Evidence map›Paper›PMID 40519879›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Halo fluorescence fibrinolysis test: a novel quantitative assay to evaluate fibrinolysis on established plasma clots.

Zikou Liu, Orr Zaacks, Be'eri Niego, Robert L Medcalf

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Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

  1. Another step toward phenotypic characterization of hereditary dysfibrinogenemia?Research and practice in thrombosis and haemostasis · 2026
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zikou LiuMolecular Neurotrauma and Haemostasis Laboratory, Australian Centre of Blood Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Orr ZaacksMolecular Neurotrauma and Haemostasis Laboratory, Australian Centre of Blood Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Be'eri NiegoNanoBiotechnology Laboratory, Australian Centre for Blood Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Robert L MedcalfMolecular Neurotrauma and Haemostasis Laboratory, Australian Centre of Blood Diseases, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fibrinolysis is essential for dissolving blood clots and maintaining hemostasis. This process is primarily mediated by tissue-type plasminogen activator, which converts plasminogen into plasmin, thereby breaking down fibrin clots. Traditional amidolytic assays often measure plasmin generation without directly assessing fibrin degradation, while thromboelastography frequently overlooks clot maturation, which significantly influences fibrinolysis resistance. Objectives: To address these limitations, we present a novel quantitative assay for analyzing fibrinolysis on established clots, termed the halo fluorescence fibrinolysis (HoFF) test. Methods: The HoFF test used fluorophore-conjugated fibrinogen to form halo-shaped plasma clots. Fibrinolysis was induced with tissue-type plasminogen activator or its variant tenecteplase, and clot breakdown was monitored via real-time fluorescence detection by a microplate reader. The fluorescence signal was analyzed to calculate a fibrinolysis index, indicating fibrinolytic capacity. Its specificity for fibrinolysis over plasmin generation was validated against traditional amidolytic assays using a plasmin substrate. Results: Fluorescence-labeled fibrinogen was confirmed as a reliable marker of fibrin degradation. The HoFF test exhibited strong linear correlations between the fibrinolysis index and plasminogen activator concentrations, with robust reproducibility. It also effectively evaluated tenecteplase-induced fibrinolysis and demonstrated versatility across clot types, including mouse plasma and human whole-blood models. Furthermore, the test distinguished fibrinolysis from plasmin generation, demonstrated by the differential effects of tranexamic acid inhibition. Conclusion: The HoFF test offers a sensitive, reliable, and high-throughput tool for quantitatively evaluating fibrinolysis on established human and mouse plasma and whole blood clots.

Indexed as

fibrinolysisfluorescenceplasmathrombolytic therapytissue-type plasminogen activator

Identifiers

PMID40519879
PMCPMC12166813

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