Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2000-5-23
pubmed:abstractText
We investigated the relationship between plasma levels of metabolic and fibrinolytic variables in 163 fasted patients attending a lipid clinic. Of these patients, 118 had hypertriglyceridaemia (HTG) and 45 had normotriglyceridaemia (NTG). In HTG, basal fibrinolytic activity, ie tissue plasminogen activator (t-PA) activity, was impaired as a result of high plasminogen activator inhibitor type 1 (PAI-1) antigen and activity. Multiple stepwise regression analysis identified insulin and triglyceride levels as independent determinants of plasma PAI-1 levels (R2 = 0.18; P = 0.0001). When the patients were stratified into tertiles according to their levels of triglyceride and insulin, PAI-1 antigen levels were found to increase with rising levels of triglyceride in each insulin tertile. In contrast, the increase of PAI-1 with rising insulin levels was evident in the highest triglyceride tertile. In addition, subjects in the lowest tertile of both triglyceride and insulin had the lowest PAI-1 antigen levels, and subjects in the highest tertile of both triglyceride and insulin had the highest levels of PAI-1. Both basal and stimulated levels of t-PA antigen were significantly higher in HTG than in NTG. Multiple stepwise regression analysis identified triglyceride level as the sole major determinant of t-PA antigen levels (R2 = 0.13; P = 0.00003). The observation that both insulin and triglycerides correlate with PAI-1, whereas triglycerides were involved only in the increased secretion of t-PA, suggests that these two proteins are regulated by different mechanisms.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0785-3890
pubmed:author
pubmed:issnType
Print
pubmed:volume
32
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
134-41
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:10766405-Adolescent, pubmed-meshheading:10766405-Adult, pubmed-meshheading:10766405-Aged, pubmed-meshheading:10766405-Ambulatory Care Facilities, pubmed-meshheading:10766405-Female, pubmed-meshheading:10766405-Humans, pubmed-meshheading:10766405-Hyperlipidemias, pubmed-meshheading:10766405-Insulin, pubmed-meshheading:10766405-Male, pubmed-meshheading:10766405-Middle Aged, pubmed-meshheading:10766405-Multivariate Analysis, pubmed-meshheading:10766405-Plasminogen Activator Inhibitor 1, pubmed-meshheading:10766405-Plasminogen Activators, pubmed-meshheading:10766405-Reference Values, pubmed-meshheading:10766405-Regression Analysis, pubmed-meshheading:10766405-Sensitivity and Specificity, pubmed-meshheading:10766405-Tissue Plasminogen Activator, pubmed-meshheading:10766405-Triglycerides
pubmed:year
2000
pubmed:articleTitle
Relationship between fibrinolytic and metabolic variables: a study in patients attending a lipid clinic.
pubmed:affiliation
Institute of Pharmacological Sciences and E Grossi Paoletti Center, University of Milan, Italy.
pubmed:publicationType
Journal Article, Clinical Trial, Controlled Clinical Trial