Abstract
Plg-R(KT) is a structurally unique transmembrane plasminogen receptor with both N- and C-terminal domains exposed on the extracellular face of the cell. Its C-terminal lysine functions to tether plasminogen to cell surfaces. Overexpression of Plg-R(KT) increases cell surface plasminogen binding capacity while genetic deletion of Plg-R(KT) decreases plasminogen binding. Plasminogen binding to Plg-R(KT) results in promotion of plasminogen activation to the broad spectrum serine protease plasmin. This function is promoted by the physical association of Plg-R(KT) with the urokinase receptor (uPAR). Plg-R(KT) is broadly expressed in cells and tissues throughout the organism and its sequence is remarkably conserved phylogenetically. Plg-R(KT) also is required for lactation and, thus, is necessary for survival of the species. This review provides an overview of established and emerging functions of Plg-R(KT) and highlights major roles for Plg-R(KT) in both the initiation and resolution of inflammation. While the roles for Plg-R(KT) in the inflammatory response are predominantly plasmin(ogen)-dependent, its role in lactation requires both plasminogen-dependent and plasminogen-independent mechanisms. Furthermore, the functions of Plg-R(KT) are dependent on sex. In view of the broad tissue distribution of Plg-R(KT) , its role in a broad array of physiological and pathological processes should provide a fruitful area for future investigation.