Regulation of Human Vascular Protease-Activated Receptor-3
through mRNA Stabilization and the Transcription Factor
Nuclear Factor of Activated T Cells (NFAT)
Anke C. Rosenkranz, Bernhard H. Rauch,
1
Anke Doller, Wolfgang Eberhardt,
Andreas Bo ¨ hm, Ellen Bretschneider, and Karsten Schro ¨r
Institut fu ¨ r Pharmakologie und Klinische Pharmakologie, Heinrich-Heine-Universita ¨ t Du ¨ sseldorf, Germany (A,C.R., B.H.R., A.B.,
K.S.); Pharmazentrum Frankfurt, Klinikum der J.W. Goethe Universita ¨ t, Institut fu ¨ r Allgemeine Pharmakologie und Toxikologie,
Frankfurt/Main, Germany (A.D., W.E.); and Institut fu ¨ r Vaskula ¨ re Medizin, Medizinische Fakulta ¨ t, Friedrich-Schiller-Universita ¨ t,
Jena, Germany (E.B.)
Received April 8, 2011; accepted May 18, 2011
ABSTRACT
Thrombin promotes vascular smooth muscle cell (SMC) prolif-
eration and inflammation via protease-activated receptor
(PAR)-1. A further thrombin receptor, PAR-3, acts as a PAR-1
cofactor in some cell-types. Unlike PAR-1, PAR-3 is dynami-
cally regulated at the mRNA level in thrombin-stimulated SMC.
This study investigated the mechanisms controlling PAR-3 ex-
pression. In human vascular SMC, PAR-3 siRNA attenuated
thrombin-stimulated interleukin-6 expression and extracellular
signal-regulated kinases 1/2 phosphorylation, indicating PAR-3
contributes to net thrombin responses in these cells. Thrombin
slowed the decay of PAR-3 but not PAR-1 mRNA in the pres-
ence of actinomycin D and induced cytosolic shuttling and
PAR-3 mRNA binding of the mRNA-stabilizing protein human
antigen R (HuR). HuR siRNA prevented thrombin-induced
PAR-3 expression. By contrast, forskolin inhibited HuR shut-
tling and destabilized PAR-3 mRNA, thus reducing PAR-3
mRNA and protein expression. Other cAMP-elevating agents,
including the prostacyclin-mimetic iloprost, also down-regu-
lated PAR-3, accompanied by decreased HuR/PAR-3 mRNA
binding. Iloprost-induced suppression of PAR-3 was reversed
with a myristoylated inhibitor of protein kinase A and mimicked
by phorbol ester, an inducer of cyclooxygenase-2. In separate
studies, iloprost attenuated PAR-3 promoter activity and pre-
vented binding of nuclear factor of activated T cells (NFAT2) to
the human PAR-3 promoter in a chromatin immunoprecipitation
assay. Accordingly, PAR-3 expression was suppressed by the
NFAT inhibitor cyclosporine A or NFAT2 siRNA. Thus human
PAR-3, unlike PAR-1, is regulated post-transcriptionally via the
mRNA-stabilizing factor HuR, whereas transcriptional control
involves NFAT2. Through modulation of PAR-3 expression,
prostacyclin and NFAT inhibitors may limit proliferative and
inflammatory responses to thrombin after vessel injury.
Introduction
The clinical success of venous bypass grafting is often
limited by constrictive vascular remodelling. This involves
vascular smooth muscle cell (SMC) proliferation, migration,
and inflammation (Forrester et al., 1991), in which the clot-
ting factor thrombin plays a central role (Schro ¨r et al., 2010).
Thrombin acts via protease-activated receptors (PARs),
which are proteolytically cleaved to create a new NH
2
-termi-
nal domain that autoactivates the receptor (Coughlin, 2000).
Of four known PARs, PAR-1, PAR-3, and PAR-4 are activated
by thrombin, responding with EC
50
values of 50 pM, 0.2 nM,
and 5 nM, respectively (Steinberg, 2005; Schro ¨r et al., 2010).
PAR-1 is the prototypical receptor mediating most thrombin
actions (Wilcox et al., 1994; Coughlin, 2000), whereas PAR-4
mediates mouse and human platelet activation (Coughlin,
This study was supported in part by the Deutsche Forschungsgemeinschaft
[SCH 194/11-10; SFB 612 Project B11], the Forschungskommission der Hei-
nrich-Heine-Universita ¨t Du ¨ sseldorf [Grant 9772399]; the Ernst und Berta
Grimmke-Stiftung [Grant 3/09]; and the Gesellschaft fu ¨ r Thrombose- und
Ha ¨ mostase- Forschung [Rudolf-Marx Stipend].
1
Current affiliation: Institut fu ¨ r Pharmakologie, Ernst-Moritz-Arndt-Uni-
versita ¨ t Greifswald, Germany.
Article, publication date, and citation information can be found at
http://molpharm.aspetjournals.org.
doi:10.1124/mol.111.072850.
ABBREVIATIONS: SMC, smooth muscle cell; CsA, cyclosporin A; EPAC, exchange protein directly activated by cAMP; ERK1/2, extracellular-
regulated kinase 1/2; HuR, human antigen R; IBMX, isobutyl-1-methylxanthine; IL-6, interleukin-6; NFAT, nuclear factor of activated T cells; PAR,
protease-activated receptor; PGI
2
, prostacyclin; PKA, protein kinase A; PKI, myristoylated protein kinase A inhibitor; PMA, phorbol 12-myristate
13-acetate; VASP, vasodilator-stimulated phosphoprotein; VSMC, vascular smooth muscle cell; ChIP, chromatin immunoprecipitation; PCR,
polymerase chain reaction; UTR, untranslated region; IP, immunoprecipitation; siRNA, short interfering RNA; db-cAMP, dibutyryl cAMP; 8CPT-
2Me-cAMP, 8-(4-chlorophenylthio)-2'-O-methyl-cAMP, sodium salt; COX-2, cyclooxygenase-2.
0026-895X/11/8002-337–344$25.00
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