Title : Do plasminogen activator inhibitor (PAI-1) or tissue plasminogen activator PAI-1 complexes predict complications in Type 1 diabetes: the Pittsburgh Epidemiology of Diabetes Complications Study.

Pub. Date : 2003 Feb

PMID : 12581266






7 Functional Relationships(s)
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1 AIMS: To examine the predictive power of plasminogen activator inhibitor-1 (PAI-1) and the complexes it forms with tissue plasminogen activator (tPA-PAI-1) for the two major Type 1 diabetes (T1D) complications (coronary artery disease (CAD) and overt nephropathy) in the context of standard risk factors. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens
2 PAI-1 and tPA-PAI-1 were determined using ELISA methodology. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens
3 RESULTS: The 56 incident cases of CAD had marginally lower PAI-1 and higher tPA-PAI-1 levels compared with those free of CAD. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens
4 However, marginally higher PAI-1 and significantly higher tPA-PAI-1 (P = 0.04) levels were seen in those who developed nephropathy. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens
5 After controlling for age, both PAI-1 and tPA-PAI-1 showed significant negative correlations with HDL-cholesterol, and positive correlations with triglycerides, WHR, HbA1 and fibrinogen. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens
6 tPA-PAI-1 was also positively correlated with total and LDL-cholesterol. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens
7 However, tPA-PAI-1 complexes may be involved in the pathogenesis of overt nephropathy. Tetradecanoylphorbol Acetate serpin family E member 1 Homo sapiens