PMID- 33392917 OWN - NLM STAT- MEDLINE DCOM- 20220401 LR - 20220531 IS - 1573-6830 (Electronic) IS - 0272-4340 (Linking) VI - 42 IP - 4 DP - 2022 May TI - Effects of Thrombin on the Neurovascular Unit in Cerebral Ischemia. PG - 973-984 LID - 10.1007/s10571-020-01019-6 [doi] AB - Cerebral ischemia is a cerebrovascular disease with high morbidity and mortality that poses a significant burden on society and the economy. About 60% of cerebral ischemia is caused by thrombus, and the formation of thrombus proceeds from insoluble fibrin, following its transformation from liquid fibrinogen. In thrombus-induced ischemia, increased permeability of the blood-brain barrier (BBB), followed by the extravasation of blood components into the brain results in an altered brain microenvironment. Changes in the brain microenvironment affect brain function and the neurovascular unit (NVU), the working unit of the brain. Recent studies have reported that coagulation factors interact with the NVU and its components, but the specific function of this interaction is highly speculative and warrants further investigations. In this article, we reviewed the role of coagulation factors in cerebral ischemia and the role of coagulation factors in thrombosis. Additionally, the influence of thrombin on the NVU is introduced, as well as in the function of NVU, which may help to explore part of brain injury mechanism during ischemia. Lastly, we propose some novel therapeutic approaches on ischemic stroke by reducing the risk of coagulation. CI - (c) 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature. FAU - Cao, Hui AU - Cao H AUID- ORCID: 0000-0002-4561-399X AD - Institute of Basic Medical Sciences of Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing Key Laboratory of Pharmacology of Chinese Materia Medica, Beijing, 100091, China. FAU - Seto, Sai Wang AU - Seto SW AD - Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, PR China. AD - NICM Health Research Institute, Western Sydney University, Penrith, NSW, 2751, Australia. FAU - Bhuyan, Deep Jyoti AU - Bhuyan DJ AD - NICM Health Research Institute, Western Sydney University, Penrith, NSW, 2751, Australia. FAU - Chan, Hoi Huen AU - Chan HH AD - Hong Kong Community College, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong. FAU - Song, Wenting AU - Song W AUID- ORCID: 0000-0001-7167-1635 AD - Institute of Basic Medical Sciences of Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing Key Laboratory of Pharmacology of Chinese Materia Medica, Beijing, 100091, China. wenting_song1@163.com. LA - eng GR - 81603617/Young Scientists Fund/ GR - ZZ13-YQ-007/Fundamental Research Funds for Central Universities of the Central South University/ PT - Journal Article PT - Review DEP - 20210103 PL - United States TA - Cell Mol Neurobiol JT - Cellular and molecular neurobiology JID - 8200709 RN - EC 3.4.21.5 (Thrombin) SB - IM MH - Blood-Brain Barrier MH - Brain/blood supply MH - *Brain Ischemia MH - Humans MH - *Ischemic Stroke MH - Thrombin OTO - NOTNLM OT - Cerebral ischemia OT - Coagulation OT - Mechanism OT - Neurovascular unit OT - Thrombin OT - Thrombus EDAT- 2021/01/05 06:00 MHDA- 2022/04/02 06:00 CRDT- 2021/01/04 05:34 PHST- 2020/08/04 00:00 [received] PHST- 2020/11/25 00:00 [accepted] PHST- 2021/01/05 06:00 [pubmed] PHST- 2022/04/02 06:00 [medline] PHST- 2021/01/04 05:34 [entrez] AID - 10.1007/s10571-020-01019-6 [pii] AID - 10.1007/s10571-020-01019-6 [doi] PST - ppublish SO - Cell Mol Neurobiol. 2022 May;42(4):973-984. doi: 10.1007/s10571-020-01019-6. Epub 2021 Jan 3.