title: The Importance of Thrombin in Cerebral Injury and Disease.
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.
authors.affiliation: Institute for Neurosurgical Pathophysiology, University Medicine Mainz, Langenbeckstr. 1, Mainz 55101, Germany. Harald.Krenzlin@helios-kliniken.de.|Clinic for Neurosurgery, HELIOS Dr. Horst Schmidt Clinic (HSK) Wiesbaden, Ludwig-Erhard-Strasse 100, Wiesbaden 65197, Germany. Harald.Krenzlin@helios-kliniken.de.
authors.forename: Harald
authors.initials: H
authors.lastname: Krenzlin
authors.affiliation: Institute for Neurosurgical Pathophysiology, University Medicine Mainz, Langenbeckstr. 1, Mainz 55101, Germany. viola.lorenz@childrens.harvard.edu.|Division of Newborn Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. viola.lorenz@childrens.harvard.edu.
authors.forename: Viola
authors.initials: V
authors.lastname: Lorenz
authors.affiliation: German Centre for Cardiovascular Research (DZHK), University Medicine Mainz, Langenbeckstr. 1, Mainz 55101, Germany. Sven.Danckwardt@unimedizin-mainz.de.|Institute for Clinical Chemistry and Laboratory Medicine University, Medical Center Mainz, Langenbeckstr. 1, Mainz 55101, Germany. Sven.Danckwardt@unimedizin-mainz.de.|Center for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Langenbeckstr. 1, Mainz 55101, Germany. Sven.Danckwardt@unimedizin-mainz.de.
authors.forename: Sven
authors.initials: S
authors.lastname: Danckwardt
authors.affiliation: Institute for Neurosurgical Pathophysiology, University Medicine Mainz, Langenbeckstr. 1, Mainz 55101, Germany. oliver.kempski@unimedizin-mainz.de.
authors.forename: Oliver
authors.initials: O
authors.lastname: Kempski
authors.affiliation: Institute for Neurosurgical Pathophysiology, University Medicine Mainz, Langenbeckstr. 1, Mainz 55101, Germany. Beat.Alessandri@unimedizin-mainz.de.
authors.forename: Beat
authors.initials: B
authors.lastname: Alessandri
mesh_terms: D000818:Animals; D001921:Brain / Q000378:metabolism / Q000473:pathology*; D001930:Brain Injuries / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D015870:Gene Expression; D006801:Humans; D019636:Neurodegenerative Diseases / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D015398:Signal Transduction; D020521:Stroke / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D013917:Thrombin / Q000032:analysis* / Q000235:genetics / Q000378:metabolism
chemical_list: D013917:Thrombin
keywords: Alzheimer’s disease; Parkinson’s disease; cerebral thrombin system; intracerebral haemorrhage; multiple sclerosis; prothrombin; stroke; thrombin