Affinage

PTGER4

Prostaglandin E2 receptor EP4 subtype · UniProt P35408

Length
488 aa
Mass
53.1 kDa
Annotated
2026-06-10
100 papers in source corpus 44 papers cited in narrative 44 extracted findings
Cross-family judge vs UniProt: Affinage preferred faithfulness: 9/9 claims corpus-supported (100%)

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

PTGER4 (EP4) is a Gαs-coupled class A prostaglandin E2 receptor that translates PGE2 signals into diverse physiological and pathological programs spanning vascular development, mucosal homeostasis, immune cell differentiation, sensory sensitization, bone and cartilage remodeling, and tumor progression (PMID:9600059, PMID:11927615, PMID:19465928). Cryo-EM of the EP4–Gs complex shows an atypically small TM6 outward shift, with the Gs C-terminal helix inserting toward TM2 via an extended hook and contacts from conserved prostanoid-receptor residues Phe54(2.39) and Trp327(7.51) (PMID:33264604). Beyond canonical Gαs/cAMP/PKA output, EP4 displays pronounced functional selectivity, coupling additionally to Gαi and recruiting β-arrestin with ligand-dependent potency, and engaging PI3K/AKT and ERK1/2 cascades that diverge by cell type (PMID:19584306, PMID:14607241, PMID:17259077). These branches drive distinct outputs: PKA-dependent eNOS, Rap1A and HSPB6 activation supports angiogenesis and endothelial barrier integrity while suppressing RhoA/GSK3β and NF-κB [#17, #26_skip]. EP4 sustains intestinal homeostasis—maintaining mucosal integrity through β-arrestin1/Akt signaling and, in PTGER4+ macrophages, driving CXCL1-mediated epithelial regeneration via MAPK (PMID:11927615, PMID:28432343, PMID:33558271); promotes TH1 and IL-23-amplified TH17 differentiation (PMID:19465928, PMID:31253169); mediates inflammatory sensory neuron sensitization (PMID:16966471); and in tumors couples PGE2 to proliferation, migration, metastasis, and stemness via PI3K/ERK, NOTCH/WNT, EGFR/invadopodia, Orai1-dependent Ca2+/ERK, and YAP pathways (PMID:15123663, PMID:16540639, PMID:27301070, PMID:28094049, PMID:31755615, PMID:35208999). In bone and joint tissue EP4 induces RANKL in fibroblasts and signals through cAMP/PKA/CREB/Sox9 in chondrocytes and Gαs/PI3K/AKT/MAPK in osteoclasts to control remodeling and osteoarthritis (PMID:19419302, PMID:35260562, PMID:35256606). EP4 also controls renal renin expression and an AVP/PGE2/EP4/PRR axis governing AQP2, and maintains blood pressure via endothelial AMPK/eNOS (PMID:21835766, PMID:27000064, PMID:32641583). Receptor signaling is constrained by GRK2 translocation and β-arrestin recruitment—GRK2 movement being promoted by TRAF2 under TNF-α—while neuronal surface EP4 is dynamically supplied by PGE2-driven anterograde trafficking from Golgi and recycling endosomes (PMID:31967309, PMID:33859345, PMID:23265688). EP4 transcription is governed by GC-rich, TATA-less Sp1-dependent promoter elements and is post-transcriptionally repressed by miR-101 (PMID:14634592, PMID:18346464, PMID:22353936). Genetic ablation establishes that EP4 is essential for postnatal closure of the ductus arteriosus (PMID:9600059).

Mechanistic history

Synthesis pass · year-by-year structured walk · 17 steps
  1. 1996 High

    Establishing the receptor's identity and basic coupling answered whether EP4 was a distinct Gs-coupled PGE2 receptor with a defined gene architecture.

    Evidence Genomic cloning of the human gene plus heterologous expression of rabbit EP4 in COS-1 cells with cAMP assays and binding profiling

    PMID:8661119 PMID:8780252

    Open questions at the time
    • No structural basis for Gs coupling at this stage
    • Other signaling branches not yet probed
  2. 1998 High

    Knockout established a non-redundant developmental requirement, showing EP4 is essential for postnatal ductus arteriosus closure.

    Evidence Gene-targeted EP4-null mice with histology and in situ hybridization

    PMID:9600059

    Open questions at the time
    • Mechanism linking EP4 signaling to ductal smooth muscle closure not defined
    • Did not address adult/tissue-specific roles
  3. 2002 High

    A panel of prostanoid receptor knockouts pinpointed EP4 as the specific receptor maintaining intestinal mucosal homeostasis.

    Evidence Eight-receptor KO comparison in DSS colitis with microarray and lamina propria cell assays

    PMID:11927615

    Open questions at the time
    • Downstream effector pathway for barrier protection not yet identified
    • Cell type responsible not resolved
  4. 2003 Medium

    Pharmacological dissection showed EP4 signals beyond cAMP/PKA, engaging PI3K/ERK/EGR-1 and Tcf transcription, distinguishing it from EP2.

    Evidence Pathway inhibitor and reporter assays in cell lines

    PMID:14607241

    Open questions at the time
    • Receptor-proximal mechanism of PI3K engagement undefined
    • Compiled from cell-line studies, not genetic
  5. 2006 High

    Genetic and pharmacological inhibition established EP4 as a driver of tumor cell proliferation, migration, and metastasis via PI3K/ERK.

    Evidence shRNA silencing and EP4 antagonists in colon and breast cancer with in vivo metastasis models

    PMID:15123663 PMID:16540639 PMID:16540660

    Open questions at the time
    • Direct receptor-effector coupling for migration not resolved
    • Tumor microenvironment contributions not yet separated
  6. 2007 High

    Conditional deletion and pathway inhibitors revealed branch-specific outputs—ERK-dependent angiogenesis and PI3K/AKT-dependent survival—clarifying functional divergence.

    Evidence EP4-flox endothelial deletion with migration/tube assays and pharmacological dissection in Jurkat T cells

    PMID:17259077 PMID:17401137

    Open questions at the time
    • What dictates ERK vs PKA vs PI3K branch selection unresolved
    • Jurkat survival study limited to one cell line
  7. 2009 High

    Direct BRET measurement demonstrated ligand-biased functional selectivity, showing EP4 couples to Gαs, Gαi, and β-arrestin with distinct ligand-dependent profiles.

    Evidence BRET assays for Gαs, Gαi, and β-arrestin2 across a ligand panel in living cells

    PMID:19584306

    Open questions at the time
    • Structural basis of biased coupling not defined
    • Single-lab characterization
  8. 2009 High

    Cell-type-specific studies mapped EP4 onto immune differentiation and bone remodeling, defining TH1/TH17 promotion and fibroblast RANKL induction.

    Evidence EP4 agonist/antagonist T-cell differentiation assays with EAE/CHS models and FSP1-Cre fibroblast EP4 KO in osteolysis

    PMID:19075289 PMID:19419302 PMID:19465928

    Open questions at the time
    • Transcriptional effectors downstream of EP4 in T cells incompletely mapped
    • B-cell vs T-cell opposing roles not mechanistically reconciled
  9. 2011 High

    Genetic dissection placed EP4 in defined linear signaling chains for angiogenesis (PKA Cγ→Rap1A/HSPB6/eNOS) and renal renin control.

    Evidence siRNA of EP4 and PKA subunits with angiogenesis assays; multi-KO renin expression study

    PMID:21835766 PMID:21926356

    Open questions at the time
    • How PKA substrate selection is achieved unclear
    • Renin mechanism downstream of EP4 not detailed
  10. 2012 Medium

    Studies of EP4 regulation defined post-transcriptional control by miR-101, β-arrestin1-dependent mucosal protection, and cell-type-divergent NF-κB outputs.

    Evidence 3'-UTR luciferase mutagenesis, β-arrestin1 KO colitis model, and signaling readouts in immature B cells

    PMID:22353936 PMID:22775212 PMID:28432343

    Open questions at the time
    • Why PI3K is dispensable in some cell types unexplained
    • β-arrestin1 colitis study single lab
  11. 2016 High

    Integrating EP4 into renal and cancer networks defined the AVP/PGE2/EP4/PRR–AQP2 axis and EP4-driven PI3K/AKT activation of NOTCH/WNT for cancer stemness.

    Evidence Sequential pharmacological/genetic blockade in collecting duct; epistatic pathway inhibitors with stemness and metastasis readouts

    PMID:27000064 PMID:27301070

    Open questions at the time
    • Linkage from EP4 to PRR molecularly undefined
    • How EP4 selects stemness program not resolved
  12. 2017 Medium

    EP4 was shown to operate through additional effectors—EGFR-dependent invadopodia, and PGA2-activated Rap1/Rac1 endothelial barrier protection—broadening its agonist and effector repertoire.

    Evidence EGFR inhibitor epistasis with invasion assays; endothelial-specific EP4 KO in acute lung injury with PGA2 screening

    PMID:28094049 PMID:28428256

    Open questions at the time
    • Mechanism of EP4-EGFR transactivation undefined
    • PGA2 as EP4 ligand needs broader confirmation
  13. 2019 High

    Complex-level and tissue-specific analyses revealed an EP4-Orai1/TRPC1 Ca2+ signaling module and an endothelial EP4 cardioprotective role.

    Evidence Co-IP and reciprocal knockdown with Ca2+ imaging in oral cancer; endothelium-restricted Ep4 KO in MI/R injury; AS Th17 functional studies

    PMID:31015404 PMID:31253169 PMID:31755615

    Open questions at the time
    • Stoichiometry of EP4-Orai1-TRPC1 complex unknown
    • Th17 feedback mechanism single lab
  14. 2020 High

    Structural and desensitization studies defined the Gs-coupling architecture and the GRK2 translocation mechanism controlling EP4 signaling and angiogenesis.

    Evidence 3.3 Å cryo-EM of EP4-Gs; siRNA and GRK2 mutant analysis with cAMP FRET and angiogenesis assays; reciprocal endothelial EP4 BP models

    PMID:31967309 PMID:32641583 PMID:33264604

    Open questions at the time
    • Structures of biased/Gi-coupled states absent
    • How GRK2 dissociation from ERK is regulated unclear
  15. 2021 High

    Mechanistic studies tied EP4 desensitization to TNF-α/TRAF2-driven GRK2 translocation and identified PTGER4+ macrophage CXCL1-mediated epithelial regeneration.

    Evidence Co-IP of TRAF2-GRK2 with cAMP FRET in synoviocytes; Csf1r-iCre EP4 KO with organoid and MAPK-agonist rescue in colitis

    PMID:33558271 PMID:33859345

    Open questions at the time
    • How TRAF2 is recruited to EP4 vicinity not detailed
    • CXCL1 receptor on epithelium not defined here
  16. 2022 High

    Joint and tumor studies established EP4 cartilage cAMP/PKA/CREB/Sox9 and osteoclast Gαs/PI3K/AKT/MAPK programs and an EP2/EP4 immunosuppressive axis in tumors.

    Evidence Cartilage- and osteoclast-specific EP4 KO with OA models and antagonist HL-43; scRNA-seq with dual EP2/EP4 antagonists in tumor model

    PMID:35256606 PMID:35260562 PMID:35675777

    Open questions at the time
    • Cross-talk between cartilage and osteoclast EP4 programs unresolved
    • Relative EP2 vs EP4 contributions to immunosuppression not separated
  17. 2023 Medium

    EP4 was linked to YAP-driven pro-metastatic signaling in pancreatic cancer, extending its tumor effector repertoire.

    Evidence EP4 antagonist with YAP reporter and hepatic metastasis model

    PMID:35208999

    Open questions at the time
    • Molecular link between EP4 and YAP activation undefined
    • Single-lab pharmacological study

Open questions

Synthesis pass · forward-looking unresolved questions
  • How ligand identity and cellular context select among EP4's Gαs/Gαi/β-arrestin/PI3K/ERK/Ca2+ branches to produce opposing outputs in different tissues remains unresolved.
  • No unified structural/biochemical model of biased signaling across cell types
  • Determinants of pro- vs anti-tumor and pro- vs anti-inflammatory outputs unclear
  • Structures of non-Gs coupled states unavailable

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0060089 molecular transducer activity 3
Localization
GO:0005886 plasma membrane 2 GO:0005768 endosome 1 GO:0005794 Golgi apparatus 1
Pathway
R-HSA-162582 Signal Transduction 4 R-HSA-1643685 Disease 4 R-HSA-168256 Immune System 4 R-HSA-1266738 Developmental Biology 3

Evidence

Reading pass · 44 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
1998 EP4-deficient mice die neonatally due to patent ductus arteriosus remaining open; in situ hybridization showed EP4 mRNA is strongly expressed in the ductus arteriosus, establishing EP4 as essential for postnatal closure of this vessel. Gene targeting (knockout mice), histological examination, in situ hybridization Biochemical and biophysical research communications High 9600059
1996 The human EP4 receptor gene spans ~22 kb with three exons; the promoter lacks a TATA box but is GC-rich and contains SP1, AP2, and CCAAT motifs; two related EP4 pseudogenes exist in the human genome. The coding region splits at transmembrane domain 6 by an intron, a structure conserved with thromboxane, PGI, and PGD receptors. Genomic cloning, sequencing, Southern blot, Northern blot Genomics High 8661119
1996 Rabbit EP4 receptor expressed in COS-1 cells couples to Gs and stimulates cAMP production; it is insensitive to butaprost (EP2-selective) but responds to misoprostol-free acid; highly expressed in intestine, uterus, thymus, kidney glomeruli, and adrenal cortex. cDNA library cloning, heterologous expression in COS-1 cells, cAMP assay, RNase protection assay, in situ hybridization The American journal of physiology High 8780252
2003 EP4 (unlike EP2) activates not only Gs/PKA/cAMP but also phosphatidylinositol 3-kinase (PI3K), leading to ERK1/2 activation and induction of the transcription factor EGR-1; EP4 can also stimulate T-cell factor (Tcf)-mediated transcriptional activity via both PKA and PI3K. Pharmacological and cell signaling assays (PI3K inhibitors, ERK assays, reporter gene assays) Life sciences Medium 14607241
2002 EP4-deficient mice develop severe DSS-induced colitis with mucosal barrier dysfunction, epithelial loss, crypt damage, and CD4+ T cell proliferation, while deficiency in DP, EP1, EP2, EP3, FP, IP, or TP does not. EP4 maintains intestinal homeostasis by preserving mucosal integrity and downregulating immune response. Prostanoid receptor knockout mice panel, DSS colitis model, pharmacological agonist/antagonist treatment, DNA microarray, in vitro lamina propria mononuclear cell assay The Journal of clinical investigation High 11927615
2001 In rat sensory neurons, EP3C and EP4 receptor subtypes mediate PGE2-induced cAMP production and augmentation of substance P and CGRP release; antisense knockdown of both EP3C and EP4 (but not individual subtypes alone) abolishes PGE2-stimulated cAMP and peptide release. RT-PCR, antisense oligonucleotide knockdown, cAMP assay, immunoreactive peptide release assay The Journal of biological chemistry High 11278900
2004 In colon adenocarcinoma CT26 cells, PGE2-EP4 receptor signaling promotes cell proliferation via PI3K/ERK activation; EP4-selective agonist PGE1-OH rescues anti-proliferative effects of COX inhibition specifically through this pathway. COX inhibitor rescue experiments, EP-selective agonists, PI3K/ERK inhibitors, cell proliferation assays, in vivo tumor model The Journal of biological chemistry High 15123663
2006 EP4 receptor expression increases in DRG neurons after peripheral inflammation; EP4 antagonist or shRNA knockdown attenuates inflammatory thermal and mechanical hypersensitivity; EP4 mediates PGE2-induced sensitization of capsaicin-evoked currents in DRG neurons in vitro. Immunohistochemistry, intrathecal shRNA knockdown, behavioral pain testing, whole-cell patch-clamp electrophysiology, EP4 antagonist (AH23848) The Journal of pharmacology and experimental therapeutics High 16966471
2006 Enforced EP4 overexpression in adenoma cells (RG/C2) confers stimulation of growth by high doses of PGE2 and promotes anchorage-independent growth, demonstrating that EP4 receptor level determines the tumorigenic response to PGE2 in colorectal cancer progression. Forced EP4 expression in cell lines, growth assay, soft agar anchorage-independence assay, immunohistochemistry of human specimens Cancer research Medium 16540660
2006 EP4 receptor antagonism (AH23848 or ONO-AE3-208) reduces breast cancer lung colonization and spontaneous metastasis; EP4 gene silencing by shRNA also reduces metastasis; EP4 antagonism inhibited PGE2-induced tumor cell migration in vitro. EP4 antagonists, shRNA gene silencing, in vivo metastasis assays, in vitro chemotaxis assay Cancer research High 16540639
2007 EP4 mediates PGE2-induced endothelial cell migration and tubulogenesis via ERK (not PKA) signaling; EP4-null endothelial cells fail to migrate or form tubes in response to PGE2 or EP4-selective agonists; EP4 also promotes angiogenesis in vivo in a sponge assay. Adenocre-mediated EP4 deletion in primary endothelial cells (EP4 flox/flox), ERK/PKA inhibitors, migration and tubulogenesis assays, in vivo angiogenesis sponge assay The Journal of biological chemistry High 17401137
2007 EP4 mediates PGE2-dependent cell survival in Jurkat T cells via the PI3K/AKT pathway (not PKA); EP4 antagonist abolishes PGE2 protection from camptothecin-induced apoptosis. Pharmacological EP receptor antagonists, PI3K/AKT and PKA inhibitors, caspase-3 assay, flow cytometry Prostaglandins & other lipid mediators Medium 17259077
2008 Macrophage-specific EP4 deficiency increases macrophage apoptosis in response to proapoptotic stimuli and reduces early atherosclerosis; EP4 promotes macrophage survival through the PI3K/Akt and NF-κB pathways. Fetal liver cell transplantation (bone marrow chimeras), LDLR-/- atherosclerosis model, apoptosis assays, Western blot for p-Akt/p-Bad/NF-κB Cell metabolism High 19041765
2008 EP4 receptor functions as a negative regulator of B cell proliferation in response to BCR signaling; EP4 knockdown accelerates lymphoma spread in mice, while overexpression is protective; EP4 and PGE2-EP4 signaling target a similar set of activating genes in B cells. Stable shRNA knockdown and overexpression in B cell lymphoma, in vivo tumor spread assay, gene expression analysis The Journal of experimental medicine High 19075289
2009 PGE2-EP4 signaling on T cells and dendritic cells promotes TH1 cell differentiation and amplifies IL-23-mediated TH17 cell expansion in vitro; EP4-selective antagonist in vivo decreases TH1 and TH17 accumulation and suppresses EAE and contact hypersensitivity. In vitro T cell differentiation assays with EP4-selective agonists/antagonists, in vivo EAE and CHS models with EP4 antagonist treatment Nature medicine High 19465928
2009 PGE2 signaling through EP4 on FSP1+ fibroblasts (not EP1 or EP2) induces RANKL expression to promote osteoclastogenesis and periprosthetic osteolysis; conditional fibroblast-specific EP4 knockout abrogates RANKL upregulation and osteolysis. EP receptor knockout mice panel, conditional FSP1-Cre EP4 knockout, wear debris mouse model, in vitro PGE2 stimulation of fibroblasts Journal of bone and mineral research High 19419302
2009 EP4 receptor exhibits functional selectivity: PGE2 most selectively activates Gαs, PGF2α and PGE1-OH show bias toward Gαi1 and β-arrestin respectively; EP4 can couple to Gαs, Gαi, and recruit β-arrestin with distinct potency/efficacy profiles depending on ligand. Bioluminescence resonance energy transfer (BRET) assays for Gαs, Gαi, and β-arrestin2 in living cells The Journal of pharmacology and experimental therapeutics High 19584306
2011 PGE2 promotes angiogenesis via EP4 coupling to Gαs/cAMP/PKA Cγ; knockdown of EP4 or PKA catalytic subunit γ attenuates tube formation; downstream PKA substrates Rap1A, HSPB6, and eNOS promote angiogenesis while RhoA and GSK3β (inactivated by PKA) suppress it. siRNA knockdown of EP4 and PKA subunits, EP receptor subtype-selective agonists/antagonists, in vitro tube formation, ex vivo aortic ring assay, in vivo angiogenesis assay Blood High 21926356
2011 EP4 (not EP2 or IP) is the primary receptor mediating COX-2-dependent stimulation of renin expression in response to furosemide-induced macula densa activation; EP4-/- mice show ~70% reduction in renin stimulation. Genetic knockout mice for COX-2, mPGES1, mPGES2, EP2, EP4, and IP receptors; furosemide treatment; real-time RT-PCR for renin mRNA American journal of physiology. Renal physiology High 21835766
2012 MiR-101 post-transcriptionally represses EP4 receptor expression by binding the 3'-UTR; ectopic miR-101 reduces EP4 protein, cell proliferation and motility; EP4 overexpression rescues cells from miR-101 tumor-suppressive effects; EP4 silencing phenocopies miR-101. Luciferase 3'-UTR reporter assay with wild-type and mutant constructs, miR-101 transfection, qRT-PCR, Western blot, cell proliferation and motility assays, co-transfection rescue Cancer biology & therapy High 22353936
2012 EP4 signaling through β-arrestin1 upregulates Akt signaling to protect colonic mucosal integrity; β-arrestin1-deficient mice show worsened DSS-colitis with reduced PI3K/p-Akt; PGE2 upregulates β-arrestin1 expression via EP4 both in vivo and in vitro. β-arrestin1 KO mice, DSS colitis model, siRNA knockdown of β-arr1 in HCT116 cells, Western blot for PI3K/Akt Scientific reports Medium 28432343
2012 In immature B cells (WEHI 231), EP4 activation increases cAMP/PKA, stabilizes NF-κB1 p105, inhibits IκBα phosphorylation, and sequesters NF-κB p65 in the cytoplasm; PI3K is not involved in EP4 signaling in this cell type, contrasting with other cell types. cAMP ELISA, Western blot for VASP/ERK/IκBα/p105 phosphorylation, fluorescence microscopy for p65 localization, pharmacological EP receptor agonists/antagonists The Journal of pharmacy and pharmacology Medium 22775212
2013 PGE2 regulates pancreatic stellate cell proliferation, migration, invasion, and extracellular matrix/MMP gene expression exclusively through the EP4 receptor (not EP1, EP2, or EP3); EP4 siRNA and EP4-selective antagonists abrogate these effects. siRNA knockdown of EP4, EP-selective antagonists, MTS proliferation assay, Boyden chamber migration/invasion assay, RT-PCR for matrix genes Pancreas Medium 23090667
2015 EP4 receptor deletion in myeloid cells (using LysM-Cre) markedly inhibits adenoma number and size in ApcMin/+ mice, with decreased mTOR and ERK activation; either genetic or pharmacologic EP4 inhibition drives macrophages/DCs to an anti-tumorigenic M1 phenotype. Myeloid-specific conditional EP4 knockout (LysM-Cre), ApcMin/+ intestinal polyp model, EP4 pharmacological inhibitor, macrophage polarization assays, mTOR/ERK signaling analysis Oncotarget High 26378024
2016 COX-2 induces breast cancer stem-like cells via EP4-mediated PI3K/AKT activation of NOTCH and WNT signaling; PI3K/AKT or NOTCH/WNT inhibitors block COX-2/EP4-induced stem cell induction; EP4 antagonist or knockdown reverses all stem-like cell markers and metastasis. COX-2 overexpression, EP4 antagonist and siRNA knockdown, PI3K/AKT/NOTCH/WNT pathway inhibitors, spheroid formation, ALDH activity, xenograft tumor metastasis models Stem cells (Dayton, Ohio) High 27301070
2016 EP4 activation in the collecting duct operates downstream of vasopressin via PGE2, and upstream of the (pro)renin receptor (PRR), forming a linear AVP/PGE2/EP4/PRR pathway that regulates AQP2 expression and urine concentrating capability; EP4 antagonist and PRR decoy peptide both impair AVP-induced AQP2 expression. Intrarenal infusion of EP4 antagonist and PRR decoy peptide in rats, collecting duct-specific PRR knockout mice, primary inner medullary CD cell culture, water deprivation model Journal of the American Society of Nephrology : JASN High 27000064
2017 PGA2 signals through EP4 (identified as a novel PGA2 receptor by pharmacological and molecular screening) to activate Rap1/Rac1 GTPase and PKA targets (VE-cadherin, p120-catenin, ZO-1, cortactin, VASP) enhancing endothelial barrier; it also suppresses NF-κB and ICAM1/VCAM1 expression. Endothelial-specific EP4 knockout abolishes barrier protection in vivo. Pharmacological and siRNA EP receptor screening, endothelial-specific EP4 knockout mice, two models of acute lung injury, barrier permeability assays, cytoskeleton/junction protein analysis Molecular biology of the cell High 28428256
2017 EP4 promotes invadopodia-mediated ECM degradation and invasion of breast cancer cells through EGFR-dependent signaling; EP4 agonist increases invadopodia and matrix degradation in vitro and in vivo xenografts; EGFR tyrosine kinase inhibition abrogates EP4-mediated matrix degradation. EP4 agonist and antagonist treatment, 2D invadopodia assay, 3D invasion assay, EGFR kinase inhibitor epistasis, intravital microscopy, xenograft mouse model European journal of cell biology Medium 28094049
2019 EP4 activates PI3K and induces Ca2+ influx through Orai1 (without STIM1 involvement); EP4 forms a complex with Orai1 and TRPC1 (shown by co-immunoprecipitation); Orai1-mediated Ca2+ influx leads to ERK phosphorylation and MMP-2/9 activation promoting oral cancer cell migration; Orai1 knockdown abolishes EP4-induced ERK activation. Co-immunoprecipitation, siRNA knockdown of EP4 and Orai1, Ca2+ imaging, ERK phosphorylation assay, cell migration assay, in vivo lung metastasis model Cancer science High 31755615
2019 In ankylosing spondylitis Th17 cells, EP4 drives Th17 expansion through upregulation of IL-23 receptor, suppression of the RORγt inhibitor FoxO1, and enhancement of STAT3 phosphorylation; EP4 creates a positive feedback loop enhancing its own expression in AS Th17 cells. Quantitative RT-PCR, flow cytometry, Western blot for EP4 protein, EP4-specific agonist functional assay in primary Th17 cells from AS, RA, PsA patients and healthy controls Arthritis research & therapy Medium 31253169
2019 COX-1/mPGES-1-derived PGE2 acts via endothelial EP4 to protect against myocardial ischemia/reperfusion injury; endothelium-restricted Ep4 deletion impairs microcirculation and exacerbates MI/R injury irrespective of EP4 agonism. mPges-1 knockout, endothelium-restricted Ep4 conditional knockout mice, MI/R model, microvascular perfusion imaging, leukocyte-endothelial interaction assay Nature communications High 31015404
2020 Cryo-EM structure of EP4 coupled to heterotrimeric Gs protein at 3.3 Å resolution reveals that compared with other class A GPCRs, the TM6 outward shift is smaller; instead, the Gs C-terminal helix inserts toward TM2 with an extended hook structure; conserved prostanoid receptor residues Phe54(2.39) and Trp327(7.51) form these unique contacts. Cryo-electron microscopy (cryo-EM) structure determination at 3.3 Å global resolution Structure (London, England : 1993) High 33264604
2020 Endothelial cell-specific EP4 deletion elevates blood pressure while EC-specific EP4 overexpression reduces it; EP4 maintains BP homeostasis by promoting eNOS phosphorylation at Ser1177 and NO production primarily via the AMPK pathway; mesenteric arteries of EC-EP4-/- mice show increased vasoconstrictor and reduced vasodilatory responses abolished by eNOS inhibition. EC-specific EP4 knockout and overexpression mice, blood pressure measurement, vascular reactivity assay, eNOS phosphorylation Western blot, AMPK pathway analysis, l-NAME pharmacology JCI insight High 32641583
2020 EP4/AC/cAMP/PKA signaling mediates GRK2 translocation to the plasma membrane, where GRK2 dissociates from ERK1/2 and loses its inhibitory effect on ERK, thus promoting PGE2-induced angiogenesis; GRK2 siRNA inhibits PGE2-induced endothelial migration and tube formation; Lys220 and Ser685 of GRK2 are important for GRK2 translocation and angiogenic function. siRNA knockdown of GRK2 and EP4, GRK2 mutant constructs, cAMP FRET assay, ERK co-precipitation, in vivo Matrigel angiogenesis assay with GRK2-deficient aortic segments Clinical science (London, England : 1979) High 31967309
2021 PTGER4+ intestinal macrophages promote epithelial barrier regeneration; Csf1r-iCre Ptger4fl/fl mice show defective mucosal healing in DSS colitis; mechanistically, PGE2 triggers CXCL1 secretion from monocyte-derived PTGER4+ macrophages via MAPK signaling, and CXCL1 drives epithelial cell differentiation and proliferation from regenerating crypts. Macrophage-specific conditional EP4 knockout (Csf1r-iCre), DSS colitis model, MAPK pathway analysis, liposome-encapsulated MAPK agonist therapeutic rescue, epithelial organoid differentiation assay Gut High 33558271
2021 TNF-α impairs EP4 signaling by recruiting TRAF2 to the plasma membrane, where TRAF2 interacts with and translocates GRK2, causing EP4 desensitization and internalization and reducing cAMP production; TRAF2 siRNA prevents GRK2 translocation and restores EP4 membrane expression and cAMP. cAMP FRET biosensor, co-immunoprecipitation of TRAF2-GRK2, siRNA knockdown of TRAF2, Western blot for EP4 membrane distribution, primary human fibroblast-like synoviocytes Acta pharmacologica Sinica High 33859345
2022 PGE2 acts via EP4 on osteoclasts (specifically via EP4, not EP2 alone) to promote OA progression; tissue-specific EP4 knockout in osteoclasts (EP4LysM) reduces OA progression, osteophyte formation, OA-related pain, Netrin-1 secretion, CGRP+ sensory innervation, PDGF-BB expression, and type H blood vessel formation; EP4 signals through Gαs/PI3K/AKT/MAPK in osteoclasts. Osteoclast-specific EP4 conditional knockout (LysM-Cre), DMM OA model, pain behavior testing, immunofluorescence for nerve innervation and vasculature, Gαs/PI3K/AKT/MAPK pathway analysis, novel EP4 antagonist HL-43 Bone research High 35260562
2022 Cartilage-specific EP4 deletion promotes chondrogenesis and cartilage anabolism, suppresses catabolism and hypertrophy, and reduces joint pain; EP4 regulates cartilage anabolism through cAMP/PKA/CREB/Sox9 signaling; EP4 antagonist HL-43 reproduces these effects in multiple cartilage defect models. Cartilage-specific EP4 conditional knockout, microfracture and DMM surgery models, aging model, human cartilage explants, cAMP/PKA/CREB/Sox9 signaling analysis Cell discovery High 35256606
2022 PGE2-EP2/EP4 signaling simultaneously promotes NF-κB-driven active inflammation in myeloid cells and drives the mregDC-Treg axis for Treg recruitment and activation, creating immunosuppression in the tumor microenvironment; dual EP2/EP4 inhibition required to reverse both arms. Immune checkpoint inhibitor-insensitive mouse cancer model, single-cell RNA sequencing, pharmacological EP2/EP4 antagonists Cell reports High 35675777
2003 The rat EP4 gene has three exons separated by two introns; a GC-rich/Sp1 binding site within the first 80 bases of the transcription start site is required for constitutive EP4 transcription; mutation of the Sp1 site at -78 to -66 abolishes promoter activity; three Sp1 sites cooperate to enhance transcription. Genomic cloning, Northern blot, luciferase reporter constructs with deletion and site-specific mutations, identification of transcription start site American journal of obstetrics and gynecology High 14634592
2008 EP4 transcription in glioblastoma T98G cells is driven by Sp1 binding sites at -197 to -160 of the human EP4 promoter; troglitazone and sulindac sulfide suppress EP4 expression by activating MEK/ERK, which phosphorylates Sp1 reducing its DNA binding (confirmed by ChIP); reversal by MEK inhibitor PD98059 establishes Sp1 phosphorylation as the suppression mechanism. Luciferase reporter assays with Sp1 site mutations, ChIP assay for Sp1 binding, immunoprecipitation-Western blot for Sp1 phosphorylation, MEK/ERK inhibitor (PD98059) rescue Biochimica et biophysica acta High 18346464
2012 EP4 signaling in DRG neurons promotes EP4 externalization (trafficking from Golgi and recycling endosomes to plasma membrane); inhibitors of anterograde secretory pathway, protein synthesis, or recycling suppress PGE2-induced EP4 surface expression; complete Freund's adjuvant-induced inflammation increases cell-surface EP4 levels via COX-2/PGE2/EP4 signaling in vivo. Pharmacological inhibitors of secretory pathway/recycling, cell-surface biotinylation, intracellular cAMP sequential treatment assay, CFA inflammation model, COX-2 inhibitor treatment Pain Medium 23265688
2015 EP4 receptor deletion in macrophages (conditional KO) renders macrophages less susceptible to M2 polarization; EP4 agonist enhances M2 polarization and improves glucose tolerance and insulin sensitivity in obese db/db mice by promoting M2 macrophage polarization via PPARδ; PPARδ antagonism suppresses EP4-mediated M2 polarization. EP4-selective agonist in db/db mice, peritoneal macrophage M1/M2 polarization assay with EP4-KO macrophages, PPARδ antagonist epistasis, adipose tissue histology and cytokine analysis PloS one Medium 26308623
2023 EP4 blockade abrogates Yes-associated protein 1 (YAP)-driven pro-metastatic factor expression in pancreatic cancer cells in vitro and reduces YAP activity in vivo; EP4-YAP signaling axis is a pro-metastatic pathway in pancreatic cancer. EP4 antagonist L001, YAP activity reporter assay, in vivo hepatic metastasis model, Western blot for YAP targets Molecules (Basel, Switzerland) Medium 35208999

Source papers

Stage 0 corpus · 100 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
2009 Prostaglandin E2-EP4 signaling promotes immune inflammation through Th1 cell differentiation and Th17 cell expansion. Nature medicine 458 19465928
2002 The prostaglandin receptor EP4 suppresses colitis, mucosal damage and CD4 cell activation in the gut. The Journal of clinical investigation 407 11927615
2003 EP2 and EP4 prostanoid receptor signaling. Life sciences 366 14607241
1998 Patent ductus arteriosus and neonatal death in prostaglandin receptor EP4-deficient mice. Biochemical and biophysical research communications 253 9600059
2013 The prostanoid EP4 receptor and its signaling pathway. Pharmacological reviews 220 23776144
2006 Prostaglandin E2 receptor EP4 contributes to inflammatory pain hypersensitivity. The Journal of pharmacology and experimental therapeutics 197 16966471
2001 Prostaglandin receptor subtypes, EP3C and EP4, mediate the prostaglandin E2-induced cAMP production and sensitization of sensory neurons. The Journal of biological chemistry 155 11278900
2016 Validation of the SHOX2/PTGER4 DNA Methylation Marker Panel for Plasma-Based Discrimination between Patients with Malignant and Nonmalignant Lung Disease. Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer 140 27544059
2013 E-type prostanoid receptor 4 (EP4) in disease and therapy. Pharmacology & therapeutics 134 23523686
2004 Colon carcinoma cell growth is associated with prostaglandin E2/EP4 receptor-evoked ERK activation. The Journal of biological chemistry 131 15123663
2006 Prostaglandin E receptor EP4 antagonism inhibits breast cancer metastasis. Cancer research 122 16540639
2006 Increased EP4 receptor expression in colorectal cancer progression promotes cell growth and anchorage independence. Cancer research 121 16540660
2022 PGE2 activates EP4 in subchondral bone osteoclasts to regulate osteoarthritis. Bone research 118 35260562
2007 Prostaglandin E2-EP4 receptor promotes endothelial cell migration via ERK activation and angiogenesis in vivo. The Journal of biological chemistry 116 17401137
2011 PGE2 promotes angiogenesis through EP4 and PKA Cγ pathway. Blood 113 21926356
2022 PGE2-EP2/EP4 signaling elicits immunosuppression by driving the mregDC-Treg axis in inflammatory tumor microenvironment. Cell reports 107 35675777
2016 COX-2 Induces Breast Cancer Stem Cells via EP4/PI3K/AKT/NOTCH/WNT Axis. Stem cells (Dayton, Ohio) 107 27301070
2008 Macrophage EP4 deficiency increases apoptosis and suppresses early atherosclerosis. Cell metabolism 97 19041765
2009 Functional selectivity of natural and synthetic prostaglandin EP4 receptor ligands. The Journal of pharmacology and experimental therapeutics 95 19584306
2021 Prostaglandin E2 receptor PTGER4-expressing macrophages promote intestinal epithelial barrier regeneration upon inflammation. Gut 74 33558271
2016 Antidiuretic Action of Collecting Duct (Pro)Renin Receptor Downstream of Vasopressin and PGE2 Receptor EP4. Journal of the American Society of Nephrology : JASN 72 27000064
2012 Anti-inflammation therapy by activation of prostaglandin EP4 receptor in cardiovascular and other inflammatory diseases. Journal of cardiovascular pharmacology 64 21697732
2009 PGE2 signaling through the EP4 receptor on fibroblasts upregulates RANKL and stimulates osteolysis. Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 64 19419302
2009 The role of PGE2 receptor EP4 in pathologic ocular angiogenesis. Investigative ophthalmology & visual science 63 19494202
2008 Prostaglandin E2 regulates B cell proliferation through a candidate tumor suppressor, Ptger4. The Journal of experimental medicine 63 19075289
2018 EP4 as a Therapeutic Target for Aggressive Human Breast Cancer. International journal of molecular sciences 62 29596308
2007 EP4 mediates PGE2 dependent cell survival through the PI3 kinase/AKT pathway. Prostaglandins & other lipid mediators 62 17259077
2019 The cyclooxygenase-1/mPGES-1/endothelial prostaglandin EP4 receptor pathway constrains myocardial ischemia-reperfusion injury. Nature communications 58 31015404
2005 Osteopenia and impaired fracture healing in aged EP4 receptor knockout mice. Bone 56 15869929
2012 Inhibition of EP4 signaling attenuates aortic aneurysm formation. PloS one 55 22570740
2008 Antagonism of the prostaglandin E receptor EP4 inhibits metastasis and enhances NK function. Breast cancer research and treatment 54 18792778
1997 Detection of EP2, EP4, and FP receptors in human ciliary epithelial and ciliary muscle cells. Biochemical pharmacology 52 9214685
1996 Cloning and expression of the rabbit prostaglandin EP4 receptor. The American journal of physiology 51 8780252
2011 EP4 receptor stimulation down-regulates human eosinophil function. Cellular and molecular life sciences : CMLS 50 21365278
2015 Grapiprant: an EP4 prostaglandin receptor antagonist and novel therapy for pain and inflammation. Veterinary medicine and science 48 29067176
2007 Characteristic Ber-EP4 and EMA expression in sebaceoma is immunohistochemically distinct from basal cell carcinoma. Histopathology 47 17593083
2015 The Prostaglandin E2 Receptor EP4 Regulates Obesity-Related Inflammation and Insulin Sensitivity. PloS one 46 26308623
2012 MicroRNA-101 (miR-101) post-transcriptionally regulates the expression of EP4 receptor in colon cancers. Cancer biology & therapy 44 22353936
2013 Prostaglandin E2 regulates pancreatic stellate cell activity via the EP4 receptor. Pancreas 43 23090667
2020 Cryo-EM Structure of the Prostaglandin E Receptor EP4 Coupled to G Protein. Structure (London, England : 1993) 40 33264604
2015 Prostaglandin E receptor 4 (EP4) promotes colonic tumorigenesis. Oncotarget 39 26378024
2020 EP4 receptor as a novel promising therapeutic target in colon cancer. Pathology, research and practice 38 33190014
2017 Regulation of lung endothelial permeability and inflammatory responses by prostaglandin A2: role of EP4 receptor. Molecular biology of the cell 38 28428256
2017 COX-1/PGE2/EP4 alleviates mucosal injury by upregulating β-arr1-mediated Akt signaling in colitis. Scientific reports 38 28432343
2012 PTGER4 expression-modulating polymorphisms in the 5p13.1 region predispose to Crohn's disease and affect NF-κB and XBP1 binding sites. PloS one 38 23300802
2022 A novel prostaglandin E receptor 4 (EP4) small molecule antagonist induces articular cartilage regeneration. Cell discovery 37 35256606
2019 Prostaglandin receptor EP4 expression by Th17 cells is associated with high disease activity in ankylosing spondylitis. Arthritis research & therapy 36 31253169
2005 Lipopolysaccharide stimulates the production of prostaglandin E2 and the receptor Ep4 in osteoblasts. Life sciences 36 16289620
2011 A major role for the EP4 receptor in regulation of renin. American journal of physiology. Renal physiology 35 21835766
2003 Expression and regulation of the rat prostaglandin E2 receptor type 4 (EP4) in pregnant cervical tissue. American journal of obstetrics and gynecology 35 14634592
2020 CP-25 inhibits PGE2-induced angiogenesis by down-regulating EP4/AC/cAMP/PKA-mediated GRK2 translocation. Clinical science (London, England : 1979) 34 31967309
2020 Endothelial cell prostaglandin E2 receptor EP4 is essential for blood pressure homeostasis. JCI insight 34 32641583
2012 Prostaglandin E2/EP4 signalling facilitates EP4 receptor externalization in primary sensory neurons in vitro and in vivo. Pain 34 23265688
2023 Dual Blockade of EP2 and EP4 Signaling is Required for Optimal Immune Activation and Antitumor Activity Against Prostaglandin-Expressing Tumors. Cancer research communications 33 37559947
2012 Prostaglandin receptor EP4 in abdominal aortic aneurysms. The American journal of pathology 32 22595380
1996 The structure of the prostaglandin EP4 receptor gene and related pseudogenes. Genomics 31 8661119
2016 The Roles of EP4 Prostanoid Receptors in Cancer Malignancy Signaling. Biological & pharmaceutical bulletin 29 26830476
2008 Regulation of EP4 expression via the Sp-1 transcription factor: inhibition of expression by anti-cancer agents. Biochimica et biophysica acta 28 18346464
2018 Overexpression of prostaglandin E2 EP4 receptor improves cardiac function after myocardial infarction. Journal of molecular and cellular cardiology 27 29522761
2021 DNA methylation of PTGER4 in peripheral blood plasma helps to distinguish between lung cancer, benign pulmonary nodules and chronic obstructive pulmonary disease patients. European journal of cancer (Oxford, England : 1990) 26 33662689
2019 Prostaglandin E2 receptor EP4 regulates cell migration through Orai1. Cancer science 26 31755615
2021 Prostaglandin E2 Receptor 4 (EP4) as a Therapeutic Target to Impede Breast Cancer-Associated Angiogenesis and Lymphangiogenesis. Cancers 25 33668160
2014 Activation of prostaglandin E2-EP4 signaling reduces chemokine production in adipose tissue. Journal of lipid research 25 25510249
2017 EP4 inhibition attenuates the development of diabetic and non-diabetic experimental kidney disease. Scientific reports 24 28611444
2023 PGE2-EP2/EP4 signaling elicits mesoCAR T cell immunosuppression in pancreatic cancer. Frontiers in immunology 23 37457723
2019 Epithelial EP4 plays an essential role in maintaining homeostasis in colon. Scientific reports 23 31645712
2018 COX-2/EP2-EP4/β-catenin signaling regulates patulin-induced intestinal cell proliferation and inflammation. Toxicology and applied pharmacology 23 30138657
2015 EP4 Receptor-Associated Protein in Macrophages Ameliorates Colitis and Colitis-Associated Tumorigenesis. PLoS genetics 23 26439841
2013 Significance of divergent expression of prostaglandin EP4 and EP3 receptors in human prostate cancer. Molecular cancer research : MCR 23 23364535
2012 Genetic variability of prostaglandin E2 receptor subtype EP4 gene in aspirin-intolerant chronic urticaria. Journal of human genetics 23 22695889
2020 Excessive EP4 Signaling in Smooth Muscle Cells Induces Abdominal Aortic Aneurysm by Amplifying Inflammation. Arteriosclerosis, thrombosis, and vascular biology 22 32321307
2018 mPGES-1-Mediated Production of PGE2 and EP4 Receptor Sensing Regulate T Cell Colonic Inflammation. Frontiers in immunology 22 30619314
2017 EP4 receptor promotes invadopodia and invasion in human breast cancer. European journal of cell biology 22 28094049
2014 Prostaglandin E2 prevents hyperosmolar-induced human mast cell activation through prostanoid receptors EP2 and EP4. PloS one 22 25329458
2001 Molecular cloning and functional characterization of the canine prostaglandin E2 receptor EP4 subtype. Prostaglandins & other lipid mediators 22 11444589
2023 Prostaglandin PGE2 Receptor EP4 Regulates Microglial Phagocytosis and Increases Susceptibility to Diet-Induced Obesity. Diabetes 21 36318114
2017 Paricalcitol Pretreatment Attenuates Renal Ischemia-Reperfusion Injury via Prostaglandin E2 Receptor EP4 Pathway. Oxidative medicine and cellular longevity 21 28465762
2016 Role of EP2 and EP4 receptors in airway microvascular leak induced by prostaglandin E2. British journal of pharmacology 21 26639895
2013 EP4 and EP2 receptor activation of protein kinase A by prostaglandin E2 impairs macrophage phagocytosis of Clostridium sordellii. American journal of reproductive immunology (New York, N.Y. : 1989) 21 23902376
2017 Characterization of genome-wide copy number aberrations in colonic mixed adenoneuroendocrine carcinoma and neuroendocrine carcinoma reveals recurrent amplification of PTGER4 and MYC genes. Human pathology 20 28899736
2024 PGE2-EP4 signaling steers cDC2 maturation toward the induction of suppressive T-cell responses. European journal of immunology 19 38088451
2023 Complementary roles of EP2 and EP4 receptors in malignant glioma. British journal of pharmacology 19 37232020
2018 Evidence for PTGER4, PSCA, and MBOAT7 as risk genes for gastric cancer on the genome and transcriptome level. Cancer medicine 19 30191681
2015 PTGER4 gene variant rs76523431 is a candidate risk factor for radiological joint damage in rheumatoid arthritis patients: a genetic study of six cohorts. Arthritis research & therapy 18 26538147
2011 Prostaglandin EP4 receptor enhances BCR-induced apoptosis of immature B cells. Prostaglandins & other lipid mediators 18 21600299
2009 EP4 agonist accelerates osteoinduction and degradation of beta-tricalcium phosphate by stimulating osteoclastogenesis. Journal of biomedical materials research. Part A 18 18437696
2021 TNF-α impairs EP4 signaling through the association of TRAF2-GRK2 in primary fibroblast-like synoviocytes. Acta pharmacologica Sinica 17 33859345
2017 Activating prostaglandin E2 receptor subtype EP4 increases secreted mucin from airway goblet cells. Pulmonary pharmacology & therapeutics 16 29129801
2015 Prostanoids regulate angiogenesis acting primarily on IP and EP4 receptors. Microvascular research 16 26188701
2014 EP2 and EP4 receptors mediate PGE2 induced relaxation in murine colonic circular muscle: pharmacological characterization. Pharmacological research 16 25461458
2012 EP4 receptor signalling in immature B cells involves cAMP and NF-κB dependent pathways. The Journal of pharmacy and pharmacology 16 22775212
1999 Expression of prostaglandin receptors EP4 and FP in human lens epithelial cells. Investigative ophthalmology & visual science 16 9888433
2020 EP4 activation ameliorates liver ischemia/reperfusion injury via ERK1/2‑GSK3β‑dependent MPTP inhibition. International journal of molecular medicine 15 32186754
2020 Crosstalk between the COX2-PGE2-EP4 signaling pathway and primary cilia in osteoblasts after mechanical stimulation. Journal of cellular physiology 15 33275302
2022 A Novel Small Molecular Prostaglandin Receptor EP4 Antagonist, L001, Suppresses Pancreatic Cancer Metastasis. Molecules (Basel, Switzerland) 14 35208999
2017 Prostaglandin E2 EP4 Receptor Activation Attenuates Neuroinflammation and Early Brain Injury Induced by Subarachnoid Hemorrhage in Rats. Neurochemical research 14 28239768
2009 The cyclooxygenase inhibitor sulindac sulfide inhibits EP4 expression and suppresses the growth of glioblastoma cells. Cancer prevention research (Philadelphia, Pa.) 14 19934343
2020 Prostaglandin E receptor EP4 stimulates lymphangiogenesis to promote mucosal healing during DSS-induced colitis. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie 13 32447215
2017 Analgesic and anti-inflammatory properties of novel, selective, and potent EP4 receptor antagonists. Pharmacology research & perspectives 13 28603634
2008 EP4 and EP2 receptor subtypes involved in colonic secretion in rat. Basic & clinical pharmacology & toxicology 13 18684231

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