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Plasminogen activator inhibitor-1, inflammation, obesity, insulin resistance and vascular risk
Open accessAbstract
Elevated plasma plasminogen activator inhibitor-1 (PAI-1) level is a core feature of insulin-resistance syndrome (IRS). Atherothrombotic complications in IRS are partly attributed to impaired fibrinolysis caused by increased plasma PAI-1 levels. Although the etiology of IRS is far from being explained, the clustering of inflammation, adipose tissue accumulation and insulin resistance suggests an etiopathological link. Proinflammatory cytokines might regulate PAI-1 expression in IRS; however, more studies are needed to confirm this complex mechanism in humans. Furthermore, modifying PAI-1 expression by PAI-1 inhibitors provides a new challenge and may reveal the true role of PAI-1 in atherosclerotic and insulin resistance processes.
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“Postprandial hyperglycaemia is also correlated with impaired myocardial perfusion in diabetic patients (658) .”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [658]
In the citing paper
“These include increased production of inflammatory cytokines, 35,36 plasminogen activator inhibitor-1, 37 and other bioactive products 38 -40 ; at the same time the potentially protective adipokine, adiponectin, is reduced.41,42”
From Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (2005) · cites this paper as [37]
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Targeting mitochondrial biogenesis: Chandraprabha Vati in the management of metabolic syndrome
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Dysregulation of Endothelial cell markers in polycystic ovary syndrome
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“Specifically, there may be a potential association between elevation in PAI-1 levels and impaired fibrinolysis, which leads to the suppression of plasmin formation 56 .”
Pathophysiology and pharmacotherapy of cardiovascular complications in metabolic syndrome
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Molecular Aspects of Obesity and Insulin Resistance in Metabolic Syndrome and Neurological Disorders
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Reza, A. (2012) · InTech eBooks · doi:10.5772/31494
“platelet function through nitric oxide, a pathway that is impaired in DM patients [217].”
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Low PAI‐1 activity in relation to inflammatory parameters, insulin profile and body mass index
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PAI-1 and lifestyle-related illnesses
Yamamoto, K. (2008) · Japanese Journal of Thrombosis and Hemostasis · doi:10.2491/jjsth.19.55 · Cited by 1
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Plasminogen Activator Inhibitor-1, Body Fat and Insulin Action in Aging Women.
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Oral Contraceptive Use in Obese Adolescents: A Cautionary Tale
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“Several hemostatic abnormalities have been observed in obesity such as altered fibrinolysis, increased plasminogen activator inhibitor (PAI-1), increased platelet aggregability through elevations of von Willebrand factor and higher levels of fibrinogen, factors VII and VIII (8-10).”
Hemostatic abnormalities associated with obesity and the metabolic syndrome
Juhan-Vague, I., & Alessi, M. (2005) · Journal of Thrombosis and Haemostasis · doi:10.1111/j.1538-7836.2005.01281.x · Cited by 1
Self-citationEffect of Weight Reduction on Inflammatory Mediators in Patients with and without Metabolic Syndrome
Hassanin, H. M., Khali, U. A., Sediq, A., & Elshabrawy, A. M. (2022) · The Egyptian Journal of Hospital Medicine · doi:10.21608/ejhm.2022.256616 · Cited by 1
“Insulin resistance also increases serum viscosity, induces a hypercoagulable state, and produces proinflammatory cytokines, which are released from the adipose tissue promoting the increased risk of cardiovascular disease (CVD) (7).”
BackgroundADIPOCYTOKINES IN DEVELOPMENT INSULIN RESISTANCE IN OBESITY
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“In addition, increasing evidence shows that obesity increases PAI-1 production in ectopic fat tissue, while weight loss decreases the production [25, 26].”
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40 Venous Thrombosis and Pulmonary Embolism in the Bariatric Surgery Patient
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Adipokines, Inflammation, and Obesity
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Metadata
- Authors
- Juhan-Vague, I., Alessi, M.-C., Mavri, A., & Morange, P. E.
- Affiliations
- Inserm (FR)
- Corresponding author
- Juhan-Vague, I.
- Venue
- Journal of Thrombosis and Haemostasis
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 1
- Issue
- 7
- Pages
- 1575-1579
- ISSN
- 1538-7836 (ISSN-L)
- OpenAlex
- W2042742088
- Cited by
- 371
- References
- 95
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 13 · 2023: 8 · 2022: 14 · 2021: 6 · 2020: 11 · 2019: 14 · 2018: 10 · 2017: 17 · 2016: 9 · 2015: 19 · 2014: 14 · 2013: 11 · 2012: 13
- FWCI
- 4.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Thrombosis and Haemostasis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
- Keywords
- plasminogen activator inhibitor-1, metabolic syndrome, inflammation, obesity, adipose tissue, inflammatory cytokines, impaired fibrinolysis, atherothrombosis, vascular risk, PAI-1 inhibitors, atherosclerosis
- MeSH terms
- Animals, Heart Diseases, Humans, Insulin Resistance, Obesity, Risk, Plasminogen Activator Inhibitor 1
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