RT Journal Article SR Electronic T1 Thrombin Activity Associated with Neuronal Damage during Acute Focal Ischemia JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 7622 OP 7631 DO 10.1523/JNEUROSCI.0369-12.2012 VO 32 IS 22 A1 Bo Chen A1 Beth Friedman A1 Michael A. Whitney A1 Jessica A. Van Winkle A1 I-Farn Lei A1 Emilia S. Olson A1 Qun Cheng A1 Benedict Pereira A1 Lifu Zhao A1 Roger Y. Tsien A1 Patrick D. Lyden YR 2012 UL http://www.jneurosci.org/content/32/22/7622.abstract AB Mechanisms of ischemic neuronal and vascular injury remain obscure. Here we test the hypothesis that thrombin, a blood-borne coagulation factor, contributes to neurovascular injury during acute focal ischemia. Stroke was induced in adult Sprague Dawley rats by occluding the middle cerebral artery. Intra-arterial thrombin infusion during ischemia significantly increased vascular disruption and cellular injury. Intravenous infusion of argatroban, a direct thrombin inhibitor, alleviated neurovascular injury. Immunostaining showed thrombin on neurons in the ischemic core. Using an activatable cell-penetrating peptide engineered to detect thrombin activity, we discovered that thrombin proteolytic activity was specifically associated with neuronal damage during ischemia. Protease activated receptor-1, the presumptive thrombin receptor, appeared to mediate ischemic neurovascular injury. Furthermore, rats receiving thrombin during ischemia showed cognitive deficit, whereas rats receiving argatroban retained intact learning and memory. These results suggest a potential role for thrombin contributing to neurovascular injury and several potential avenues for neuroprotection.