Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling

Abstract Coagulation factors are responsible for blood clot formation yet have also non-canonical functions as signalling molecules. In this context, they can activate protease-activated receptors (PARs) ubiquitously expressed in the vasculature. During vascular repair, vascular smooth muscle cells...

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Main Authors: Anxhela Habibi, Wolfram Ruf, Leon Schurgers
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cell Communication and Signaling
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Online Access:https://doi.org/10.1186/s12964-025-02066-6
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author Anxhela Habibi
Wolfram Ruf
Leon Schurgers
author_facet Anxhela Habibi
Wolfram Ruf
Leon Schurgers
author_sort Anxhela Habibi
collection DOAJ
description Abstract Coagulation factors are responsible for blood clot formation yet have also non-canonical functions as signalling molecules. In this context, they can activate protease-activated receptors (PARs) ubiquitously expressed in the vasculature. During vascular repair, vascular smooth muscle cells (VSMCs) will switch from a contractile to a synthetic reparative phenotype. During prolonged vascular stress, VSMCs acquire a pathological phenotype leading to cardiovascular disease. Activated coagulation factors impact on vessel wall permeability and integrity after vascular injury with a key role for PAR activation on endothelial cells. The activation of PARs on VSMCs supports vessel wall repair following injury. Prolonged PAR activation, however, results in pathological vascular remodelling. Therefore, understanding the mechanisms of PAR activation on VSMCs is key to propel our understanding of the molecular and cellular mechanisms to develop novel therapeutic strategies to resolve vascular remodelling. In this review, we discuss recent advances on the role of PAR signalling on VSMCs and specifically their role in vascular remodelling contributing to cardiovascular disease. Additionally, we discuss current therapeutic strategies targeting PAR signalling - indirectly or directly – in relation to cardiovascular disease.
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issn 1478-811X
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spelling doaj-art-b51a311cc63b463d903dd407aa143fdb2025-02-02T12:34:33ZengBMCCell Communication and Signaling1478-811X2025-01-0123111710.1186/s12964-025-02066-6Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodellingAnxhela Habibi0Wolfram Ruf1Leon Schurgers2Department of Biochemistry, CARIM, Cardiovascular Research Institute Maastricht, Maastricht UniversityCenter for Thrombosis and Hemostasis, Johannes-Gutenberg-University Medical Center MainzDepartment of Biochemistry, CARIM, Cardiovascular Research Institute Maastricht, Maastricht UniversityAbstract Coagulation factors are responsible for blood clot formation yet have also non-canonical functions as signalling molecules. In this context, they can activate protease-activated receptors (PARs) ubiquitously expressed in the vasculature. During vascular repair, vascular smooth muscle cells (VSMCs) will switch from a contractile to a synthetic reparative phenotype. During prolonged vascular stress, VSMCs acquire a pathological phenotype leading to cardiovascular disease. Activated coagulation factors impact on vessel wall permeability and integrity after vascular injury with a key role for PAR activation on endothelial cells. The activation of PARs on VSMCs supports vessel wall repair following injury. Prolonged PAR activation, however, results in pathological vascular remodelling. Therefore, understanding the mechanisms of PAR activation on VSMCs is key to propel our understanding of the molecular and cellular mechanisms to develop novel therapeutic strategies to resolve vascular remodelling. In this review, we discuss recent advances on the role of PAR signalling on VSMCs and specifically their role in vascular remodelling contributing to cardiovascular disease. Additionally, we discuss current therapeutic strategies targeting PAR signalling - indirectly or directly – in relation to cardiovascular disease.https://doi.org/10.1186/s12964-025-02066-6Protease-activated receptorsVSMCsVascular remodellingThrombo-inflammationAnticoagulants
spellingShingle Anxhela Habibi
Wolfram Ruf
Leon Schurgers
Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling
Cell Communication and Signaling
Protease-activated receptors
VSMCs
Vascular remodelling
Thrombo-inflammation
Anticoagulants
title Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling
title_full Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling
title_fullStr Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling
title_full_unstemmed Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling
title_short Protease-activated receptors in vascular smooth muscle cells: a bridge between thrombo-inflammation and vascular remodelling
title_sort protease activated receptors in vascular smooth muscle cells a bridge between thrombo inflammation and vascular remodelling
topic Protease-activated receptors
VSMCs
Vascular remodelling
Thrombo-inflammation
Anticoagulants
url https://doi.org/10.1186/s12964-025-02066-6
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AT wolframruf proteaseactivatedreceptorsinvascularsmoothmusclecellsabridgebetweenthromboinflammationandvascularremodelling
AT leonschurgers proteaseactivatedreceptorsinvascularsmoothmusclecellsabridgebetweenthromboinflammationandvascularremodelling