Work

The Importance of Thrombin in Cerebral Injury and Disease

Year: 2016
Type: article
Abstract: There is increasing evidence that prothrombin and its active derivative thrombin are expressed locally in the central nervous system. So far, little is known about the physiological and pathophysiological functions exerted by thrombin in the human brain. Extra-hepatic prothrombin expression has been identified in neuronal cells and astrocytes via mRNA measurement. The actual amount of brain derived prothrombin is expected to be 1% or less compared to that in the liver. The role in brain injury depends upon its concentration, as higher amounts cause neuroinflammation and apoptosis, while lower concentrations might even be cytoprotective. Its involvement in numerous diseases like Alzheimer's, multiple sclerosis, cerebral ischemia and haemorrhage is becoming increasingly clear. This review focuses on elucidation of the cerebral thrombin expression, local generation and its role in injury and disease of the central nervous system.
Language: English
Subfield: Hematology
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,431
OpenAlex ID: W2239874150
FWCI: 9.999
Cites: 162
Cited by: 124
Related to: 10