Regulation of thrombin activity--pharmacologic and structural aspects.
Thrombin is an essential serine protease for survival. Since the discovery of heparin in the early twentieth century, significant advances have been made in the understanding of thrombin structure and function in coagulation system. Endogenous anticoagulant proteins in blood tightly regulate thrombin generation, but additional anticoagulant agents may be necessary to suppress excessive thrombin formation or defective anticoagulant proteins. Despite the availability of an array of anticoagulant agents based on chemical and biological engineering technologies, anticoagulation therapy remains a challenge for clinicians in terms of balancing bleeding and thrombosis. The aim of this article is to review endogenous serine protease inhibitors and novel antithrombotic agents in relation to pharmacologic regulation of thrombin.
Duke Scholars
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Related Subject Headings
- Thrombin
- Structure-Activity Relationship
- Protein Structure, Tertiary
- Protein Conformation
- Oncology & Carcinogenesis
- Humans
- Enzyme Activation
- Blood Coagulation
- Antithrombins
- 3201 Cardiovascular medicine and haematology
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Thrombin
- Structure-Activity Relationship
- Protein Structure, Tertiary
- Protein Conformation
- Oncology & Carcinogenesis
- Humans
- Enzyme Activation
- Blood Coagulation
- Antithrombins
- 3201 Cardiovascular medicine and haematology