Table 1.
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 |
Prourokinase is fibrin-selective, urokinase is not fibrin-selective.