Fibrinolysin

纤维蛋白溶素
  • 文章类型: Journal Article
    纤溶酶诱导的蛋白质水解显着损害了超高温(UHT)牛奶的稳定性。观察到β-乳球蛋白(β-Lg)抑制纤溶酶活性,提示β-Lg中存在作为纤溶酶抑制剂的活性位点。在这里,使用实验和计算技术从β-Lg中探索纤溶酶抑制肽。结果表明,β-Lg变性的增加增强了其对纤溶酶的亲和力,导致对纤溶酶活性的更强抑制。分子动力学模拟表明,静电和范德华力是β-Lg/纤溶酶复合物中的主要结合力。变性的β-Lg增加了与纤溶酶的氢键并降低了结合能。纤溶酶与β-Lg结合的位点是His624、Asp667和Ser762。四种纤溶酶抑制肽,QTMKGLDI,EKTKIPAV,TDYKKYLL,和CLVRTPEV,基于结合位点从β-Lg中鉴定。这些肽有效地抑制纤溶酶活性并增强UHT乳稳定性。这项研究为开发新型纤溶酶抑制剂以提高UHT乳的稳定性提供了新的见解。
    Plasmin-induced protein hydrolysis significantly compromises the stability of ultrahigh-temperature (UHT) milk. β-Lactoglobulin (β-Lg) was observed to inhibit plasmin activity, suggesting that there were active sites as plasmin inhibitors in β-Lg. Herein, plasmin inhibitory peptides were explored from β-Lg using experimental and computational techniques. The results revealed that increased denaturation of β-Lg enhanced its affinity for plasmin, leading to a stronger inhibition of plasmin activity. Molecular dynamics simulations indicated that electrostatic and van der Waals forces were the primary binding forces in the β-Lg/plasmin complex. Denatured β-Lg increased hydrogen bonding and reduced the binding energy with plasmin. The sites of plasmin bound to β-Lg were His624, Asp667, and Ser762. Four plasmin inhibitory peptides, QTMKGLDI, EKTKIPAV, TDYKKYLL, and CLVRTPEV, were identified from β-Lg based on binding sites. These peptides effectively inhibited plasmin activity and enhanced the UHT milk stability. This study provided new insights into the development of novel plasmin inhibitors to improve the stability of UHT milk.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    在这项研究中,纤溶蛋白酶是从围牛皮中分离纯化的,并对提取工艺进行了优化。酶的特性,如氨基酸组成,热稳定性,最佳温度,pH值,被调查了。戒毒后,通过硫酸铵沉淀浓缩从新鲜的Clamworm(PerinereisaibuhitensisGrub)收集的蛋白质。使用凝胶过滤树脂(SephadexG-100)纯化粗蛋白酶,阴离子交换树脂(DEAE-SepharoseFF),和疏水树脂(苯基琼脂糖6FF)。通过聚丙烯酰胺凝胶电泳(SDS-PAGE)测定蛋白酶的分子量。确定了蛋白酶的最适温度和最适pH。40-60%盐析段的粗蛋白酶活性最高,达到467.53U/mg。纯化粗蛋白的最佳工艺涉及DEAE-SepharoseFF和苯基Sepharose6FF的应用,这导致分离出一种名为Asp60-D1-P1的具有最高纤溶活性的蛋白酶;此外,酶活性为3367.76U/mg。通过Native-PAGE和SDS-PAGE分析表明,Asp60-D1-P1的分子量为44.5kDa,由分子量分别为6.5和37.8kDa的两个亚基组成,分别。Asp60-D1-P1的最佳温度为40°C,最佳pH值为8.0。
    In this study, fibrinolytic protease was isolated and purified from Perinereis aibuhitensis Grub, and the extraction process was optimized. The properties of the enzyme, such as the amino acid composition, thermal stability, optimal temperature, and pH, were investigated. After detoxification, proteins collected from fresh Clamworm (Perinereis aibuhitensis Grub) were concentrated via ammonium sulfate precipitation. The crude protease was purified using gel filtration resin (Sephadex G-100), anion exchange resin (DEAE-Sepharose FF), and hydrophobic resin (Phenyl Sepharose 6FF). The molecular weight of the protease was determined by polyacrylamide gel electrophoresis (SDS-PAGE). The optimum temperature and optimum pH of the protease were determined. The activity of crude protease in the 40-60% salt-out section was the highest, reaching 467.53 U/mg. The optimal process for purifying crude protein involved the application of DEAE-Sepharose FF and Phenyl Sepharose 6FF, which resulted in the isolation of a single protease known as Asp60-D1-P1 with the highest fibrinolytic activity; additionally, the enzyme activity was measured at 3367.76 U/mg. Analysis by Native-PAGE and SDS-PAGE revealed that the molecular weight of Asp60-D1-P1 was 44.5 kDa, which consisted of two subunits with molecular weights of 6.5 and 37.8 kDa, respectively. The optimum temperature for Asp60-D1-P1 was 40°C, and the optimal pH was 8.0.
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  • 文章类型: Journal Article
    AST-004,腺苷A1和A3受体的小分子激动剂,是急性中风患者的潜在脑保护剂,目前正在临床试验中。在急性中风护理的背景下,药物-药物相互作用对于评估至关重要。tPA(组织型纤溶酶原激活物)诱导的纤溶酶形成(阿替普酶)的裂解疗法是唯一可用的急性中风药物疗法。因此,必须评估AST-004和tPA之间的潜在相互作用,例如阿替普酶和替奈普酶。
    以3种方式评估了AST-004和tPA之间的相互作用,以准备AST-004II期试验。首先,在阿替普酶和纤溶酶存在下测定AST-004的代谢稳定性。第二,AST-004对阿替普酶和替奈普酶的溶栓疗效的影响潜力是通过使用纤溶酶荧光底物的体外测定系统进行评估的.最后,AST-004影响阿替普酶溶栓疗效的潜力也通过人血栓的体外溶栓试验确定.
    阿替普酶和纤溶酶均不影响AST-004的体外稳定性。在两种不同的体外系统中,AST-004对阿替普酶或替奈普酶产生纤溶酶的能力没有影响,AST-004对阿替普酶溶解人血血凝块的溶栓疗效无影响。
    这些研究表明,在接受溶栓治疗的中风患者中,AST-004和tPA如阿替普酶或替奈普酶之间没有相互作用。
    UNASSIGNED: AST-004, a small molecule agonist of the adenosine A1 and A3 receptors, is a potential cerebroprotectant for patients with acute stroke and is currently in clinical trials. Drug-drug interactions are critically important to assess in the context of acute stroke care. Lytic therapy with tPA (tissue-type plasminogen activator)-induced plasmin formation (alteplase) is the only available pharmacotherapy for acute stroke. Consequently, it is imperative to evaluate potential interactions between AST-004 and tPAs such as alteplase and tenecteplase.
    UNASSIGNED: The interactions between AST-004 and tPAs were evaluated in 3 ways in preparation for AST-004 phase II trials. First, the metabolic stability of AST-004 was determined in the presence of alteplase and plasmin. Second, the potential for AST-004 to influence the thrombolytic efficacy of alteplase and tenecteplase was evaluated with an in vitro assay system utilizing a fluorogenic substrate of plasmin. Finally, the potential for AST-004 to influence the thrombolytic efficacy of alteplase was also determined with an in vitro thrombolysis assay of human blood thrombi.
    UNASSIGNED: Neither alteplase nor plasmin affected the stability of AST-004 in vitro. In 2 different in vitro systems, AST-004 had no effect on the ability of alteplase or tenecteplase to generate plasmin, and AST-004 had no effect on the thrombolytic efficacy of alteplase to lyse blood clots in human blood.
    UNASSIGNED: These studies indicate that there will be no interactions between AST-004 and tPAs such as alteplase or tenecteplase in patients with stroke undergoing thrombolytic therapy.
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  • 文章类型: Journal Article
    整个超瞬时UHT(UI-UHT)牛奶中残留的纤溶酶活性会导致储存过程中脂肪快速上升,严重影响消费者的购买意愿。在这项工作中,基于界面蛋白的水解行为,研究了添加纤溶酶使整个UI-UHT牛奶中脂肪不稳定的分子机制。通过使用SDS-PAGE和肽酶分析,我们发现,通过纤溶酶水解界面蛋白导致减少的数量和覆盖的界面蛋白和增加zeta电位值,导致脂肪球的絮凝和聚结。此外,纤溶酶的水解方式在不同类别的界面蛋白中有所不同。总的来说,鉴定了所有样品中的125个肽。纤溶酶倾向于将大多数主要的乳脂肪球膜(MFGM)蛋白质水解成蛋白质片段(>10kDa)而不是肽(<10kDa)。相比之下,来自酪蛋白的肽在相对短的孵育时间内更优先被鉴定。酪蛋白和一些主要的MFGM蛋白作为锚的共水解破坏了MFGM的稳定性。此外,关于保留在界面处的三层膜结构对纤溶酶对主要MFGM蛋白水解速率的影响的研究表明,ADPH和BTN对纤溶酶作用非常敏感,而PAS7对纤溶酶作用非常耐受。总的来说,膜结构降低了一些主要MFGM蛋白对纤溶酶的敏感性,并提供了保护作用。因此,这项研究为纤溶酶诱导的整个UI-UHT牛奶中界面蛋白的水解行为提供了重要的见解。
    Residual plasmin activity in whole ultra-instantaneous UHT (UI-UHT) milk causes rapid fat rise during storage, seriously affecting consumers\' purchase intentions. In this work, the molecular mechanisms underlying fat destabilization in whole UI-UHT milk by added plasmin were investigated based on the hydrolysis behavior of interfacial proteins. By using SDS-PAGE and peptidomic analysis, we found that the hydrolysis of interfacial proteins by plasmin led to a decrease in the amount and coverage of interfacial proteins and an increase in zeta-potential value, causing the flocculation and coalescence of fat globules. Moreover, the hydrolysis pattern varied in different categories of interfacial proteins by plasmin. In total, 125 peptides in all samples were identified. Plasmin tended to hydrolyze most major milk fat globule membrane (MFGM) proteins into protein fragments (>10 kDa) rather than peptides (<10 kDa). In contrast, peptides derived from caseins were more preferentially identified within a relatively short incubation time. It was the co-hydrolysis of caseins and some major MFGM proteins as anchors that destroyed the stability of MFGM. Furthermore, studies on the effect of trilayer membrane structure remaining at the interface on the hydrolysis rate of major MFGM proteins by plasmin revealed that ADPH and BTN were very sensitive to plasmin action, while PAS 7 was very resistant to plasmin action. Overall, membrane structure reduced the susceptibility of some major MFGM proteins to plasmin and provided protective effects. Therefore, this study provided important insights into the hydrolysis behavior of interfacial proteins in whole UI-UHT milk induced by plasmin.
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  • 文章类型: Journal Article
    预测BCR/ABL1阴性骨髓增殖性肿瘤(MPN)患者发生血管事件的可能性对于该疾病的治疗至关重要。然而,缺乏有效的评估方法。凝血酶-抗凝血酶复合物(TAT),纤溶酶-α2-纤溶酶抑制剂复合物(PIC),血栓调节蛋白(TM),和组织纤溶酶原激活物-抑制剂复合物(t-PAIC)是凝血和纤溶的新的直接指标。这项研究的目的是研究这四个新指标在BCR/ABL1阴性MPN中血栓和出血事件中的变化。74例BCR/ABL阴性骨髓增殖性疾病患者的研究队列包括原发性血小板增多症,真性红细胞增多症,和原发性骨髓纤维化(PMF)。一组4个生物标志物,包括TAT,PIC,TM,使用SysmexHISCL5000自动分析仪测定t-PAIC,而纤维蛋白/纤维蛋白原降解产物(FDP),使用SysmexCS5100凝血分析仪分析D-二聚体和抗凝血酶III(ATIII)。共有24例(32.4%)患者发生血栓事件和出血事件,其中8例(10.8%)发生。与没有出血性血栓事件的患者相比,有血栓事件的患者有较高的纤维蛋白原(FIB)水平,FDP水平和较低的ATIII活性,而出血事件患者的白细胞计数和血红蛋白水平较低,FDP水平较高(P<0.05)。具有JAK2V617F突变的患者更容易发生血栓事件(P<0.05)。此外,有血栓性事件的患者有较高的TAT,PIC,TM,t-PAIC水平高于无出血性血栓事件患者(P<0.05),而有出血事件的患者TAT和TM的中位值较低(无统计学差异,P>0.05)。TAT较高的患者,TM和t-PAIC更容易发生血栓事件(P<0.05),只有TAT与血栓事件呈正相关(Spearmanr=0.287,P=0.019)。TAT,PIC,TM,t-PAIC联合ATIII和FDP对BCR/ABL1阴性MPN患者血栓形成有一定的预测价值。这6个参数作为早期血栓事件的预测因子和预后标志物值得进一步探索。
    Predicting the likelihood vascular events in patients with BCR/ABL1-negative myeloproliferative neoplasms (MPN) is essential for the treatment of the disease. However, effective assessment methods are lacking. Thrombin-antithrombin complex (TAT), plasmin-α2- plasmininhibitor complex (PIC), thrombomodulin (TM), and tissue plasminogen activator-inhibitor complex (t-PAIC) are the new direct indicators for coagulation and fibrinolysis. The aim of this study was to investigate the changes of these four new indicators in thrombotic and hemorrhagic events in BCR/ABL1-negative MPN. The study cohort of 74 patients with BCR/ABL negative myeloproliferative disorders included essential thrombocythemia, polycythemia vera, and primary myelofibrosis (PMF). A panel of 4 biomarkers, including TAT, PIC, TM, and t-PAIC were determined using Sysmex HISCL5000 automated analyzers, whereas fibrin/fibrinogen degradation products (FDP), D-dimer and Antithrombin III (ATIII) were analyzed using Sysmex CS5100 coagulation analyzer. A total of 24 (32.4%) patients experienced thrombotic events and hemorrhagic events occurred in 8 patients (10.8%). Compared to patients without hemorrhagic-thrombotic events, patients with thrombotic events had higher fibrinogen (FIB) level, FDP level and lower ATIII activity, while patients with hemorrhagic events had lower white blood cell count and hemoglobin level, higher FDP level (P < 0.05). Patients with a JAK2V617F mutation were more likely to experience thrombotic events (P < 0.05). In addtion, patients with thrombotic events had higher TAT, PIC, TM, and t-PAIC levels than patients without hemorrhagic-thrombotic events (P < 0.05), whereas patients with hemorrhagic events had a lower median value in TAT and TM (no statistical difference, P > 0.05). Patients with higher TAT, TM and t-PAIC were more likely to experience thrombotic events (P < 0.05), and only TAT was positively correlated with thrombotic events (Spearman  r =0.287, P = 0.019). TAT, PIC, TM, and t-PAIC combined with ATIII and FDP have a certain value for predicting thrombosis in patients with BCR/ABL1-negative MPN. These 6 parameters are worth further exploration as predictive factors and prognostic markers for early thrombotic events.
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  • 文章类型: Journal Article
    人子宫内膜基质细胞(hESC)在子宫内膜异位症发展中的关键作用在于它们在迁移到子宫外区域时采用前侵袭性和促炎性反应的能力。然而,参与这些事件的分子机制尚不清楚.在这项研究中,我们研究了血管紧张素II(AngII)如何影响hESCs的纤溶酶原-纤溶酶系统,以及细胞增殖的潜在机制,迁移,基质降解,和炎症。前体,受体,在AngII处理的hESC中,参与血管紧张素代谢的肽酶显着增加。在AngII存在下,可以诱导组织(tPA)和尿激酶(uPA)型纤溶酶原激活剂以及uPA受体(uPAR)的表达和活性。tPA-uPA/uPAR途径的上调显著有助于在hESC的表面和它们的条件培养基中提高纤溶酶的产生。因此,AngII诱导的纤溶酶产生增强了纤维蛋白和基质蛋白的降解,同时也提高了HESC的生存能力,扩散,和通过上调生长因子表达的迁移。值得注意的是,AngII诱导的hESC迁移依赖于细胞表面活性纤溶酶的产生。AngII主要通过NADPH氧化酶和通过上调促炎细胞因子和粘附分子调节hESC中的氧化和炎性信号传导。有趣的是,AngII受体(AT1R)阻断,纤溶酶生成减少,tPA-uPA/uPAR表达与hESC迁移。我们的结果表明,AngII/AT1R轴通过tPA-uPA/uPAR途径激活和纤溶酶生成调节hESC的增殖和迁移。我们提出AngⅡ/AT1R轴作为子宫内膜异位症医治的一个潜在靶点。
    The pivotal role of human endometrial stromal cells (hESCs) in the development of endometriosis lies in their ability to adopt a pro-invasive and proinflammatory profile upon migration to areas outside the uterus. However, the molecular mechanisms involved in these events remain unclear. In this study, we investigated how angiotensin II (Ang II) affects the plasminogen-plasmin system in hESCs, and the mechanisms underlying cell proliferation, migration, matrix degradation, and inflammation. Precursors, receptors, and peptidases involved in angiotensin metabolism increased significantly in Ang II-treated hESCs. The expression and activity of tissue (tPA)- and urokinase (uPA)- type plasminogen activators and the receptor for uPA (uPAR) were induced in the presence of Ang II. The up-regulation of tPA-uPA/uPAR pathway significantly contributes to heightened plasmin production both on the surface of hESCs and in their conditioned media. As a result, the plasmin generation induced by Ang II enhances the degradation of fibrin and matrix proteins, while also boosting hESC viability, proliferation, and migration through the up-regulation of growth factor expression. Notably, Ang II-induced hESC migration was dependent on the generation of active plasmin on cell surface. Ang II regulates oxidative and inflammatory signalling in hESCs primarily via NADPH oxidase and through the up-regulation of proinflammatory cytokines and adhesion molecules. Interestingly, Ang II receptor (AT1R) blockage, decreased plasmin generation, tPA-uPA/uPAR expression and hESC migration. Our results suggest that Ang II/AT1R axis regulates hESC proliferation and migration through tPA-uPA/uPAR pathway activation and plasmin generation. We propose the Ang II/AT1R axis as a potential target for endometriosis treatment.
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  • 文章类型: Journal Article
    复发性发热(RF)仍然是一种被忽视的人类疾病,是由许多不同的致病性疏螺旋体(B.)物种。以人体血液中的高细胞密度为特征,复发性发热螺旋体已经开发了丰富的策略来避免宿主防御机制的识别。在这种情况下,已知在与宿主衍生分子的相互作用中表现出多功能结合特性的螺旋体脂蛋白在粘附中起关键作用,纤维蛋白溶解和补体激活。
    通过ELISA检查CihC/FbpC直向同源物与不同人蛋白质的结合以及蛋白质结合的纤溶酶原向蛋白水解活性纤溶酶的转化。分析CihC/FbpC直向同源物对补体激活的抑制能力,进行了基于微量滴定的方法.最后,利用AlphaFold预测来鉴定补体相互作用残基。
    这里,我们阐明了CihC/FbpC直向同源物从不同的RF螺旋体,包括B.parkeri,B.Hermsii,B.Turicatae,和B.对人纤连蛋白的复发,纤溶酶原,和补体成分C1r。所有CihC/FbpC直向同源物显示与纤连蛋白相似的结合特性,纤溶酶原,还有C1r,分别。功能研究揭示了纤溶酶原与所有疏螺旋体蛋白的剂量依赖性结合并转化为活性纤溶酶。氨甲环酸几乎完全消除了纤溶酶的蛋白水解活性,表明赖氨酸残基参与与这种丝氨酸蛋白酶的相互作用。此外,对于野生型CihC/FbpC-直系同源物以及复发性芽孢杆菌的C末端CihC片段,可以证明对经典途径的强失活能力。人血清与除CihC/FbpC变体外的疏螺旋体分子的预孵育缺乏C末端区域,可保护血清易感疏螺旋体细胞免受补体介导的裂解。利用AlphaFold2预测和现有的晶体结构,我们将C1r结合中涉及的推定关键残基定位在CihC/FbpC直向同源物上,试图解释C1r结合亲和力相对较小的差异,尽管有关键残基的取代。总的来说,我们的数据促进了对被认为参与发病机制和毒力的复发性发热螺旋体的结构和功能高度相似分子的多种结合特性的理解.
    UNASSIGNED: Relapsing fever (RF) remains a neglected human disease that is caused by a number of diverse pathogenic Borrelia (B.) species. Characterized by high cell densities in human blood, relapsing fever spirochetes have developed plentiful strategies to avoid recognition by the host defense mechanisms. In this scenario, spirochetal lipoproteins exhibiting multifunctional binding properties in the interaction with host-derived molecules are known to play a key role in adhesion, fibrinolysis and complement activation.
    UNASSIGNED: Binding of CihC/FbpC orthologs to different human proteins and conversion of protein-bound plasminogen to proteolytic active plasmin were examined by ELISA. To analyze the inhibitory capacity of CihC/FbpC orthologs on complement activation, a microtiter-based approach was performed. Finally, AlphaFold predictions were utilized to identified the complement-interacting residues.
    UNASSIGNED: Here, we elucidate the binding properties of CihC/FbpC-orthologs from distinct RF spirochetes including B. parkeri, B. hermsii, B. turicatae, and B. recurrentis to human fibronectin, plasminogen, and complement component C1r. All CihC/FbpC-orthologs displayed similar binding properties to fibronectin, plasminogen, and C1r, respectively. Functional studies revealed a dose dependent binding of plasminogen to all borrelial proteins and conversion to active plasmin. The proteolytic activity of plasmin was almost completely abrogated by tranexamic acid, indicating that lysine residues are involved in the interaction with this serine protease. In addition, a strong inactivation capacity toward the classical pathway could be demonstrated for the wild-type CihC/FbpC-orthologs as well as for the C-terminal CihC fragment of B. recurrentis. Pre-incubation of human serum with borrelial molecules except CihC/FbpC variants lacking the C-terminal region protected serum-susceptible Borrelia cells from complement-mediated lysis. Utilizing AlphaFold2 predictions and existing crystal structures, we mapped the putative key residues involved in C1r binding on the CihC/FbpC orthologs attempting to explain the relatively small differences in C1r binding affinity despite the substitutions of key residues. Collectively, our data advance the understanding of the multiple binding properties of structural and functional highly similar molecules of relapsing fever spirochetes proposed to be involved in pathogenesis and virulence.
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  • 文章类型: Journal Article
    目的:血管性血友病因子(VWF)在原发性止血中起关键作用。具有血栓海绵蛋白1型基序的整合素和金属蛋白酶,成员13(ADAMTS13)主要负责将超大型VWF多聚体分裂成更小的,较少的粘合剂形式。然而,纤溶酶也显示切割VWF多聚体。VWF的这种蛋白水解切割导致多聚体大小减少,因此,较低的VWF活动。这篇综述旨在全面概述纤溶酶介导的VWF蛋白水解在(微)血栓形成中的作用。
    结果:纤溶酶介导的VWF蛋白水解被认为在涉及微血栓形成的各种病理中发挥作用,同时VWF抗原水平和ADAMTS13活性失衡,以及纤维蛋白溶解系统的激活,但缺乏定量分析来证明这一点。最近,开发了基于VHH的生物测定法,其专门设计用于定量纤溶酶裂解的VWF(cVWF)。新的ELISA测定法具有重要的前景,可以进一步了解纤溶酶介导的VWF蛋白水解在几种病理中的临床相关性。此外,通过降解富含VWF的微血栓,微血栓形成部位的局部纤溶酶激活已被证明是一种有前途的治疗策略。
    结论:在微血栓形成过程中观察到纤溶酶介导的VWF蛋白水解;然而,目前尚不清楚它是否会影响疾病的严重程度.一种检测cVWF的新型ELISA方法将提高我们对纤溶酶介导的VWF降解的临床作用的理解。
    OBJECTIVE: Von Willebrand factor (VWF) plays a pivotal role in primary hemostasis. A Disintegrin And Metalloproteinase with a ThromboSpondin type 1 motif, member 13 (ADAMTS13) is primarily responsible for cleaving ultra-large VWF multimers into smaller, less adhesive forms. However, plasmin has also been shown to cleave VWF multimers. This proteolytic cleavage of VWF results in a decreased multimer size and, hence, a lower VWF activity. This review aims to present a comprehensive overview of the involvement of plasmin-mediated VWF proteolysis in (micro)thrombosis.
    RESULTS: Plasmin-mediated VWF proteolysis has been suggested to play a role in various pathologies involving microthrombosis in combination with an imbalance in VWF antigen levels and ADAMTS13 activity, as well as activation of the fibrinolytic system, but quantitative assays to demonstrate this were lacking. Recently, a V H H-based bioassay was developed designed specifically to quantify plasmin-cleaved VWF (cVWF). The novel ELISA assay holds significant promise for gaining further insights into the clinical relevance of plasmin-mediated VWF proteolysis in several pathologies. Furthermore, local plasmin activation at the site of microthrombosis has been shown to be a promising treatment strategy by degrading VWF-rich microthrombi.
    CONCLUSIONS: Plasmin-mediated proteolysis of VWF is observed during microthrombosis; however, it remains unclear whether it impacts disease severity. A novel ELISA method to detect cVWF will improve our understanding of the clinical role of plasmin-mediated VWF degradation.
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  • 文章类型: Journal Article
    背景:静脉血栓栓塞症(VTE),是胃癌患者值得注意的并发症,但目前的诊断和治疗方法缺乏准确性。在这项研究中,我们开发了一种t-PAIC化学发光试剂盒,并使用化学发光来检测组织纤溶酶原激活物抑制剂复合物(t-PAIC),凝血酶-抗凝血酶III复合物(TAT),纤溶酶-α2-纤溶酶抑制剂复合物(PIC)和血栓调节蛋白(TM),结合D-二聚体和纤维蛋白降解产物(FDP),探讨其对胃癌患者静脉血栓形成的诊断潜力。该研究评估了不同阶段胃癌患者中六个指标的变化。
    结果:t-PAIC试剂显示LOD为1.2ng/mL,线性因子R大于0.99。试剂显示出准确的结果,所有精度偏差在5%以内。t-PAIC试剂的批内和批间CV均在8%以内。该方法与Sysmex之间的相关系数R为0.979。胃癌患者TAT水平升高,PIC,TM,D-D,FDP与健康人群相比,而t-PAIC没有观察到显著差异。在胃癌的分期中,与I-II期患者相比,III-IV期患者的6种标志物水平更高.ROC曲线表明四个或六个指标联合诊断的敏感性和特异性增强。
    结论:我们的化学发光测定法与Sysmex的方法相当,并且成本较低。使用多个标记,包括t-PAIC,TM,TAT,PIC,D-D,FDP,在恶性肿瘤患者中诊断VTE优于使用单一标志物。应筛查胃癌患者的六种标志物,以促进积极预防。确定最合适的治疗时机,改善他们的预后,减少静脉血栓形成和死亡率的发生,延长他们的生存。
    BACKGROUND: Venous thromboembolism (VTE), is a noteworthy complication in individuals with gastric cancer, but the current diagnosis and treatment methods lack accuracy. In this study, we developed a t-PAIC chemiluminescence kit and employed chemiluminescence to detect the tissue plasminogen activator inhibitor complex (t-PAIC), thrombin-antithrombin III complex (TAT), plasmin-α2-plasmin inhibitor complex (PIC) and thrombomodulin (TM), combined with D-dimer and fibrin degradation products (FDP), to investigate their diagnostic potential for venous thrombosis in gastric cancer patients. The study assessed variations in six indicators among gastric cancer patients at different stages.
    RESULTS: The t-PAIC reagent showed LOD is 1.2 ng/mL and a linear factor R greater than 0.99. The reagents demonstrated accurate results, with all accuracy deviations being within 5%. The intra-batch and inter-batch CVs for the t-PAIC reagent were both within 8%. The correlation coefficient R between this method and Sysmex was 0.979. Gastric cancer patients exhibited elevated levels of TAT, PIC, TM, D-D, FDP compared to the healthy population, while no significant difference was observed in t-PAIC. In the staging of gastric cancer, patients in III-IV stages exhibit higher levels of the six markers compared to those in I-II stages. The ROC curve indicates an enhancement in sensitivity and specificity of the combined diagnosis of four or six indicators.
    CONCLUSIONS: Our chemiluminescence assay performs comparably to Sysmex\'s method and at a reduced cost. The use of multiple markers, including t-PAIC, TM, TAT, PIC, D-D, and FDP, is superior to the use of single markers for diagnosing VTE in patients with malignant tumors. Gastric cancer patients should be screened for the six markers to facilitate proactive prophylaxis, determine the most appropriate treatment timing, ameliorate their prognosis, decrease the occurrence of venous thrombosis and mortality, and extend their survival.
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