Robison A K, Collen D
Cardiol Clin. 1987 Feb;5(1):13-9.
The fibrinolytic system is activated either directly or indirectly by proteins that convert plasminogen to plasmin in the circulation, within the interstitices, and on the surface of fibrin clots, or both. Agents that activate circulating and clot-bound plasminogen comparably induce a systemic lytic state accompanying clot lysis. Agents that activate plasminogen in the domain of fibrin preferentially exhibit clot selectivity. Fibrinolytic activators are assayed by detection of protein, generally immunologically, or of functional activity, generally by visualization of lysis of fibrin or by spectrophotometric determination of amidolytic activity.
纤维蛋白溶解系统可被某些蛋白质直接或间接激活,这些蛋白质能在循环系统、组织间隙以及纤维蛋白凝块表面将纤溶酶原转化为纤溶酶,或在上述两种情况同时发生时激活该系统。能同等程度激活循环中和凝块结合的纤溶酶原的药物会引发伴随凝块溶解的全身性溶解状态。优先在纤维蛋白区域激活纤溶酶原的药物则表现出凝块选择性。纤维蛋白溶解激活剂的检测方法包括一般通过免疫法检测蛋白质,或一般通过观察纤维蛋白溶解情况或通过分光光度法测定酰胺水解活性来检测功能活性。