First Author | Levine JA | Year | 2021 |
Journal | Sci Rep | Volume | 11 |
Issue | 1 | Pages | 430 |
PubMed ID | 33432099 | Mgi Jnum | J:321984 |
Mgi Id | MGI:6803137 | Doi | 10.1038/s41598-020-79948-x |
Citation | Levine JA, et al. (2021) Role of PAI-1 in hepatic steatosis and dyslipidemia. Sci Rep 11(1):430 |
abstractText | Plasminogen activator inhibitor 1 (PAI-1) is a functional biomarker of the metabolic syndrome. Previous studies have demonstrated that PAI-1 is a mechanistic contributor to several elements of the syndrome, including obesity, hypertension and insulin resistance. Here we show that PAI-1 is also a critical regulator of hepatic lipid metabolism. RNA sequencing revealed that PAI-1 directly regulates the transcriptional expression of numerous genes involved in mammalian lipid homeostasis, including PCSK9 and FGF21. Pharmacologic or genetic reductions in plasma PAI-1 activity ameliorates hyperlipidemia in vivo. These experimental findings are complemented with the observation that genetic deficiency of PAI-1 is associated with reduced plasma PCSK9 levels in humans. Taken together, our findings identify PAI-1 as a novel contributor to mammalian lipid metabolism and provides a fundamental mechanistic insight into the pathogenesis of one of the most pervasive medical problems worldwide. |