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Protein / target

Prothrombin

Encoded byF2P00734Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
11
Approved medicines
Open Targets target-level
View by indication →
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Serine-type endopeptidase

Strongest disease association

Congenital prothrombin deficiency

Via encoding gene F2 · Genetic evidence · score 0.94

Therapeutic position

Established drug target

Small molecules and antibodies

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

Thrombin, which cleaves bonds after Arg and Lys, converts fibrinogen to fibrin and activates factors V, VII, VIII, XIII, and, in complex with thrombomodulin, protein C.

View complete UniProt function annotation

Thrombin, which cleaves bonds after Arg and Lys, converts fibrinogen to fibrin and activates factors V, VII, VIII, XIII, and, in complex with thrombomodulin, protein C. Functions in blood homeostasis, inflammation and wound healing. Activates coagulation factor XI (F11); activation is promoted by the contact with negatively charged surfaces (PubMed:2019570, PubMed:21976677). Triggers the production of pro-inflammatory cytokines, such as MCP-1/CCL2 and IL8/CXCL8, in endothelial cells (PubMed:30568593, PubMed:9780208)

Subcellular location

Secreted, extracellular space
Domains and Gene Ontology detail (46)

Domains & features

GlaKringle 1Kringle 2Peptidase S1

Gene Ontology

  • Cblood microparticle
  • Cendoplasmic reticulum lumen
  • Cextracellular exosome
  • Cextracellular matrix
  • Cextracellular region
  • Cextracellular space
  • CGolgi lumen
  • Cplasma membrane
  • Fcalcium ion binding
  • Fgrowth factor activity
  • Fheparin binding
  • Flipopolysaccharide binding

622 aa · 70 kDa

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

HaemostasisUniProt · GO · ReactomeImmune signallingUniProt · GOProteolysisGO
View supporting evidence

Haemostasis

  • ·Thrombin, which cleaves bonds after Arg and Lys, converts fibrinogen to fibrin and activ…
  • ·blood coagulation
  • ·fibrinolysis
  • ·negative regulation of blood coagulation

Immune signalling

  • ·Thrombin, which cleaves bonds after Arg and Lys, converts fibrinogen to fibrin and activ…
  • ·antimicrobial humoral immune response mediated by antimicrobial peptide
  • ·cytolysis by host of symbiont cells
  • ·negative regulation of cytokine production involved in inflammatory response

Proteolysis

  • ·serine-type endopeptidase activity
  • ·negative regulation of proteolysis
  • ·proteolysis
View underlying pathways (17)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

FGAF5SERPIN…FGBFGGSERPIN…F10THBDF2RF3F2

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Approved medicines with mapped indications

1 medicine · 5 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Acute Coronary Syndrome1 medicine
Angina, Unstable1 medicine
Syndrome1 medicine
Thrombocytopenia1 medicine
Thrombosis1 medicine

11 medicines meet Open Targets' target-level approved-medicine definition; the 1 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

3

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

dabigatran
Narrow target profileApprovedInhibitor

Thrombin inhibitor

Direct interaction with this protein · Only this protein recorded as a target

bivalirudin
Narrow target profileApprovedInhibitor

Thrombin inhibitor

Indicated for Acute Coronary Syndrome, Angina, Unstable, Syndrome, Thrombocytopenia

Direct interaction with this protein · Only this protein recorded as a target

defibrotide
ApprovedAntagonist

Thrombin antagonist

Direct interaction with this protein · 1 of 5 recorded protein targets

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene F2

Gene-level evidence surfaced through the gene F2 that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Venous Thrombosis
0.96Well supported

Genetic evidence dominant · Open Targets 0.67

Blood Coagulation Disorders
0.95Well supported

Genetic evidence dominant · Open Targets 0.67

Congenital prothrombin deficiency
0.95Well supported

Genetic evidence dominant · Open Targets 0.82

Pulmonary Embolism
0.94Well supported

Genetic evidence dominant · Open Targets 0.64

Venous Thromboembolism
0.93Well supported

Genetic evidence dominant · Open Targets 0.71

View evidence synthesis (5)
Venous ThrombosisWell supported
0.96
agreement 0.851.00
Genetic56%Clinical39%Literature5%

Open Targets aggregate 0.67 · 3 independent evidence families

Blood Coagulation DisordersWell supported
0.95
agreement 0.841.00
Genetic55%Clinical43%Literature2%

Open Targets aggregate 0.67 · 3 independent evidence families

Congenital prothrombin deficiencyWell supported
0.95
agreement 0.831.00
Genetic90%Animal model10%Literature0%Genetic literaturedup

Open Targets aggregate 0.82 · 3 independent evidence families · 1 not counted as duplicate

Pulmonary EmbolismWell supported
0.94
agreement 0.831.00
Genetic58%Clinical39%Literature3%

Open Targets aggregate 0.64 · 3 independent evidence families

Venous ThromboembolismWell supported
0.93
agreement 0.831.00
Genetic52%Clinical45%Literature4%

Open Targets aggregate 0.71 · 3 independent evidence families

This ranking differs from Open Targets' own: re-weighting moves genetically-evidenced diseases above more heavily co-mentioned ones. The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Congenital prothrombin deficiency0.82
Congenital factor II deficiency0.80
Thrombophilia due to thrombin defect0.74
Venous Thromboembolism0.71
Venous Thrombosis0.67
Blood Coagulation Disorders0.67
Ischemic Stroke0.67
Prothrombin deficiency0.66
Pulmonary Embolism0.64
hereditary thrombophilia due to congenital protein C deficiency0.60

Drug development

14 compounds recorded · 11 approved · 3 in clinical development

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 3 drugs that target this protein in Forefront's canonical graph (1 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (10)
ARGATROBANApproval
DABIGATRANApproval
BIVALIRUDINApproval
XIMELAGATRANApproval
DABIGATRAN ETEXILATEApproval
PROTHROMBIN COMPLEX CONCENTRATEPhase 3
LEPIRUDINApproval
DEFIBROTIDEApproval
ICHORCUMABPhase 1
PROTHROMBINApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and Structure with Ligand support this modality.

AntibodiesStrong

Advanced Clinical and GO CC high conf support this modality.

Protein degradersEmerging

Feasibility evidence (half-life data and small molecule binder) — no clinical-stage drug of this modality recorded.

Other modalitiesStrong

Approved Drug support this modality.

View underlying tractability evidence (12)
SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyAB · Advanced ClinicalAB · GO CC high confAB · UniProt loc med confAB · UniProt SigP or TMHMMPR · Half-life DataPR · Small Molecule BinderOC · Approved Drug

Raw Open Targets tractability assessment buckets, by modality.

Safety-related annotations

Impaired recruitment , Population trajectoryAOP-Wikideep vein thrombosisClinPGxhemorrhagic eventsUrban et al. (2012)

Terms indexed against this target in Open Targets' safety data, with their datasource. These are annotations, not causal claims: the direction of effect (whether activation or inhibition is implicated), species and evidence strength are not captured here, so an entry does not mean that modulating this target is known to cause that condition.

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (26)

UNKNOWN · via bivalirudin · NCT02787317

ClinicalTrials.gov via the drug-target graph.

What's happening now

6

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for 3 drugs that target this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. New publication2021-10-01
    2021 European Heart Rhythm Association Practical Guide on the Use of Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation.

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021 · 670 citations · Europe PMC · via dabigatran

  2. Safety communication2014-12-11

    Drug Safety Update: Bivalirudin: risks associated with incorrect dose

    mhra · safety · mhra · via bivalirudin

  3. Safety communication2014-12-11

    Drug Safety Update: Dabigatran (Pradaxa): contraindicated in patients with prosthetic heart valve(s) requiring anti-coagulant treatment

    mhra · safety · mhra · via dabigatran

  4. Safety communication2014-12-11

    Drug Safety Update: Dabigatran (Pradaxa▼): risk of serious haemorrhage

    mhra · safety · mhra · via dabigatran

  5. Regulatory approval2013-10-18

    Approval: Defitelio (EMA)

    ema · regulatory · ema · via defibrotide

  6. New publication2002-08-01
    Multi-institutional use of defibrotide in 88 patients after stem cell transplantation with severe veno-occlusive disease and multisystem organ failure: response without significant toxicity in a high-risk population and factors predictive of outcome.

    Blood · 2002 · 194 citations · Europe PMC · via defibrotide

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.

Related family literature

1

Papers about “Serine Proteases” — a broader family this protein belongs to. Shown as context; not counted as papers specifically about this protein.

Lipoprotein(a) as a Risk Factor for Cardiovascular Diseases: Pathophysiology and Treatment Perspectives.

Vinci P · International journal of environmental research and public health · 2023

via Serine Proteases

Europe PMC literature, reached through curated HGNC family membership. Membership is a taxonomic relationship — it does not imply this protein participates in every mechanism these papers discuss.