2000
DOI: 10.1002/1520-7560(200005/06)16:3<192::aid-dmrr114>3.0.co;2-g
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Relationship between plasma plasminogen activator inhibitor 1 and insulin resistance

Abstract: High plasminogen activator inhibitor 1 (PAI-1) levels are associated with an increased cardiovascular risk of atherothrombosis. Furthermore, increased plasma PAI-1 levels are associated with dyslipidemia, hyperinsulinemia and hypertension. This association between PAI-1 and metabolic components of the Metabolic Syndrome could explain the predisposition of insulin resistant patients to atherothrombosis. Recent studies have suggested that visceral adipose tissue might be the link between elevated plasma PAI-1 an… Show more

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Cited by 137 publications
(61 citation statements)
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“…Furthermore, our primary study population consisted of a relatively low number of subjects. However, we have observed associations of proteins with BMI or insulin that are physiologically relevant and were found in epidemiological and clinical studies [3], [5], [6], [8], [21], [23], [24], [31], [32]. Moreover, we were able to confirm the most robust associations in a second, even smaller population consisting of subjects from a different age group.…”
Section: Discussionsupporting
confidence: 69%
See 1 more Smart Citation
“…Furthermore, our primary study population consisted of a relatively low number of subjects. However, we have observed associations of proteins with BMI or insulin that are physiologically relevant and were found in epidemiological and clinical studies [3], [5], [6], [8], [21], [23], [24], [31], [32]. Moreover, we were able to confirm the most robust associations in a second, even smaller population consisting of subjects from a different age group.…”
Section: Discussionsupporting
confidence: 69%
“…These and other proteins (i.e. ASP, MPO, PAI-1 and VEGF) included in this cluster and in cluster 1 that was associated with insulin were previously found to be increased in subjects with insulin resistance, CVD, or both [3], [21], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32]. From prospective studies evidence has accumulated that increased levels of C3 and CRP can predict T2DM and coronary events and could be candidate biomarkers for a pathological state preceding the ultimate disease [3], [8], [26], [27].…”
Section: Discussionmentioning
confidence: 80%
“…It has been reported that compared with control groups, the serum levels of pro-inflammatory cytokines (IL-1β, IL-6 and TNF-α), sialic acid and C-reactive protein, and malondialdehyde were significantly higher in T2DM patients [92627282930313233]. As glycemic control in these patients worsens (HbA1c >6.5%), serum TNF-α appears to increase proportionally [28].…”
Section: Discussionmentioning
confidence: 99%
“…The effects of elevated PAI-1 may also be aggravated by elevated homocysteine [21], eventually causing thrombosis. Furthermore, plasma PAI-1 levels are associated with dyslipidemia, hyperinsulinemia and hypertension which play three essential connecting links in cases with HHcy [22]. Thus, PCOS involves several confounding factors that may contribute, individually or in combination, to thrombosis and eventually lead to RPL.…”
Section: Introductionmentioning
confidence: 99%