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James O'Rourke

Professor of Immunology
jorourke@uchc.edu

 
Areas of Interest

We are investigating the production of extravascular tissue plasminogen activator (t-PA) by sympathetic neurons, and its effects on the blood and vessel wall fibrinolysis. Plasmin, formed by the action of t-PA on plasminogen, is the master enzyme of fibrinolysis and extracellular matrix remodeling. Extravascular plasmin produced by t-PA is able to degrade most proteins, and is a principal activator of latent metalloproteinases that also degrade the matrix. In various immunological reactions, plasmin is a principal activator of important cytokines, such as TGF-b which regulates numerous immune and healing reactions. As such plasmin production plays a major role in the pathogenesis of vessel wall diseases, e.g., hypertension, atherosclerosis and thromboembolism.

Within most tissues and organs the vascular endothelial cell is thought to be the principal source of tissue plasminogen activator. Our studies have confirmed that greater amounts of the protease are synthesized, transported and released by sympathetic nerve cells that innervate the vessel walls and other extracellular matrices throughout the body. This indicates that t-PA is distributed by the sympathetic nervous system to multiple tissues and organs. The implications of this neural fibrinolysis for diseases of ageing are studied in appropriate animal models using invitro t-PA release measurements in organ cultures and morphologic TEM studies of t-PA distribution.

Publications

Selected Publications

Wang, Y. Ghalil, W. Pingle, P., Traboulsi, A. Dalal, T. O'Rourke, J. and Cone, R.E. Splenic cells from mice receiving intracameral antigen suppress in vitro antigen‑induced proliferation and interferon‑g production by sensitized lymph node cells. Ocular Immunol and Inflam., (In press).

Jiang, X., Hand, A.R., Shen, S., Cone, R.E. and O'Rourke, J. Enhanced tissue plasminogen activator synthesis by the sympathetic neurons that innervate aging vessels. J. Neurosci Res. 71:567‑594, 2003.

Wang, Y., Jiang, X., Hand, A.R., Gillies, C., Kirk, J., Gone, R.E., and O'Rourke, J. Additional evidence that the sympathetic nervous system regulates the vessel wall release of tissue plasminogen activator. Blood Coag. and Fibrinolysis 13:1‑11, 2002.

Jiang, X., Wang, Y., Hand, A_R., Gillies, C., Cone, R.E. Kirk, J., and O'Rourke, J. Storage and release of tissue plasminogen activator (t‑PA) by sympathetic axons in resistance vessel walls. Microvascular Research 64:438‑447, 2002.

Wang, Y., Goldschneider, I., O'Rourke, J. and Cone, R.E. Blood mononuclear cells induce regulatory NK T lymphocytes in anterior chamber‑associated immune deviation. J. Leukocyte Biol. 69:741‑746, 2001.

Jiang, X, Wang, Y., Hand, A.R., Gillies, C., and O'Rourke, J. Presence of tissue plasminogen activator (t‑PA) in the adventitial sympathetic nerves that innervate small arteries: Morphologic evidence for a neural fibrinolysis. Fibrinolysis and Proteolysis 14:35‑46, 2000.

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