PMID- 32762584 OWN - NLM STAT- MEDLINE DCOM- 20211228 LR - 20211228 IS - 1369-1635 (Electronic) IS - 0953-7104 (Linking) VI - 32 IP - 6 DP - 2021 Aug 18 TI - Factor Xa and thrombin induce endothelial progenitor cell activation. The effect of direct oral anticoagulants. PG - 807-814 LID - 10.1080/09537104.2020.1802413 [doi] AB - Factor Xa (FXa) and thrombin exert non-hemostatic cellular actions primarily mediated through protease-activated receptors (PARs). We investigated the effect of FXa and thrombin on human late-outgrowth endothelial cells (OECs), a type of endothelial progenitor cells (EPCs), and on human umbilical vein endothelial cells (HUVECs). The effect of direct oral anticoagulants (DOACs), rivaroxaban and dabigatran, was also studied. The membrane expression of intercellular adhesion molecule-1 (ICAM-1) and the secretion of monocyte chemoattractant protein-1 (MCP-1) were used as cell activation markers. FXa and thrombin increase the ICAM-1 expression and the MCP-1 secretion on both cells, being higher on OECs. Vorapaxar, a specific PAR-1 antagonist, completely inhibits FXa-induced activation of both cells and thrombin-induced HUVEC activation, but only partially thrombin-induced OEC activation. Furthermore, thrombin-receptor activating peptide; TRAP-6, only partially activates OECs. OECs do not membrane-express PAR-4, therefore it may not be involved on thrombin-induced OEC activation. Rivaroxaban and dabigatran inhibit OEC and HUVEC activation by FXa and thrombin, respectively. Rivaroxaban enhances thrombin-induced OEC and HUVEC activation, which is completely inhibited by vorapaxar. The inhibition of OEC and HUVEC activation by vorapaxar and DOACs may represent a new pleiotropic effect of these drugs. The pathophysiological and clinical significance of our findings need to be established. FAU - Papadaki, Styliani AU - Papadaki S AD - Atherothrombosis Research Centre/Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Ioannina, Greece. FAU - Sidiropoulou, Sofia AU - Sidiropoulou S AD - Atherothrombosis Research Centre/Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Ioannina, Greece. FAU - Moschonas, Iraklis C AU - Moschonas IC AD - Atherothrombosis Research Centre/Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Ioannina, Greece. FAU - Tselepis, Alexandros D AU - Tselepis AD AD - Atherothrombosis Research Centre/Laboratory of Biochemistry, Department of Chemistry, University of Ioannina, Ioannina, Greece. LA - eng PT - Journal Article DEP - 20200807 PL - England TA - Platelets JT - Platelets JID - 9208117 RN - 0 (Anticoagulants) RN - EC 3.4.21.5 (Thrombin) RN - EC 3.4.21.6 (Factor Xa) SB - IM MH - Administration, Oral MH - Anticoagulants/pharmacology/*therapeutic use MH - Endothelial Progenitor Cells/*metabolism MH - Factor Xa/*metabolism MH - Humans MH - Thrombin/*metabolism OTO - NOTNLM OT - Dabigatran OT - Factor Xa OT - endothelial progenitor cells OT - rivaroxaban OT - thrombin OT - vorapaxar EDAT- 2020/08/09 06:00 MHDA- 2021/12/29 06:00 CRDT- 2020/08/09 06:00 PHST- 2020/08/09 06:00 [pubmed] PHST- 2021/12/29 06:00 [medline] PHST- 2020/08/09 06:00 [entrez] AID - 10.1080/09537104.2020.1802413 [doi] PST - ppublish SO - Platelets. 2021 Aug 18;32(6):807-814. doi: 10.1080/09537104.2020.1802413. Epub 2020 Aug 7.