Taming the clot-buster tPA

被引:5
作者
Dawson, Ted M.
Dawson, Valina L.
机构
[1] Johns Hopkins Univ, Sch Med, Inst Cell Engn, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21205 USA
[3] Johns Hopkins Univ, Sch Med, Dept Neurosci, Baltimore, MD 21205 USA
[4] Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21205 USA
[5] Johns Hopkins Univ, Sch Med, Dept Neurosci, Baltimore, MD 21205 USA
[6] Johns Hopkins Univ, Sch Med, Dept Physiol, Baltimore, MD 21205 USA
关键词
D O I
10.1038/nm0906-993
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Treating stroke with tissue plasminogen activator (tPA) can help dissolve blood clots and improve outcome. But tPA also increases the risk of hemorrhage and has other deleterious effects. A new approach to treatment minimizes these negative effects.
引用
收藏
页码:993 / 994
页数:2
相关论文
共 9 条
[1]   LRP and αvβ3 mediate tPA activation of smooth muscle cells [J].
Akkawi, Sa'ed ;
Nassar, Taher ;
Tarshis, Mark ;
Cines, Douglas B. ;
Higazi, Abd Al-Roof .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2006, 291 (03) :H1351-H1359
[2]   Neutralizing the neurotoxic effects of exogenous and endogenous tPA [J].
Armstead, William M. ;
Nassar, Taher ;
Akkawi, Saed ;
Smith, Douglas H. ;
Chen, Xiao-Han ;
Cines, Douglas B. ;
Higazi, Abd Al-Roof .
NATURE NEUROSCIENCE, 2006, 9 (09) :1150-1155
[3]   Reasons why few patients with acute stroke receive tissue plasminogen activator [J].
Bambauer, Kara Z. ;
Johnston, S. Claiborne ;
Bambauer, Derek E. ;
Zivin, Justin A. .
ARCHIVES OF NEUROLOGY, 2006, 63 (05) :661-664
[4]   Aggravation of focal cerebral ischemia by tissue plasminogen activator is reversed by 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor but does not depend on endothelial NO synthase [J].
Kilic, E ;
Kilic, Ü ;
Matter, CM ;
Lüscher, TF ;
Bassetti, CL ;
Hermann, DM .
STROKE, 2005, 36 (02) :332-336
[5]   Tissue plasminogen activator neurovascular toxicity is controlled by activated protein C [J].
Liu, D ;
Cheng, T ;
Guo, H ;
Fernández, JA ;
Griffin, JH ;
Song, XM ;
Zlokovic, BV .
NATURE MEDICINE, 2004, 10 (12) :1379-1383
[6]   Combination stroke therapy: easy as APC? [J].
Lo, EH .
NATURE MEDICINE, 2004, 10 (12) :1295-1296
[7]   Tensions remain over tPA for stroke [J].
Mitka, M .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (11) :1363-1364
[8]   The proteolytic activity of tissue-plasminogen activator enhances NMDA receptor-mediated signaling [J].
Nicole, O ;
Docagne, F ;
Ali, C ;
Margaill, I ;
Carmeliet, P ;
MacKenzie, ET ;
Vivien, D ;
Buisson, A .
NATURE MEDICINE, 2001, 7 (01) :59-64
[9]   Lipoprotein receptor-mediated induction of matrix metalloproteinase by tissue plasminogen activator [J].
Wang, XY ;
Lee, SR ;
Arai, K ;
Lee, SR ;
Tsuji, K ;
Rebeck, GW ;
Lo, EH .
NATURE MEDICINE, 2003, 9 (10) :1313-1317