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...
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Wiley
2015-01-01
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Series: | Journal of Obesity |
Online Access: | http://dx.doi.org/10.1155/2015/291209 |
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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 |
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