Semin Thromb Hemost 2000; Volume 26(Number 01): 039-042
DOI: 10.1055/s-2000-9801
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4663)

Coagulation-Associated Enhancement of Fibrinolytic Activity Via a Neutralization of PAI-1 Activity

Tetsumei Urano1 , Hayato Ihara1 , Yuko Suzuki1 , Yumiko Takada2 , Akikazu Takada1
  • Supported in part by Grant-in Aid for Scientific Research nos. 09670041 and 10670040 from the Ministry of Education, Science and Culture, Japan. Department of
  • 1Physiology Hamamatsu University School of Medicine, Hamamatsu, Japan
  • 2Department of Pathophysiology, Hamamatsu University School of Medicine, Hamamatsu, Japan
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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.

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