The Fibrinolytic System: Mysteries and Opportunities

The deposition and removal of fibrin has been the primary role of coagulation and fibrinolysis, respectively. There is also little doubt that these 2 enzyme cascades influence each other given they share the same serine protease family ancestry and changes to 1 arm of the hemostatic pathway would in...

Full description

Bibliographic Details
Main Authors: Robert L. Medcalf, Charithani B. Keragala
Format: Article
Language:English
Published: Wiley 2021-06-01
Series:HemaSphere
Online Access:http://journals.lww.com/10.1097/HS9.0000000000000570
_version_ 1797281885417635840
author Robert L. Medcalf
Charithani B. Keragala
author_facet Robert L. Medcalf
Charithani B. Keragala
author_sort Robert L. Medcalf
collection DOAJ
description The deposition and removal of fibrin has been the primary role of coagulation and fibrinolysis, respectively. There is also little doubt that these 2 enzyme cascades influence each other given they share the same serine protease family ancestry and changes to 1 arm of the hemostatic pathway would influence the other. The fibrinolytic system in particular has also been known for its capacity to clear various non-fibrin proteins and to activate other enzyme systems, including complement and the contact pathway. Furthermore, it can also convert a number of growth factors into their mature, active forms. More recent findings have extended the reach of this system even further. Here we will review some of these developments and also provide an account of the influence of individual players of the fibrinolytic (plasminogen activating) pathway in relation to physiological and pathophysiological events, including aging and metabolism.
first_indexed 2024-03-07T17:03:54Z
format Article
id doaj.art-788f70dd9db44474bac40e85b89ab35f
institution Directory Open Access Journal
issn 2572-9241
language English
last_indexed 2024-03-07T17:03:54Z
publishDate 2021-06-01
publisher Wiley
record_format Article
series HemaSphere
spelling doaj.art-788f70dd9db44474bac40e85b89ab35f2024-03-03T02:51:11ZengWileyHemaSphere2572-92412021-06-0156e57010.1097/HS9.0000000000000570202106000-00004The Fibrinolytic System: Mysteries and OpportunitiesRobert L. Medcalf0Charithani B. Keragala11 Molecular Neurotrauma and Haemostasis, Australian Centre for Blood Diseases, Central Clinical School, Monash University, Victoria, Australia1 Molecular Neurotrauma and Haemostasis, Australian Centre for Blood Diseases, Central Clinical School, Monash University, Victoria, AustraliaThe deposition and removal of fibrin has been the primary role of coagulation and fibrinolysis, respectively. There is also little doubt that these 2 enzyme cascades influence each other given they share the same serine protease family ancestry and changes to 1 arm of the hemostatic pathway would influence the other. The fibrinolytic system in particular has also been known for its capacity to clear various non-fibrin proteins and to activate other enzyme systems, including complement and the contact pathway. Furthermore, it can also convert a number of growth factors into their mature, active forms. More recent findings have extended the reach of this system even further. Here we will review some of these developments and also provide an account of the influence of individual players of the fibrinolytic (plasminogen activating) pathway in relation to physiological and pathophysiological events, including aging and metabolism.http://journals.lww.com/10.1097/HS9.0000000000000570
spellingShingle Robert L. Medcalf
Charithani B. Keragala
The Fibrinolytic System: Mysteries and Opportunities
HemaSphere
title The Fibrinolytic System: Mysteries and Opportunities
title_full The Fibrinolytic System: Mysteries and Opportunities
title_fullStr The Fibrinolytic System: Mysteries and Opportunities
title_full_unstemmed The Fibrinolytic System: Mysteries and Opportunities
title_short The Fibrinolytic System: Mysteries and Opportunities
title_sort fibrinolytic system mysteries and opportunities
url http://journals.lww.com/10.1097/HS9.0000000000000570
work_keys_str_mv AT robertlmedcalf thefibrinolyticsystemmysteriesandopportunities
AT charithanibkeragala thefibrinolyticsystemmysteriesandopportunities
AT robertlmedcalf fibrinolyticsystemmysteriesandopportunities
AT charithanibkeragala fibrinolyticsystemmysteriesandopportunities