Low PAI-1 activity in relation to inflammatory parameters, insulin profile and body mass index

التفاصيل البيبلوغرافية
العنوان: Low PAI-1 activity in relation to inflammatory parameters, insulin profile and body mass index
المؤلفون: Anna Ågren, Björn Wiman, Sam Schulman
المصدر: Journal of Internal Medicine. 264:586-592
بيانات النشر: Wiley, 2008.
سنة النشر: 2008
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Hemorrhage, Body Mass Index, Young Adult, chemistry.chemical_compound, Insulin resistance, Internal medicine, Plasminogen Activator Inhibitor 1, Internal Medicine, Humans, Insulin, Medicine, Retrospective Studies, Proinsulin, C-Peptide, biology, Interleukin-6, business.industry, C-peptide, C-reactive protein, Age Factors, Case-control study, Retrospective cohort study, Middle Aged, medicine.disease, C-Reactive Protein, Logistic Models, Endocrinology, chemistry, Case-Control Studies, biology.protein, Female, business, Body mass index, Biomarkers
الوصف: High plasminogen activator inhibitor type 1 (PAI-1) activity is associated with inflammatory reactions and insulin resistance, but it is unclear what regulates PAI-1 activity at the low end. The purpose of this study was to investigate if patients with low PAI-1 activity have a lack of inflammatory response or a low insulin level.Retrospective cohort study with internal controls.Sixty-three patients referred for investigation of bleeding tendency and with low PAI-1 activity were compared with 118 patients with normal or high PAI-1 activity.Levels of C-peptide, proinsulin, high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6). Adjustments were made for body mass index (BMI), oral oestrogens and age. Low PAI-1 activity was defined as less than 1 U mL(-1).Body mass index in the low normal range, oral oestrogens, young age and low C-peptide were significantly associated with low PAI-1 activity and there was a trend for association with IL-6 in univariable analysis. The effect of age disappeared after correction for oral oestrogens and the effect of C-peptide and IL-6 disappeared after further adjustments. Low BMI remained as the strongest predictor of low PAI-1 activity.Patients with bleeding tendency and low PAI-1 activity have inflammatory and insulin profiles similar to those with normal or high PAI-1, whereas BMI seems to be the most important determinant.
تدمد: 1365-2796
0954-6820
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::081557dbd6329b5001c5b617a257b209Test
https://doi.org/10.1111/j.1365-2796.2008.01999.xTest
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....081557dbd6329b5001c5b617a257b209
قاعدة البيانات: OpenAIRE