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...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Wiley
2021-06-01
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Series: | HemaSphere |
Online Access: | http://journals.lww.com/10.1097/HS9.0000000000000570 |
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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 |