Role of PAI-1 in hepatic steatosis and dyslipidemia

被引:51
作者
Levine, Joshua A. [1 ]
Oleaga, Carlota [2 ]
Eren, Mesut [1 ]
Amaral, Ansel P. [1 ]
Shang, Meng [1 ]
Lux, Elizabeth [1 ]
Khan, Sadiya S. [1 ]
Shah, Sanjiv J. [1 ]
Omura, Yasuhiro [1 ]
Pamir, Nathalie [2 ]
Hay, Joshua [2 ]
Barish, Grant [1 ,3 ]
Miyata, Toshio [4 ]
Tavori, Hagai [2 ]
Fazio, Sergio [2 ]
Vaughan, Douglas E. [1 ]
机构
[1] Northwestern Univ, Dept Med, Feinberg Sch Med, Arkes Pavil,Suite 2330,676 N St,Clair St, Chicago, IL 60611 USA
[2] Oregon Hlth & Sci Univ, Ctr Prevent Cardiol, Knight Cardiovasc Inst, Portland, OR 97201 USA
[3] Jesse Brown VA Med Ctr, Dept Med, Chicago, IL USA
[4] Tohoku Univ, Dept Mol Med & Therapy, United Ctr Adv Res & Translat Med, Grad Sch Med, Sendai, Miyagi, Japan
关键词
PLASMINOGEN-ACTIVATOR INHIBITOR-1; METABOLIC SYNDROME; PCSK9; OBESITY; CHOLESTEROL; DISEASE; PROTECTS; TM5441; LDLR;
D O I
10.1038/s41598-020-79948-x
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Plasminogen activator inhibitor 1 (PAI-1) is a functional biomarker of the metabolic syndrome. Previous studies have demonstrated that PAI-1 is a mechanistic contributor to several elements of the syndrome, including obesity, hypertension and insulin resistance. Here we show that PAI-1 is also a critical regulator of hepatic lipid metabolism. RNA sequencing revealed that PAI-1 directly regulates the transcriptional expression of numerous genes involved in mammalian lipid homeostasis, including PCSK9 and FGF21. Pharmacologic or genetic reductions in plasma PAI-1 activity ameliorates hyperlipidemia in vivo. These experimental findings are complemented with the observation that genetic deficiency of PAI-1 is associated with reduced plasma PCSK9 levels in humans. Taken together, our findings identify PAI-1 as a novel contributor to mammalian lipid metabolism and provides a fundamental mechanistic insight into the pathogenesis of one of the most pervasive medical problems worldwide.
引用
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页数:13
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