PAR4 antibodies target Protease-Activated Receptor 4, a G protein-coupled receptor critical for thrombin-mediated platelet activation . These antibodies fall into two functional categories:
Blocking antibodies: Inhibit PAR4 activation (e.g., mAb-RC3)
Detection antibodies: Identify PAR4 expression (e.g., APR-034)
PAR4 contains an extracellular N-terminal domain with a thrombin cleavage site (residues L47–K49) essential for receptor activation .
PAR4 antibodies exert antithrombotic effects through:
Thrombin cleavage inhibition: mAb-RC3 prevents thrombin from activating PAR4, reducing platelet aggregation by 50% at 3.2–4.3 µg/mL .
Procoagulant activity suppression: Reduces phosphatidylserine exposure by 80% in human blood under shear stress .
Genotype-independent efficacy: Equally effective against Ala120 and Thr120 PAR4 variants (IC<sub>50</sub> 4.3 vs 3.2 µg/mL) .
Three monoclonal antibodies developed against PAR4 extracellular domain:
Antibody | Epitope Location | Functional Impact |
---|---|---|
14H6 | Residues 48–53 | Sensitive to α-thrombin cleavage |
5F10 | Residues 41–47 | Partially inhibits thrombin cleavage |
2D6 | Residues 73–78 | No functional inhibition observed |
These enable monitoring of PAR4 activation states in platelets and other cells .
mAb-RC3 demonstrates superior therapeutic potential:
Ex vivo thrombosis model: Reduces fibrin formation by 60% and thrombus size by 45%
Safety profile: No bleeding complications observed at antithrombotic doses
Advantage over small molecules: Maintains efficacy across PAR4 genotypes (Thr120 variant present in 20–80% population)