Title
Visceral fat accumulation is an important determinant of PAI-1 levels in young, nonobese men and women: Modulation by cross-sex hormone administration
Author
Giltay, E.J.
Elbers, J.M.H.
Gooren, L.J.G.
Emeis, J.J.
Kooistra, T.
Asscheman, H.
Stehouwer, C.D.A.
Gaubius Instituut TNO
Publication year
1998
Abstract
Increased plasminogen activator inhibitor type-1 (PAI-1) levels, leading to impaired fibrinolysis, are associated with increased visceral fat in middle-aged and obese subjects. It is unknown, however, whether this association is independent of other disturbances clustered in the insulin resistance syndrome. We analyzed this association in young, nonobese transsexual men and women before and after administration of cross-sex steroids, which potentially influence many elements of the insulin resistance syndrome, including PAI-1 levels and visceral fat accumulation. We assessed the visceral fat area (by MRI); total body fat; insulin sensitivity (with a glucose clamp technique); and plasma levels of PAI-l, insulin, and triglycerides in young (<37 years old), nonobese (body mass index <28 kg/m2), healthy men (n= 18) and women (n= 15) before and after 12 months of cross-sex hormone administration. Men were treated with ethinyl estradiol 100 μg/d plus cyproterone acetate 100 mg/d, and women were treated with testosterone esters 250 mg IM every 2 weeks. At baseline, only visceral fat area was significantly correlated with plasma PAI-1 levels in both men (r=0.57, P=0.03) and women (r=0.59, P=0.03). In multivariate linear regression analysis, this association was independent of total body fat, insulin sensitivity, and plasma levels of triglycerides and insulin. After 12 months of cross-sex hormone administration, the plasma PAI-1 levels were no longer correlated with visceral fat (which had increased). We conclude that in young, nonobese men and women, visceral fat area is an important determinant of plasma PAI-1 levels. After cross-sex hormone administration, this association was no longer demonstrable.
Subject
Health
Insulin sensitivity
Plasminogen activator inhibitor type-1
Sex hormones
Visceral fat accumulation
Adipose Tissue
Adolescent
Adult
Female
Gonadal Steroid Hormones
Humans
Insulin Resistance
Linear Models
Male
Obesity
Plasminogen Activator Inhibitor 1
Transsexualism
Viscera
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DOI
https://doi.org/10.1161/01.atv.18.11.1716
TNO identifier
234681
ISSN
1079-5642
Source
Arteriosclerosis, Thrombosis, and Vascular Biology, 18 (11), 1716-1722
Document type
article