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  • Title: Inhibition of tissue plasminogen activator inhibitor by defibrotide in atherosclerotic patients.
    Author: Violi F, Ferro D, Alessandri C, Quintarelli C, Saliola M, Balsano F.
    Journal: Semin Thromb Hemost; 1989 Apr; 15(2):226-9. PubMed ID: 2501872.
    Abstract:
    Defibrotide, an antithrombotic drug, was previously shown to activate fibrinolysis. In order to elucidate the relationship between defibrotide treatment and fibrinolysis, ten atherosclerotic patients were given 1200 mg/day defibrotide intravenously for 7 days and then 400 mg/day intramuscularly for another 20 days. t-PA antigen assessed before and after venous occlusion was not affected by the treatment. Tissue PAI activity significantly decreased and t-PA activity, measured after venous occlusion, increased after 8 and 28 days of treatment; both these changes disappeared after defibrotide was discontinued. No particular side effects were detected throughout the investigation. The study suggests that defibrotide increases t-PA activity by reducing PAI activity.
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