Thrombin is sufficient to initiate and amplify immune responses. Hemostatically normal BALB/c were immunized with either intraperitoneal OVA (1 μg; n = 7) or intraperitoneal OVA (1 μg) + thrombin (5 IU; n = 8). Seven days after the last injection, (A) serum samples were analyzed for antibody response to OVA (17.9 ± 5.1 [OVA] vs 169.5 ± 39.7 [OVA + thrombin] μg/mL; **P = .002). (B) Splenic T cells were assayed for the response to OVA. **P = .004. These data indicate that thrombin is sufficient to provide costimulation for the initiation of immune responses to “foreign” proteins.