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DOI: 10.1055/s-2000-9801
Coagulation-Associated Enhancement of Fibrinolytic Activity Via a Neutralization of PAI-1 Activity
Publikationsverlauf
Publikationsdatum:
31. Dezember 2000 (online)
ABSTRACT
Total fibrinolytic activity in the vasculature is finely tuned by the balance between tissue plasminogen activator and plasminogen activator inhibitor type 1 (PAI-1). Although PAI-1 targets plasminogen activators, it also reacts with other serine proteases such as thrombin and factor Xa. The latter was shown to interact with PAI-1 only when a physiological concentration of calcium ions (Ca++) is present. Through such interaction, thrombin and Ca++-bound factor Xa shortened fibrin clot lysis times in a purified system by neutralizing PAI-1 activity. Both unfractionated heparin and vitronectin were shown to enhance the clot lysis further. Together with the cleavage and inactivation of PAI-1 by human neutrophil elastase, which was reported previously from our laboratory, such neutralization of PAI-1 activity by these serine proteases was shown to be strongly involved in the coagulation-associated enhancement of fibrinolytic activity.
KEYWORD
PAI-1 - thrombin - factor Xa - vitronectin - fibrinolysis
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