Abstract
Human adipose tissue can produce plasminogen activator inhibitor-1
(PAI-1). It has been suggested that high levels of PAI-1 are of importance in
enhanced cardiovascular disease observed among obese subjects, especially
abdominally obese individuals. In the present study, we investigated the level
of mRNA and production of PAI-1 in adipose tissue from two adipose tissue
depots (omental vs. subcutaneous). Adipose tissue from both depots was obtained
from obese (mean BMI, 46.9 kg/m2 ) and non-obese (mean BMI,
23.9 kg/m2 ) women. PAI-1 mRNA was measured both in fresh
adipose tissue obtained immediately after surgery and after the adipose tissue
(fragments) had been incubated for up to 72 h. In immediately frozen
adipose tissue, PAI-1 mRNA expression was similar in omental and subcutaneous
adipose tissue. No differences between obese and non-obese women were found.
However, when adipose tissue fragments were cultured, PAI-1 mRNA and PAI-1
production were significantly higher in omental than in subcutaneous adipose
tissue (p < 0.05). In the culture system, the production of
PAI-1 in obese subjects was higher than in non-obese subjects in both
subcutaneous (p < 0.05) and in omental adipose tissue
(p = 0.19). In order to test whether these regional
differences observed after incubation of the adipose tissue were due to
differences in local accumulation of cytokines that may stimulate PAI-1 by a
paracrine or autocrine manner, we investigated the expression of transforming
growth factor β1 (TGF-β1) mRNA and tumor necrosis factor α
(TNF-α) mRNA and protein. No differences between the two fat depots were
found. In conclusion, no differences in PAI-1 expression between omental and
subcutaneous adipose tissue were observed in biopsies frozen immediately after
removal, but after incubation of adipose tissue (which somehow stimulates PAI-1
production), higher levels of PAI-1 were found in omental adipose tissue than
in subcutaneous adipose tissue. Finally, PAI-1 production in adipose tissue
from obese women was higher in non-obese women after incubation for
72 h.
Key words
Plasminogen Activator Inhibitor-1 - Human Adipose Tissue - Subcutaneous - Omental - Gene Expression - Obesity
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Dr. B. Richelsen
Department of Endocrinology and Metabolism C · Aarhus
Amtssygehus · Aarhus University Hospital
Tage Hansensgade 2 · 8000 Aarhus C · Denmark
Telefon: + 45 (89) 49 76 79
Fax: + 45 (89) 49 76 59
eMail: br@aas.auh.dk