Activated
protein C (APC),
prodrug, and / or a variant thereof may be used as an
inhibitor of apoptosis or
cell death and / or a
cell survival factor, especially for stressed or injured cells or tissues of the
nervous system including subjects with neurode-generative disorders. Novel biological functions (e.g.,
neuroprotection) can be independent or separated from inhibition of clotting or
inflammation, and other biological properties of APC (e.g.,
antithrombotic activity, ability to reduce NFκB-regulated
gene expression). It can be used in the treatment of
disease or other
pathological conditions by at least inhibiting the p53-dependent and / or
caspase-3-dependent pro-apoptotic signaling pathways in stressed or injured cells. Thus, APC, prodrugs, and variants thereof (e.g., APC
protease domain mutants with reduced anti-coagulant activity) are prototypes of a class of agents for preventing
apoptosis or
cell death and / or promoting
cell survival by direct action on brain cells. New
protein C and / or APC variants with reduced
anticoagulant activity may be selected thereby.