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Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:1803-1809

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:1803-1809.)
© 1998 American Heart Association, Inc.


Original Contributions

Genotype-Specific Transcriptional Regulation of PAI-1 Gene by Insulin, Hypertriglyceridemic VLDL, and Lp(a) in Transfected, Cultured Human Endothelial Cells

Hernan E. Grenett; Raymond L. Benza; Gunther M. Fless; Xin-Nong Li; Glenda C. Davis; ; Francois M. Booyse

From the Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham (H.E.G., R.L.B., X.-N.L., G.C.D., F.M.B.), and the Department of Medicine, University of Chicago, Chicago, Ill (G.M.F.).

Correspondence to Hernan E. Grenett, PhD, University of Alabama at Birmingham, 845 19th St S, BBRB 809, Birmingham, AL 35294-2170.

Abstract—Plasminogen activator inhibitor-1 (PAI-1) has been shown to be an independent risk factor for coronary artery disease. Variations in plasma PAI-1 levels have been attributed to variations in the PAI-1 gene, and associations between PAI-1 levels and PAI-1 genotypes suggest that PAI-1 expression may be regulated in a genotype-specific manner by insulin, hypertriglyceridemic (HTG) very low density lipoprotein (VLDL), or lipoprotein(a) [Lp(a)]. Polymerase chain reaction–amplified 1106-bp fragments of the promoter of the 1/1 and 2/2 PAI-1 genotypes were sequenced and showed 5 regions of small nucleotide differences in the 1/1 versus 2/2 PAI-1 promoters that consistently occurred with high frequency. These fragments were ligated into the luciferase reporter gene, and 1/1 and 2/2 PAI-1 genotype human umbilical vein endothelial cell (HUVEC) cultures were transiently transfected with their respective p1PAI110/luc and p2PAI110/luc constructs and vice versa. Insulin induced an {approx}12- to 16-fold increase in luciferase activity in both the 1/1 and 2/2 PAI-1 genotype HUVEC cultures transfected with the p1PAI110/luc construct. HTG-VLDL and Lp(a) induced luciferase activity by {approx}14- to 16- and {approx}8- to 11-fold, respectively, in both the 1/1 and 2/2 PAI-1 genotype HUVEC cultures transfected with the p2PAI110/luc construct. The positive control interleukin-1 showed an {approx}7- to 12-fold response in the 1/1 and 2/2 PAI-1 genotype HUVEC cultures transfected with either of the constructs. These cross-over results demonstrate that regulation of either the 1/1 or 2/2 PAI-1 genotype by its respective inducer is due to the promoter itself and not to some factor(s) expressed differently in the 1/1 or 2/2 PAI-1 genotype HUVEC cultures.


Key Words: plasminogen activator inhibitor-1 • transfection • insulin • hypertriglyceridemic VLDL • lipoprotein(a)




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