Plasminogen activator system and vascular disease
Suzanne M Nicholl1, Elisa Roztocil, Mark G Davies
1Vascular Biology and Therapeutics Program, Center for Vascular Disease, University of Rochester, New York 14642, USA. Suzanne_Nicholl@urmc.rochester.edu
Insights
The plasminogen activator system is crucial in vascular injury and cardiovascular disease. Understanding its components, like urokinase-plasminogen activator (u-PA) and tissue-type plasminogen activator (t-PA), aids in studying vascular homeostasis.
Area of Science:
- Cardiovascular Biology
- Proteolysis and Vascular Health
Background:
- Vascular diseases like atherosclerosis and stroke involve the plasminogen activator system.
- This system is central to the pathogenesis of vascular injury and restenosis after surgery.
Purpose of the Study:
- To elucidate the role of the plasminogen activator system in cardiovascular disease.
- To understand the impact of plasminogen deficiency on cardiovascular pathology.
Main Methods:
- Utilized plasminogen deficient mice models.
- Investigated the central components: urokinase-plasminogen activator (u-PA), tissue-type plasminogen activator (t-PA), plasminogen (plg), plasmin, and inhibitors (PAI-1, PAI-2).
Main Results:
- Plasminogen deficient mice models have significantly advanced understanding of this proteolytic system.
- The plasminogen activator system is vital for vascular homeostasis and injury response.
Conclusions:
- The plasminogen activator system, including u-PA, t-PA, and plasmin, is a critical regulator of vascular health.
- Associated proteases like Matrix Metalloproteinases (MMPs) and their inhibitors (TIMPs) are influenced by this system.
Abstract:
Vascular diseases, such as atherosclerosis, thromboembolic disorders and stroke, in addition to surgical procedures such as restenosis, all share the plasminogen activator system as a central component in the pathogenesis of vascular injury. Since the development of plasminogen deficient mice our knowledge of the effects of this proteolytic system in cardiovascular disease has vastly increased. The plasminogen activator system plays a key role in vascular homeostasis and constitutes a critical response mechanism to cardiovascular injury. The central components of the PA system are the proteolytic activators, urokinase-plasminogen activator (u-PA) and tissue-type plasminogen activator (t-PA), plasminogen (plg) and its degradation product, plasmin, together with the major inhibitors of this system, plasminogen activator inhibitor-1 and -2 (PAI-1, PAI-2). An extensive network of additional proteases, inhibitors, receptors and modulators directly associate and are influenced by the PA system, the largest group being the Matrix Metalloproteinases (MMPs) and their respective inhibitors the Tissue inhibitors of MMPs (TIMPS).
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