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.

Related Concept Videos

Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Clot Retraction and Fibrinolysis01:16

Clot Retraction and Fibrinolysis

After a fibrin clot is formed, the next step is clot retraction, a vital process facilitated by platelet contractile proteins, such as actin and myosin. These proteins pull the fibrin strands closer together and condense the clot. This action reduces the size of the clot, creating a smaller, denser structure that effectively seals off the damaged vessel. Clot retraction consolidates the clot and helps with wound healing by bringing the edges of the damaged blood vessel closer together.
Vascular Spasm01:16

Vascular Spasm

The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last for...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Formation of the Platelet Plug01:22

Formation of the Platelet Plug

The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
Extrinsic and Intrinsic Pathways of Hemostasis01:20

Extrinsic and Intrinsic Pathways of Hemostasis

Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which forms a...