PMID- 15841305 OWN - NLM STAT- MEDLINE DCOM- 20050913 LR - 20220227 IS - 0340-6245 (Print) IS - 0340-6245 (Linking) VI - 93 IP - 4 DP - 2005 Apr TI - Thrombolytic agents. PG - 627-30 AB - Thrombolytic agents are plasminogen activators that convert the zymogen plasminogen to the active enzyme plasmin, which degrades fibrin. Elucidation of the molecular mechanism of physiological fibrinolysis opened up a new era of fibrin-specific thrombolysis. Fibrin-specific plasminogen activators, including tissue-type plasminogen activator (t-PA), single-chain urokinase-type plasminogen activator (scu-PA) and staphylokinase (Sak), preferentially activate fibrin-associated plasminogen. Generated plasmin remains associated with fibrin, where it is protected from rapid inhibition and can efficiently degrade fibrin, avoiding systemic activation of the fibrinolytic system. Following a decade of clinical investigation t-PA and variants thereof are routinely used for treatment of patients with thromboembolic disease. FAU - Collen, Desire AU - Collen D AD - Center for Molecular and Vascular Biology, KU Leuven, Herestraat 49, B-3000 Leuven, Belgium. desire.collen@med.kuleuven.ac.be FAU - Lijnen, H Roger AU - Lijnen HR LA - eng PT - Journal Article PT - Review PL - Germany TA - Thromb Haemost JT - Thrombosis and haemostasis JID - 7608063 RN - 0 (Fibrinolytic Agents) RN - EC 3.4.21.68 (Tissue Plasminogen Activator) RN - EC 3.4.21.73 (Urokinase-Type Plasminogen Activator) RN - EC 3.4.24.- (Metalloendopeptidases) RN - EC 3.4.24.29 (auR protein, Staphylococcus aureus) SB - IM MH - Fibrinolytic Agents/*chemistry/metabolism/therapeutic use MH - Humans MH - Metalloendopeptidases/chemistry/metabolism/therapeutic use MH - Tissue Plasminogen Activator/chemistry/metabolism/therapeutic use MH - Urokinase-Type Plasminogen Activator/chemistry/metabolism/therapeutic use RF - 51 EDAT- 2005/04/21 09:00 MHDA- 2005/09/15 09:00 CRDT- 2005/04/21 09:00 PHST- 2005/04/21 09:00 [pubmed] PHST- 2005/09/15 09:00 [medline] PHST- 2005/04/21 09:00 [entrez] AID - 05040627 [pii] AID - 10.1160/TH04-11-0724 [doi] PST - ppublish SO - Thromb Haemost. 2005 Apr;93(4):627-30. doi: 10.1160/TH04-11-0724.