Abstract
Thrombin potently induces endothelial inflammation. One of the responses is upregulation of adhesion molecules such as ICAM-1, resulting in enhanced leukocyte attachment to the endothelium. In this report, we examine the contribution of EphA2 in thrombin-induced expression of ICAM-1 in human umbilical vein endothelial cells (HUVECs). We showed that thrombin transiently induced tyrosine-phosphorylation of EphA2 in a Src-kinase dependent manner. This transactivation was mediated through PAR-1, because a PAR-1 specific agonistic peptide also transactivated EphA2. Expression knockdown of endogenous EphA2 by siRNAs blocked ICAM-1 upregulation and leukocyte/endothelium attachment induced by thrombin. Overexpression of exogenous mouse EphA2 rescued both ICAM-1 expression and leukocyte attachment induced by thrombin in endogenous EphA2-knockdown HUVECs. Mechanistically, we showed EphA2 knockdown suppressed thrombin-induced serine 536 phosphorylation of NFκB, an event critical of ICAM-1 transcriptional upregulation. Collectively, our results strongly suggest EphA2 is a necessary component for thrombin-induced ICAM-1 upregulation.
Keywords: EphA2, thrombin, ICAM-1, endothelial inflammation, receptor tyrosine kinases, PAR-1
Introduction
Thrombin exerts a wide range of cellular and molecular changes in endothelial cells. The principal receptors for thrombin belong to a class of receptors known as the protease-activated receptors (PARs), which initiate a complex network of intracellular signals including protein kinase C, PI3 kinase, Src, MAP kinases, and Rho kinase, to name a few (See reviews, [1-7]).
We hypothesize that thrombin achieves such diverse signaling capability by transactivation of other cell receptors, especially the receptor tyrosine kinases (RTK). In this report, we focused on EphA2 in thrombin-induced endothelial functions.
Eph receptors, the largest family of RTKs, are grouped into two classes based on their ligand specificity [8-11]. Class A Eph receptors bind to Ephrin-A ligands, which are GPI-linked cell surface proteins. Class B Eph receptors bind to Ephrin-B ligands, which are transmembrane cell surface proteins. Eph receptors are structurally similar. At the N-terminus is a globular domain, which contains the ligand binding site. It is followed by a cysteine-rich region, fibronectin-type III repeats, a transmembrane domain, a juxtamembrane region, a kinase domain, a SAM domain, and a PDZ-binding domain [10, 11].
EphA2 appears to play a crucial role in postnatal vascular function. Although EphA2 knockout mice are viable and fertile and show no overt abnormality during embryogenesis [12], endothelial cells isolated from these mice do not undergo vascular assembly in vitro in response to Ephrin-A1 stimulation [12]. Additionally, VEGF-induced endothelial cell migration in vitro and VEGF-induced corneal angiogenesis in mice have been shown to be influenced by the Ephrin-A1/EphA2 system, although the exact mechanism may depend on endothelial cell types. In HUVECs, addition of exogenous soluble EphA2-Fc blocks VEGF-induced angiogenesis, suggesting forward signaling through EphA2 receptor triggered by the interacting Ephrin-A1 ligand mediates the VEGF-induced response [13]. However, since HUVECs also abundantly express Ephrin-A1, it has been argued that the observed reduction of VEGF response may be due to blockade of reverse signaling through Ephrin-A1 [14]. In bovine retinal endothelial cells, where expression of Ephrin-A1 is not detected, stimulation of EphA2 by exogenous Ephrin-A1 appears to inhibit VEGF-induced vascular functions [14].
Importance of EphA2 in endothelial biology is also evidenced in cancer. Both EphA2 and Ephrin-A1 are overexpressed in tumor vasculature [15]. Tumor-induced angiogenesis and metastases are impaired in EphA2-deficient mice [16]. In addition, EphA2 is upregulated in aggressive melanoma cells undergoing vascular mimicry [17, 18]. Transient expression knockdown of EphA2 blocks these tumor cells from forming vascular structures in vitro [17].
Ephrins and Eph receptors have also been implicated in inflammation [9]. Ephrin-A1 was first identified as an immediate-early response gene in endothelial cells that was induced by inflammatory stimuli such as TNF-α, IL-1β, and lipopolysaccharide [19, 20]. Ephrin receptors, including EphA2, are upregulated during inflammation [21]. For example, the EphB/EphrinB system appears to play a role in inflammatory responses in rheumatoid arthritis [22]. Other than attribution of EphA2 as a mediator of TNF-α-induced angiogenesis in micro-pocket corneal assays in mice [23], very little is known about the specific functions of these Eph receptors/Ephrins in endothelial inflammation.
It is well established that thrombin potently induces ICAM-1 upregulation in endothelial cells through an NFκB-dependent pathway [24]. Results from several studies suggest that thrombin triggers a complex network of signals to upregulate ICAM-1 [25]. Examples of such signaling molecules include Gαq, Gβγ PI3 kinase, Akt, PKC-δ, c-Src, actin, ROCK, JNK, and p38 [26-33]. These signals result in activation of NFkB as a p65/p65 homodimer for ICAM-1 transcription [34]. Here, we report that the RTK EphA2 also plays a critical role in thrombin-induced ICAM-1 upregulation through activation of NFκB. Identification of this novel signaling component may provide additional targets for inhibition of endothelial inflammation responses induced by thrombin.
Materials and methods
Cell culture
HUVE cells were obtained from either Cambrex (East Rutherford, NJ) or Cascade Biologics (Portland, OR) and were cultured in EBM2-MV (Cambrex). Cells at passages <8 were used. Phoenix-Ampho cells were obtained from Dr. Nolan's laboratory at Stanford University and cultured in DMEM medium supplemented with 10% fetal bovine serum (Sigma, St. Louis). Human plasma thrombin (citrate-free) was purchased from Calbiochem (San Diego, CA). Soluble human EphA2 and EphrinA1-Fc (a chimeric protein composed of the extracellular domain of mouse Ephrin-A1 (amino acid residues 1 - 182) and the Fc region of human IgG1) were purchased from R&D Systems.
Antibodies
The following antibodies were used: goat polyclonal anti EphA2 (R&D Systems), rabbit polyclonal anti EphA2 (Santa Cruz), anti phosphotyrosine antibody 4G10 (Upstate), mouse monoclonal anti ICAM-1 (Santa Cruz), rabbit polyclonal anti α-actinin (Santa Cruz), and rabbit monoclonal anti phospho NFκB (Cell Signaling).
Phosphorylation of EphA2
To establish a time course of tyrosine phosphorylation of EphA2 by thrombin, a published protocol was used with slight modifications. This protocol was developed to detect tyrosine phosphorylation of VE-cadherin-associated proteins induced by thrombin in endothelial cells [35]. Briefly, confluent HUVECs were stimulated with thrombin (1U/ml) for the desired amount of time. Cells were then treated with pervanadate generated from 1 mM Na3VO4 /0.2 mM H2O2 in PBS at room temperature for 5 mins and lysed in iced-cold triton lysis buffer (50 mM Tris-HCl, pH 8/150 mM NaCl/ 5 mM EDTA/ 5mM EGTA/1%Triton-X100/ 1× complete protease inhibitor (Roche)/ 2 mM sodium orthovanadate/1 mM NaF/2.5 mM β glycerol phosphate/2.5 mM sodium pyrophosphate/1 mM phenylmethylsulphonyl fluoride). After brief sonication and centrifugation, clarified lysates were immunoprecipitated with 2 μg of a polyclonal anti human EphA2 antibody (R&D Systems) and Protein A/G Plus at 4°C overnight. Resins were washed with PBS three times and resuspended in 2× SDS gel loading buffer. Tyrosine phosphorylation was detected by western blot using the 4G10 antibody. The membrane was stripped and reblotted with an rabbit polyclonal antibody against EphA2 (Santa Cruz).
Pharmacological agents PP2 and Y27632 were used to examine the role of Src and ROCK in EphA2 phosphorylation. Confluent HUVECs were pretreated with PP2 (2 μM), Y27632 (5 μM), or DMSO for 1 hour, followed by a 10-min treatment with sodium orthovandate (1mM). Cells were then stimulated for 30 mins with either 1U/ml thrombin or 250ng/ml EphrinA1-Fc. HUVECs were lysed with RIPA buffer supplemented with 5 mM EDTA/ 5mM EGTA/1× complete protease inhibitor (Roche)/ 2 mM sodium orthovanadate/1 mM NaF/2.5 mM β glycerol phosphate/2.5 mM sodium pyrophosphate/1 mM phenylmethylsulphonyl fluoride. After brief sonication and centrifugation, clarified lysates were immunoprecipitated with 2 μg of a polyclonal anti human EphA2 antibody (Santa Cruz) and Protein A/G Plus at 4°C overnight. Resins were washed with the lysis buffer three times and resuspended in 2× SDS gel loading buffer. Tyrosine phosphorylation and EphA2 were detected using the 4G10 and the EphA2 antibody (Santa Cruz), respectively.
To determine the role of PAR-1 in EphA2 transactivation, HUVECs were prepared and stimulated as described above, except that the following peptides at 20 μM were used as stimulants: TFLLR-NH2 (PAR-1), RLLFT-NH2 (negative control for PAR-1), SLIGKV-NH2 (PAR-2), and GYPGKF-NH2 (PAR-4). PAR-1 and its control peptide were purchased from Peptides International. PAR-2 and PAR-4 peptides were synthesized as described [36].
EphA2 knockdown by siRNA, ICAM-1 upregulation, and NFκB phosphorylation
Two validated Stealth siRNA duplexes specific to human EphA2 and a negative control duplexes were purchased from Invitrogen (catalog numbers: 12938-022, 12935-300). A mixture of siRNA (0.2 nmol) and Silentfect (4 μl, BioRad) was prepared in 500 μl serum-free EBM2 basal medium. After incubation at room temperature for 20 mins, the mixture was added to 80%-confluent HUVECs in a 10-cm plate in the presence of 5 ml fresh EBM2-MV medium. Sixteen hours later, cells were split and seeded into 6-well plates. On the next day, the confluent HUVECs were stimulated with thrombin (1U/ml) in 2 ml EBM-2 supplemented with 0.5% FBS for either 1 (for NFκB phosphorylation) or 6 (for ICAM-1 upregulation) hours. Experiments were terminated with lysis of cells using 300μl 2× SDS PAGE loading buffer. NFkB phosphorylation and ICAM-1 protein expression were detected by western blots using an anti phospho-NFκB and an anti ICAM-1 antibodies, respectively.
Stable expression of mouse EphA2 in HUVECs by retrovirus
The coding region of mouse EphA2 was amplified from cDNAs prepared from 4T1 cells and cloned into a pLNCX2-based retroviral vector, in which an IRES-EGFP cassette was inserted downstream of mouse EphA2. To generate retrovirus, either IRES-EGFP-alone or EphA2-IRES-EGFP plasmid was transfected into Phoenix-Ampho cells using Lipofectamine 2000 (Invitrogen). Medium was replaced with serum-free DMEM supplemented with 10ng/ml bFGF and 200ng/ml EGF 16-hours post transfection. After an additional 24 hours, supernatant was collected and used to infect HUVECs in the presence of 40μg/ml protamine sulfate. Transduced cells were selected and expanded in the presence of 0.8mg/ml G418.
U937 attachment assays
A published procedure was followed with modifications [37]. Confluent HUVECs in a 24-well plate were stimulated with thrombin (5U/ml) in 2 ml EBM-2 supplemented with 0.5% FBS for 6 hours. Meanwhile, U937 were labeled with 0.1μM Cell Tracker Red CMTPX (Molecular Probes) in PBS for 10 mins, followed by a 6-hour recovery period in 10%FBS/RPMI. At the end of the 6-hour thrombin stimulation, labeled U937 cells were incubated with HUVECs at room temperature under rotation for 60 mins. Unattached U937 cells were washed off with growth medium. Cells were then fixed in 4% PFA in PBS for 15 mins prior to visualization by fluorescence microscopy.
Results
Thrombin induces tyrosine phosphorylation of EphA2 in HUVECs through PAR-1
Figure 1A illustrates the time course of EphA2 phosphorylation induced by thrombin. Tyrosine phosphorylation of EphA2 was detected as early as 2 minutes and lasted to at least 30 mins post thrombin-stimulation.
Thrombin signals through a class of cell surface receptors known as protease-activated receptors (PARs). Four PARs have been identified to date. PAR-1, 2, and 3 are expressed on human endothelial cells [38-48]. Although, northern analysis failed to detect PAR-4 expression in HUVEC in vitro [46], PAR-4 is detected in human coronary endothelial cells [49]. Amongst these receptors, thrombin specifically activates PAR-1, PAR-3, and PAR-4 [2, 50]. Based on the mechanism of PAR activation by thrombin, agonistic peptides have been developed to activate PAR-1, -2, and -4 specifically. To date, no agonistic peptide for PAR-3 has been reported (see reviews [1-5, 7]).
Therefore, we asked whether addition of agonistic peptides of PAR-1, -2, and -4 to HUVECs would recapitulate EphA2 transactivation by thrombin. In this experiment, we pretreated HUVECs with sodium orthovanadate for 10 mins, followed by a 30-min incubation with or without thrombin and PAR peptides. This protocol was designed to increase the detection sensitivity of any tyrosine phosphorylation of EphA2 induced by the agonistic peptide treatment. First we demonstrated that EphA2 transactivation by thrombin was once again detected using this protocol (Figure 1B). Activation of HUVECs with PAR-1 specific agonistic peptide induced EphA2 transactivation seen by thrombin treatment. A control PAR-1 peptide with a reverse sequence, PAR-2, and PAR-4 specific agonist failed to induce EphA2 tyrosine phosphorylation at the same concentration. These results strongly suggest that thrombin transactivates EphA2 through PAR-1 in HUVECs.
Soluble EphA2 fails to block thrombin-induced EphA2 phosphorylation
One possible mechanism of EphA2 activation by thrombin is through interaction of EphA2 and ephrins. To address this possibility, we tested the ability of the soluble extracellular domain of human EphA2 to block EphA2 transactivation by thrombin. This soluble EphA2 was expected to bind to its ligands. As shown in Figure 2, excess soluble EphA2 at 15 μg/ml did not block thrombin-induced phosphorylation of EphA2, while at the same concentration, the excess soluble EphA2 effectively blocked EphA2 phosphorylation induced by EphrinA1-Fc (at 250ng/ml). Therefore, our results strongly suggest transactivation of EphA2 induced by thrombin was independent of EphA2-ephrin interactions.
Transactivation of EphA2 induced by thrombin is Src-kinase dependent
Next, we investigated the mechanism by which thrombin caused EphA2 phosphorylation. We used pharmacological inhibitors to identify critical component(s) of thrombin signaling pathways in endothelial cells. Y-27632, a specific Rho-associated kinase (ROCK) inhibitor, was chosen because it has been shown to block tyrosine-phosphorylation of kinases down stream of thrombin stimulation in endothelial cells such as focal adhesion kinase (FAK) [51]. PP2, a well-characterized src-family kinase inhibitor, was also tested because it has been shown to mediate thrombin-induced transactivation of EGFR in cardiomyocytes and cardiofibroblasts [52, 53].
As shown in Figure 3A, thrombin-induced EphA2 tyrosine phosphorylation was completely abrogated by PP2, but not Y-27632. Our results suggest that thrombin caused EphA2 activation via a Src-family kinase. Next, we contrasted the activation mechanisms of EphA2 by thrombin and the canonical ligand EphrinA1. As expected, EphrinA1, when presented as a Fc-fusion protein, induced significant activation of EphA2 in endothelial cells (Figure 3B), as did thrombin. However, in contrast to thrombin stimulation, tyrosine phosphorylation of EphA2 by its cognate ligand EphrinA1 was insensitive to PP2 treatment. Therefore thrombin and EphrinA1 induced EphA2 phosphorylation via a Src-dependent and Src-independent pathway, respectively.
Thrombin-induced ICAM-1 upregulation in HUVECs requires EphA2
Next, we sought to identify the function of EphA2 activation by thrombin in endothelial cells by using siRNA knockdown technology. Because thrombin potently upregulates ICAM-1 expression in endothelial cells, we opted to determine whether EphA2 was involved in this regulation. Two siRNA duplexes specific to human EphA2 were tested. As shown in Figure 4, transient transfection of each of these two siRNA duplexes significantly reduced EphA2 protein expression in HUVECs. Transfection of a control siRNA duplex had no effect on EphA2 expression. Thrombin significantly upregulated ICAM-1 expression in HUVECs treated with the control siRNA but failed to induce ICAM-1 expression when EphA2 was knockdown by either EphA2-specific siRNA duplex. To further corroborate the involvement of EphA2 in ICAM-1 upregulation by thrombin, we performed expression rescue experiments. HUVECs were transduced by either GFP- or mouse-EphA2 retrovirus. Infected cells were selected and expanded in the presence of G418. Retrovirus infection and G418 selection had no effects on thrombin-induced, EphA2-mediated ICAM-1 upregulation (Figure 5, left). Expression knockdown of endogenous EphA2 by siRNA again blocked ICAM-1 expression after thrombin stimulation in the GFP-virus infected group. However, in the presence of exogenously expressed mouse EphA2, thrombin-induced ICAM-1 upregulation was significantly restored even when endogenous human EphA2 was knocked down by siRNA (Figure 5, right). Collectively, our results strongly suggest that EphA2 is a downstream effector of thrombin stimulation and is critical in upregulation of ICAM-1 in endothelial cells.
Soluble EphA2 antibody fails to block thrombin-induced ICAM-1 expression in endothelial cells
We next asked whether addition of soluble EphA2 would block upregulation of ICAM-1 in endothelial cells. Soluble EphA2 was tested at 15μg/ml, because at this concentration soluble EphA2 effectively blocked EphA2 phosphorylation induced by EphrinA1-Fc (Figure 2). As shown in Figure 6A, addition of excess soluble EphA2 failed to inhibit ICAM-1 expression induced by thrombin. This result is consistent with our observation that excess soluble EphA2 was not able to block EphA2 activation induced by thrombin (Figure 2). Therefore, induction of ICAM-1 expression upon thrombin stimulation was not due to EphA2 interactions with ephrins. Indeed, addition of EphrinA1-Fc did not stimulate ICAM-1 expression in endothelial cells (Figure 6B).
Thrombin activates NFκB via EphA2 in endothelial cells
It is well established that thrombin upregulates ICAM-1 in endothelial cells through the NFκB pathway [6, 24, 26, 27, 31, 32, 34, 54]. Therefore, we asked whether EphA2 played a role in NFκB activation by thrombin stimulation. As shown in Figure 7, when HUVECs were treated with the control siRNA duplex, thrombin induced serine-phosphorylation of NFκB, a well established marker for NFκB activation. When EphA2 expression was suppressed by either EphA2-specific siRNA duplexes, thrombin-induced serine-phosphoryation of NFκB was reduced. Our data suggest that phosphorylation of NFκB induced by thrombin is dependent on EphA2.
Suppression of EphA2 blocks monocyte attachment to thrombin-stimulated HUVECs
One of the consequences of thrombin-induced ICAM-1 upregulation is enhanced attachment of leukocytes to the endothelium. Since suppression of EphA2 blocked ICAM-1 upregulation induced by thrombin, we reasoned that it would also block leukocyte attachment to stimulated HUVE monolayer. Therefore, we tested the ability of U937, a monocytic cell line, to attach to thrombin-treated HUVECs in the presence or absence of EphA2. In this experiment, both GFP-expressing and mouse-EphA2-expressing HUVECs were used. As expected, thrombin potently induced U937 attachment to HUVECs when cells were treated with the non-specific control siRNA, both in the GFP- and mouse-EphA2 expressing HUVECs (Figure 8). However, U937 attachment to thrombin-stimulated HUVECs was significantly blocked when endogenous EphA2 was knockdown by siRNA. In contrast, overexpression of mouse EphA2 in HUVECs with endogenous EphA2 suppressed restored thrombin-induced U937 attachment. These results were consistent with our observation that EphA2 was required for ICAM-1 upregulation induced by thrombin.
Discussion
Thrombin is a serine protease that exhibits a wide array of biological activities. In addition to cleaving fibrinogen to fibrin for clot formation, thrombin also activates endothelial cells through cleavages of its canonical receptors PARs to induce endothelial inflammation. Inhibition of thrombin at the level of its protease activity therefore blocks both processes.
EphA2 in endothelial cells can be transactivated by stimulation with VEGF [13] or TNFα [55]. However, in both cases, it was determined that EphA2 transactivation was due to upregulation of EphrinA1 [13, 55]. In this report, we provide evidence that EphA2 is also transactivated in endothelial cells upon thrombin or PAR-1 agonist activation, but through a mechanistically distinct pathway. First, phosphorylation of EphA2 induced by thrombin was rapid and could be detected within minutes. Second, EphA2 activation by thrombin was Src-dependent, whereas that induced by EphrinA1 was independent of Src. Third, excess soluble EphA2 failed to block EphA2 transactivation induced by thrombin. Therefore, EphA2 activation by thrombin in our system was not mediated by EphrinA1 or other ephrins. We believe that the transactivation circuitry lies intracellularly via a Src kinase.
Using two siRNA constructs that targeted different coding regions of the EphA2 mRNA, we showed that suppression of EphA2 expression concomitantly blocked ICAM-1 expression induced by thrombin. Similarly, thrombin-induced leukocyte attachment to HUVECs was also blocked by the EphA2-specific siRNAs. Overexpression of mouse EphA2 rescued thrombin-induced ICAM-1 expression and U937 attachment when endogenous EphA2 was knocked down. Therefore EphA2 is critical in ICAM-1 expression induced by thrombin in HUVECs. However, EphA2-mediated ICAM-1 expression is dependent on the stimulus, because treatment of endothelial cells with Ephrin-A1 did not result in ICAM-1 expression. One possible explanation is that signals from EphA2 are necessary but not sufficient to induce ICAM-1 expression. It is conceivable that EphA2's signals need to be coupled with other thrombin-induced signals to upregulate ICAM-1. Therefore, a single set of signals from EphA2 induced by Ephrin-A1 is not sufficient. Another possibility is that thrombin and Ephrin-A1 trigger different signals from EphA2. For example, the sites of phosphorylation on EphA2 induced by thrombin may be different from that induced by EphrinA1. Indeed, we show evidence that Ephrin-A1 and thrombin appear to use distinct pathways to activate EphA2. Further studies will be needed to map out the differences in signals triggered by Ephrin-A1 and thrombin through EphA2.
Collectively, our results point to a new role of EphA2 in endothelial biology as a mediator of inflammation induction by thrombin. To further understand how EphA2 is linked to ICAM-1 upregulation, we examined the NFκB pathway. NFκB activation is key to ICAM-1 transcription in endothelial cells stimulated with thrombin. NFκB is sequestered in the cytoplasm as a complex with IkB in quiescent cells. Upon activation, IκB is degraded, and NFκB is released and transported to the nucleus. In endothelial cells, it appears that two parallel signaling pathways downstream of PAR-1 activation are needed to activate NFκB to achieve ICAM-1 expression. Gβγ and Gαq subunits of the G-protein coupled to PAR-1 activate PI3 kinase and PKC-δ, respectively. These two signals converge to activate AKT, which leads to NFκB activation [33]. Using phosphorylation of serine 536 of NFκB as a marker for activation, we showed that the role of EphA2 in ICAM-1 expression lies upstream of NFκB activation. At this moment, it is not known whether EphA2 transactivation is upstream or downstream of PI3K/PKC-δ. However, since it is known that tyrosine phosphorylation of EphA2 provides docking site for the SH2 domains of PI3 kinase [55], it is likely that thrombin induced EphA2 phosphorylation precedes PI3 kinase activation. Further experiments will be needed to address this question.
Figure 9 depicts our current model in how transactivation of EphA2 mediates thrombin-induced ICAM-1 upregulation. Thrombin activates the PAR1 receptor, which in turn activates a Src-family kinase to cause tyrosine phosphorylation of EphA2. Transactivation of EphA2 leads to activation of NFκB and subsequent ICAM-1 expression. Increased expression of ICAM-1 promotes attachment of leukoctyes to the endothelium.
In summary, the present study provides evidence that EphA2 plays a critical role in thrombin-induced endothelial inflammation. Expression knockdown of EphA2 inhibits ICAM-1 upregulation in endothelial cells and leukocyte-endothelium attachment induced by thrombin. Our data strongly suggest that EphA2 is required for ICAM-1 expression induced by thrombin in endothelial cells. Therefore, strategies targeting EphA2 may provide a specific method to inhibit thrombin-induced endothelial activation without affecting clot formation in the host.
Acknowledgments
B.C. was supported in part by the Ruth L. Kirschstein National Research Service Award (NRSA) Institutional Research Training Grants from the National Institutes of Health. This work was partially supported by a research grant from Gambro/DaVita and seed funds from Beth Israel Deaconess Medical Center.
Abbreviations
- HUVEC
human umbilical vein endothelial cell
- PAR-1
protease activated receptor-1
- DMSO
dimethyl sulfoxide
- ROCK
Rho-associated kinase
Footnotes
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