To further investigate the role of plasminogen activator inhibitor-1 (PAI-1
) in adipose tissue physiology, the production and regulation of PAI-1 was
determined in primary cultures of human preadipocytes. When expressed as pr
oduction per cell and cultured under identical conditions, human preadipocy
tes from both visceral (omental) and sc depots of lean and obese individual
s released significant, yet similar, amounts of PAI-1 protein into the cond
itioned medium. High steady-state PAI-1 messenger RNA (mRNA) concentrations
were observed in visceral and sc preadipocytes, with the relative level of
expression equivalent to beta-actin mRNA. Tumor necrosis factor alpha sign
ificantly decreased PAI-1 production in a concentration-dependent manner in
both visceral and sc cultures, whereas transforming growth factor beta sig
nificantly elevated PAI-1 production, but only in se preadipocytes from obe
se individuals. Addition of insulin had no effect on antigen levels in cond
itioned medium of preadipocyte cultures. Stimulation of the preadipocyte cu
ltures with a defined medium resulted in differentiation to the adipocyte p
henotype, as determined by flow cytometric analysis, verifying the cultures
as human preadipocyte. These studies are the first to observe significant
PAI-1 mRNA expression and protein production in primary cultures of a human
adipose tissue cellular component, and they suggest that nascent adipocyte
s contribute significantly to the elevated plasma PAI-1 observed in obesity
.