1. Elevated
plasminogen activator inhibitor 1 (PAI-1) is a risk factor for
thrombosis, and inhibitors of the interaction between
PAI-1 and
tissue plasminogen activator (t-PA) have antithrombotic and prothrombolytic activity in animals. We describe the antithrombotic effects in the rat of a
monoclonal antibody (MA33H1) which converts
PAI-1 to a non-inhibitory substrate. 2. The activity of MA33H1 against rat
PAI-1 was confirmed using two-chain t-PA and a
chromogenic substrate. MA33H1 was evaluated in rat venous (
thromboplastin + stasis in the abdominal vena cava) and arterial (electric current applied to a
carotid artery) thrombosis models. The effects on tail-transection bleeding time were studied. 3. MA33H1 at 100 ng ml(-1) inhibited both human (44.1%) and rat
PAI-1 (49.7%). This effect was concentration-dependent. Its effect on human
PAI-1 was not significantly inhibited by 1 microg ml(-1)
fibrin or a approximately 7 fold molar excess of
vitronectin (1 nM). Inhibition of rat
PAI-1 was unchanged by
fibrin, but
vitronectin reduced inhibition from 0.5 nM. 4. In the
venous thrombosis model, MA33H1 significantly reduced
thrombus weights by 38 and 58.6% at 50 and 100 microg kg(-1) min(-1) i.v. respectively. This effect was inhibited by
tranexamic acid. In the arterial model, MA33H1 significantly increased the delay to occlusive
thrombus formation by 58 and 142% at 50 and 100 microg kg(-1) min(-1) i.v., and did not affect bleeding time at 300 microg kg(-1) min(-1) i.v. 5. Thus, a
monoclonal antibody which transforms
PAI-1 to a t-PA substrate prevents
thrombus formation in the rat with no effect on bleeding time at a higher dose.