id author title date pages extension mime words sentences flesch summary cache txt cord-293922-knzv4jvj Zuo, Y. Plasma tissue plasminogen activator and plasminogen activator inhibitor-1 in hospitalized COVID-19 patients 2020-09-02 .txt text/plain 3049 202 48 Results: We found markedly elevated levels of tPA and PAI-1 among patients hospitalized with COVID-19. Conclusion: While both tPA and PAI-1 are elevated among COVID-19 patients, extremely high levels of tPA enhance spontaneous fibrinolysis and are significantly associated with mortality in some patients. These data indicate that fibrinolytic homeostasis in COVID-19 is complex with a subset of patients expressing a balance of factors that may favor fibrinolysis and suggests that further study of tPA as a potential biomarker is warranted. Utilizing established Luminex platforms, we measured total PAI-1 and tPA levels in the plasma of 118 patients hospitalized with COVID-19 and 30 healthy controls. Elevated PAI-1 and its associated hypofibrinolytic state were observed in the 2002 SARS-CoV epidemic [22] , while recent characterizations of COVID-19 patients have suggested impaired global fibrinolysis [16, 23] . Interestingly, in our large cohort of hospitalized COVID-19 patients, we observed elevated levels of not only PAI-1, but also tPA. ./cache/cord-293922-knzv4jvj.txt ./txt/cord-293922-knzv4jvj.txt