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on July 6, 2006

Arteriosclerosis, Thrombosis, and Vascular Biology. 2006
Published online before print July 6, 2006, doi: 10.1161/01.ATV.0000235605.51400.9d
A more recent version of this article appeared on October 1, 2006
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Submitted on April 28, 2006
Accepted on June 19, 2006

Modulation of Adipose Tissue Development by Pharmacological Inhibition of PAI-1

David L. Crandall *; Elaine M. Quinet ; Soulaf El Ayachi ; Amy L. Hreha ; Courtney E. Leik ; Dawn A. Savio ; Irene Juhan-Vague ; and Marie-Christine Alessi

From Cardiovascular and Metabolic Disease Research (D.L.C., E.M.Q., A.L.H., C.E.L., D.A.S.), Wyeth Research, Philadelphia, Pa; Laboratoire d’Hematologie UMR Inserm 626 (S.E.A., I.J.-V., M.-C.A.), Faculte de Medecine, Marseille, France.

* To whom correspondence should be addressed. E-mail: crandad{at}wyeth.com.

Objective--The effect of a novel small molecule plasminogen activator inhibitor (PAI-1) inhibitor on adipose tissue physiology was investigated.

Methods and Results--In human preadipocyte cultures, PAI-039 inhibited both basal and glucose-stimulated increases in active PAI-1 antigen, yet had no effect on PAI-1 mRNA, suggesting a direct inactivation of PAI-1. Differentiation of human preadipocytes to adipocytes was associated with leptin synthesis, which was significantly reduced in the presence of PAI-039, together with an atypical adipocyte morphology characterized by a reduction in the size and number of lipid containing vesicles. In a model of diet-induced obesity, pair-fed C57 Bl/6 mice administered PAI-039 in a high-fat diet exhibited a dose-dependent reduction in body weight, epididymal adipose tissue weight, adipocyte volume, and circulating plasma active PAI-1. Plasma glucose, triglycerides, and leptins were also significantly reduced in drug-treated mice, and concentrations of PAI-039 associated with these physiological effects were near the in vitro IC50 for the inhibition of PAI-1.

Conclusions--Our results indicate that a small molecule inactivator of PAI-1 can neutralize glucose-stimulated increases in PAI-1in human preadipocyte cultures, reduce adipocyte differentiation, and prevent the development of diet-induced obesity. These data suggest the pharmacological inhibition of PAI-1 could be beneficial in diseases associated with expansion of adipose tissue mass.


Key words: adipocyte • diabetes • obesity • PAI-1


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A Role for Plasminogen Activator Inhibitor-1 in Obesity: From Pie to PAI?
Marcelo L.G. Correia and William G. Haynes
Arterioscler Thromb Vasc Biol 2006 26: 2183-2185. [Extract] [Full Text] [PDF]



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