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Thromb Haemost 2008; 99(02): 352-356
DOI: 10.1160/TH07-06-0395
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
Schattauer GmbH

PAI-1 gene 4G/5G polymorphism, cytokine levels and their relations with metabolic parameters in obese children

Sibel Tulgar Kinik   *
1   Pediatric Endocrinology
,
Namik Özbek   *
2   Pediatric Hematology
,
Muammer Yuce
3   Department of Biochemistry
,
Ayse Canan Yazici
4   Department of Biostatistics
,
Hasibe Verdi
5   Medical Biology and Genetics, Başkent University Faculty of Medicine, Ankara, Turkey
,
F. Belgin Ataç
5   Medical Biology and Genetics, Başkent University Faculty of Medicine, Ankara, Turkey
› Author Affiliations Financial support: This study was supported by a grant from Baskent University Research Fund (Grant no: KA04/158).
Further Information

Publication History

Received: 11 June 2007

Accepted after major revision: 12 January 2007

Publication Date:
24 November 2017 (online)

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Summary

Obesity is associated with the changes of plasminogen activator inhibitor-1 (PAI-1), tumor necrosis factor-alpha (TNFα) and transforming growth factor beta (TGFβ) levels. However, the precise effect of the 4G allele on obesity is still contradictory. Here, we aimed to elucidate the role of the 4G/5G polymorphism of the PAI-1 gene on the PAI-1 level and determine the associations between cytokines, glucose and lipid metabolism parameters in obese children. Thirty-nine obese children (mean age 11.4 ± 3.3 years) and 38 age-matched healthy control group (mean age 10.3 ± 3.5 years) were included in the study. In all cases, serum levels of glucose, lipid and insulin were measured, homeostasis model assessment of insulin resistance (HOMAIR) was calculated, and 4G/5G polymorphism of PAI-1 gene, plasma PAI-1 level and serum TNFα and TGFβ levels were studied. The mean relative body mass index (BMI) and HOMA-IR score, VLDL,TG, insulin, PAI-1,TNFα levels were higher, and HDL and TGFβ levels were lower in the obese group. The frequency of the 4G/4G genotype was considerably higher in obese children than in controls. Also, a positive correlation was found between PAI-1 and TNFα levels, and relative BMI, HOMA-IR score, insulin,TG, HDL levels. TGFβ was inversely correlated only with relative BMI. There was no correlation among three cytokines. In conclusion, childhood obesity contributes to higher PAI-1 andTNFα and lowerTGFβ levels. Especially PAI-1 andTNFα accompany insulin resistance and dyslipidemia.

Keywords

Childhood obesity - PAI-1 gene 4G/5G polymorphism - cytokines

* S. T. Kinik and N. Ozbek equally contributed to the study.


 

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