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SL Gonias, NL Figler and LL Braud
Department of Pathology, University of Virginia Medical Center,
Charlottesville 22908.
Streptokinase-plasmin complex (SkPl) was prepared with human plasminogen.
Regulation of SkPl and plasmin by the plasma proteinase inhibitors, alpha
2-antiplasmin (alpha 2AP) and alpha 2-macroglobulin (alpha 2M), was studied
as a function of temperature in plasminogen- depleted human plasma, mouse
plasma, and solutions of purified proteins. The reaction of plasmin with
proteinase inhibitors in human plasma was complete. alpha 2AP was the
predominant inhibitor. The fraction of alpha 2M-plasmin recovered was not
affected significantly by incubation temperature. In contrast, the reaction
of SkPl with human proteinase inhibitors was markedly temperature
dependent. The apparent second-order rate constant for the reaction of SkPl
with purified alpha 2AP at 37 degrees C (1.5 x 10(2) mol/L-1 s-1) was
greater than 150-fold higher than the constant derived at 4 degrees C. In
human plasma and in solutions containing mixtures of purified human
proteins, alpha 2AP was the principal inhibitor of SkPl. Elevating the
temperature enhanced the reaction of SkPl with alpha 2AP and alpha 2M
comparably. Equivalent results were obtained when incubations were
performed in platelet-rich plasma (PRP) or whole blood. In murine plasma,
SkPl reacted readily with the proteinase inhibitors. The principal
inhibitor of SkPl was alpha 2M. Maximum reaction between SkPl and murine
alpha 2M was observed at 37 degrees C; however, significant reaction also
occurred at 4 degrees C. alpha 2 AP was the predominant inhibitor of
plasmin in mouse plasma. Reaction of alpha 2AP with SkPl in murine plasma
was significant only after the alpha 2M was inactivated with methylamine.
These results were not affected by platelets or whole blood cells. We
conclude that the thrombolytic efficacy of streptokinase reflects not only
the nature of the plasminogen activator complex but also the function of
the proteinase inhibitors.
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