Anti-fibrinolytic strategies improve liver regeneration in mice and reduce post-hepatectomy liver failure in patients

Z Zhihao Li Z Zimu Wei D Dafna J. Groeneveld (Michigan State University, East Lansing, Michigan, United States) A Amy W Strilchuk (University of British Columbia, Vancouver, British Columbia, Canada) M Matthew J. Flick (2Department of Pathology and Laboratory Medicine, UNC Blood Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC) Y Yawen Dong (Mayo Clinic, Rochester, Minnesota, United States) V Vanja Podrascanin (Mayo Clinic, Rochester, Minnesota, United States) M Mark Truty (Mayo Clinic) M Michael L. Kendrick (Mayo Clinic, Rochester, Minnesota, United States) S Sean P. Cleary (University Health Network, Toronto, Canada) S Susanne G. Warner (Mayo Clinic, Rochester, Minnesota, United States) R Rory L. Smoot (Mayo Clinic, Rochester, Minnesota, United States) A Alice Assinger (Medical University of Vienna, Vienna, Austria) C Christian J. Kastrup (Versiti Blood Research Institute, Milwaukee, Wisconsin, United States) P Paul Karanicolas (Sunnybrook Health Science Centre, Toronto, Canada) J James P. Luyendyk (Michigan State University, East Lansing, Michigan, United States) P Patrick P. Starlinger (Mayo Clinic, Rochester, Minnesota, United States)

Abstract

Pharmacological plasminogen reduction enhanced liver regeneration experimentally and clinically. siRNA-induced plasminogen deficiency promoted hepatocyte proliferation after partial hepatectomy in mice, contrasting genetic deficiency models. In the HeLiX trial, tranexamic acid reduced post-hepatectomy liver failure odds, suggesting a novel therapeutic strategy.

Article Details

Journal Blood
Volume / Issue Vol. 1, Issue 1
Published June 11, 2026
ISSN 0006-4971
Publisher Elsevier BV

Journal Info

Blood

Elsevier BV

ISSN: 0006-4971 Health Sciences

Authors (17)

Z

Zhihao Li

Z

Zimu Wei

D

Dafna J. Groeneveld

Michigan State University, East Lansing, Michigan, United States

A

Amy W Strilchuk

University of British Columbia, Vancouver, British Columbia, Canada

M

Matthew J. Flick

2Department of Pathology and Laboratory Medicine, UNC Blood Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC

Y

Yawen Dong

Mayo Clinic, Rochester, Minnesota, United States

V

Vanja Podrascanin

Mayo Clinic, Rochester, Minnesota, United States

M

Mark Truty

Mayo Clinic

M

Michael L. Kendrick

Mayo Clinic, Rochester, Minnesota, United States

S

Sean P. Cleary

University Health Network, Toronto, Canada

S

Susanne G. Warner

Mayo Clinic, Rochester, Minnesota, United States

R

Rory L. Smoot

Mayo Clinic, Rochester, Minnesota, United States

A

Alice Assinger

Medical University of Vienna, Vienna, Austria

C

Christian J. Kastrup

Versiti Blood Research Institute, Milwaukee, Wisconsin, United States

P

Paul Karanicolas

Sunnybrook Health Science Centre, Toronto, Canada

J

James P. Luyendyk

Michigan State University, East Lansing, Michigan, United States

P

Patrick P. Starlinger

Mayo Clinic, Rochester, Minnesota, United States