# Non-platelet P2Y Receptor in Vascular Inflammation and Thrombogenesis

> **NIH NIH R01** · AUBURN UNIVERSITY AT AUBURN · 2021 · $370,000

## Abstract

Thrombosis is a fatal complication of major diseases, such as stroke, sepsis, and heart attack. In addition to
aspirin, current medication for thrombosis prevention/treatment mainly focus on platelet P2Y12 receptor with
plavix as an antagonist in routine clinical use. However, plavix has showed unstable performance, either failing to
avoid thrombosis or causing bleeding. The long-term goal of this project is to establish non-platelet P2Y receptors,
e.g. P2Y2 receptor (P2Y2R), as a new molecular target that controls inflammation-induced vascular
thrombogenesis. Although it is well established that tissue factor (TF) is the initiator of thrombosis, very little is
known on the contribution of P2Y receptors in regulation of various inflammatory stimuli-induced TF expressions.
This is an important question because many pro-inflammatory stimuli promote cellular nucleotide release and
inactivate ectonucleotidases, leading to accumulation of extracellular nucleotides, which in turn amplify original
receptors’ signaling via P2Y receptor co-activation. The PI reported previously that P2Y2R is up-regulated in
stented coronary arteries and it is the predominant subtype of all P2Y receptors in human coronary artery
endothelial cells (HCAEC). They also reported that activation of P2Y2R dramatically induces TF expression and
activity in HCAEC. The PIs’ preliminary studies showed that TF induction by P2Y2R is also applicable to human
primary blood monocytes and mouse coronary endothelium in vivo, and it involves both transcriptional and post-transcriptional
mechanisms. Further, LPS-induced TF induction is significantly decreased when extracellular
nucleotides are removed by apyrase, and importantly, P2Y2R-null mice are protected from endotoxic death.
Based on these original findings, the PI proposes the hypothesis: The non-platelet P2Y2R is a previously
unrecognized key mediator in inflammation-induced thrombosis via TF induction. This hypothesis will be tested
by the pursuit of three specific aims: 1) Determine the transcriptional mechanism underlying P2Y2R activation of
the TF gene in vascular endothelial cells and blood monocytes; 2) Define the post-transcriptional mechanism by
which P2Y2R activation leads to increased TF mRNA stability in vascular endothelial cells and blood monocytes;
3) Assess the role of P2Y2R/TF axis in mouse models of inflammation-induced thrombosis. Aim 1 will determine
the role of a new AP-1 binding site with new AP-1 components Fra-1/ATF2 in TF mRNA induction by P2Y2R. Aim
2 will determine the roles of the AU-rich elements in TF 3’UTR along with their binding proteins and the miRNA
mechanisms contribute to P2Y2R-mediated TF mRNA stabilization. Aim 3 will verify if deletion of P2Y2R prevents
LPS-induced disseminated intravascular coagulation and reduces atherothrombosis. The proposed study will be
performed in primary cultured human cells and cells isolated from P2Y2R-null mice, followed by a series of in vivo
studies. The proposed re...

## Key facts

- **NIH application ID:** 10065007
- **Project number:** 5R01HL125279-05
- **Recipient organization:** AUBURN UNIVERSITY AT AUBURN
- **Principal Investigator:** Jianzhong Shen
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $370,000
- **Award type:** 5
- **Project period:** 2017-01-01 → 2022-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10065007

## Citation

> US National Institutes of Health, RePORTER application 10065007, Non-platelet P2Y Receptor in Vascular Inflammation and Thrombogenesis (5R01HL125279-05). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10065007. Licensed CC0.

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