PAI-1 and atherothrombosis

被引:371
作者
Vaughan, DE [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Div Cardiovasc Med, Nashville, TN 37232 USA
关键词
fibrinolysis; inhibitor-1; plasminogen activator; risk factors; thrombosis;
D O I
10.1111/j.1538-7836.2005.01420.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Plasminogen activator inhibitor-1 (PAI-1) is the major physiologic inhibitor of tissue-type plasminogen activator in plasma, and is elevated in a variety of clinical situations that are associated with increased risk of ischemic cardiovascular events. Recent insights into the biology of PAI-1 suggest that it is more than just an innocent bystander in the pathogenesis of ischemic heart disease. Elevated PAI-1 levels appear to increase the risk of atherothrombotic events and may also promote the progression of vascular disease. The development and testing of specific PAI-1 antagonists will enable basic and clinical investigators the opportunity to test the hypothesis that vascular PAI-1 excess promotes the development of intravascular thrombosis and atherosclerosis.
引用
收藏
页码:1879 / 1883
页数:5
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