![](/images/graphics-bg.png)
Hypofibrinolytic State in Subjects with Type 2 Diabetes Mellitus Aggravated by the Metabolic Syndrome before Clinical Manifestations of Atherothrombotic Disease
Joint Authors
Leaños-Miranda, Alfredo
Isordia-Salas, Irma
Santiago-Germán, David
López-Alarcón, Mardia
Aburto-Mejía, Elsa
Martínez-Marino, Manuel
María Eugenia Galván-Plata, Manuel
Almeida-Gutiérrez, Eduardo
Hernández-Juárez, Jesús
Majluf-Cruz, Abraham
Alvarado-Moreno, Antonio
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Metabolic and genetic factors induce plasminogen activator inhibitor type-1 (PAI-1) overexpression; higher PAI-1 levels decrease fibrinolysis and promote atherothrombosis.
Aim.
To assess PAI-1 antigen levels among subjects with type 2 diabetes mellitus (T2DM) plus Metabolic Syndrome (MetS) before clinical manifestations of atherothrombosis and the contribution of metabolic factors and 4G/5G polymorphism of PAI-1 gene on the variability of PAI-1.
Methods.
We conducted an observational, cross-sectional assay in a hospital in Mexico City from May 2010 to September 2011.
MetS was defined by the International Diabetes Federation criteria.
PAI-1 levels and 4G/5G polymorphism were determined by ELISA and PCR-RFLP analysis.
Results.
We enrolled 215 subjects with T2DM plus MetS and 307 controls.
Subjects with T2DM plus MetS had higher PAI-1 levels than the reference group (58.4 ± 21 versus 49.9 ± 16 ng/mL, p=0.026).
A model with components of MetS explained only 12% of variability on PAI-1 levels (R2 = 0.12; p=0.001), with β=0.18 (p=0.03) for hypertension, β=-0.16 (p=0.05) for NL HDL-c, and β=0.15 (p=0.05) for NL triglycerides.
Conclusion.
Subjects with T2DM plus MetS have elevated PAI-1 levels before clinical manifestations of atherothrombotic disease.
Metabolic factors have a more important contribution than 4G/5G polymorphism on PAI-1 plasma variability.
American Psychological Association (APA)
Aburto-Mejía, Elsa& Santiago-Germán, David& Martínez-Marino, Manuel& María Eugenia Galván-Plata, Manuel& Almeida-Gutiérrez, Eduardo& López-Alarcón, Mardia…[et al.]. 2017. Hypofibrinolytic State in Subjects with Type 2 Diabetes Mellitus Aggravated by the Metabolic Syndrome before Clinical Manifestations of Atherothrombotic Disease. BioMed Research International،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1138136
Modern Language Association (MLA)
Aburto-Mejía, Elsa…[et al.]. Hypofibrinolytic State in Subjects with Type 2 Diabetes Mellitus Aggravated by the Metabolic Syndrome before Clinical Manifestations of Atherothrombotic Disease. BioMed Research International No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1138136
American Medical Association (AMA)
Aburto-Mejía, Elsa& Santiago-Germán, David& Martínez-Marino, Manuel& María Eugenia Galván-Plata, Manuel& Almeida-Gutiérrez, Eduardo& López-Alarcón, Mardia…[et al.]. Hypofibrinolytic State in Subjects with Type 2 Diabetes Mellitus Aggravated by the Metabolic Syndrome before Clinical Manifestations of Atherothrombotic Disease. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1138136
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138136