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Thrombin

Manufactured by Siemens
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Thrombin is a serine protease enzyme that plays a crucial role in the coagulation cascade. It is responsible for the conversion of soluble fibrinogen into insoluble fibrin, which is the main component of blood clots. Thrombin acts as a catalyst in this process, facilitating the formation of a stable fibrin clot. The core function of thrombin is to initiate and regulate the clotting process, which is essential for maintaining hemostasis and preventing excessive blood loss.

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13 protocols using thrombin

1

Platelet-Rich Plasma Protocol for Surgical Procedures

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PRP was prepared in collaboration with the Hematology Lab at Atrium Health Wake Forest Baptist. PRP was prepared as previously described in a study by Alio et al. in 2015 with some modification [11 (link)]. Procedural modifications were instituted to improve accessibility to physicians during surgical procedures. Briefly, two vials (10 ml each) of whole blood were extracted using 3.2% sodium citrate anticoagulant. Whole blood was lightly centrifuged at 1600 rpm for 10 min for separation of platelet poor plasma, PRP, and blood cells. PRP was extracted from both vials and transferred to a single sterile vial. To create the PRP clot, a standard Denville Scientific Pipette was used to draw up 200 μL of platelet rich plasma, which was then placed into an endorphin tube. 100 μl of thrombin (Siemens Medical Solutions, Malvern, PA) was then added to the endorphin tube creating a 2:1 mixture of plasma and thrombin for clot formation. Once the thrombin was added to the plasma, clot activation occurred within 5 s, so methods piloted for mold preparation had to be executed as soon as the thrombin was inserted to the endorphin tube of PRP.
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2

Preparation of Whole Blood and Clotted Blood Samples

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Whole blood was prepared in collaboration with the Hematology Lab at Atrium Health Wake Forest Baptist. Two vials (10 ml each) of whole blood were extracted using 3.2% sodium citrate anticoagulant. For clotted blood preparation, we utilized thrombin as a clot activator, mixing three drops of approximately 20ul of thrombin (Siemens Medical Solutions, Malvern, PA) into a small vial of whole blood. As soon as thrombin was added to the vial of whole blood, the mixture was drawn into 16,18-, and 20-gauge angiocath tips on 1 ml Luer-Lok syringes and left to clot for 15 min.
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3

Flow Cytometry Analysis of Platelet Activation

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Flow cytometry analyses were performed using FACSCalibur (Becton Dickinson, Heidelberg, Germany) [40 (link)]. Diluted PRP aliquots (5 × 107 platelets/mL) were fixed and stained with FITC-labeled monoclonal surface antibody against CD41 (GPIIb/IIIa-complex), CD42a (GPIb/IX) and CD42b (GPIb) (Coulter, Immunotech, Marseille, France). FITC-labeled anti-VWF (Bio-Rad AbD Serorech, Puchheim, Germany) and Alexa Fluor 488-labeled anti-fibrinogen (Invitrogen, Waltham, MA USA) were used to stain the platelets. In the presence of 1.25 mM Gly Pro-Arg-Pro (Bachem, Bubendorf, Switzerland) diluted PRP (5 × 107 platelets/mL) was stimulated with several concentrations of thrombin (0, 0.05, 0.1, 0.2, 0.5 and 1 U/mL; Siemens Healthineers, Marburg, Germany) to conduct the CD62 and CD63 expression analyses. The platelets were also stained with monoclonal FITC-labeled anti-CD62 (P-selectin) and anti-CD63 antibodies (lysosomal membrane associated glycoprotein 3, LAMP-3; Immunotech, Marseille, France).
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4

Analytical Methods for Compound Characterization

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The melting point (uncorrected) was determined on an apparatus made by Beijing TECH INSTRUMENT CO. LTD. Optical rotations were measured with a Perkin Elmer spectropolarimeter. The UV spectra were measured on a VARIAN SARY 50 spectrophotometer. The IR spectra were recorded using a BRUKER VERTEX 70 spectrometer. The NMR experiments were run on a Bruker AM-400 spectrometer. The HRFABMS data were obtained on a VG 7070-HF spectrometer. Column chromatographic separations were carried out using silica gel H60 and ODS as packing materials. HSGF254 silica gel TLC plates were used for analytical TLC. The HPLC columns consisted of a Welch Material column (XB-C18, 10 μm, 10 × 250 mm), a normal phase chiral column (CHIRALPAK AS-H, 10 μm, 4.6 mm × 250 mm, part no. 20325), and a reversed phase chiral column (CHIRALPAK AD-RH, 10 μm, 4.6 mm × 150 mm, part no. 19724). The automatic coagulative instrument (Sysmex CA-7000), activated partial Thromborel S, Thrombin and Dade Actin Activated Cephaloplastin Reagent were commercial reagents from Siemens Healthcare Diagnostics Products GmbH. The semi-automatic biochemical analyser (MC-4000, Germany).
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5

Thrombin-induced NF-kB and miRNA-146a

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A total of 75 μL of transfected THP-1 cell suspension was added into 75 μL of platelet suspension and mixed gently. Each group was treated with 100 U/L of thrombin (final concentration; Siemens Healthcare Diagnostics Products, Erlangen, Germany). To observe the effect of NF-kB inhibitors on miRNA-146a expression, BAY11-7082 (1 μmol/L final concentration) was added into the co-culture system (with miRNA-146a mimic negative controls and inhibitor negative controls, but without miRNA-146a mimic or inhibitor) in the presence of 100 U/L of thrombin. An additional blank control group contained a mixture of THP-1 cells, platelets, and saline. Mixtures for each group were incubated at 37°C for 2 h and prepared for subsequent miRNA-146a detection and related assays.
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6

Flow Cytometric Assessment of Platelet Activation

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The flow cytometric assessment of platelets was performed using FACSCalibur (Becton Dickinson, Heidelberg, Germany) [12 (link)]. Diluted PRP aliquots (5 × 107/mL) were fixed and stained with FITC-labeled monoclonal surface antibody against glycoproteins (GP) CD41 (GPIIb/IIIa-complex, integrin αIIbβ3), CD42a (GPIX) and CD42b (GPIb) (Coulter, Immunotech, Marseille, France). FITC-labeled anti-vWF (Bio-Rad AbD Serorech, Puchheim, Germany) and Alexa Fluor 488-labeled anti-fibrinogen (Invitrogen, Waltham, MA USA) were used to stain the platelets. In the presence of 1.25 mM Gly-Pro-Arg-Pro (Bachem, Bubendorf, Switzerland) diluted PRP (5 × 107 platelets/mL) was stimulated with different concentrations of thrombin (0, 0.05, 0.1, 0.2, 0.5, and 1 U/mL; Siemens Healthineers, Marburg, Germany) to conduct the CD62 and CD63 expression analyses. Additionally, the platelets were stained with monoclonal FITC-labeled anti-CD62 (P-selectin) and anti-CD63 antibodies (lysosomal membrane associated glycoprotein 3, Immunotech, Marseille, France). Data of patients and controls (day control and 20 independent measurements from 10 controls as mean ± standard error of the mean, SEM) were analyzed using GraphPad Prism software (version 8, San Diego, CA, USA).
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7

Thrombin and Papain Modulate THP-1-Platelet Interaction

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Human THP-1 cells were purchased from American Type Culture Collection (ATCC) and cultured in RPMI 1640 medium (Life Technologies, 23400021) containing 10% FBS (Life Technologies, 10099) and incubated at 37°C in a humidified atmosphere containing 5% CO2 (Thermo, 3111). Total of 75 μL THP-1 cell suspension (5×107 cells/L) was added to 75 μL platelet suspension and mixed gently. In control group, the mixture of THP-1 and platelet was treated with saline or isotype antibodies. In platelet activation group, the mixture was administrated only with 100 U/L of thrombin (final concentration, Siemens Healthcare Diagnostics Products GmbH). In papain group, the mixture with 100 U/L of thrombin was treated with 50, 100, and 200U/L papain, respectively. In Cox-2 inhibitor group, NS-398 was added to the mixture of THP-1, thrombin, and platelet. To observe the effect of NF-κB agonist, TNF-α was added to the cocultured system in the presence of 100 U/L of thrombin and 200U/L of papain. The mixture in each group was incubated at 37°C for 30 mins and prepared for the following detection.
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8

Platelet flow cytometry analysis

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Flow cytometry analyses were performed using FACSCalibur (Becton Dickinson, Heidelberg, Germany) (Lahav et al., 2002 (link)). Diluted PRP aliquots (5 × 107 platelets/ml) were fixed and stained with FITC-labeled monoclonal surface antibody against CD41 (GPIIb/IIIa-complex), CD42a (GPIb/IX) and CD42b (GPIb) (Coulter, Immunotech, Marseille, France). FITC-labeled anti-VWF (Bio-Rad AbD Serorech, Puchheim, Germany) and Alexa Fluor 488-labeled anti-fibrinogen (Invitrogen, Waltham, MA United States) was used to stain the platelets. In the presence of 1.25 mM Gly-Pro-Arg-Pro (Bachem, Bubendorf, Switzerland) diluted PRP (5 × 107 platelets/ml) was stimulated with a number of concentrations of thrombin (0, 0.05, 0.1, 0.2, 0.5, and 1 U/ml; Siemens Healthineers, Marburg, Germany) to conduct the CD62 and CD63 expression analyses. Additionally, the platelets were stained with monoclonal FITC-labeled anti-CD62 (P-selectin) and anti-CD63 antibodies (lysosomal membrane-associated glycoprotein 3, LAMP-3; Immunotech, Marseille, France). Data of patients and controls (day control and 20 independent measurements from 10 controls as mean ± standard error of the mean, SEM) were analyzed using GraphPad Prism software (version 8, San Diego, CA, United States).
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9

Measurement of Platelet Activation Markers

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Fluo-3 AM was acquired from Thermo Fisher Scientific (Waltham, MA, USA). ION NaTRIUM Green-2 AM and ION Potassium Green-2 AM were purchased from ION Biosciences (San Marcos, TX, USA). Convulxin was a kind gift from Prof. K.J. Clementson (Bern, Switzerland) [58 (link)]. Thrombin was purchased from Siemens (Zürich, Switzerland). Cy5 Annexin V and Annexin V Buffer containing calcium (140 mM NaCl, 2.5 mM CaCl2, 1 mM HEPES, pH 7.4) were from Becton Dickinson (Allschwil, Switzerland). Phycoerythrin (PE)- or fluorescein isothiocyanate (FITC)-conjugated antibodies for flow cytometric analyses were from either Becton Dickinson or Dako. Dimethyl-sulfoxide (DMSO), calcium ionophore A23187, Annexin-V-FITC FLUOS Staining Kit, eptifibatide acetate and tirofiban hydrochloride monohydrate were acquired from Merck Sigma Aldrich (St. Louis, MO, USA). To inhibit clot formation Gly-Pro-Arg-Pro-OH (GPRP H2935) from Bachem (Bubendorf, Switzerland) was used. Tyrode’s buffer was produced in our laboratory (137 mM NaCl, 2.8 mM KCl, 12 mM NaHCO3, 1 mM MgCl2, 0.4 mM NaH2PO4, 10 mM HEPES, 3.5 mg/mL bovine serum albumin, 5.5 mM glucose, adjusted to pH 7.4 with NaOH).
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10

Platelet Flow Cytometry Analysis

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Flow cytometry analyses were performed according to Lahav et al. (Lahav et al., 2002) using FACSCalibur (Becton Dickinson, Heidelberg, Germany). Aliquots of diluted PRP (5 × 107 platelets/mL) were fixed and stained with FITC‐labeled monoclonal surface antibody against CD41 (fibrinogen receptor GPIIb/IIIa‐complex), CD42a (von Willebrand factor [VWF] receptor GPIb/IX), and CD42b (VWF receptor GPIb) (Coulter, Immunotech, Marseille, France), respectively.
For VWF‐binding analyses, diluted PRP (5 × 107 platelets/mL) was stimulated with different concentrations of ristocetin (0–1 mg/mL) and ADP (0–2 μmoL/L) for 3 min at RT, respectively. Platelets were stained with FITC‐labeled anti‐VWF (Bio‐Rad AbD Serotec, Puchheim, Germany) and Alexa Fluor 488‐labeled anti‐fibrinogen (Invitrogen, Waltham, MA, USA).
For secretion analyses, diluted PRP (5 × 107 platelets/mL) was stimulated with different concentrations of thrombin (0, 0.05, 0.1, 0.2, 0.5, and 1 U/mL; Siemens Healthineers, Marburg, Germany) in the presence of 1.25 mM Gly‐Pro‐Arg‐Pro (Bachem, Bubendorf, Switzerland). Platelets were stained with monoclonal FITC‐labeled anti‐CD63 antibody (lysosomal membrane associated glycoprotein 3, LAMP‐3; Immunotech, Marseille, France).
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