• Direct thrombin inhibitors (DTIs) are a class of anticoagulant drugs that can be used to prevent and treat embolisms and blood clots caused by various diseases. (wikipedia.org)
  • DTIs are still under development, but the research focus has shifted towards factor Xa inhibitors, or even dual thrombin and fXa inhibitors that have a broader mechanism of action by both inhibiting factor IIa (thrombin) and Xa. (wikipedia.org)
  • A recent review of patents and literature on thrombin inhibitors has demonstrated that the development of allosteric and multi-mechanism inhibitors might lead the way to a safer anticoagulant. (wikipedia.org)
  • Ximelagatran was the first member of the drug class of direct thrombin inhibitors that can be taken orally. (wikidoc.org)
  • In biology and biochemistry , protease inhibitors , or antiproteases , [1] are molecules that inhibit the function of proteases ( enzymes that aid the breakdown of proteins ). (wikipedia.org)
  • Protease inhibitors may be classified either by the type of protease they inhibit, or by their mechanism of action. (wikipedia.org)
  • They are distinguished from INDIRECT THROMBIN INHIBITORS, such as HEPARIN, which act by enhancing the inhibitory effects of antithrombins. (bvsalud.org)
  • Thrombin also activates factor XIII that stabilizes the fibrin complex and therefore the clot and it stimulates platelets, which help with the coagulation. (wikipedia.org)
  • Platelets were activated with ADP, thrombin, or the thrombin receptor agonist peptide SFLLRN (TRAP 1-6 ). (nature.com)
  • During thrombus formation, circulating prothrombin is activated to the active clotting factor, thrombin, by activated platelets. (medscape.com)
  • Moreover, αB-crystallin significantly reduced thrombin-induced Ca 2 influx and phosphoinositide hydrolysis by phospholipase C in human platelets. (bioone.org)
  • Although Bcl-XL and Bax do not bind directly in platelets, they may inhibit Bax activation by reducing the translocation of Bax from cytoplasm to mitochondria through some indirect effects. (researchsquare.com)
  • Endostatin is a potent endogenous inhibitor of angiogenesis that was recently shown to be stored in platelets and released in response to thrombin, but not ADP. (nih.gov)
  • In the present study, we have tested the hypothesis that thrombin-induced endostatin release from rat platelets is mediated via proteinase-activated receptor-4 (PAR4). (nih.gov)
  • Given this broad action of thrombin it stands as a good drug target for anticoagulant drugs such as heparin, warfarin and DTIs and antiplatelet drugs like aspirin. (wikipedia.org)
  • A randomized, controlled, dose-guiding study of the oral direct thrombin inhibitor ximelagatran compared with standard therapy for the treatment of acute deep vein thrombosis: THRIVE I". Journal of Thrombosis and Haemostasis . (wikidoc.org)
  • Several studies have shown that miRNAs play multiple roles in the phenotypic transformation, migration, and proliferation of VSMCs by inhibiting ERK1/2 activation [ 11 , 12 ], partly by regulating the tissue inhibitor of metalloproteinases (TIMPs)-MMPs and p21-cyclins interactions [ 13 - 18 ]. (hindawi.com)
  • Unlike replication of many Escherichia coli plasmids, replication of cyanobacterial plasmids did not require added ATP, was not inhibited by omission of the ribonucleotides, and was insensitive to the RNA polymerase inhibitor rifampicin and the gyrase inhibitor novobiocin, but was inhibited by ethidium bromide. (upenn.edu)
  • Preliminary evidence suggests that the aristolochic acid isolated from oregano leaves have anti-thrombin activity in vitro experiments. (selfgrowth.com)
  • Therefore, LMWH more specifically inhibits coagulation by inactivating factor Xa more than UH. (medscape.com)
  • This study showed for the first time that thrombin promotes specific, dose-dependent glutamate release from RPE cells, induced by the activation of protease-activated receptor 1 (PAR-1). (molvis.org)
  • The expression of P2Y12 increased in OA cartilage tissue, and P2Y12 inhibited apoptosis. (researchsquare.com)
  • A set of in vitro tests performed by Dr. Christian Peters, at BIDMC, confirmed that activation of PAR1 by parmodulin 2 induces cytoprotective responses in endothelial cells by inhibiting apoptosis, normally induced by thrombin, TNF-α, and the apoptotic alkaloid staurosporine. (news-medical.net)
  • Likewise, dexamethasone can reduce cerebral cell apoptosis and inhibit inflammation [ 10 ,] and deferoxamine (DFX) provides new therapy target [ 11 ]. (karger.com)
  • We were intrigued by the notion that parmodulin 2 inhibited LPS- and TNF-mediated prothrombotic effects on the endothelial surface without impairing blood clotting. (news-medical.net)
  • In vitro, hPF4 also inhibits cfDNA-induced endothelial tissue factor surface expression and von Willebrand factor release. (jci.org)
  • It has 3 binding domains in which thrombin-inhibition drugs bind to. (wikipedia.org)
  • Although APC possesses anti-inflammatory and other protective effects, its use is limited as its inhibition of thrombin affects the blood's ability to clot, and increases bleeding risk. (news-medical.net)
  • However, excessive inhibition of thrombin results in uncontrolled bleeding. (news-medical.net)
  • The complementary DNA sequence can shut off the inhibition-and turn blood clotting back on-by binding to the original thrombin-inhibiting DNA strand and preventing it from attaching to thrombin. (technologyreview.com)
  • Specific inhibition of thrombin generation or PAR-1 signaling on α-SMA(+) CD34(+) cells inhibits IH and promotes regenerative repair despite ongoing immune-mediated damage. (nih.gov)
  • Our results identify the clinically approved drug DMF and the pre-clinical tool compound 4-OI as anticoagulants that inhibit TF-mediated coagulopathy via inhibition of the macrophage type I IFN-TF axis. (bvsalud.org)
  • They inhibit thrombin, a serine protease which affects the coagulation cascade in many ways. (wikipedia.org)
  • As the name indicates the cascade is a multi-step procedure where the main product thrombin is made by activating various proenzymes (mainly serine proteases) in each step of the cascade. (wikipedia.org)
  • Thrombin is in the serine protease family. (wikipedia.org)
  • Our previous work showed that upon the alteration of the blood-retina barrier, the serine protease thrombin could contribute to the transformation, proliferation, and migration of RPE cells. (molvis.org)
  • In vivo, hPF4 expression reduced plasma thrombin-antithrombin (TAT) levels in animals infused with exogenous cfDNA. (jci.org)
  • Furthermore, F3 induction by lipopolysaccharide (LPS) is inhibited by the anti-inflammatory agents dimethyl fumarate (DMF) and 4-octyl itaconate (4-OI). (bvsalud.org)
  • Apart from activating PAR1, APC also inhibits the generation of thrombin independently, which is a vital element of healthy blood clotting. (news-medical.net)
  • Protamine sulfate down-regulates thrombin generation by inhibiting factor V activation. (medscape.com)
  • Rivaroxaban has been developed as a once-a-day oral medication that prevents clotting by inhibiting factor Xa, a key component in the generation of thrombin. (the-hospitalist.org)
  • enhanced thrombin generation and impaired fibrinolysis. (bmj.com)
  • The formation of a fibrin clot depends on generation of thrombin, which is a key regulator in the haemostatic process. (ndtv.com)
  • Protein C inhibits thrombin generation by changing into its active form, activated protein C (APC). (ndtv.com)
  • Thereby, DMF and 4-OI inhibit TF-dependent thrombin generation. (bvsalud.org)
  • In vivo, DMF and 4-OI suppress TF-dependent thrombin generation, pulmonary thromboinflammation, and lethality induced by LPS, E. coli, and S. aureus, with 4-OI additionally attenuating inflammation-associated coagulation in a model of SARS-CoV-2 infection. (bvsalud.org)
  • Free Bcl-XL directly binds to BAK, downregulates the dimerization level of BAK and inhibits the activation of BAK. (researchsquare.com)
  • As an important anti-apoptotic protein, dissociated Bcl-XL mainly binds to BAK or Bax and inhibits the pore-promoting activity of BAK or Bax [ 10 ] to achieve its anti-apoptotic function. (researchsquare.com)
  • This family includes PinA, which inhibits the endopeptidase La. It binds to the La homotetramer but does not interfere with the ATP binding site or the active site of La. (wikipedia.org)
  • The pro-apoptotic function of bcl-XL is realized by binding to anti-apoptotic protein Bcl-XL and inhibiting its anti-apoptotic activity. (researchsquare.com)
  • AA and the extracellular regulated protein kinase 1/2 (ERK1/2) blocker U0126 markedly inhibited migration, elevated smooth muscle 22 α (SM22 α ) expression, repressed VSMC proliferation, elevated miR-466f-3p and miR-425-3p expression, and suppressed miR-27a-5p and miR-128-5p expression in ox-LDL-induced VSMCs. (hindawi.com)
  • Significant release of endostatin could be induced by a dose of thrombin below that necessary for induction of aggregation. (nih.gov)
  • Another oral warfarin alternative-dabigatran, which inhibits thrombin-is already available, he notes. (the-hospitalist.org)
  • In nucleated cells, Akt activation inhibits their pro-apoptotic activity through flow acidification. (researchsquare.com)
  • Thus, inhibiting thrombin activation may serve as a feasible strategy for preventing and/or reducing myocardial injury in patients with ARVC. (bioacademy.gr)
  • The inflammation, thrombin activation, and erythrocyte lysis caused by primary injury could promote the formation of brain edema, which is associated with poor outcome, and could cause more severe and durable injury [ 3 ]. (karger.com)
  • With the publication of "Apixaban versus Warfarin in Patients with Atrial Fibrillation" (the ARISTOLE trial) in the New England Journal of Medicine , the third drug in a series of medications designed to attack thrombin in the clotting cascade. (blogspot.com)
  • Our research showed that the migration, phenotypic transformation, and proliferation of ox-LDL-induced VSMCs were repressed by AA through inhibiting miR-128-5p by targeting the p21 gene, which may provide an effective option for the treatment of atherosclerosis. (hindawi.com)
  • It inhibits by acylation of the active site of the enzyme. (goldbio.com)
  • These factors generate more thrombin. (wikipedia.org)
  • In comparison with non-parmodulin-exposed cells, the ability of both the agents to generate thrombin was decreased by more than 50% in the parmodulin-exposed cells. (news-medical.net)
  • WT CD34(+) cells incubated with a PAR-1 antagonist or taken from PAR-1-deficient mice inhibited IH as Tg cells did. (nih.gov)
  • Endogenous factors and drugs that directly inhibit the action of THROMBIN, usually by blocking its enzymatic activity. (bvsalud.org)
  • Although inflammatory responses are critical for engaging the immune system to overcome disease and injury, they can also lead to a rise in the production of thrombin, which may in turn cause harmful blood clots and other conditions. (news-medical.net)
  • Microaggregation appeared to be distinct from full aggregation, as it was not inhibited by the addition of CD61, an antibody to the β 3 integrin. (nature.com)
  • vasogenic factors, thrombin formation, erythrocyte lysis and hemoglobin (Hb) toxicity [ 5 ] have been proved to be related to brain edema growth [ 6 ]. (karger.com)
  • Adoptively transferred Tg CD34(+) (but not CD34(-)) cells inhibited IH in WT recipients, indicating the phenotype of α-TFPI-Tg mice was due to these cells. (nih.gov)
  • LPS effectively inhibited cell viability and LC3B I expression and enhanced LC3B II, Beclin-1 and atg5 expressions in MLE-12 cells. (karger.com)
  • however, the effect of thrombin on glutamate release from RPE cells has not been examined. (molvis.org)
  • Ces résultats semblent indiquer que l'utilisation de l'alun en tant qu'antiplaquettaire oral pourrait faire l'objet d'études complémentaires, en tenant compte des effets secondaires éventuels notamment chez les patients dont la fonction rénale est altérée. (who.int)