Ayy. Lee et al., Like fibrin, (DD)E, the major degradation product of crosslinked fibrin, protects plasmin from inhibition by alpha(2)-antiplasmin, THROMB HAEM, 85(3), 2001, pp. 502-508
Plasmin generation is localized to the fibrin surface because tissue-type p
lasminogen activator (t-PA) and plasminogen bind to fibrin, an interaction
that stimulates plasminogen activation over a hundred-fold. To ensure effic
ient fibrinolysis, plasmin bound to fibrin is protected from inhibition by
alpha (2)-antiplasmin. (DD)E, a major soluble degradation product of cross-
linked fibrin that is a potent stimulator of t-PA, compromises the fibrin-s
pecificity of t-PA by promoting systemic activation of plasminogen, In this
study we investigated whether (DD)E also protects plasmin from inhibition
by alpha (2)-antiplasmin, facilitating degradation of this soluble t-PA eff
ector. (DD)E and fibrin reduce the rate of plasmin inhibition by alpha (2)-
antiplasmin by 5- and 10-fold, respectively. Kringle-dependent binding of p
lasmin to (DD)E and fibrin, with K-d values of 52 and 410 nM, respectively,
contributes to the protective effect. When (DD)E is extensively degraded b
y plasmin, yielding uncomplexed fragment E and (DD), protection of plasmin
from inhibition by alpha (2)-antiplasmin is attenuated. These studies indic
ate that (DD)E-bound plasmin, whose generation reflects the ability of (DD)
E to stimulate plasminogen activation by t-PA, has the capacity to degrade
(DD)E by virtue of its resistance to inhibition. This provides a mechanism
to limit the concentration of (DD)E and maintain the fibrin-specificity of
t-PA.