Fibrin turnover and organization of pleural injury: Bench to bedside

Recent studies have shed new light on the role of the fibrinolytic system in the pathogenesis of pleural organization, including mechanisms by which the system regulates mesenchymal transition of mesothelial cells and how that process affects outcomes of pleural injury. The key contribution of plasm...

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Detalles Bibliográficos
Autores principales: Komissarov, A, Rahman, N, Lee, Y, Florova, G, Shetty, S, Idell, R, Ikebe, M, Das, K, Tucker, T, Idell, S
Formato: Journal article
Lenguaje:English
Publicado: American Physiological Society 2018
Descripción
Sumario:Recent studies have shed new light on the role of the fibrinolytic system in the pathogenesis of pleural organization, including mechanisms by which the system regulates mesenchymal transition of mesothelial cells and how that process affects outcomes of pleural injury. The key contribution of plasminogen activator inhibitor-1 to the outcomes of pleural injury is now better understood as is its role in the regulation of intrapleural fibrinolytic therapy. In addition, mechanisms by which fibrinolysins are processed after intrapleural administration have now been elucidated, informing new candidate diagnostics and therapeutics for pleural loculation and failed drainage. The emergence of new potential interventional targets offers the potential for the development of new and more effective therapeutic candidates.