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. 2019 Jul 2;17:917–938. doi: 10.1016/j.csbj.2019.06.023

Table 1.

A comparison of three generations of thrombolytics in terms of their structure and biological properties.

Thrombolytics Domains Protein data bank IDs Mode of action Fibrin affinity Fibrin selectivity Half-life [min] Risk of inhibition Risk of side-effects
First generation
 Streptokinase α, β, γ 1BML Indirect None None 10 Low High
 Urokinase EGF, K1, P 4DVA, 2I9B Direct None Low/nonea 8 High High
Second generation
 Tissue plasminogen activator F, EGF, K1, K2, P 1TPG, 1TPK, 1BDA Direct Moderate Moderate 4.5 High Low
Third generation
 Desmoteplase F, EGF, K1, P 1A5I Direct High High 138 Low Low
 Staphylokinase α 1BUI Indirect None High 6 Low Moderate
a

Prourokinase is fibrin-selective, urokinase is not fibrin-selective.