When it is elaborated into the blood it converts circulating plasminogen (present in high concentrations but biologically inert) to plasmin, a relatively nonspecific protease. Because both plasminogen and t-PA bind specifically to fibrin associated with nascent thrombi, the action of t-PA in blood is largely confined to clots, giving rise to what has been called clot-specific fibrinolysis (6). [...]coronary atherosclerotic plaques that form under such circumstances are likely to be relatively devoid of VSM, lipid laden, and prone to rupture, thereby precipitating acute coronary syndromes.
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