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Review
. 2020 Dec;17(6):1902-1908.
doi: 10.1111/iwj.13480. Epub 2020 Oct 11.

Plasminogen activator inhibitor-1: a potential etiological role in livedoid vasculopathy

Affiliations
Review

Plasminogen activator inhibitor-1: a potential etiological role in livedoid vasculopathy

Yimeng Gao et al. Int Wound J. 2020 Dec.

Abstract

Livedoid vasculopathy (LV) is a chronic, recurrent skin disorder with unknown aetiology and pathogenesis that seriously affects the quality of life of people who suffer from it. Plasminogen activator inhibitor (PAI)-1 is a primary inhibitory component of the endogenous fibrinolytic system in blood coagulation. PAI-1 also plays a role in many other physiological processes and activities, including thrombosis, fibrosis, wound healing, angiogenesis, inflammation, cell migration, and adhesion. Enhanced expression and genotype polymorphism of PAI-1 have been observed in LV patients. In this review, we summarise the known functions of PAI-1 with emphasis on the roles that PAI-1 probably plays in the pathogenesis of LV, thereby illustrating that PAI-1 represents a potential LV biomarker and therapeutic target for treating LV.

Keywords: aetiology; plasminogen activator inhibitor 1; vascular diseases.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
A–C, Livedo reticularis on lower extremities. D, Atrophic porcelain satellite scars and pigmentation on dorsal feet and ankle. E, Painful ulcers on both ankles

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