Fibrinolysis

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Scheme for fibrinolysis

Fibrinolysis is a minor, but no less important, event in hemostasis. It is necessary to remove the fibrin (hemostatic) plug. In fibrinolysis, fibrin is split by plasmin. The whole system has four components: plasminogen , plasmin , plasminogen activators, plasminogen inhibitors.  Plasmin is produced from plasminogen by proteolytic cleavage.

Activators and inhibitors[edit | edit source]

Plasminogen activators are:

  • tissue activator (t-PA);
  • activator isolated from urine (urokinase type; u-PA).

Plasminogen inhibitors are:

  • from α-granules of blood platelets – protects the primary hemostatic plug;
  • inhibitors of already formed plasmin;
    • α 2 -antiplasmin;
    • α 2 -macroglobulin.

They are produced by the cells of the vascular endothelium and the placenta.

Fibrinolysis products[edit | edit source]

Plasminogen is activated to plasmin, which then cleaves fibrin into fragments of different sizes, the so-called fibrin degradation products (FDP). The final cleavage product is D-dimers.


Links[edit | edit source]

Related articles[edit | edit source]

External links[edit | edit source]

References[edit | edit source]

  1. TROJAN, Stanislav, et al. Medical Physiology. 4., revision and edit the release. Prague: Grada Publishing, as, 2003. 772 pp.  ISBN 80-247-0512-5 .[1]
  1. TROJAN, Stanislav, et al. Medical Physiology. 4., revision and edit the release. Prague: Grada Publishing, as, 2003. 772 pp.  ISBN 80-247-0512-5 .