 1) (2, 4, 5). The synthetic peptide SFLLRN, which mimics the first six amino acids of the new amino terminus unmasked by receptor cleavage, functions as an agonist for PAR1 and activates the receptor independently of thrombin and proteolysis (2, 6, 7). Beyond supporting the tethered ligand model of receptor activation, such peptides have been...