PAR4

Protease-activated receptor 4 (PAR4/F2RL3) functions as a thrombin-responsive platelet receptor that supports hemostasis and thrombosis through platelet activation[1]. Mechanistically, PAR4 signaling contributes to calcium mobilization, dense granule secretion, P-selectin expression, platelet aggregation, and platelet-leukocyte interactions[2][3]. In thrombosis models, PAR4 is required for platelet thrombus propagation but not for the initial platelet deposition after vascular injury[2]. Compared with PAR1, PAR4 requires higher thrombin concentrations for proteolysis and produces more sustained platelet activation, making PAR4 a distinct late-phase thrombin receptor[4]. This isoform distinction supports research designs that separate early PAR1-driven platelet responses from later PAR4-dependent thrombus growth[2][4]. For experimental applications, PAR4 agonist peptides and selective antagonists such as BMS-986120 enable targeted analysis of PAR4-dependent platelet activation, high-shear thrombus formation, and antithrombotic efficacy with limited bleeding signals in reported models[5][6].