Effect of Fibrinolysin on the Coagulability of Fibrinogen
SummaryStreptokinase or glycerol activated human fibrinolysin was added to human plasma and the enzyme action was stopped by the addition of epsilon amino-caproic acid at different time intervals. The clottable fibrinogen content of the mixtures was determined by diluting the plasma with either physiological saline or distilled water, both containing thrombin or thrombin plus calcium chloride. It was found that before the addition of fibrinolysin the values in distilled water containing calcium chloride were higher than the respective values in plain saline or in saline containing calcium chloride. The drop in clottable fibrinogen after the addition of fibrinolysin was more pronounced when the determinations were performed in plain distilled water. Thus, a crossover between the values obtained in plain distilled water and those in saline gradually occurred, the values in distilled water without calcium chloride becoming the lowest. This is at variance with the results obtained in the presence of added AFIF or fibrinolysed fibrinogen where the values in distilled water were always higher than the ones obtained in saline both in the presence and in the absence of calcium chloride. Since the reversal of coagulability of fibrinogen in physiological saline versus distilled water was reproduced only when we mixed partially lysed human fibrinogen with completely lysed human plasma, the conclusion was drawn that three prerequisites are necessary for this phenomenon to occur: a) the fibrinogen must have been acted upon by fibrinolysin; b) the fibrinogen must be of human origin; c) a substance produced by the action of fibrinolysin on a plasmatic factor other than fibrinogen or, possibly, an intact plasmatic factor, must be present.