Introduction

Tissue-type plasminogen activator (tPA) is a glycoprotein that belongs to the serine protease family, mainly known for its role in fibrinolysis through its ability to activate plasminogen into active plasmin [1]. Unlike most serine proteases, tPA is synthesized as an active enzyme, rather than a zymogen, and is expressed by many different cells including endothelial cells [[2](https://www.nature.com/articles/s41419-025-08132-8#ref-CR2 “Levin EG, Santell L, Osborn KG. The expression of endothelial tissue plasminogen activator in vivo: a function defined by vessel size and anatomic location. J C…

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