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Biochemistry of the Factors of the Fibrinolytic System

  • Chapter
Fibrinolytics and Antifibrinolytics

Abstract

The ability of the organism to liquefy deposited fibrin is a phenomenon that has been known for more than a century (Denis, 1838; Dastre, 1893). Early investigations on this process led to the conclusion that the organism possesses a special system, the function of which is the removal of the end product of blood coagulation, fibrin, after having fulfilled its physiologic function (Denys and De Marbaix, 1889; Delezenne and Pozerski, 1903; Nolf, 1908; Schmitz, 1937). This fibrinolytic system which is specifically adapted to the fragmentation of the insoluble fibrin into soluble split products has been investigated very intensively in the past 30 years. In these studies, its underlying biochemic mechanism, physiologic role, and significance as a pathogenetic principle in certain hemorrhagic disorders became much clearer. This review summarizes some important data of the biochemistry of the factors of the fibrinolytic system and of the mechanisms of their interaction and cooperative action, in order to provide a basis for the understanding of the effects of fibrinolytic and antifibrinolytic therapeutic agents. Detailed descriptions of the fibrinolytic process and its biochemistry were also given by other authors (Astrup, 1956, 1959, 1967; Sherry et al., 1959; Ablondi and Hagan, 1960; MacFarlane, 1964; Fearnley, 1965; Sherry, 1965, 1968; Schwick, 1967; Konttinen, 1968; Robbins and Summaria, 1970, 1971; Bang, 1971; Marder and Sherry, 1972; Astrup and Thorsen, 1972).

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Landmann, H. (1978). Biochemistry of the Factors of the Fibrinolytic System. In: Markwardt, F. (eds) Fibrinolytics and Antifibrinolytics. Handbuch der experimentellen Pharmakologie / Handbook of Experimental Pharmacology, vol 46. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66863-0_1

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