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NEW THROMBOLYTIC<br />

STRATEGIES AND AGENTS<br />

H.R. LIJNEN AND D. COLLEN<br />

Center for Molecular and Vascular Biology. University<br />

of Leuven, Leuven, Belgium.<br />

Introduction<br />

Thrombolysis consists of the pharmacological dissolution<br />

of a blood clot, by intravenous infusion of<br />

plasminogen activators that activate the fibrinolytic system.<br />

The fibrinolytic system includes a proenzyme,<br />

plasminogen, which is converted by plasminogen activators<br />

to the active enzyme plasmin, which in turn digests<br />

fibrin to soluble degradation products. Inhibition<br />

of the fibrinolytic system occurs by plasminogen<br />

activator inhibitors (mainly plasminogen activator inhibitor-1,<br />

PAI-1) and by plasmin inhibitors (mainly<br />

2 -antiplasmin). Thrombolytic agents that are either<br />

approved or under clinical investigation in patients with

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