β-Arrestin and dishevelled coordinate biased signaling.

T he adaptor proteins β-arrestins 1 and 2 are ubiquitously expressed and were originally discovered for desensitizing G proteinmediated signal transduction by the cellsurface seven-transmembrane receptors (7TMRs or GPCRs) (1). 7TMRs constitute the largest family of cell-surface receptors, and their signaling regulates almost every aspect of mammalian physiology, including vision, olfaction, behavior, heart rate, blood pressure, inflammatory, and digestive processes. Although 7TMR signaling was originally thought to involve only G proteins, accumulating evidence indicates that β-arrestins not only block G protein signaling, but also facilitate receptor endocytosis and mediate G proteinindependent signaling (2, 3). Studies have also illuminated receptor ligands called biased agonists that specifically activate β-arrestin signaling while blocking G proteins or vice versa (4). Such biased agonism can be exploited to develop better drugs acting at the 7TMRs with reduced side effects (5). In PNAS, Soh and Trejo report a cytoprotective β-arrestin-biased signaling pathway emanating from the 7TMR, protease activated receptor-1 (PAR1), which could be important in reducing sepsis-induced inflammation (6). PAR1 is expressed in endothelial cells and is a central mediator of cellular responses generated during coagulation and anticoagulation (7). The serine protease thrombin binds PAR1, and cleaves its extracellular domain to form a tethered ligand to activate PAR1-mediated inflammatory responses. Anticoagulant protease activated protein C (APC; in this context, not to be confused with tumor suppressor gene adenomatous polyposis coli) activates a coreceptor, endothelial protein C receptor (EPCR), which functions with PAR1 (8, 9). APC-activated EPCR and PAR1 localize to membrane regions enriched in caveolin and promote cytoprotective pathways, thus decreasing mortality in animal models of sepsis (8, 10). Earlier studies have shown that APC and thrombin show different effects at the PAR1: thrombin does not engage a coreceptor, induces complete cleavage of PAR1, and promotes PAR1 internalization and degradation; APC engages the coreceptor EPCR, induces limited cleavage of PAR1, and does not promote receptor internalization and degradation (8, 11). Furthermore, thrombin is more potent than APC and promotes internalization of APC-bound PAR1 (11, 12). Previously, Trejo and coworkers reported that thrombin and APC stimulated different small GTPases, namely RHOA (by thrombin) and RAC1 (by APC), and only APC-induced effects required caveolin (11). Soh and Trejo have now compared PAR1-mediated signaling induced by thrombin or APC and show that thrombininduced RHOA effects are G proteindependent, whereas APC-stimulated RAC1 signaling is β-arrestin–dependent (Fig. 1). Moreover, APC functions as a β-arrestin–biased agonist, because it does not activate G protein signaling (6). PAR1 localized to caveolae is associated with β-arrestin in unstimulated cells and APC treatment does not augment PAR1–β-arrestin association, but upon sustained stimulation induces their dissociation. As β-arrestin is necessary for APCinduced activation of the small GTPase RAC1, which is crucial for the endothelial barrier protection, the authors investigated the underlying molecular mechanism connecting β-arrestin and RAC1 (6). Remarkably, it turned out that dishevelled 2 (DVL2), a phosphoprotein associated with the nonclassical 7TMR called frizzled (FZD), is the missing link (Fig. 1). Previous studies showed that β-arrestin is required for internalization of FZD4 by its ligand WNT-5A and also for WNT-induced β-catenin–dependent and -independent signaling in vitro and in vivo (13–15). DVL–β-arrestin interaction is also important for pathway decision for WNT-5A– induced RAC1 signaling (15). 7TMRs, such as PAR1, CysLT receptors, gonadotropin-releasing hormone, EP2, and FP prostanoid receptors are also capable of triggering stabilization of β-catenin (16). The point of convergence was glycogen synthase 3 activity, which is downstream of DVL in the WNT/β-catenin pathway. Interestingly, parathyroid hormone 1 receptors interact with DVL in a FZD-like mode, through a KS/TxxxW sequence in their C terminus (17). Nonetheless, the molecular mechanisms of the DVL–βarrestin liaison and its importance for crosstalk between other receptor and signaling systems has remained obscure (18). Soh and Trejo (6) have now identified a possibility for crosstalk between classic 7TMRs and WNT/FZD/DVL signaling through a β-arrestin 2–DVL2 interaction. In endothelial cells, APC triggers a dynamic association of β-arrestin 2 with DVL2, resulting in DVL2 polymerization. Loss-of-function approaches using siRNA show that (i) β-arrestin 2 is required for the APC-evoked DVL2 polymerization and (ii) DVL2 expression is necessary for the APC-induced activation of RAC1 and the subsequent endothelial barrier protection. In this scenario, RAC1, a βFig. 1. Schematic presentation of PAR1-mediated signaling pathways in endothelial cells. Thrombin binds PAR1 and activates heterotrimeric G12/13 proteins to regulate endothelial barrier disruption via the small GTPase RHOA. A second protease, APC, also acts by inducing proteolytic cleavage of PAR1 but requires the EPCR. APC induces the release of β-arrestin 2 (β-arr2) from PAR1 to associate with DVL2, which increases DVL polymerization. This is interpreted as DVL activation and is followed by GDP/GTP exchange at the small GTPase RAC1. β-Arrestin 2 and DVL2 interaction is necessary for the APC-induced endothelial barrier protection, which has therapeutic implications for the regulation of coagulation and anticoagulation. The discovery of the unexpected liaison between β-arrestin 2 and DVL downstream of PAR1 presents a unique signaling paradigm and opens the possibility for additional crosstalk between classical 7TMRs and WNT signaling.