Using antifibrinolytics to tackle neuroinflammation

Atsev, Stanimir; Tomov, Nikola Stefanov (2020). Using antifibrinolytics to tackle neuroinflammation. Neural Regeneration Research, 15(12), pp. 2203-2206. Wolters Kluwer Medknow 10.4103/1673-5374.284979

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Plasmin is generally known as a promotor of inflammation. Recent advancement suggests that it has a complex role as immunity modulator. Pharmacological inhibition of plasmin production and activity has been proven to improve neurological outcomes in traumatic brain injury and subarachnoid hemorrhage, most probably by preventing re-bleeding. The immune-modulatory properties of antifibrinolytics, however, suggest that they probably have effects unrelated to fibrinolysis inhibition, which are currently not adequately harnessed. The present work aims to give an account of the existing data regarding antifibrinolytics as agents influencing neuroinflammation. Preclinical and clinical studies on the possible influence of antifibrinolytics on neuroinflammation are scarce. However, the emerging evidence suggests that inhibition of plasmin(ogen) activity can ameliorate neuroinflammation to some extent. This data demonstrate that plasmin(ogen) is not exclusively involved in fibrinolysis, but also has other substrates and can precipitate in inflammatory processes. Investigation on the role of plasmin as the factor for the development of neuroinflammation shows the significant potential of antifibrinolytics as pharmacotherapy of neuroinflammationm, which is worthy of further exploration.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Anatomy

UniBE Contributor:

Tomov, Nikola Stefanov

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1876-7958

Publisher:

Wolters Kluwer Medknow

Language:

English

Submitter:

Nikola Stefanov Tomov

Date Deposited:

30 Jun 2020 16:59

Last Modified:

30 Jun 2020 16:59

Publisher DOI:

10.4103/1673-5374.284979

PubMed ID:

32594031

BORIS DOI:

10.7892/boris.144652

URI:

https://boris.unibe.ch/id/eprint/144652

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