The estrogen-stimulated maturation of the immature rat uterus is media
ted by peptide growth factors whose expression is regulated by estradi
ol. We present evidence that thrombin is a uterine growth factor. When
an immature rat is given a single injection of estradiol, the uterus
increases 50% in wet weight within 3 h through the imbibition of water
and plasma proteins, including prothrombin. Tissue factor, the initia
tor of coagulation, is induced 3- to 4-fold over the same time period.
Thrombin is generated in situ from prothrombin through the coagulatio
n cascade. It acts as a growth factor through the proteolytically acti
vated thrombin receptor. Thrombin's role as a growth factor in uterine
stromal cells is proven by two lines of evidence: demonstrations that
the proteolytically activated thrombin receptor is present and that c
ultured cells are stimulated to grow by thrombin.Thrombin receptor in
the uterus is demonstrated by reverse transcription-PCR for receptor m
essenger RNA by specific [I-125]peptide labeling of a membrane-bound b
inding protein of about 60 kDa and by Western blot with a thrombin rec
eptor antipeptide antibody. Thrombin's effectiveness as a growth facto
r is shown by thrombin-stimulated growth of primary stromal cell cultu
res, with maximum stimulation at 100 nM. That the effect is mediated b
y the proteolytically activated thrombin receptor is shown by the inhi
bition of growth by hirudin, a highly specific inhibitor of thrombin;
the absence of enhanced growth with Pro-Phe-Arg-chloromethyl ketone-th
rombin, an active site-inhibited thrombin derivative; and the stimulat
ion of growth by the thrombin receptor-activating peptide.