Purpose: We examined the effect of thrombin on human iliac artery endo
thelial cell monolayer repair and proliferation after denuding vascula
r injury. Methods: Human iliac artery endothelial cell monolayer repai
r was determined by scrape wounding confluent monolayers and measuring
the advancement of the cells into the wounded area for 3 days. Prolif
eration studies involved plating human iliac artery endothelial cells
at one tenth confluence and counting the increase in cell number every
2 days for a 2-week period. Proliferation during monolayer repair was
examined by determining bromodeoxyuridine uptake in cells located at
the leading edge of a scrape-wounded monolayer. Results: Thrombin (1 t
o 8 U/ml) inhibited human iliac artery endothelial cell monolayer repa
ir in a concentration-related, reversible manner. The effect was augme
nted by decreasing serum concentration and was independent of the pres
ence of endothelial cell growth supplement. Inactivation of thrombin's
proteolytic site with diisopropylfluorophosphate eliminated its effec
t on monolayer repair. Thrombin (0.5 to 8 U/ml) inhibited human iliac
artery endothelial cell proliferation in a dose-related manner. This e
ffect was augmented by decreasing serum concentration. Finally, thromb
in (4 U/ml) inhibited the proliferative response of cells located at t
he leading edge of wounded monolayers compared with control groups. Co
nclusion: Thrombin inhibits human arterial endothelial cell monolayer
repair and proliferation after denuding vascular injury.