An abnormal plasminogen (San Antonio) has been isolated from a patient with axillary
vein thrombosis. A decreased level of fibrinolytic activity was detected in both plasma
and a purified system. The molecular abnormalities were investigated with both functional
and immunological tests. Slightly decreased antigen concentration was noted in plasma.
By crossed immunoelec-trophoresis, the patient and his two children had a second small
arc and the primary arc migrated more eathodically. A distinct isozyme was detected
in the abnormal plasminogen. Functionally, this abnormal plasminogen is characterized
by failure to enhance maximal conversion to plasmin, especially by plasminogen activators,
which are enhanced by fibrin or fibrin degradation products. The proband and his children
are heterozygous for this abnormal plasminogen.
Keywords
Abnormal plasminogen - Axillary vein thrombosis - Fibrinolysis