FIBRINOLYSIS Flashcards
Final stage of hemostatic activation
Fibrinolysis
What happens in Fibrinolysis
Fibrin degradation
Restoring of blood flow
Hydrolysis of FIBRIN AND PLASMIN
2 activators of Fibrinolysis
Tissue Plasminogen Activator (TPA)
Urokinase Plasminogen Activator (UPA)
Inactive form of Plasmin
Plasminogen
Plasmin breaksdown
Fibrinogen
Stable fibrin clot
Degradation of fibrinogen and stable fibrin clot forms
Fibrinogen Monomer Degradation Product
Cross-linked Degradation Product
Intrinsic Plasminogen Activator ; Produced by Urinary tract epithelial cells, monocytes and macrophage
UPA
D-E-D ; (-) peptides; cleaved by Plasmin
Fragment X
D-E (D&E)
Fragment Y
Digestion of FIBRIN/FIBRINOGEN forms
Fragment XYDE
Two D-Domains with separate fibrin molecules; CROSSLINKED OF XIIIa
Fragment D-D (D-dimer)
Marker for THROMBUS AND FIBRINOLYSIS
D-Dimer
INHIBITORS OF FIBRINLYSIS ARE
PAI-I (Plasminogen Activator Inhibitor-1)
A2-antiplasmin
TAFI (Thrombin Activatable Fibrinolysis Inhibitor)
Principal inhibitor; Inactivates TPA and UPA
PAI-1
Primary inhibitor of FRE PLASMIN (small amount of plasmin found in blood)
a2-antiplasmin