“…Strategies were based on finding that during the process of plasminogen activation, the generated plasmin non-physiologically cleaves streptokinase into three polypeptide chains (residues 1–59, 60–386, and 387–414) leading to drop in activity [233,234]. Preventing the cleavage by mutagenesis at the identified positions (Lys59Gln/Glu, Lys386Gln) resulted in a 21-fold increased half-life without affecting activity [[235], [236], [237]]. Alternative strategies based on combinatorial mutagenesis [14,238], PEGylation [[239], [240], [241], [242]], glycosylation [235,243], or lipidification [244] yielded streptokinase variants with improved thrombolytic activity, decreased immunogenicity, and higher half-life.…”