PAI-1 and the Metabolic Syndrome: Links, Causes, and Consequences
Abstract
The link between plasminogen activator inhibitor (PAI)-1 and the metabolic syndrome with obesity was established many years ago. Increased PAI-1 level can be now considered a true component of the syndrome. The metabolic syndrome is associated with an increased risk of developing cardiovascular disease, and PAI-1 overexpression may participate in this process. The mechanisms of PAI-1 overexpression during obesity are complex, and it is conceivable that several inducers are involved at the same time at several sites of synthesis. Interestingly, recent in vitro and in vivo studies showed that besides its role in atherothrombosis, PAI-1 is also implicated in adipose tissue development and in the control of insulin signaling in adipocytes. These findings suggest PAI-1 inhibitors serve in the control of atherothrombosis and insulin resistance.
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Risk factors for developing severe COVID-19 such as advanced age, obesity, diabetes, and vascular disease are all associated with increased plasma PAI-1 concentrations.
“It may be particularly relevant that risk factors for developing severe COVID-19 such as advanced age, obesity, diabetes, and vascular disease are all associated with increased plasma PAI-1 concentrations (59, 60).”
From Lung epithelial and endothelial damage, loss of tissue repair, inhibition of fibrinolysis, and cellular senescence in fatal COVID-19 (2021) · cites this paper as [59]
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- Authors
- Alessi, M.-C., & Juhan-Vague, I.
- Affiliations
- Inserm (FR)
- From the Laboratory of Hematology, INSERM UMR 626, Faculty of Medicine, Marseilles, France.
- Venue
- Arteriosclerosis, Thrombosis, and Vascular Biology
- Published
- 2006-10
- Volume
- 26
- Issue
- 10
- Pages
- 2200-2207
- ISSN
- 1079-5642 (ISSN-L)
- 1524-4636
- OpenAlex
- W2120559894
- Cited by
- 390
- References
- 124
- Citations by year
- 2026: 17 · 2025: 16 · 2024: 22 · 2023: 14 · 2022: 24 · 2021: 19 · 2020: 11 · 2019: 13 · 2018: 12 · 2017: 18 · 2016: 23 · 2015: 17 · 2014: 16 · 2013: 22 · 2012: 19
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Arteriosclerosis Thrombosis and Vascular Biology (publishedVersion)
- PubMed (publishedVersion)
- Arteriosclerosis Thrombosis and Vascular Biology
- Topics
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- plasminogen activator inhibitor-1, metabolic syndrome, obesity, cardiovascular risk, atherothrombosis, insulin resistance, adipose tissue development, PAI-1 inhibitors
- MeSH terms
- Cardiovascular Diseases, Humans, Obesity, Plasminogen Activator Inhibitor 1, Metabolic Syndrome
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