Background: Tumor necrosis factor-alpha (TNF-alpha) is chronically ele
vated in the adipose tissue from obese humans and mice. This increase
in TNF-alpha contributes to the insulin resistance, elevated plasminog
en activator inhibitor-1 (PAI-1) levels, and cardiovascular complicati
ons associated with obesity and noninsulin-dependent diabetes (NIDDM).
PAI-1 gene expression in adipose tissue is also stimulated by transfo
rming growth factor-beta (TGF-beta). Experiments were performed to det
ermine whether TGF-beta is regulated by TNF-alpha and elevated in obes
ity. Materials and Methods: The concentration of TGF-beta and PAI-1 mR
NA in murine adipose tissue and cultured 3T3-L1 adipocytes was determi
ned by quantitative reverse transcription polymerase chain reaction (R
T-PCR), and the cellular localization of these molecules was evaluated
using in situ hybridization and cell fractionation. Total TGF-beta pr
otein was determined by employing an ELISA assay. Results: TGF-beta mR
NA and protein were increased in the adipose tissue from two different
strains of genetically obese mice (i.e., ob/ob and db/db), compared w
ith their lean counterparts. This increase in TGF-beta may result from
TNF-alpha since TNF-alpha increased TGF-beta mRNA expression in the a
dipose tissue of lean mice and stimulated TGF-beta production by cultu
red adipocytes. Administration of TGF-beta increased PAI-1 antigen in
the plasma and PAI-1 mRNA in the adipocytes of lean mice, and enhanced
the rate of PAI-1 synthesis by adipocytes in vitro. Conclusions: TNF-
alpha contributes to the elevated TGF-beta expression demonstrated in
the adipose tissue of obese mice. A potential role for TGF-beta in the
increased PAI-1 and vascular pathologies associated with obesity/NIDD
M is suggested.