Target intelligence / Profile preview

Plasminogen activator inhibitor 1 (PAI-1) (PAI-1)

Target
PAI-1
Molecular classification
Enzyme inhibitor, Serpin family
01

Overview

Plasminogen activator inhibitor 1 (PAI-1), also known as SERPINE1, is a key regulatory protein in the fibrinolytic system and a member of the serpin superfamily. Its primary biological function is the inhibition of tissue-type plasminogen activator (tPA) and urokinase-type plasminogen activator (uPA), which are essential for the conversion of plasminogen to plasmin. By controlling this process, PAI-1 regulates the degradation of fibrin clots and the remodeling of the extracellular matrix. Pathologically, elevated PAI-1 levels are strongly linked to the development of tissue fibrosis, chronic inflammation (such as in Inflammatory Bowel Disease), and tumor progression. The "A3SMO-mediated protein-protein interaction surface" refers to a specific targetable site on the PAI-1 molecule identified or targeted using the A3SMO platform, a technology for designing amino acid-based small molecule inhibitors. Experimental drugs like LDN-071 target this surface to block PAI-1's inhibitory activity, offering a therapeutic approach to treat fibrotic and inflammatory diseases by restoring normal plasminogen activation.

Other names
SERPINE1Serpin E1Endothelial plasminogen activator inhibitorPlan-1
02

Mechanism of action

Small molecule inhibition of the protein-protein interaction surface of PAI-1, preventing its binding to tissue plasminogen activator (tPA) and urokinase plasminogen activator (uPA), thereby promoting plasminogen activation and fibrinolysis.

03

Biological functions

Regulation of fibrinolysisCell migrationExtracellular matrix remodelingInflammationAngiogenesis
04

Disease associations

Fibrosis (Lung, Liver, Kidney, Intestinal)Inflammatory Bowel Disease (IBD)CancerCardiovascular diseaseMetabolic syndrome
05

Safety considerations

Potential risk of bleedingImpairment of normal wound healingPotential for excessive fibrinolysis
06

Interacting drugs

LDN-071

4 more in the full profile.

07

Biomarkers

PAI-1 plasma levelsPAI-1 tissue expressiontPA/uPA activity levels

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