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The Fibrinolytic System in Inflammation

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Abstract

Fibrin is a common finding at inflammatory sites. The formation of persistent fibrin deposits is due to a disturbance in the normally very efficient system for degradation of fibrin, the fibrinolytic system (1). The fibrin surface specifically absorbs both plasminogen and plasminogen activators, with formation of plasmin as a result. This plasmin is partially protected from fibrinolysis inhibitors by the fibrin surface and can activate both the complement system and the kinin system. Eventually, the fibrin is degraded, for example by plasmin or leukocyte elastase, during which process small peptides are released. Some of these peptides have vasoactive and other properties which make them candidates as contributory mediators in the inflammatory process (2,3).

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Saldeen, T. (1985). The Fibrinolytic System in Inflammation. In: Higgs, G.A., Williams, T.J. (eds) Inflammatory Mediators. Satellite Symposia of the IUPHAR 9th International Congress of Pharmacology. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-07834-9_9

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