Thrombin, a Key Driver of Pathological Inflammation in the Brain

Neurodegenerative diseases, including Alzheimer’s disease (AD), are major contributors to death and disability worldwide. A multitude of evidence suggests that neuroinflammation is critical in neurodegenerative disease processes. Exploring the key mediators of neuroinflammation in AD, a prototypical...

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Main Authors: Jaclyn Iannucci, Paula Grammas
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/9/1222
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author Jaclyn Iannucci
Paula Grammas
author_facet Jaclyn Iannucci
Paula Grammas
author_sort Jaclyn Iannucci
collection DOAJ
description Neurodegenerative diseases, including Alzheimer’s disease (AD), are major contributors to death and disability worldwide. A multitude of evidence suggests that neuroinflammation is critical in neurodegenerative disease processes. Exploring the key mediators of neuroinflammation in AD, a prototypical neurodegenerative disease, could help identify pathologic inflammatory mediators and mechanisms in other neurodegenerative diseases. Elevated levels of the multifunctional inflammatory protein thrombin are commonly found in conditions that increase AD risk, including diabetes, atherosclerosis, and traumatic brain injury. Thrombin, a main driver of the coagulation cascade, has been identified as important to pathological events in AD and other neurodegenerative diseases. Furthermore, recent evidence suggests that coagulation cascade-associated proteins act as drivers of inflammation in the AD brain, and studies in both human populations and animal models support the view that abnormalities in thrombin generation promote AD pathology. Thrombin drives neuroinflammation through its pro-inflammatory activation of microglia, astrocytes, and endothelial cells. Due to the wide-ranging pro-inflammatory effects of thrombin in the brain, inhibiting thrombin could be an effective strategy for interrupting the inflammatory cascade which contributes to neurodegenerative disease progression and, as such, may be a potential therapeutic target for AD and other neurodegenerative diseases.
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spelling doaj.art-2d153eb7759349fe80fd05755511c7082023-11-17T22:42:59ZengMDPI AGCells2073-44092023-04-01129122210.3390/cells12091222Thrombin, a Key Driver of Pathological Inflammation in the BrainJaclyn Iannucci0Paula Grammas1Department of Neuroscience and Experimental Therapeutics, School of Medicine, Texas A&M University, Bryan, TX 77807, USAThe Roskamp Institute, Sarasota, FL 34243, USANeurodegenerative diseases, including Alzheimer’s disease (AD), are major contributors to death and disability worldwide. A multitude of evidence suggests that neuroinflammation is critical in neurodegenerative disease processes. Exploring the key mediators of neuroinflammation in AD, a prototypical neurodegenerative disease, could help identify pathologic inflammatory mediators and mechanisms in other neurodegenerative diseases. Elevated levels of the multifunctional inflammatory protein thrombin are commonly found in conditions that increase AD risk, including diabetes, atherosclerosis, and traumatic brain injury. Thrombin, a main driver of the coagulation cascade, has been identified as important to pathological events in AD and other neurodegenerative diseases. Furthermore, recent evidence suggests that coagulation cascade-associated proteins act as drivers of inflammation in the AD brain, and studies in both human populations and animal models support the view that abnormalities in thrombin generation promote AD pathology. Thrombin drives neuroinflammation through its pro-inflammatory activation of microglia, astrocytes, and endothelial cells. Due to the wide-ranging pro-inflammatory effects of thrombin in the brain, inhibiting thrombin could be an effective strategy for interrupting the inflammatory cascade which contributes to neurodegenerative disease progression and, as such, may be a potential therapeutic target for AD and other neurodegenerative diseases.https://www.mdpi.com/2073-4409/12/9/1222neuroinflammationneurodegenerationAlzheimer’s diseasethrombintherapeutic
spellingShingle Jaclyn Iannucci
Paula Grammas
Thrombin, a Key Driver of Pathological Inflammation in the Brain
Cells
neuroinflammation
neurodegeneration
Alzheimer’s disease
thrombin
therapeutic
title Thrombin, a Key Driver of Pathological Inflammation in the Brain
title_full Thrombin, a Key Driver of Pathological Inflammation in the Brain
title_fullStr Thrombin, a Key Driver of Pathological Inflammation in the Brain
title_full_unstemmed Thrombin, a Key Driver of Pathological Inflammation in the Brain
title_short Thrombin, a Key Driver of Pathological Inflammation in the Brain
title_sort thrombin a key driver of pathological inflammation in the brain
topic neuroinflammation
neurodegeneration
Alzheimer’s disease
thrombin
therapeutic
url https://www.mdpi.com/2073-4409/12/9/1222
work_keys_str_mv AT jaclyniannucci thrombinakeydriverofpathologicalinflammationinthebrain
AT paulagrammas thrombinakeydriverofpathologicalinflammationinthebrain