1994
DOI: 10.1097/00001721-199404000-00002
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Plasminogen activator inhibitor-1 in the cerebrospinal fluid as an index of neurological disease

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Cited by 54 publications
(37 citation statements)
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“…However, in AD, tPA activity has been shown to be decreased in AD models, and its activity is proposed to be controlled by substantial increases in PAI-1 (64). In addition, PAI-1 protein levels increase in the CSF of AD patients (65), and PAI-1 mRNA is increased in APP transgenic mice (66). Brain plasmin activity was reported to also be reduced in AD brains (67).…”
Section: Discussionmentioning
confidence: 99%
“…However, in AD, tPA activity has been shown to be decreased in AD models, and its activity is proposed to be controlled by substantial increases in PAI-1 (64). In addition, PAI-1 protein levels increase in the CSF of AD patients (65), and PAI-1 mRNA is increased in APP transgenic mice (66). Brain plasmin activity was reported to also be reduced in AD brains (67).…”
Section: Discussionmentioning
confidence: 99%
“…Plasmin then cleaves A␤ with an efficiency that is approximately 10% that of plasmin toward its normal fibrin substrate (Tucker et al, 2000a). Interestingly, PAI-1, the principal physiologic inhibitor of tPA, and the less prominent PAI-2 are both increased during inflammation (Henkin et al, 1991) and have both been reported to be increased in AD (Akiyama et al, 1993;Sutton et al, 1994). Hence, we interpret these results as suggesting a feed-forward model in AD in which inflammation increases the expression of the plasminogen activator inhibitors, which in turn inhibit uPA and tPA, thereby reducing plasmin activity and allowing A␤ levels to increase, which may then fuel further inflammation.…”
Section: Discussionmentioning
confidence: 99%
“…Although these findings may render the involvement of the plasmin system in AD less likely and specific, some considerations should be addressed. Changes of t-PA or PAI-1 levels were described in patients suffering from inflammatory or infectious diseases and in cases of dementia (see Sutton et al 1994;Akenami et al 1997;Kwiecinski et al 2009). Reasons of such increase are not clear, however, it is conceivable to suppose that these changes reflect the activation of the fibrinolytic system due to the inflammatory paths that are not involved in CSF during AD (Sprengers and Kluft 1987;Pöllänen et al 1991).…”
Section: Discussionmentioning
confidence: 99%
“…) showed increased levels of PAI-1, however, in a rather unspecific way (Sutton et al 1994;Akenami et al 1997).…”
Section: Introductionmentioning
confidence: 87%