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Pathway Description
Bovine Thrombin Action Pathway
Homo sapiens
Drug Action Pathway
Bovine thrombin is a coagulation factor also known under the brand name Thrombin-jmi, used to prevent bleeding during surgery. It is bovine thrombin that behaves like endogenous thrombin, converting fibrinogen to fibrin necessary for clot formation. The speed at which the clotting takes place is dependent on the concentration of bovine thrombin and fibrinogen present. It is metabolized in the same way as endogenous thrombin, it is inactivated by endogenous plasma inhibitors. It is administered as a topical and then cleared via thrombin inhibitor complexes and or through internalization and degradation by the endothelium.
References
Bovine Thrombin Pathway References
Crawley JT, Zanardelli S, Chion CK, Lane DA: The central role of thrombin in hemostasis. J Thromb Haemost. 2007 Jul;5 Suppl 1:95-101. doi: 10.1111/j.1538-7836.2007.02500.x.
Pubmed: 17635715
Bhandari M, Ofosu FA, Mackman N, Jackson C, Doria C, Humphries JE, Babu SC, Ortel TL, Hoffman Van Thiel D, Walenga JM, Wahi R, Teoh KH, Fareed J: Safety and efficacy of thrombin-JMI: a multidisciplinary expert group consensus. Clin Appl Thromb Hemost. 2011 Feb;17(1):39-45. doi: 10.1177/1076029610385674. Epub 2010 Nov 15.
Pubmed: 21078609
Minkowitz H, Navarro-Puerto J, Lakshman S, Singla S, Cousar C, Kim R, Villavicencio A, Kirksey L, Ayguasanosa J: Prospective, Randomized, Phase II, Non-Inferiority Study to Evaluate the Safety and Efficacy of Topical Thrombin (Human) Grifols as Adjunct to Hemostasis During Vascular, Hepatic, Soft Tissue, and Spinal Open Surgery. J Am Coll Surg. 2019 Nov;229(5):497-507.e1. doi: 10.1016/j.jamcollsurg.2019.07.008. Epub 2019 Jul 31.
Pubmed: 31376435
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