In vivo neuroprotection in ischemic stroke by activated protein C requires β-arrestin 2

Biao Xiang ∗ , Yaoming Wang ∗ , Ruslan Rust , Kassandra Kisler , William J. Mack , José A. Fernández , Berislav V. Zlokovic † , John H. Griffin †
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Abstract

The protease activated protein C (APC) and its variants provide neuroprotection for murine ischemic stroke and mortality reduction for murine sepsis. For these actions, APC’s in vivo mechanism of action, similar to in vitro studies using cultured cells, involves protease activated receptor 1 (PAR1)–mediated biased signaling. APC/PAR1 signaling in vitro requires β-arrestin 2, an intracellular scaffold protein, and β-arrestin 2–initiated signaling can alter diverse intracellular signaling pathways. This study used a proximal transient middle cerebral artery occlusion model to study the neuroprotective actions of the signaling-selective APC variant, 3K3A-APC, in β-arrestin 2–deficient (Arrb2–/–) mice. Based on quantitation of brain injuries, 3K3A-APC significantly limited brain injury in control mice to relatively small, localized areas, whereas 3K3A-APC’s protection was lost in Arrb2–/– mice. Thus, the major in vitro mechanism of action that requires β-arrestin 2 for APC/PAR1 biased signaling is central to the in vivo mechanism of action for APC’s neuroprotection.
激活蛋白C对缺血性脑卒中的体内神经保护需要β-抑制蛋白2
摘要蛋白酶活化蛋白C (APC)及其变异对小鼠缺血性脑卒中具有神经保护作用,对小鼠败血症具有降低死亡率的作用。对于这些作用,APC的体内作用机制与体外培养细胞研究类似,涉及蛋白酶激活受体1 (PAR1)介导的偏倚信号。体外APC/PAR1信号通路需要β-阻滞蛋白2(一种细胞内支架蛋白),而β-阻滞蛋白2启动的信号通路可以改变多种细胞内信号通路。本研究采用大脑中动脉近端短暂性闭塞模型,研究信号选择性APC变体3K3A-APC对β-抑制蛋白2缺陷(Arrb2 - / -)小鼠的神经保护作用。基于脑损伤的定量,3K3A-APC显著地将对照小鼠的脑损伤限制在相对较小的局部区域,而3K3A-APC在Arrb2 - / -小鼠中失去了保护作用。因此,APC/PAR1偏倚信号需要β-阻滞蛋白2的主要体外作用机制是APC神经保护的体内作用机制的核心。
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