To evaluate the question of whether protease activated receptor-1 (PAR-1) antagonist is a potential therapeutic target in multiple sclerosis, we treated experimental autoimmune encephalomyelitis (EAE) mice with two PAR-1 antagonists, KC-A0590 and SCH-530348. Treatment with both antagonists resulted in a significant decrease in the clinical characteristics of EAE mice by suppressing demyelination and infiltration of inflammatory cells in the spinal cord and brain, as well as a significantly reducing the increased thrombin and tumor necrosis factor-a. Profound leakage of dextran was observed in the brain of EAE mice. However, treatment with PAR-1 antagonists resulted in the stabilization of vascular endothelial cells and reduced blood-brain barrier breakdown with suppression of inflammatory response. Treatment with PAR-1 antagonists also resulted in down-regulated expression of matrix metalloproteinase-9 and preserved expression of occludin and zonula occludens (ZO)-1 in the brain and their significant expression was confirmed in neurons, astrocytes, and vascular endothelial cells. Finally, endothelial cells and primary cultured astrocytes were treated with PAR-1 antagonists; both antagonists suppressed thrombin-induced breakdown of ZO-1 in endothelial cells and secretion of matrix metalloproteinase-9 in astrocytes. Collectively, our results suggest that PAR-1 antagonist is effective in attenuation of the clinical symptoms of EAE mice by stabilizing the blood-brain barrier and may have therapeutic potential for treatment of multiple sclerosis. Keywords: blood-brain barrier, experimental autoimmune encephalomyelitis, KC-A0590, protease activated receptor-1, SCH-530348. Thrombin, a serine protease, accumulates in the brain parenchyma by increased permeability when breakdown of the blood-brain barrier (BBB) occurs in association with neurodegenerative disorders (Arai et al. 2006;Luo et al. 2007;Manaenko et al. 2013). Thrombin signaling is mediated through a small family of G-protein-coupled protease activated receptors (PAR)s, which convert an extracellular proteolytic cleavage event by thrombin into Received January 28, 2015; revised manuscript received July 10, 2015; accepted August 4, 2015.Address correspondence and reprint requests to Dr Byung-Tae Choi, Department of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan 626-870, Korea. E-mail: choibt@ pusan.ac.krAbbreviations used: ANOVA, multifactorial analysis of variance; BBB, blood-brain barrier; CFA, adjuvant incomplete freund; CNS, central nervous system; DAB, diaminobenzidin; DAPI, 4 0 ,6-diamidino-2-phenylindole; EAE, experimental autoimmune encephalomyelitis; ECM, endothelial cell medium; FITC, fluorescein isothiocynate; GFAP, glial fibrillary acidic protein; H&E, hematoxylin and eosin; IL-1b, interleukin1b; LFB, luxol fast blue solution; MMP, matrix metalloproteinase; MOG, MOG 35-55 peptide; MS, multiple sclerosis; NeuN, neuronal nuclei; PAR, protease-activated receptor; TNF-a, tumor necrosis factor-a; ZO-1, zonul...