1990
DOI: 10.1146/annurev.pa.30.040190.000515
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Tissue Plasminogen Activator: The Biochemistry and Pharmacology of Variants Produced by Mutagenesis

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Cited by 54 publications
(19 citation statements)
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“…However, when administered in therapeutic doses, t-PA, due to its limited fibrin selectivity, causes plasminemia that may contribute to bleeding complications (Rao et al, 1988;Arnold et al, 1989). Therefore, considerable efforts have been devoted to the design of new variants of t-PA exhibiting improved fibrin selectivity (Higgins and Bennett, 1990;Lijnen and Collen, 1991). Recently, a novel mutein of t-PA called TNK, which is more fibrin selective than t-PA, has been characterized Collen et al, 1994).…”
mentioning
confidence: 99%
“…However, when administered in therapeutic doses, t-PA, due to its limited fibrin selectivity, causes plasminemia that may contribute to bleeding complications (Rao et al, 1988;Arnold et al, 1989). Therefore, considerable efforts have been devoted to the design of new variants of t-PA exhibiting improved fibrin selectivity (Higgins and Bennett, 1990;Lijnen and Collen, 1991). Recently, a novel mutein of t-PA called TNK, which is more fibrin selective than t-PA, has been characterized Collen et al, 1994).…”
mentioning
confidence: 99%
“…To date no further significant progress has been seen with other tPAbased thrombolytics such as monteplase, desmoteplase or pamiteplase for example, or chimeras such as amediplase, or other molecules such as saruplase (single chain urokinase) or SAK [105]. Despite all the detailed investigations of protein biochemistry on these molecules [83,115] the only advantage of the newer thrombolytics is a bolus administration rather than the longer infusion of first generation treatments. Thus, so far the only improvements in thrombolytic therapy relate to the pharmacokinetics of the drugs, not other properties such as fibrin binding or specificity, or inhibitor susceptibility [116].…”
Section: What Can a Model Of Fibrinolysis Achieve?mentioning
confidence: 99%
“…Tissue-type plasminogen activator (ref. 5; t-PA), which is normally secreted, is used as a model protein. PCR mutagenesis (6) is used to generate random mutations within the kringle 1 (K1) domain of t-PA. Fluorescence-activated cell sorting (FACS) is used to screen for t-PA mutants possessing loss of an epitope to a specific mAb, whose nonlinear binding domains overlap with the t-PA clearance receptor contact regions.…”
Section: Introductionmentioning
confidence: 99%