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ORIGINAL RESEARCH article

Front. Oncol.

Sec. Molecular and Cellular Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1631350

Significance of FXa and its receptor PAR2 for the growth of colon cancer cells in vitro and in vivo

Provisionally accepted
Ulrike  MeyerUlrike Meyer1*Vincent  RönnpagelVincent Rönnpagel2Sophie  GrammbauerSophie Grammbauer2Mirjam  von LucadouMirjam von Lucadou3Ursula  Rauch-KröhnertUrsula Rauch-Kröhnert4Edzard  SchwedhelmEdzard Schwedhelm3Frank  DombrowskiFrank Dombrowski2Christoph  RitterChristoph Ritter5Bernhard  H. RauchBernhard H. Rauch6
  • 1University of Oldenburg, Oldenburg, Germany
  • 2University Medicine Greifswald, Greifswald, Germany
  • 3University Medical Center Eppendorf, Hamburg, Germany
  • 4German Heart Center of Charité, Berlin, Germany
  • 5University Greifswald, Greifswald, Germany
  • 6University Oldenburg, Oldenburg, Germany

The final, formatted version of the article will be published soon.

Colon cancer is among the most common cancer types worldwide. Signaling pathways that control cell proliferation and migration play a crucial role in its progression. The G-protein-coupled protease-activated receptors (PARs) are associated mediators in this process. Both activated coagulation factors thrombin and FXa are capable of activating PARs. While thrombin, beyond its intrinsic role in hemostasis, primarily activates PAR1, FXa mediates its cellular effects independently via PAR2. Although the role of thrombin and PAR1 activation in cancer development has been established for some time, the impact of FXa-PAR2 on tumor progression represents a relatively novel area of investigation. As cancer is associated with an activated coagulation and therefore FXa, the effects of PAR2 may have been underestimated to date. Therefore, the current study was conducted to examine the correlation between tumor progression and PAR2 signaling using the murine colon cancer cell line MC38. The findings demonstrate that FXa considerably augments the proliferation and migration of colon cancer (CC) cells in vitro. A molecular mechanism of action has been identified in the activation of PAR2 by FXa. The coagulation factor significantly induces MAPK- and AKT-signaling with EGFR transactivation in the murine MC38 cells utilized. Although oral treatment with a direct FXa inhibitor (Apixaban) at a dosage of up to 50 mg/kg did not significantly affect tumor growth in vivo, PAR2 deficiency resulted in significantly reduced tumor growth and enhanced health condition status, indicating a key role of PAR2 in the progression of colon cancer.

Keywords: mouse model, Colon Cancer, PAR2 in colon cancer, FXa in colon cancer, in vivo study

Received: 28 May 2025; Accepted: 25 Jun 2025.

Copyright: © 2025 Meyer, Rönnpagel, Grammbauer, von Lucadou, Rauch-Kröhnert, Schwedhelm, Dombrowski, Ritter and Rauch. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ulrike Meyer, University of Oldenburg, Oldenburg, Germany

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