Thrombosis |
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.
AbstractHuman 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-
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-
(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-
and TGF-ß in PAI-1
production by adipose tissue.
Key Words: PAI-1 humans adipose tissue TNF-
TGF-ß
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