Recent studies indicate that PARs are important mediators of cellular responses to injury or infection and are widely distributed. PAR-1 is expressed in various tissues and cell lines,
3 including endothelial cells
4 and epithelial cells, such as keratinocytes
7 8 and lung epithelial cells.
9 Thrombin, which is generated after tissue injury as a part of the coagulation cascade, has numerous biological functions that are related to inflammation, tissue remodeling, and wound healing. Many of the biological actions of thrombin are mediated by PAR-1. PAR-1 agonists and serine proteases are capable of inducing increased vascular permeability, extravasation of plasma proteins,
10 stimulation of chemoattractants,
11 and activation of T cells and production of cytokines.
12 In addition, PAR-1 agonists are mitogenic for many cell types, including endothelial cells
13 and epidermal keratinocytes.
8 Similar to PAR-1, PAR-2 is expressed in a variety of cells, including keratinocytes,
7 14 endothelial cells,
15 and cells derived from other human tissues.
16 Therefore, PAR-2, similar to PAR-1, is an important regulator of tissue inflammation and repair. PAR-2 agonists increase adhesion, extravasation, and migration of leukocytes
17 and stimulate secretion of IL-8 by keratinocytes.
18 The effects of PAR-2 agonists on cellular growth appear to depend on the cell type. PAR-2 agonists also stimulate proliferation of endothelial cells,
13 whereas they inhibit keratinocyte growth and differentiation.
19