PT - JOURNAL ARTICLE AU - Olivia Molinar-Inglis AU - Cierra A. Birch AU - Dequina Nicholas AU - Metztli Cisneros-Aguirre AU - Anand Patwardhan AU - Buxin Chen AU - Neil J. Grimsey AU - Patrick K. Gomez Menzies AU - Huilan Lin AU - Luisa J. Coronel AU - Mark A. Lawson AU - Hemal. H. Patel AU - JoAnn Trejo TI - aPC/PAR1 confers endothelial anti-apoptotic activity via a discrete β-arrestin-2 mediated SphK1-S1PR1-Akt signaling axis AID - 10.1101/2021.03.27.437291 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.03.27.437291 4099 - http://biorxiv.org/content/early/2021/04/14/2021.03.27.437291.short 4100 - http://biorxiv.org/content/early/2021/04/14/2021.03.27.437291.full AB - Endothelial dysfunction is associated with multiple vascular diseases and lacks effective treatments. Activated Protein C (aPC) is a promising biotherapeutic that signals via protease-activated receptor-1 (PAR1) to promote diverse cytoprotective responses, including endothelial barrier stabilization, anti-inflammatory and anti-apoptotic activities, which is facilitated by co-receptors. We showed that aPC-activated PAR1 signals preferentially via β-arrestin-2 (β-arr2) and dishevelled-2 (Dvl2) scaffolds rather than G proteins to enhance barrier protection. However, the mechanisms by which aPC/PAR1 promotes other cytoprotective responses are poorly understood. Here we define a novel β-arr2-mediated sphingosine kinase-1 (SphK1)-sphingosine-1-phosphate receptor-1 (S1PR1)-Akt signaling axis that confers aPC/PAR1-mediated protection against cell death. We show that PAR1 and S1PR1 co-exist in caveolin-1-rich microdomains basally and aPC markedly increases S1PR1-caveolin-1 co-association. Moreover, aPC stimulates β-arr2-dependent SphK1 activation independent of Dvl2, which is critical for S1PR1 transactivation. These studies reveal that different aPC/PAR1 cytoprotective responses are mediated by discrete β-arr2-driven signaling pathways in caveolae.Competing Interest StatementThe authors have declared no competing interest.