Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents

Objective. Increased coagulation activation may contribute to the high incidence of cardiovascular complications observed in obese and type 2 diabetes (T2D) subjects. Although tissue factor (TF), the primary initiator of coagulation is increased in obesity, its expression in adipose tissues and its...

Full description

Saved in:
Bibliographic Details
Main Authors: Jing Wang, Theodore P. Ciaraldi, Fahumiya Samad
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2015/291209
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565700312432640
author Jing Wang
Theodore P. Ciaraldi
Fahumiya Samad
author_facet Jing Wang
Theodore P. Ciaraldi
Fahumiya Samad
author_sort Jing Wang
collection DOAJ
description Objective. Increased coagulation activation may contribute to the high incidence of cardiovascular complications observed in obese and type 2 diabetes (T2D) subjects. Although tissue factor (TF), the primary initiator of coagulation is increased in obesity, its expression in adipose tissues and its association with metabolic parameters are unclear. We sought to compare TF expression in plasma and adipose tissues of obese subjects with and without T2D, its correlation with metabolic parameters, and regulation in response to antidiabetic drugs. Methods Subjects were recruited from diabetes clinics and adipose tissue was obtained by needle biopsy of lower subcutaneous abdominal depot. For the intervention study, subjects were randomized into treatment groups with rosiglitazone or metformin for 4 months. Results. Plasma TF antigen, activity, and adipose TF mRNA were greater in obese T2D subjects compared with obese nondiabetics. Plasma TF activity correlated with fasting insulin, glucose, and free fatty acids, (FFAs), and adipose TF mRNA correlated with plasma FFA. Plasma TF activity was reduced by metformin and increased with rosiglitazone treatment. Conclusions. Specific diabetes-related metabolic parameters, but not obesity per se, are correlated with TF expression. Regulation of TF activity by different classes of antidiabetic drugs may relate to protective or adverse cardiovascular outcomes.
format Article
id doaj-art-2358d8e375954ee68648d8d10011439e
institution Kabale University
issn 2090-0708
2090-0716
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Journal of Obesity
spelling doaj-art-2358d8e375954ee68648d8d10011439e2025-02-03T01:06:56ZengWileyJournal of Obesity2090-07082090-07162015-01-01201510.1155/2015/291209291209Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic AgentsJing Wang0Theodore P. Ciaraldi1Fahumiya Samad2Torrey Pines Institute for Molecular Studies, San Diego, CA 92121, USAVA San Diego Healthcare System, San Diego, CA, USATorrey Pines Institute for Molecular Studies, San Diego, CA 92121, USAObjective. Increased coagulation activation may contribute to the high incidence of cardiovascular complications observed in obese and type 2 diabetes (T2D) subjects. Although tissue factor (TF), the primary initiator of coagulation is increased in obesity, its expression in adipose tissues and its association with metabolic parameters are unclear. We sought to compare TF expression in plasma and adipose tissues of obese subjects with and without T2D, its correlation with metabolic parameters, and regulation in response to antidiabetic drugs. Methods Subjects were recruited from diabetes clinics and adipose tissue was obtained by needle biopsy of lower subcutaneous abdominal depot. For the intervention study, subjects were randomized into treatment groups with rosiglitazone or metformin for 4 months. Results. Plasma TF antigen, activity, and adipose TF mRNA were greater in obese T2D subjects compared with obese nondiabetics. Plasma TF activity correlated with fasting insulin, glucose, and free fatty acids, (FFAs), and adipose TF mRNA correlated with plasma FFA. Plasma TF activity was reduced by metformin and increased with rosiglitazone treatment. Conclusions. Specific diabetes-related metabolic parameters, but not obesity per se, are correlated with TF expression. Regulation of TF activity by different classes of antidiabetic drugs may relate to protective or adverse cardiovascular outcomes.http://dx.doi.org/10.1155/2015/291209
spellingShingle Jing Wang
Theodore P. Ciaraldi
Fahumiya Samad
Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents
Journal of Obesity
title Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents
title_full Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents
title_fullStr Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents
title_full_unstemmed Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents
title_short Tissue Factor Expression in Obese Type 2 Diabetic Subjects and Its Regulation by Antidiabetic Agents
title_sort tissue factor expression in obese type 2 diabetic subjects and its regulation by antidiabetic agents
url http://dx.doi.org/10.1155/2015/291209
work_keys_str_mv AT jingwang tissuefactorexpressioninobesetype2diabeticsubjectsanditsregulationbyantidiabeticagents
AT theodorepciaraldi tissuefactorexpressioninobesetype2diabeticsubjectsanditsregulationbyantidiabeticagents
AT fahumiyasamad tissuefactorexpressioninobesetype2diabeticsubjectsanditsregulationbyantidiabeticagents