Plasminogen Activity in Plasma and in Serum Before and After Venostasis
When venostasis is applied in men for 10 minutes at a pressure half-way between diastolic and systolic, various results may be obtained as far as fibrinolysis is concerned, normally the euglobulin lysis time reduced from above 3 hours to less than one hour. In these conditions, after venostasis the estimation of plasminogen after activation by Streptokinase (S.K.) on synthetic substrate S2251, shows 20-80% greater activity in serum than in plasma. In some patients at high risks of thrombosis, the euglobulin lysis time 15 unchanged after venostasis. In these cases, the biological activity of plasminogen is slightly greater in plasma than in serum, as is observed before venostasis in all subjects.In order to explain these observations, experiments were performed using placental or plasmatic (glu or lys) plasminogen ; these show that for the same antigen activity, the biological activity of placental plasminogen previously activated by S.K. is greater than that of plasmatic plasminogen. We suggest a modification of the structure of plasminogen in the presence of activators and of fibrin clots. Further experiments will be necessary to explain the modification of plasminogen structure