Generation of activated protein C during thrombolysis

The observation that urokinase infusion increases circulating levels of the anticoagulant activated protein C (APC) in baboons implies that APC might be elevated during thrombolytic therapy. Patients undergoing coronary thrombolysis showed an 11-fold increase (means from 6 to 69 μg/L) in APC during...

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Veröffentlicht in:The Lancet (British edition) 1993-11, Vol.342 (8882), p.1275-1276
Hauptverfasser: Gruber, A., Griffin, J.H., Pál, A., Sas, G., Kiss, R.G.
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container_end_page 1276
container_issue 8882
container_start_page 1275
container_title The Lancet (British edition)
container_volume 342
creator Gruber, A.
Griffin, J.H.
Pál, A.
Sas, G.
Kiss, R.G.
description The observation that urokinase infusion increases circulating levels of the anticoagulant activated protein C (APC) in baboons implies that APC might be elevated during thrombolytic therapy. Patients undergoing coronary thrombolysis showed an 11-fold increase (means from 6 to 69 μg/L) in APC during infusion of streptokinase. Thrombolytic therapy thus generates at least two potent antithrombotic factors in the circulation—the fibrinolytic enzyme, plasmin, and the anticoagulant enzyme, APC. APC may help prevent reocclusion during or after thrombolysis.
doi_str_mv 10.1016/0140-6736(93)92364-Y
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subjects Activated protein C
Aged
Anticoagulants
Baboons
Biological and medical sciences
Blood
Blood. Blood coagulation. Reticuloendothelial system
Catheters
Enzyme Activation - drug effects
Enzymes
Female
Fibrin
Humans
Male
Medical research
Medical sciences
Middle Aged
Monkeys & apes
Myocardial Infarction - blood
Myocardial Infarction - drug therapy
Myocardial Infarction - metabolism
Pharmacology. Drug treatments
Plasmin
Protein C - analysis
Protein C - biosynthesis
Protein C - metabolism
Protein C Inhibitor - blood
Proteins
Streptokinase
Streptokinase - pharmacology
Streptokinase - therapeutic use
Therapy
Thrombolysis
Thrombolytic Therapy
U-Plasminogen activator
Urokinase
title Generation of activated protein C during thrombolysis
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