Thrombomodulin--a new target for treating stroke at the crossroad of coagulation and inflammation.

Abstract:

:Thrombomodulin (TM) is a membrane protein mainly expressed by endothelial cells. It is part of the anticoagulant protein C system but recently several effects were discovered which occur independently of protein C activation. TM binds thrombin and promotes the cleavage of protein C and the thrombin activatable fibrinolysis inhibitor (TAFI), thereby inhibiting coagulation and fibrinolysis. Additionally, it interferes with inflammation, stabilizes barrier function, and increases blood flow under pathological conditions. Recombinant soluble TM protects against tissue damage and partially restores normal function after ischemia in several organs. Recently, it was shown to reduce the infarct size in stroke models. Compared to other anticoagulant compounds the risk of bleeding seems to be smaller in animals and humans treated with soluble TM. With its multiple actions TM represents a new candidate for stroke treatment. In this review we focus on the effects of TM in coagulation, inflammation, and on its protective roles in the prevention of ischemic brain damage.

journal_name

Curr Med Chem

authors

Wenzel J,Assmann JC,Schwaninger M

doi

10.2174/0929867321666131228204839

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

2025-34

issue

18

eissn

0929-8673

issn

1875-533X

pii

CMC-EPUB-58358

journal_volume

21

pub_type

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