2018
DOI: 10.1007/978-1-4939-8645-3_13
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Serpins in Venous Thrombosis and Venous Thrombus Resolution

Abstract: Several serpins function as potent inhibitors of thrombolytic serine proteases. Venous thrombosis is a common and debilitating condition whose incidence is on the rise. Studies using genetically modified mice and inhibitors have shown that the plasminogen activator inhibitors (PAI), PAI-1 and PAI-2, are primary regulators of plasminogen activation and contribute to regulating the resolution of experimental venous thrombi, via inflammatory mechanisms, vascular remodeling, and inhibition of fibrinolysis. Therapi… Show more

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Cited by 9 publications
(5 citation statements)
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References 42 publications
(62 reference statements)
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“…Serine protease inhibitors can also act as potent inhibitors of thrombolytic serine proteases to modulate the in ammatory response (14). Thus, upregulation of the complement system with serine protease inhibitors is a manifestation of the involvement in the in ammatory response, indirectly causing the in ltration of heterophilic granulocytes.…”
Section: Discussionmentioning
confidence: 99%
“…Serine protease inhibitors can also act as potent inhibitors of thrombolytic serine proteases to modulate the in ammatory response (14). Thus, upregulation of the complement system with serine protease inhibitors is a manifestation of the involvement in the in ammatory response, indirectly causing the in ltration of heterophilic granulocytes.…”
Section: Discussionmentioning
confidence: 99%
“…This disease phenotype is similar to the phenotype we previously found in PAI-1-deficient ( Serpine1 −/− ) mice [ 7 ]. Like PAI-1, PAI-2 is considered to be an authentic and physiological inhibitor of uPA and tPA within extracellular environments [ 1 , 30 ]. Consequently, a lack of PAI-2 could lead to an increased formation of plasmin from plasminogen and thus to an imbalance between the coagulation and fibrinolysis system with an increased risk of bleeding.…”
Section: Discussionmentioning
confidence: 99%
“…This is a robust model that accurately mimics many features of human DVT and it is well-established in the DVT literature (4247). Stasis is induced by complete ligation of the inferior vena cava immediately below the renal veins, and all the side branches are either cauterized or ligated (48). The model produces thrombi of reproducible size and variation between animals is relatively small (Figure 2).…”
Section: Understanding Dvt and Its Resolution—animal Modelsmentioning
confidence: 99%