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Protease nexin-1 (PN-1, encoded by the SERPINE2 gene) is a secreted serine protease inhibitor of the serpin superfamily that inhibits thrombin, plasmin, tissue-type plasminogen activator, and urokinase-type plasminogen activator, acting as a critical regulator of hemostasis, fibrinolysis, and extracellular matrix remodeling. PN-1 is widely expressed in the brain (where it exerts neurotrophic and neuroprotective effects), vasculature, and various peripheral tissues. It is implicated in diverse physiological processes, including neuronal survival, angiogenesis inhibition, and tissue repair, and has pathogenic roles in cardiac fibrosis, cancer progression, and some pulmonary diseases.
Serine protease inhibition (forms irreversible complexes with target proteases, e.g., thrombin, plasmin, uPA, tPA), blocking proteolytic activity and thus affecting blood coagulation, fibrinolysis, and matrix remodeling
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