TBBP_Plasminogen^J Plasmin

TBBP_Plasminogen^J Plasmin

TBBP_Plasminogen^J Plasmin


Set of flashcards Details

Flashcards 10
Language English
Category Chemistry
Level University
Created / Updated 31.12.2016 / 31.12.2016
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key points of hemostasis

hemostasis requires interaction of platelets, coagulation and fibrinolytic factors, endothelium, pro- and anti-inflammatory mediators, leukocytes. Clot formation normally initiated by vascular injury (platelet plug reinforced by vascular injury via extrinsic pathway), anticoagulants (AT-III, protein C) localize thrombosis to sites of vascular injury, clot formation balanced by plasmin-mediated fibrinolysis = formation of D-dimers and other fibrin degradation products.

coagulation cascade

extrinsic pathway: fibrin clot formation in response to tissue injury. Intrinsic pathway: fibrin clot formation in response to an abnormal vessel wall (f.e. by contact with lipoprotein particles or bacteria)

fibrinolytic system

activation plasminogen to plasmin with tPA by cleavage of N-terminal peptide (nicking Arg 561 at activation side), plasmin degrades fibrin clot unless it gets repressed by Alpha2-Antiplasmin (control)

Plasminogen

zymogen, inactive form of the enzyme and conversion to plasmin, single chain glycoprotein, 92 kD, 0.2 g/L, synthesis in liver

Plasmin

serine protease (homology to trypsin), 24 disulfide bridges, nonspecific protease, degrades fibrin clots to maintain clot hemostasis, plasmin is rapidly inactivated

purification considerations

purify plasminogen, then activate using a plasmin activator (tPA). Affinity chr. Leveraging the kringle regions. Critical to stabilize plasmin under conditions to avoid autodegradation, viral inactivation must be present. 1. Purification of plasminogen (DF/viral reduction --> AFC --> freeze. 2. purification of plasmin and removal of impurities (viral inactivation, AFC, hydrophobic chr., UF/DF, nanofiltration), 3. formulation, fill and freeze-dry

thrombolytics

plasmin degrades clots by splitting fibrin into fragments, plasmin itself can't be used: inhibitors in plasma prevent its effects, fibrinolytic drugs catalyze activation to plasmin, rapidly lyse or break down thrombi, some drugs more clot specific (act on fibrin bound plasminogen)

therapeutic uses of plasminogen

congenital deficiencies (Type 1: autosomal recessive, formation of fibrous depositions throughout the body, plasminogen unavailable for clot dissolution. Type 2: only a polymorphic variation of population, no specific clinical manifestation), wound healing. direct dissolution of clots: locally delivering of the drug maintaining its activity, safe and quickly inactivated drug. today delivering plasminogen activators systemically

pre-clinical in vitro efficacy date

lysis of fresh clots: plasmin and tPA lyse clots, lysis of retracted clots: plasmin lyses clots, tPA is ineffective, clots are poor in plasminogen

target clots / emboli

peripheral arterial disease (PAD), deep vein thrombosis (DVT), Ischemic stroke, pulmonary embolism