Abstract
It is generally assumed that vascular homeostasis results from the regulated interaction of the coagulation and fibrinolytic systems. These systems appear to be in dynamic equilibrium, and any imbalance in them leads to an increased risk of thrombosis or the tendency to develop a bleeding diathesis (Astrup, 1958). This balance is severely disturbed in the atherosclerotic vessel wall (Balkuv-Ulutin, 1986; Breddin, 1986). Thrombosis is most likely initiated upon plaque rupture, a process which undoubtedly exposes the flowing blood to the procoagulant activity present in the necrotic core of the vessel wall (for review, see Chandler, 1982). The fibrinolytic system (for review, see Bachmann, 1987) is responsible for the dissolution of fibrin deposits in the vasculature. Degradation of fibrin normally results from the action of plasmin, which circulates in plasma as an inactive proenzyme, plasminogen, and is activated by plasminogen activators (PAs) like urinary-type PA (u-PA) and tissue-type PA (t-PA). The presence of type 1 plasminogen activator inhibitor (PAI-1), the physiological inhibitor of both u-PA and t-PA (for review, see Loskutoff et al., 1989), in the plaque will prevent this system from being activated. This review will emphasize the role of PAI-1 in regulating the fibrinolytic system of the vessel wall. Particular attention will be paid to the interaction between PAI-1 and extracellular matrix (ECM) proteins including vitronectin (Vn) and the potential importance of this interaction for vascular disease.
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Seiffert, D., Loskutoff, D.J. (1991). The Role of Type 1 Plasminogen Activator Inhibitor in the Regulation of the Fibrinolytic System of the Normal and Atherosclerotic Vessel Wall. In: New Aspects of Metabolism and Behaviour of Mesenchymal Cells during the Pathogenesis of Arteriosclerosis. Abhandlungen der Rheinisch-Westfälischen Akademie der Wissenschaften, vol 87. VS Verlag für Sozialwissenschaften, Wiesbaden. https://doi.org/10.1007/978-3-322-99112-6_6
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