Abstract
The pharmacological use of plasminogen activators is associated with symptomatic improvement in patients with coronary artery thrombosis, peripheral arterial occlusions, and thrombosis of the venous system. Based on prospective angiographic studies and planned programs (1–5), thrombolysis is the only approved treatment of acute ischemic stroke (6–8) under limited circumstances. Currently, recombinant tissue plasminogen activator (rt-PA) is licensed in the United States and several other countries for the treatment of ischemic stroke within 3 h of onset (6).
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References
del Zoppo GJ, Ferbert A, Otis S, et al. Local intra-arterial fibrinolytic therapy in acute carotid territory stroke: A pilot study. Stroke 1988;19:307–313.
Mori E, Tabuchi M, Yoshida T, Yamadori A. Intracarotid urokinase with thromboembolic occlusion of the middle cerebral artery. Stroke 1988;19:802–812.
del Zoppo GJ, Poeck K, Pessin MS, Wolpert SM, Furlan AJ, Ferbert A. Recombinant tissue plasminogen activator in acute thrombotic and embolic stroke. Ann Neurol 1992;32:78–86.
Mori E, Yoneda Y, Tabuchi M, Yoshida T, Ohkawa S, Ohsumi Y. Intravenous recombinant tissue plasminogen activator in acute carotid artery territory stroke. Neurology 1992;42:976–982.
Yamaguchi T, Hayakawa T, Kikuchi H. Intravenous tissue plasminogen activator ameliorates the outcome of hyperacute embolic stroke. Cerebrovasc Dis 1993;3:269–272.
The National Institutes of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995;333:1581–1587.
Hacke W, Kaste M, Fieschi C, Toni D, Lesaffre E, von Kummer R, for the ECASS Study Group. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The European Cooperative Acute Stroke Study (ECASS). JAMA 1995;274:1017–1025.
Hacke W, Kaste M, Fieschi C, von Kummer R, Davalos A, Meier D, for the Second European-Australasian acute Stroke Study Investigators. Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Lancet 1998;352:1245–1251.
Sherry S. The history and development of thrombolytic therapy. In: Thrombolytic Therapy for Peripheral Vascular Disease, Comerota AJ, ed. J. B. Lippincott Co: Philadelphia. 1995; pp. 67–86.
Kaplan MH. Nature and role of the lytic factor in hemolytic streptococcal fibrinolysis. Proc Soc Exp Biol Med 1944;57:40–43.
Christensen LR, MacLeod CM. A proteolytic enzyme of serum: Characterization, activation, and reaction with inhibitors. J Gen Physiol 1945;28:559–583.
Tillett WS, Sherry S. The effect in patients of streptokinase fibrinolysis (streptokinase) and streptococcal deoxyribonuclease on fibrinous, purulent and sanguineous pleural exudations. J Clin Invest 1949;28:173–190.
Johnson AJ, Tillett WS. Lysis in rabbits of intravascular blood clots by the streptococcal fibrinolytic system (streptokinase). J Exp Med 1952;95:449–464.
Hermans J, McDonagh J. Fibrin: Structure and interactions. Semin Thromb Hemost 1982;8:11–24.
Davie EW, Fujikawa K, Kisiel W. The coagulation cascade: Initiation, maintenance, and regulation. Biochemistry 1991;30:10,363–10,370.
Nossel HL. Relative proteolysis of fibrin B-beta chain by thrombin and plasmin as a determinant of thrombosis. Nature 1981;291:754–762.
Alkjaersig N, Fletcher AP. Catabolism and excretion of fibrinopeptide A. Blood 1982;60:148–156.
Majerus PW, Miletich JP, Kane WP, Hoffmann SL, Stanford N, Jackson CM. The formation of thrombin on platelet surface. In: The Regulation of Coagulation, Mann KG, Taylor FB, eds. Elsevier/North Holland: New York. 1980; pp. 215–215.
Kaplan AP. Initiation of the intrinsic coagulation and fibrinolytic pathways of man: The role of surfaces, Hageman factor, prekallikrein, high molecular weight kininogen, and factor XI. Prog Hemost Thromb 1978;4:127–175.
Nesheim ME, Hibbard LS, Tracy PB, Bloom JW, Myrmel KH, Mann KA: Participation of factor Va in prothrombinase. In: The Regulation of Coagulation, Mann KG, Tayler FB, eds. Elsevier/North Holland: New York. 1980; pp. 145–159.
Miletich JP, Jackson CM, Majerus PW. Properties of the factor Xa binding site on human platelets. J Biol Chem 1978;253:6908–6916.
Levin EG, Marzec U, Anderson J, Harker LA. Thrombin stimulates tissue plasminogen activator release from cultured human endothelial cells. J Clin Invest 1984;74:1988–1995.
Van Hinsbergh VWM. Regulation of the synthesis and secretion of plasminogen activators by endothelial cells. Haemostasis 1988;18:307–327.
Liesi P, Kirkwood T, Vaheri A. Fibronectin is expressed by astrocytes cultured from embryonic and early postnatal rat brain. Exp Cell Res 1986;163:175–185.
Giles AR, Nosheim ME, Herring SW, Hoogendoorn H, Stump DC, Heldebrant CM. The fibrinolytic potential of the normal primate following the generation of thrombin in vivo. Thromb Haemost 1990;63:476–481.
Schwartz ML, Pizzo SV, Hill RL, McKee PA. Human factor XIII from plasma and platelets. Molecular weight, subunit structures, proteolytic activation and cross-linking of fibrinogen and fibrin. J Biol Chem 1973; 248:1395–1407.
Gaffney PJ, Whittaker AN. Fibrin cross-links and lysis rates. Thromb Res 1979;14:85–94.
Nawroth PP, Stern DM. Endothelial cells as active participants in procoagulant reactions. In: Vascular Endothelium in Hemostasis and Thrombosis, Gimbrone MA, ed. Churchill-Livingstone: Edinburgh. 1986; pp. 14–39.
Collen D, de Maeyer L. Molecular biology of human plasminogen. I. Physiocochemical properties and microheterogeneity. Thromb Diath Haemorhag 1975;34:396–402.
Levin EG, del Zoppo GJ. Localization of tissue plasminogen activator in the endothelium of a limited number of vessels. Am J Pathol 1994;144:855–861.
Plow EF, Felez J, Miles LA. Cellular regulation of fibrinolysis. Thromb Haemost 1991;66:132–136.
Bachmann F, Kruithof IEKO. Tissue plasminogen activator: Chemical and physiological aspects. Semin Thromb Hemost 1984;10:6–17.
Aoki N, Harpel PC. Inhibitors of the fibrinolytic enzyme system. Semin Thromb Hemost 1984;10:24–41.
Collen D, Lijnen HR. New approaches to thrombolytic therapy. Arteriosclerosis 1984;4:579–585.
Verstraete M, Collen D. Thrombolytic therapy in the eighties. Blood 1986;67:1529–1541.
Gaffrey PJ, Lane DA, Kakkar VV, Brahser M. Characterization of a soluble D-dimer-E complex in cross-linked fibrin digests. Thromb Res 1975;7:89–99.
Forsgren M, Raden B, Israelsson M, Larsson K, Heden LO. Molecular cloning and characterization of a full-length cDNA clone for human plasminogen. FEBS Lett 1987;213:254–260.
Bachmann F. Molecular aspects of plasminogen, plasminogen activators and plasmin. In: Haemostasis and Thrombosis, Bloom AL, Forbes CD, Thomas DP, Tuddneham EGD, eds. Churchill Livingstone: Edinburgh. 1994; pp. 575–613.
Wallen P, Wiman B. Characterization of human plasminogen. II. Separation and partial characterization of different molecular forms of human plasminogen. Biochim Biophys Acta 1973;257:122–134.
Holvoet P, Lijnen HR, Collen D. A monoclonal antibody specific for lys-plasminogen. Application to the study of the activation pathways of plasminogen in vivo. J Biol Chem 1985;260:12,106–12,111.
Thorsen S, Mullertz S, Svenson E, Kok P. Sequence of formation of molecular forms of plasminogen and plasminogen-inhibitor complexes in plasma activated by urokinase or tissue-type plasminogen activator. Biochem J 1984;223:179–187.
Peterson LC, Serenson E. Effect of plasminogen and tissue-type plasminogen activator on fibrin gel structure. Fibrinolysis 1990;5:51–59.
Tran-Thong C, Kruithof EKO, Atkinson J, Bachmann F. High-affinity binding sites for human glu-plasminogen unveiled by limited plasmic degradation of human fibrin. Eur J Biochem 1986;160:559–604.
Miles LA, Greengard JS, Griffin JH. A comparison of the abilities of plasma kallikrein, Beta-Factor XIIa, Factor XIa and urokinase to activate plasminogen. Thromb Res 1983;29:407–417.
Kluft C, Dooijewaard G, Emeis JJ. Role of the contact system in fibrinolysis. Semin Thromb Hemost 1987;13:50–68.
Wun TC, Ossowski L, Reich E. A proenzyme of human urokinase. J Biol Chem 1982;257:7262–7276.
Wun TC, Schleuning E, Reich E. Isolation and characterization of urokinase from human plasma. J Biol Chem 1982;257:3276–3287.
Ichinose A, Fujikawa K, Suyama T. The activation of pro-urokinase by plasma kallikrein and its inactivation by thrombin. J Biol Chem 1986;261:3486–3489.
Hanss M, Collen D. Secretion of tissue-type plasminogen activator and plasminogen activator inhibitor by cultured human endothelial cells: Modulation by thrombin endotoxin and histamine. J Lab Clin Med 1987;109:97–104.
Levin EG, Stern DM, Nawrath PP, et al. Specificity of the thrombin-induced release of tissue plasminogen activator from cultured human endothelial cells. Thromb Haemost 1986;56:115–119.
Robbins KC, Summaria L, Hsieh B, Shah RJ. The peptide chains of human plasmin. J Biochem 1967; 242:2333–2342.
Robbins KC. The plasminogen-plasmin system. In: Thrombolytic Therapy for Peripheral Vascular Disease, Comerota AJ, ed. J. B. Lippincott: Philadelphia. 1995; pp. 41–65.
Wiman B, Collen D. Molecular mechanism of physiological fibrinolysis. Nature 1979;272:549–550.
Collen D. On the regulation and control of fibrinolysis. Thromb Haemost 1980;43:77–89.
Hoylaerts M, Rijken DC, Lijnen HR, Collen D. Kinetics of the activation of plasminogen by human tissue plasminogen activator. Role of fibrin. J Biol Chem 1982;257:2912–2919.
Wun T-C, Capugno A. Initiation and regulation of fibrinolysis in human plasma at the plasminogen activator level. Blood 1987;69:1354–1362.
Bloom AL, Thomas DP. Haemostasis and Thrombosis. Edinburgh, Churchill-Livingstone, 1987.
Kakkar VV, Scully MF. Thrombolytic therapy. Br Med Bull 1978;34:191–199.
Sharma GVRK, Cella G, Parish AF, Sasahara AA. Drug therapy: Thrombolytic therapy. N Engl J Med 1982;306:1268–1276.
Verstraete M. Biochemical and clinical aspects of thrombolysis. Semin Hematol 1978;15:35–54.
Castellino FJ. Biochemistry of human plasminogen. Semin Thromb Hemost 1984;10:18–23.
Yasaka M, Yamaguchi T, Miyashita T, Tsuchiya T. Regression of intracardiac thrombus after embolic stroke. Stroke 1990;21:1540–1544.
Bounameaux H, de Moerloose P, Perrier A, Reber G. Plasma measurement of D-dimer as diagnostic aid in suspected venous thromboembolism: An overview. Thromb Haemost 1994;71:1–6.
Rijken DC. Structure/function relationships of t-PA. In: Tissue Type Plasminogen Activator (t-PA):Physiological and Clinical Aspects Vol. 1, Kluft C, ed. CRC Press: Boca Raton. 1988; pp. 101–122.
Pennica D, Holmes WE, Kohr WJ, Harkins RN, Vehar GA, Ward CA. Cloning and expression of human tissue-type plasminogen activator cDNA in E coli. Nature 1983;301:214–221.
Ehrlich HJ, Bang NW, Little SP, et al. Biological properties of a kringleless tissue plasminogen activator (t-PA) mutant. Fibrinolysis 1987;1:75–81.
Ranby M, Bergsdorf N, Norrman B, Svenson E, Wallen P. Tissue plasminogen activator kinetics. In: Progress in Fibrinolysis Vol. VI, Davison JF, Bachmann F, Bouvier CA, Kruithof EKO, eds. Churchill-Livingstone: New York. 1982; pp. 182–182.
Gelehrter TD, Sznycer-Laszuk R. Thrombin induction of plasminogen activator-inhibitor in cultured human endothelial cells. J Clin Invest 1986;77:165–169.
Sakata Y, Curriden S, Lawrence D, et al. Activated protein C stimulates the fibrinolytic activity of cultured endothelial cells and decreases antiactivator activity. Proc Natl Acad Sci USA 1985;82:1121–1125.
Moscatelli D. Urokinase-type and tissue-type plasminogen activators have different distributions in cultured bovine capillary endothelial cells. J Cell Biochem 1986;30:19–29.
Bulens F, Nelles L, Van den Panhuyzen N, Collen D. Stimulation by retinoids of tissue-type plasminogen activator secretion in cultured human endothelial cells: Relations of structure to effect. J Cardiovasc Pharmacol 1992;19:508–514.
Thompson EA, Nelles L, Collen D. Effect of retinoic acid on the synthesis of tissue-type plasminogen activator and plasminogen activator inhibitor-I in human endothelial cells. Eur J Biochem 1991;201:627–632.
Saksela O, Moscatelli D, Rifkin DB. The opposing effects of basic fibroblast growth factor and transforming growth factor beta on the regulation of plasminogen activator activity in capillary endothelial cells and decreases antiactivator activity. J Cell Biol 1987;105:957–963.
Levin EG, Marotti KR, Santell L. Protein kinase C and the stimulation of tissue plasminogen activator release from human endothelial cells. Dependence on the elevation of messenger RNA. J Biol Chem 1989;264:16,030–16,036.
Smith D, Gilbert M, Owen WG. Tissue plasminogen activator release in vivo in response to vasoactive agents. Blood 1985;66:835–839.
Brommer EJP. Clinical relevance of t-PA levels of fibrinolytic assays. In: Tissue-Type Plasminogen Activator (t-PA): Physiological and Clinical Aspects Part 2, Kluft C, ed. CRC Press: Boca Raton. 1988; pp. 89–89.
Agnelli G. The pharmacological basis of thrombmolytic therapy. In: Thrombolysis Yearbook 1995, Agnelli G, ed. Excerpta Medica: Amsterdam. 1995; pp. 31–61.
Verstraete M, Bounameaux H, de Cock F, Van de Loerf F, Collen D. Pharmacokinetics and systemic fibrinogenolytic effects of recombinant human tissue-type plasminogen activator (rt-PA) in humans. J Pharmacol Exp Ther 1986;235:506–512.
Krystosek A, Seeds NW. Normal and malignant cells, including neurons, deposit plasminogen activator on growth substrata. Exp Cell Res 1986;166:31–46.
Pittman RN. Release of plasminogen activator and a calcium-dependent metalloprotease from cultured sympathetic and sensory neurons. Dev Biol 1985;110:91–101.
Vincent VA, Lowik CW, Verheijen JH, de Bart AC, Tilders FJ, Van Dam AM. Role of astrocyte-derived tissue-type plasminogen activator in the regulation of endotoxin-stimulated nitric oxide production by microglial cells. GLIA 1998;22:130–137.
Toshniwal PK, Firestone SL, Barlow GH, Tiku ML. Characterization of astrocyte plasminogen activator. J Neurol Sci 1987;80:277–287.
Tsirka SE, Rogove AD, Bugge TH, Degen JL, Strickland S. An extracellular proteolytic cascade promotes neuronal degeneration in the mouse hippocampus. J Neurosci 1997;17:543–552.
Masos T, Miskin R. Localization of urokinase-type plasminogen activator mRNA in the adult mouse brain. Brain Res Mol Brain Res 1996;35:139–148.
Tranque P, Naftolin F, Robbins R. Differential regulation of astrocyte plasminogen activators by insulin-like growth factor-I and epidermal growth factor. Endocrinology 1994;134:2606–2613.
Nakajima K, Tsuzaki N, Shimojo M, Hamanoue M, Kohsaka S. Microglia isolated from rat brain secrete a urokinase-type plasminogen activator. Brain Res 1992;577:285–292.
Lijnen HR, Zamarron C, Blaber M, Winkler ME, Collen D. Activation of plasminogen by pro-urokinase. I. Mechanism. J Biol Chem 1986;261:1253–1258.
Peterson LC, Lund LR, Nielsen LS, Dano K, Shriver L. One-chain urokinase-type plasminogen activator from human sarcoma cells is a proenzyme with little or no intrinsic activity. J Biol Chem 1988;263:11,189–11,195.
Gunzler WA, Steffens GJ, Otting F, Buse G, Flohe L. Structural relationship between human high and low molecular mass urokinase. Hoppe Seylers Z Physiol Chem 1982;563:133–141.
White FW, Barlow GH, Mozen MM. The isolation and characterization of plasminogen activators (urokinase) from human urine. Biochemistry 1966;5:2160–2169.
Fletcher AP, Alkjaersig N, Sherry S, Genton E, Hirsh J, Bachmann F. The development of urokinase as a thrombolytic agent. Maintenance of a sustained thrombolytic state in man by its intravenous infusion. J Lab Clin Med 1965;65:713–731.
Stump DC, Mann KH. Mechanisms of thrombus formation and lysis. Ann Emerg Med 1988;17:1138–1147.
Davies MC, Englert ME, De Rezo EC. Interaction of streptokinase and human plasminogen observed in the ultracentrifuge under a variety of experimental conditions. J Biol Chem 1964;239(8):2651–2656.
Reddy KN, Marcus B. Mechanisms of activation of human plasminogen by streptokinase. J Biol Chem 1972;246:1683–1691.
Fletcher AP, Alkjaersig N, Sherry S. The clearance of heterologous proteins from the circulation of normal and immunized man. J Clin Invest 1958;37(9):1306–1315.
Standing R, Fears R, Ferres H. The protective effect of acylation on the stability of APSAC (Eminase) in human plasma. Fibrinolysis 1988;2:157.
Ferres H. Preclinical pharmacological evaluation of Eminase (APSAC). Drugs 1987;33(Suppl 3): 33–50.
Lignen HR, de Cock F, Matsuo O, Collen D. Comparative fibrinolytic and fibrinogenolytic properties of staphylokinase and streptokinase in plasma of different species in vitro. Fibrinolysis 1992;6:33–37.
Collen D. Staphlyokinase: a potent, uniquely fibrin-selective thrombolytic agent. Nature Medicine 1998;4(3):279–282.
Jespers L, Vanwetswinkel S, Lijnen HR, Van Herzeele N, Van Hoef B, Demarsin E, et al. Structural and functional basis of plasminogen activation by staphylokinase. Thromb Haemost 1999;81(4):479–484.
Lijnen HR, Van Hoef B, Matsuo O, Collen D. On the molecular, interactions between plasminogen-staphylokinase, α2-antiplasmin and fibrin. Biochim Biophys Acta 1992;1118:144–148.
Witt W, Maass B, Baldus B, Hildebrand M, Donner P, Schleuning WD. Coronary thrombosis with Desmodus salivary plasminogen activator in dogs. Fast and persistent recanalization by intravenous bolus administration. Circulation 1994;90:421–426.
Bergum PW, Gardell SJ. Vampire bat salivary plasminogen activator exhibits a strict and fastidious requirement for polymeric fibrin as its cofactor, unlike human tissue-type plasminogen activator. A kinetic analysis. J Biol Chem 1992;267:17,726–17,731.
Hare TR, Gardell SJ. Vampire bat salivary plasminogen activator promotes robust lysis of plasma clots in a plasma milieu without causing fluid phase plasminogen activation. Thromb Haemost 1992;68:165–169.
Witt W, Baldus B, Bringmann P, Cashion L, Donner P, Schleuning WD. Thrombolytic properties of Desmodus rotundus (vampire bat) salivary plasminogen activator in experimental pulmonary embolism in rats. Blood 1992; 79:1213–1217.
Mellot MJ, Stabilito II, Holahan MA, et al. Vampire bat salivary plasminogen activator promotes rapid and sustained reperfusion without concomitant systemic plasminogen activation in a canine model of arterial thrombosis. Arterioscler Thromb 1992;12:212–221.
Gardell SJ, Ramjit DR, Stabilito II, Fujita T, Lynch JJ, Cuca GC, et al. Effective thrombolysis without marked plasminemia after bolus intravenous administration of vampire bat salivary plasminogen activator in rabbits. Circulation 1991;84:244–253.
Lijnen HR, Collen D. Development of new fibrinolytic agents. In: Haemostasis and Thrombosis, Bloom AL, Forbes CD, Thomas DP, Tuddenham EGD, eds. Churchill-Livingstone: Edinburgh. 1994; pp. 625–637.
Van de Werf F. New thrombolytic strategies. Aust N Z J Med 1993;23:763–765.
Barnathan ES, Kuo A, Van der Keyl H, McCrae KR, Larsen GR, Cines DB. Tissue-type plasminogen activator binding to human endothelial cells. J Biol Chem 1988;263:7792–7799.
Smalling RW. Pharmacological and clinical impact of the unique molecular structure of a new plasminogen activator. Eur Heart J 1997;18(F):F11–F16.
Benedict CR, Refino CJ, Keyt BA, et al. New variant of human tissue plasminogen activator (TPA) with enhanced efficacy and lower incidence of bleeding compared with recombinant human TPA. Circulation 1995;92(10):3032–3040.
Cannon CP, McCabe CH, Gibson CM, Ghali M, Sequeira RF, McKendall GR, et al. TNKtissue plasminogen activator in acute myocardial infarction. Results of the Thrombolysis in Myocardial Infarction (TIMI) 10A dose-ranging trial. Circulation 1997;95(2):351–356.
Cannon CP, Gibson CM, McCabe CH, Adgey AA, Schweiger MJ, Sequeira RF, et al. TNKtissue plasminogen activator compared with front-loaded alteplase in acute myocardial infarction: results of the TIMI 10B trial. Thrombolysis in Myocardial Infarction (TIMI) 10B Investigators. Circulation 1998;98(25):2805–2814.
Van de Werf F, Cannon CP, Luyten A, Houbracken K, McCabe CH, Berioli S, et al. Safety assessment of single-bolus administration of TNK tissue-plasminogen activator in acute myocardial infarction: the ASSENT-1 trial. The ASSENT-1 Investigators. Am Heart J 1999;137(5):786–791.
Gibson CM, Cannon CP, Murphy SA, et al. Weight-adjusted dosing of TNK-tissue plasminogen activator and its relation to angiographic outcomes in the thrombolysis in myocardial infarction 10B trial. TIMI 10B Investigators. Am J Cardiol 1999;84(9):976–980.
Modi NB, Eppler S, Breed J, Cannon CP, Braunwald E, Love TW. Pharmacokinetics of a slower clearing tissue plasminogen activator variant, TNK-tPA, in patients with acute myocardial infarction. Thromb Haemost 1998; 79(1):134–139.
Pierard L, Jacobs P, Gheysen D, Hoylaerts M, Andre B, Topisirovic L, et al. Mutant and chimeric recombinant plasminogen activators. J Biol Chem 1987;262:11,771–11,778.
Runge MS, Bode C, Matsueda GR, Haber E. Antibody-enhanced thrombolysis: Targeting of tissue plasminogen activator in vivo. Proc Natl Acad Sci USA 1987;84:7659–7662.
Bode C, Meinhardt G, Runge MS, et al. Platelet-targeted fibrinolysis enhances clot lysis and inhibits platelet aggregation. Circulation 1991;84:805–813.
Jones RD, Donaldson IM, Parkin PJ. Impairment and recovery of ipsilateral sensory-motor function following unilateral cerebral infarction. Brain 1989;112:113–132.
Kasper W, Meinertz T, Hohnloser S, Engler H, Hasler C, Rossler W, et al. Coronary thrombolysis in man with prourokinase: Improved efficacy with low dose urokinase. Klin Wochenschr 1988;66:109–114.
Bachmann F. Fibrinolysis. In: Thrombosis and Haemostasis, Verstraete M, Vermylen J, Lijnen HR, Arnout J, eds. Leuven, ISTH/University of Leuven Press: 1987; pp. 227–265.
Kluft C, Los N. Demonstration of two forms of α2-antiplasmin in plasma by modified crossed immunoelectrophoresis. Thromb Res 1981;21:65–71.
Winman B, Nilsson T, Cedergren B. Studies on a form of α2-antiplasmin in plasma which does not interact with the lysine-binding sites in plasminogen. Thromb Res 1982; 28:193–200.
Aoki N, Harpel P. Inhibitors of the fibrinolytic enzyme system. Semin Hemostat Thromb 1984;10:24–39.
Philips M, Juul AG, Thorsen S. Human endothelial cells produce a plasminogen activator inhibitor and a tissue-type plasminogen activator-inhibitor complex. Biochim Biophys Acta 1984;802:99–110.
Loskutoff DJ, van Mourik JA, Erickson LA, Lawrence DA. Detection of an unusually stable fibrinolytic inhibitor produced by bovine endothelial cells. Proc Natl Acad Sci USA 1983;80:2956–2960.
Thorsen S, Philips M, Selmer J, Lecander I, Astedt B. Kinetics of inhibition of tissue-type and urokinase-type plasminogen activator by plasminogen-activator inhibitor type 1 and type 2. Eur J Biochem 1988; 175:33–39.
Wilhelm OG, Jaskunas SR, Vlahos CJ, Bang NU. Functional properties of the recombinant kringle-2 domain of tissue plasminogen activator produced in Escherichia coli. J Biol Chem 1990;265:14,606–14,611.
Juhan-Vague I, Moerman B, de Cock F, Aillaud MF, Collen D. Plasma levels of a specific inhibitor of tissue-type plasminogen activator (and urokinase) in normal and pathological conditions. Thromb Res 1984; 33:523–530.
Kluft C, Verheihen J-H, Jie AFH, et al. The postoperative fibrinolytic shutdown: A rapidly reverting acute-phase pattern for the fast-acting inhibitor of tissue-type plasminogen activator after trauma. Scand J Clin Lab Invest 1985;45:605–610.
Schleuning W-D, Medcalf RL, Hession C, Rothenb ÿhler R, Shaw A, Kruithof EKO. Plasminogen activator inhibitor 2: Regulation of gene transcription during phorbol estermediated differentiation of U-937 human histiocytic lymphoma cells. Mol Cell Biol 1987;7:4564–4567.
Kruithof EKO, Tran-Thang C, Gudinchet A, et al. Fibrinolysis in pregnancy: A study of plasminogen activator inhibitors. Blood 1987;69:460–466.
Bonnar J, Daly L, Sheppard BL. Changes in the fibrinolytic system during pregnancy. Semin Thromb Hemost 1990;16:221–229.
Stump D, Thienpoint M, Collen D. Purification and characterization of a novel inhibitor of urokinase from human urine: Quantitation and preliminary characterization in plasma. J Biol Chem 1986;261:12,759–12,766.
Heeb MJ, Espana F, Geiger M, Collen D, Stump D, Griffin JH. Immunological identity of heparin-dependent plasma and urinary protein C inhibitor and plasminogen activator inhibitor-3. J Biol Chem 1987;262:15,813–15,816.
Marder VJ, Sherry S. Thrombolytic therapy. Current status. N Engl J Med 1988;388:1512–1520.
Gimple LW, Gold HK, Leinbach RC, et al. Correlation between template bleeding times and spontaneous bleeding during treatment of acute myocardial infarction with recombinant tissue plasminogen activator. Circulation 1989;80:581–588.
Agnelli G, Buchanan MR, Fernandez F, et al. A comparison of the thrombolytic and hemorrhagic effects of tissue-type plasminogen activator and streptokinase in rabbits. Circulation 1985;72:178–182.
Marder VJ, Shortell CK, Fitzpatrick PG, Kim C, Oxley D. An animal model of fibrinolytic bleeding based on the rebleed phenomenon: Application to a study of vulnerability of hemostatic plugs of different age. Thromb Res 1992;67(1):31–40.
Loscalzo J, Vaughan DB. Tissue plasminogen activator promotes platelet disaggregation in plasma. J Clin Invest 1987;79:1749–1755.
Chen LY, Muhta JL. Lys-and glu-plasminogen potentiate the inhibitory effect of recombinant tissue plasminogen activator on human platelet aggregation. Thromb Res 1994;74:555–563.
NIH Consensus Conference. Thrombolytic therapy in treatment. Br Med J 1980;280:1585–1587.
Danglet G, Vinson D, Chapeville F. Qualitative and quantitative distribution of plasminogen activators in organs from healthy adult mice. FEBS Lett 1986;194:96–100.
Matsuo O, Okada K, Fukao H, Suzuki A, Ueshima S. Cerebral plasminogen activator activity in spontaneously hypertensive stroke-prone rats. Stroke 1992;23:995–999.
Dent MA, Sumi Y, Morris RJ, Seeley PJ. Urokinase-type plasminogen activator expression by neurons and oligodendrocytes during process outgrowth in developing rat brain. Eur J Neurosci 1993;5:633–647.
Sappino A-P, Madani R, Huarte J, et al. Extracellular proteolysis in the adult murine brain. J Clin Invest 1993;92:679–685.
Wang YF, Tsirka SE, Strickland S, Stieg PE, Soriano SG, Lipton SA. Tissue plasminogen activator (t-PA) increases neuronal damage after focal cerebral ischemia in wild-type and t-PA-deficient mice. Nature Medicine 1998;4:228–231.
del Zoppo GJ. t-PA: A neuron buster, too? (editorial). Nature Medicine 1998;4:148–150.
Tsirka SE, Rogove AD, Strickland S. Neuronal cell death and tPA. Nature 1996;384:123–124.
Tsirka SE, Gualandris A, Amaral DG, Strickland S. Excitotoxin-induced neuronal degeneration and seizure are mediated by tissue plasminogen activator. Nature 1995;377:340–344.
del Zoppo GJ. tPA: A neuron buster, too?. Nature Medicine 1998;4:148–149.
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del Zoppo, G.J., Hosomi, N. (2005). Mechanisms of Thrombolysis. In: Lyden, P.D. (eds) Thrombolytic Therapy for Acute Stroke. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-933-8:3
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DOI: https://doi.org/10.1385/1-59259-933-8:3
Publisher Name: Humana Press
Print ISBN: 978-1-58829-398-5
Online ISBN: 978-1-59259-933-2
eBook Packages: MedicineMedicine (R0)