Fibrinolytic inhibitory proteins of the hemostaseologic system in normal, inflammatory and bloody cerebrospinal fluid

A quantitative immunochemical determination of the plasmin inhibitors alpha-1-antitrypsin, alpha-2-macroglobulin, and antithrombin-III of the fibronolytic system was carried out from normal, inflammatorily changed, and essentially sanguineous fluids. The low total inhibitor concentration in the cerebrospinal fluid is due to the 'restricted diffusion' caused by the blood/brain barrier function and the lacking synthesis for these proteins in the central nervous system. The inhibitor concentrations which in functional disorders of the blood/sbrain barrier and/or direct entering of blood are still--low as compared to the plasma produce a dissociation of the plasmin-inhibitor complex. The lacking interaction between the active enzyme and the inhibitor enables the occurrence of a free fibrinolytic activity in the cerebrospinal fluid.