2012
DOI: 10.1016/j.thromres.2012.06.023
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The Biochemistry, Physiology and Pathological roles of PAI-1 and the requirements for PAI-1 inhibition in vivo

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Cited by 114 publications
(115 citation statements)
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“…Thus, these simulations also help elucidate why some inhibitory serpin families are more conformationally labile than others. T he serpin plasminogen activator inhibitor 1 (PAI-1) negatively regulates blood clot clearance (fibrinolysis) by mechanically inhibiting important serine proteases, including tissue type plasminogen activator and urokinase type plasminogen activator (1). Suicide inhibition, initiated by proteolytic cleavage of the PAI-1 reactive center loop (RCL), requires insertion of the cleaved RCL into the central β-sheet (sheet A).…”
mentioning
confidence: 99%
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“…Thus, these simulations also help elucidate why some inhibitory serpin families are more conformationally labile than others. T he serpin plasminogen activator inhibitor 1 (PAI-1) negatively regulates blood clot clearance (fibrinolysis) by mechanically inhibiting important serine proteases, including tissue type plasminogen activator and urokinase type plasminogen activator (1). Suicide inhibition, initiated by proteolytic cleavage of the PAI-1 reactive center loop (RCL), requires insertion of the cleaved RCL into the central β-sheet (sheet A).…”
mentioning
confidence: 99%
“…Physiologically, this regulation is achieved by binding to the cell adhesion factor vitronectin, leading to an ∼50% increase in the active state t 1/2 (3). Because high levels of active PAI-1 are associated both with poor prognoses for some cancers, presumably due to interactions with vitronectin, and with cardiovascular diseases (1), PAI-1 inhibitors that accelerate the latency transition are under development (1,4,5). However, drug design efforts are hampered by the lack of detailed molecular mechanisms for PAI-1 conformational changes.…”
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confidence: 99%
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“…Plasmin formation is catalyzed by tissue-type (t-PA) or urokinase-type (u-PA) plasminogen activators. Plasminogen activator inhibitor-1 (PAI-1) is the primary physiological inhibitor of t-PA and u-PA, and it plays an important role in the removal of thrombi from the vascular system under thrombotic conditions [1]. Increased plasma PAI-1 levels suppress the normal fibrinolytic system and lead to prothrombotic states.…”
Section: Introductionmentioning
confidence: 99%
“…Increased plasma PAI-1 levels suppress the normal fibrinolytic system and lead to prothrombotic states. Thus, increased levels of plasma PAI-1 comprise a risk factor; serve as a marker for thrombotic diseases and onset of these diseases [1]. Levels of PAI-1 are elevated in various prothrombotic states such as hypertension, obesity, insulin resistance, diabetes and aging [2] [3] [4] [5].…”
Section: Introductionmentioning
confidence: 99%