G protein-coupled protease-activated receptors (PARs) provide one answer to
the question of how coagulation factors and other proteases regulate cellu
lar behaviors. In concert with the coagulation cascade, these receptors pro
vide an elegant mechanism that links mechanical information in the form of
tissue injury or vascular leak to cellular responses. Roles for PARs in hem
ostasis and thrombosis, inflammation, and perhaps even blood vessel develop
ment are beginning to emerge. Our current understanding of the role of PARs
in platelet and endothelial cell activation and their potential importance
in normal and disease states is discussed.