Summary
Fibrin deposition is a characteristic feature of the atherosclerotic plaque. The balance
of fibrinolytic activity is modulated by plasminogen activators (PAs) and plasminogen
activator inhibitors (PAIs). We examined expression of components of the fibrinolytic
system by peripheral blood monocytes following stimulation by native LDL and LDL modified
by acetylation, copper oxidation or minimal modification. Monocytes responded to LDL
stimulation by increased production of PAI-2, with no corresponding increase in u-PA.
PAI-1 was detected but did not change relative to untreated control; u-PA was undetectable
in all samples. Native LDL consistently upregulated PAI-2; this stimulation was not
inhibited by inclusion of antioxidants. Acetylated, copper oxidized and minimally
modified LDLs increased production of PAI-2, but the ability to stimulate PAI-2 synthesis
varied between preparations of modified LDL. Increased levels of PAI-2 in a local
environment such as the artery wall may promote fibrin persistence.