Thrombin: Structure, biochemistry, measurement, and status in clinical medicine

Journal Article

Thrombin remains a molecule of great interest to scientists and clinicians alike because of its important role in hemostasis, thrombosis, inflammation and vascular remodeling. Yet one of the great challenges has been the inhibition of thrombin generation to a degree that minimizes intravascular thrombosis while preserving physiologic hemostasis. It has become increasingly clear that high levels of anticoagulation with either direct or indirect thrombin antagonists are not beneficial and, in fact, are quite detrimental. Despite the overwhelming shift of interest toward the platelet in clinical trials of acute coronary syndromes, much can be gained through further investigation of coagulation processes responsible for thrombin generation and activity.

Full Text

Duke Authors

Cited Authors

  • Becker, RC; Spencer, FA

Published Date

  • January 1, 1998

Published In

  • Journal of Thrombosis and Thrombolysis

Volume / Issue

  • 5 / 3

Start / End Page

  • 215 - 229

Digital Object Identifier (DOI)

  • 10.1023/A:1008843925851