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Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:1361-1365

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:1361-1365.)
© 1999 American Heart Association, Inc.


Thrombosis

PAI-1 Produced Ex Vivo by Human Adipose Tissue Is Relevant to PAI-1 Blood Level

P. E. Morange; M. C. Alessi; M. Verdier; D. Casanova; G. Magalon; I. Juhan-Vague

From the Laboratory of Hematology, CHU Timone (P.E.M., M.C.A., M.V., I.J.-V.), and the Department of Plastic Surgery, CHU Conception (D.C., G.M.), Marseille, France.

Correspondence to Pr I. Juhan-Vague, Laboratory of Hematology, CHU Timone, 13385 Marseille Cedex 5, France.

Abstract—Human adipose tissue has been shown to produce plasminogen activator inhibitor type 1 (PAI-1). However, the importance of adipose tissue in the regulation of the PAI-1 plasma level is not known. The aim of this study was to investigate the relation between the production of PAI-1 by adipose tissue, plasma PAI-1 level, and variables related to the insulin resistance state. The link between the production of PAI-1 inducers such as tumor necrosis factor-{alpha} and transforming growth factor-ß and the production of PAI-1 by adipose tissue was also evaluated. Blood samples were obtained as soon as possible to the induction of anesthesia from 30 patients undergoing elective abdominoplasty. PAI-1 antigen levels measured in conditioned media after a 19-hour incubation period of adipose tissue explants were significantly correlated with plasma PAI-1 antigen levels (r=0.54, P=0.004) and with systemic lipid parameters such as triglycerides and high density lipoprotein cholesterol (r=0.46, P=0.014; r=-0.50, P=0.01, respectively) but not with insulinemia and body mass index. PAI-1 production by adipose tissue was correlated with those of TNF-{alpha} (r=0.5, P=0.01) and TGF-ß (r=0.53, P=0.007). These results emphasize the role of adipose tissue in determining plasma levels of PAI-1, with a local contribution of TNF-{alpha} and TGF-ß in PAI-1 production by adipose tissue.


Key Words: PAI-1 • humans • adipose tissue • TNF-{alpha} • TGF-ß




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