“…Prior studies support the idea that thrombin can be produced by CNS cells endogenously (Dihanich et al, 1991) with elevations after injury, including SCI (Citron et al, 2000; Yoon et al, 2013), ischemia (Riek-Burchardt et al, 2002; Chen et al, 2012; Rajput et al, 2014), and in Alzheimers (Arai et al, 2006). Furthermore, the expression of another PAR1 agonist, neurosin (Vandell et al, 2008), was also significantly elevated after SCI with expression not only by astrocytes, but also activated monocytes/microglia as we have previously reported in other models of experimental SCI (Scarisbrick et al, 1997; Scarisbrick et al, 2002; Blaber et al, 2004; Scarisbrick et al, 2006; Scarisbrick et al, 2012b; Yoon et al, 2013; Panos et al, 2014) and in cases of human SCI as long as 5 years after the initial insult (Radulovic et al, 2013). While elevations in thrombin, neurosin and PAR1 occurred across the injury continuum, thrombin levels were maximal acutely pointing to key roles in the early injury response.…”