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TH

thrombin (ThrombiRAAS)

✓ Approved

Shanghai RAAS Blood Products Co., Ltd. · F2 · Cell-based Therapies

What is thrombin?

thrombin is a cell-based therapies developed by Shanghai RAAS Blood Products Co., Ltd.. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesThrombiRAAS
CompanyShanghai RAAS Blood Products Co., Ltd.
Drug ClassCell-based Therapies
Molecular TargetF2
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

thrombin acts on 1 molecular target:

F2coagulation factor II, thrombin (THPH1, PT)
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Therapeutic Indications

thrombin is developed for 2 unique indications across 1 therapeutic area.

Therapeutic AreaConditionPhase
Vascular disordersExtravasation blood✓ Approved
Vascular disordersHaemorrhage✓ Approved

Related Research Articles

PubMedThe Journal of biological chemistry2026-07-17

The deubiquitinase CYLD inhibits thrombin-induced p38 MAPK-p65 NF-κB signaling and inflammatory cytokine production to suppress triple-negative breast cancer progression.

Pimentel Julio M JM, Bosompra Oye O, Trejo JoAnn J

Triple-negative breast cancer (TNBC) is an aggressive subtype characterized by chronic inflammation with limited therapeutic options. Although thrombin activation of protease-activated receptor 1 (PAR1) promotes ubiquitin-dependent signaling and inflammatory responses in endothelial cells, its contribution to inflammatory effects in TNBC remain poorly understood. Here, we show that loss of the deubiquitinase cylindromatosis (CYLD) markedly increases basal phosphorylation of p38 mitogen-activated protein kinase and p65 nuclear factor kappa B (NF-κB) subunit to levels comparable to thrombin stimulation, without further enhancement by thrombin, indicating that CYLD primarily restrains constitutive inflammatory activity. We also show that thrombin-activation of PAR1 promotes p38 signaling through an autophosphorylation-dependent mechanism in TNBC, leading to p65 NF-κB subunit phosphorylation and nuclear accumulation independent of canonical inhibitor of κBα degradation. This non-canonical signaling drives expression of pro-inflammatory interleukin (IL) cytokines including IL-6, IL-8, IL-1α, and IL-1β. Functionally, IL-6 and IL-8 contribute to thrombin-induced TNBC proliferation and migration, respectively. Together, these findings define a novel CYLD-regulated PAR1-p38-p65 signaling axis that promotes inflammatory cytokine production and tumor-associated phenotypes such as cell proliferation and migration, identifying multiple druggable nodes for therapeutic targeting in aggressive breast cancers.

PubMedBritish journal of haematology2026-07-17

In a nutshell: Explaining joint and muscle bleeding in individuals with haemophilia A and B.

Lau Benjamin K BK, Srivatsa Shantanu S, Mackman Nigel N

(A) Formation of the platelet-fibrin haemostatic plug. Vascular injury exposes von Willebrand factor (VWF) and tissue factor (TF) to flowing blood. VWF mediates platelet adhesion, leading to platelet activation and aggregation, while TF triggers the coagulation cascade, generating thrombin that converts fibrinogen to fibrin. Thrombin also amplifies platelet activation, integrating the two arms so that platelet aggregates and a fibrin mesh combine to form a stable platelet-fibrin haemostatic plug. (B) Anatomical correlation between bleeding phenotype and tissue factor expression. Typical bleeding sites in haemophilia A and B (intra-articular and intramuscular) are shown relative to the tissue-specific pattern of high tissue factor (TF) expression. Vital organs such as the brain, heart and lungs exhibit high TF expression, proposed to provide additional haemostatic protection, whereas the low TF expression in joints and skeletal muscle leaves these sites more reliant on FVIII- and FIX-dependent amplification and therefore vulnerable to bleeding when these factors are deficient. Figure created with BioRender.com.

PubMedAbdominal radiology (New York)2026-07-17

Ultrasound-guided direct percutaneous embolization of abdominal artery pseudoaneurysms: a single-center experience.

Saini Manish M, Madhusudhan Kumble S KS

To evaluate the safety, efficacy and clinical scenarios of ultrasound guided direct percutaneous embolization (DPE) of abdominal artery pseudoaneurysms (PAs). This retrospective study included 28 patients (mean age: 36.3 years; 23 males) who presented with abdominal hemorrhagic symptoms, showed PA on CT angiography and underwent DPE under ultrasound guidance between January 2016 and December 2023. The scenarios, clinical and embolization details, success rates and complications were evaluated. All patients were followed up with 24-hour US and then clinically (n = 28) and by imaging (n = 6) for 30 days. Etiology of PAs were inflammatory (n = 16) and iatrogenic (n = 12). Right hepatic artery was the most common source (n = 9). DPE was performed upfront in 12 patients (42.9%), after angiography failed to show the source artery in 7 patients (25.0%) and in combination with endovascular embolization in 4 patients (14.3%). In the remaining 5 patients (17.9%), DPE was performed for recurrence of the PA after endovascular embolization. The technical success was 100.0%. N-butyl cyanoacrylate (NBCA) with iodized oil was the embolic agent used in all the patients (mean volume 1.13 ± 0.88 mL, median concentration 50.0%). Thrombin was used in addition to NBCA in two patients. The primary clinical success was 89.3% (25/28), with three patients showing patent PA at 24 hour follow up ultrasound. These underwent successful repeat DPE with NBCA (n = 2) and thrombin (n = 1) with a secondary clinical success rate of 100.0% (3/3). There were no major complications. Clinically insignificant non-target embolization was seen in two patients. Ultrasound-guided direct percutaneous embolization appears to be a feasible, safe, and effective treatment option for abdominal artery pseudoaneurysms in selected patients with short-term follow-up.

PubMedBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2026-07-17

Pleiotropic effects of direct oral anticoagulants on the coagulation-inflammation-endothelium axis: A phenotype-stratified narrative review.

Wołowiec Łukasz Ł, Wesołowska Weronika W, Skibicka Katarzyna K, Jaśniak Albert A et al.

Direct oral anticoagulants (DOACs) - dabigatran (a thrombin inhibitor) and rivaroxaban, apixaban, and edoxaban (factor Xa [FXa] inhibitors) - modify oxidative stress, endothelial inflammation, and barrier integrity beyond anticoagulation. We ask whether this reflects distinct pharmacology or silencing of proteases at protease-activated receptors (PARs), and propose a three-condition framework for when it becomes clinically measurable. Narrative review (PubMed, Scopus, Web of Science; primary search 2019-2026, with foundational earlier references retained) with claims graded on a six-tier hierarchy; A‡ marks trials formally negative or inconclusive owing to insufficient statistical power. DOAC effects largely converge on one node - reduced PAR-1 signalling under thrombin inhibition and dual PAR-1/PAR-2 blockade under FXa inhibition - rather than independent targets; the FXa-PAR-2 axis is cross-validated across macrophages, liver sinusoidal endothelial cells, and neutrophils; and dabigatran plausibly differs qualitatively rather than only in degree - a working hypothesis whose mechanistic linchpin (residual exosite-I signalling) currently rests on a single unreplicated in-vitro study (level D). Clinically the signal sorts by phenotype and disease phase, not class: low-dose rivaroxaban benefits stable atherosclerosis (COMPASS) but not heart failure in sinus rhythm (COMMANDER-HF), and COVID-19 benefit appears only in convalescence (MICHELLE), not acutely or in outpatients (ACTIV-4B, A‡). A nationwide cohort linked DOACs to lower acute kidney injury and chronic kidney disease progression than vitamin K antagonists, pending separation from their nephrotoxicity. Pleiotropy emerges where three conditions coincide - the protease is available at PARs, its generation is chronic, and PAR signalling is rate-limiting. This supports within-indication molecule selection (selection, not extension) and biomarker co-primary trials, not extension of indications.

PubMedInternational journal of laboratory hematology2026-07-17

Methodological Considerations in Platelet Flow Cytometric Studies.

Kappelmayer János J, Gonda Lénárd L, Krajcsir Bálint B, Debreceni Ildikó Beke IB

Platelets are anucleate cells that can be studied by benchtop flow cytometers and today there are several types of flow cytometric assays for platelets. Platelet structure studies in clinical flow cytometry mostly target rare congenital platelet glycoprotein deficiencies (e.g., Glanzmann-thrombasthenia, and Bernard-Soulier syndrome) that can be considered as the prototypes for platelet flow analysis, since the identification of complete or partial deficiency of these molecules provides the proper diagnosis. Another area of platelet flow cytometry is the detection of activated platelets. Mostly it means the gold standard platelet P-selectin assay or the investigation of PAC-1 binding-an assay where the activation dependent epitope of the GPIIb/IIIa receptor is investigated-but the measurement of platelet-leukocyte aggregates and microparticle analysis have gained increasing role. A unique platelet subtype is the subgroup designated as coated platelets that are formed by the simultaneous activation with collagen and thrombin. In clinical practice further functional assays are also informative tests: the monitoring of clopidogrel resistance by measuring the intracellular phosphorylated VASP and identifying heparin induced thrombocytopenia (HIT) by the use of patient plasma. The flow cytometric HIT test utilize the detection of phosphatidylserine expression on normal platelets or the formation of microparticles in the presence of the patient's plasma and therapeutic concentration of heparin, thus it seems reasonable to suggest it for the study of the functionality of the HIT antibodies. Nevertheless, there are also limitations to these assays as several of them require fresh samples, thus sample transport to specialized laboratories is not always feasible.

PubMedFrontiers in veterinary science2026-07-17

Early activation of Virchow's triad in feline hypertrophic cardiomyopathy: beyond spontaneous echo contrast and insights into translational thromboembolism.

de Sousa Felipe Gaia FG, Muzzi Ruthnea Aparecida Lázaro RAL, de Araújo Roberto Baracat RB, Faleiros Rafael Resende RR et al.

The hypertrophic cardiomyopathy (HCM) phenotype is closely associated with arterial thromboembolism (ATE). The pathophysiology of ATE is linked to activation of Virchow's triad, characterized by endothelial injury, blood stasis, and hypercoagulability. Together, these factors create a prothrombotic microenvironment that may precede overt clinical manifestations. Although spontaneous echocardiographic contrast (SEC) is widely used in clinical practice as a marker of thromboembolic risk, it should be regarded as a late finding. This review explores the early activation of Virchow's triad in cats with HCM phenotype, with emphasis on atrial remodeling, hemodynamic alterations, and endothelial dysfunction preceding detectable SEC. Evidence suggests that changes in left atrial appendage dynamics contribute to localized stasis, while systemic mechanisms, including platelet activation, thrombin generation, and inflammatory processes, promote a hypercoagulable state. Additionally, the presence of SEC should be interpreted as a biomarker of blood stasis rather than a causal factor. Reliance on SEC for thrombotic risk assessment reflects limitations in identifying the pre-thrombotic state, particularly due to the lack of standardized biomarkers for routine clinical use. Therefore, improved thromboembolic risk stratification in cats with HCM phenotype is needed. Overall, thrombogenesis in cats with cardiac disease is a dynamic, multifactorial, and progressive process that begins prior to detectable echocardiographic changes. A clearer understanding of these mechanisms may enable earlier identification of high-risk patients and support preventive therapeutic strategies. This review analyzes the early activation of Virchow's triad in cats with HCM phenotype and its relationship with atrial thrombus formation, with emphasis on thrombogenic mechanisms preceding SEC and their implications for ATE.

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