Thrombin is a multifunctional serine protease whose activity is regulated in the extravasculature by an extracellular inhibitor, protease nexin-1. Because protease nexin-1 expression has been shown to be regulated during skeletal muscle cell differentiation, we reasoned that thrombin inactivation may be an important requirement for this developmental process. To test this hypothesis, we examined the effects of thrombin on differentiating C2C12 myoblasts. We report here that myogenesis, as scored by myotube formation, is considerably delayed by thrombin. This regulation correlated with delayed expression of myogenin and p21 CIP1/WAF1 , both considered critical components of the skeletal muscle cell differentiation program. Regulation occurred at the RNA level, indicating that the effect of thrombin is either transcriptional or post-transcriptional. Furthermore, we present evidence suggesting that this regulation is mediated by the thrombin receptor. Although thrombin is mitogenic for certain cell types, we found that delay of myogenesis in C2C12 cells did not involve a mitogenic signal. Taken together, these results imply that inhibition of the serine protease thrombin may be required for proper progression through the myogenic differentiation program. The data point to potentially important roles that thrombin and protease nexin-1 may play during skeletal muscle development.Thrombin is a multifunctional serine protease that regulates both vascular and extravascular cellular processes. In the extravasculature thrombin is mitogenic for fibroblasts, smooth muscle cells, and astroglia cells (1-3). In addition, thrombin causes neurite retraction in neurons (4) and promotes cell death in certain cell types (5, 6). Most if not all of the actions of thrombin are mediated by a seven-transmembrane domain, G-protein-coupled receptor that is activated by a thrombin cleavage event in the extracellular domain of the receptor (7,8). Proteolysis generates a new N terminus that acts as a tethered peptide ligand, binding to a site in the receptor, and activating a signal transduction cascade (9).Thrombin activity is tightly regulated in the extravasculature by the serine protease inhibitor protease nexin-1 (PN-1), 1 also referred to as glia-derived nexin (10, 11). PN-1 expression is relatively high in brain, and because it is regulated during injury it is thought to protect neuronal cells from the potentially harmful effects of serine proteases (12-14). PN-1 may also play a role in synapse formation in skeletal muscle because it is secreted from muscle fibers at the neuromuscular junction where acetylcholine receptors are expressed, and PN-1 blocks the proteolytic action of thrombin, which mediates activitydependent synapse reduction (15, 16).Formation of the neuromuscular junction is preceded by the differentiation of skeletal muscle cells, an event morphologically characterized as the fusion of mononucleated myoblasts into multinucleated myotubes. Differentiation is largely controlled by the myogenic basic helix-loop-helix fami...