Page 118 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
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C.  Fibrinolysis
                  Plasminogen                      Fibrin mesh-work
                              Streptokinase
         Plasma                 Staphylokinase
         kallikrein
         (PKK)
                                      Plasmin                          and Thromboprotection
              XIIa  tPa
                                    Aprotinin, etc.
                Kallikrein
                                       Tranexamic acid
                Urokinase
                                             α 2 -Antiplasmin          Fibrinolysis
             Activates
             Converts to
             Inhibits
             Medication                          Soluble fibrinopeptides  Plate 4.9

         D.  Suppression of coagulation
              Heparin     Exogenous      Endogenous
                          activation      activation

                          PL–Ca –VIIa
                             2+
                                                XI
                                        XIIa
                                                  IX
                                        XIa                     Protein S
                           X
                                         2+
                                      PL–Ca – IXa–VIIIa
           Antithrombin III   V                                 Protein Ca




                      PL–Ca –Xa–Va                  Negative
                          2+
                                                    feedback
                Prothrombin              Thrombin
                                                 Binding to endothelial
                                                 thrombomodulin
                                                                Protein C
                        α 2 -Macroglobulin
             Activates    α 1 -Antitrypsin             Fibrin
             Converts to
             Inhibits                       Fibrinopeptides          105

       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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