Despite the fact that
G protein-coupled receptors (GPCRs) mediate numerous physiological processes and represent targets for
therapeutics for a vast array of diseases, their role in
tumor biology is under appreciated.
Protease-activated receptors (PARs) form a family which belongs to GPCR class A. PAR1&2 emerge with a central role in epithelial
malignancies. Although the part of PAR1&2 in
cancer is on the rise, their underlying signaling events are poorly understood. We review hereby past, present, and future
cancer-associated PAR biology. Mainly, their role in physiological (placenta-cytotophobalst) and patho-physiological invasion processes. The identification and characterization of signal
pleckstrin homology (PH)-domain-binding motifs established critical sites for
breast cancer growth in PAR1&2. Among the
proteins found to harbor important PH-domains and are involved in PAR biology are Akt/PKB as also Etk/Bmx and Vav3. A point mutation in PAR2, H349A, but not R352A, abrogated PH-
protein association and is sufficient to markedly reduce PAR2-instigated
breast tumor growth in vivo as also placental extravillous trophoblast (EVT) invasion in vitro is markedly reduced. Similarly, the PAR1 mutant hPar1-7A, which is unable to bind PH-domain, inhibits mammary
tumors and EVT invasion, endowing these motifs with physiological significance and underscoring the importance of these previously unknown PAR1 and PAR2 PH-domain-binding motifs in both pathological and physiological invasion processes.