Ouch! The response is always the same to the sharp, sudden surprise of a paper cut. The body responds quickly to the tear in the skin and sends resources for protection. An abundant enzyme in the blood, thrombin, causes changes in other blood proteins to produce a gel like substance that forms the clot. It’s what causes the bleeding to stop and is the first stage of wound healing.
Thrombin is abundant in the blood and increases in the central nervous system with injury. If the body experiences trauma from a stroke, for example, this first responders rush in and start repairing the damage. While the enzyme, called thrombin, helps heal small cuts, it may cause problems when the body brings in the heavy hitters of healing: Stem cells.
Stem cells are a type of cell in the body that can become another cell. When damaged tissue needs to be replaced or expanded due to growth, stem cells expand or multiply to get it done.
“What we discovered is that thrombin activates a receptor on stem cells that actually blocks their ability to expand,” says discovery science researcher Isobel Scarisbrick, Ph.D.
That means that when thrombin attaches to a stem cell, it is effectively turned off. So why does this happen? Thrombin is a regulator. It attaches to a cell membrane through a receptor called PAR1, and sends signals about the environment surrounding the cell. It is signaling information about what to do and what not to do, depending on the situation.
COMMON ENZYME IS A BODY BOSS
The thrombin receptor PAR1 is a newly identified fundamental regulator of stem cell biology.
“I like to think of this receptor like a switch,” says Dr. Scarisbrick. “When the switch is on, the cell does not mature, for example into a myelin producing cell. When the switch is off the stem cell can differentiate and expand.”
Dr. Scarisbrick explains that this information allows her team to look for ways the body can heal vital structures from within.
“It’s a new discovery that this common receptor plays a fundamental role in the biology of the human brain, and an important role in stem cell expansion and myelin production,” she says.
Dr. Scarisbrick and her research team are looking at the biology of how receptors regulate neural stem cells in the brain, the spinal cord, and the protective myelin sheath.
Myelin is a covering of the nerve cells that accelerates transmission of impulses, or instructions from the central nervous system, along the electrical cables knowns as axons. These impulses can slow or stop when the myelin sheath is damaged. Myelin regeneration occurs naturally in the body and there are many factors involved. On the cell wall is a receptor that allows a protein such as a growth factor, cytokine or even an enzyme such as thrombin to come along and attach to it and start sending out instructive signals for the cell to respond to.
“In our study the enzyme thrombin is directing the cell and it’s telling the cell what to do,” Dr. Scarisbrick says. “There are all kinds of things going on outside the cell and the cell machinery needs to respond.”
REBUILDING, REPAIRING MYELIN
Dr. Scarisbrick’s team has evidence in mouse models that when the thrombin receptor is switched off there is more of the myelin protein present at birth and even higher levels in adulthood. There is also evidence of better recovery after spinal cord injury.
In the adult mouse brain is a reservoir of neural stem cells that can differentiate into any cell type in the brain. These are the cells that migrate out to repair the area of myelin degeneration from stoke or other injury.
“The research shows that animals that do not have this receptor have an endogenous capacity to generate more stem cells,” she says.
Dr. Scarisbrick says she is particularly excited about this work because it is not often a research team can target just one factor and have such a big impact.
“I think we could focus exclusively just on the neural stem cells, but I think there’s an opportunity here to see just how fundamental this biology is,” she says. “My laboratory is particularly interested in the repair of the spinal cord and the myelinating regions, and we are excited our new discovery will translate into new strategies for regenerative repair.”
This article originally appeared in Mayo Clinic's research magazine, Discovery's Edge.