Frontiers in Cardiovascular Medicine (Jan 2021)

Serpins in Hemostasis as Therapeutic Targets for Bleeding or Thrombotic Disorders

  • Elsa P. Bianchini,
  • Claire Auditeau,
  • Mahita Razanakolona,
  • Marc Vasse,
  • Marc Vasse,
  • Delphine Borgel,
  • Delphine Borgel

DOI
https://doi.org/10.3389/fcvm.2020.622778
Journal volume & issue
Vol. 7

Abstract

Read online

Bleeding and thrombotic disorders result from imbalances in coagulation or fibrinolysis, respectively. Inhibitors from the serine protease inhibitor (serpin) family have a key role in regulating these physiological events, and thus stand out as potential therapeutic targets for modulating fibrin clot formation or dismantling. Here, we review the diversity of serpin-targeting strategies in the area of hemostasis, and detail the suggested use of modified serpins and serpin inhibitors (ranging from small-molecule drugs to antibodies) to treat or prevent bleeding or thrombosis.

Keywords