Recent studies showed that intraabdominal visceral fat located in the mesen
terium and omentum may significantly influence the circulating plasminogen
activator inhibitor type 1 (PAI-1). To substantiate this link, we performed
analysis of PAI-1 expression in human visceral and subcutaneous adipose ti
ssues in peri- and postmenopausal women. The samples of both visceral and s
ubcutaneous fat from 28 generally healthy women (aged 45-69 years) with a w
ide range of body mass index (BMI; 22.30-38.67 kg/m(2)), who underwent surg
ical operation due to benign ovary and uterine tumours, were obtained. In t
hese samples, expression of mRNAs for PAI-1, tumour necrosis factor or (TNF
alpha), acyl-CoA synthetase (ACS), and glucose transporter (GLUT-4) was an
alysed by relative quantitative RT PCR and correlated with plasma PAI-1 ant
igen. In addition, visceral fat area was measured with computer tomography.
Both types of fat tissues contained similar quantities of PAI-1 mRNA, and
there was no correlation between plasma PAI-1, measured both by antigen and
activity, with either visceral or subcutaneous fat PAI-1 mRNA. Furthermore
, there was no significant association between the expression of PAI-1 mRNA
and TNF alpha mRNA in tested fat samples. PAI-1 mRNA in both fat tissues w
as significantly correlated with plasma levels of estradiol (positive corre
lation) and follicle-stimulating hormone (FSH; negative correlation). Final
ly, the expression of PAI-1 mRNA was negatively correlated with mRNA of ACS
present in both fat tissues. In summary, this study directly indicates tha
t PAI-1 mRNA is similarly expressed in both subcutaneous and visceral fat o
f peri- and postmenopausal women and its expression strongly depends upon l
ipid metabolism. (C) 2001 Elsevier Science Ltd. All rights reserved.