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NCERT Exemplar · Q51

Q.Which bacterium has been used as a clot buster? What is its mode of action.

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Streptococcus (specifically Streptokinase enzyme from Streptococcus bacteria) is used as a clot buster; it activates plasminogen into plasmin, which dissolves fibrin clots in blood vessels.

The discovery that certain bacterial products could dissolve blood clots revolutionized emergency medicine, particularly in treating heart attacks and strokes. When a clot blocks a coronary artery or a vessel in the brain, time is critical—restoring blood flow quickly can mean the difference between life and death, or between full recovery and permanent damage.

The bacterium in question is a species of Streptococcus, and the enzyme it produces is called streptokinase. This enzyme has been genetically engineered and produced on a large scale for medical use. Streptokinase is administered intravenously to patients suffering from acute myocardial infarction (heart attack) or other thrombotic conditions where a clot is obstructing blood flow.

How Streptokinase Works

The mode of action is elegantly simple yet highly effective. Our blood contains an inactive protein called plasminogen. Under normal circumstances, when a clot has served its purpose and needs to be removed, the body converts plasminogen into its active form, plasmin, which is a natural clot-dissolving enzyme.

Streptokinase acts as a catalyst in this conversion. When injected into the bloodstream, it binds to plasminogen and activates it into plasmin. This plasmin then breaks down fibrin, the protein mesh that forms the structural framework of blood clots. As the fibrin dissolves, the clot disintegrates, and blood flow is restored to the affected tissue. …

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