The association of plasminogen activator inhibitor-1 level with ischemic stroke (preliminary study)

Authors

  • Yenny Surjawan
  • Rahajuningsih D. Setiabudy
  • Marzuki Suryaatmadja
  • Teguh A.S. Ranakusuma

DOI:

https://doi.org/10.13181/mji.v19i3.403

Keywords:

ischemic stroke, plasminogen activator inhibitor-1, stroke risk factors

Abstract

Aim Recently, increased plasminogen activator inhibitor-1 (PAI-1) has been known a risk factor for ischemic heart disease. However, the association of increased PAI-1 level with ischemic stroke remains unclear. The aim of this study was to analyze the association of PAI-1 level with ischemic stroke.

Methods By case control design we involved 38 ischemic stroke and 38 risky-matched control subjects who fulfilled the criteria. The PAI-1 level was determined by ELISA method using Asserachrom PAI-1 from Stago.

Results High PAI-1 level was found more frequent in ischemic stroke subjects than in control subjects (21.1% vs. 7.9 % with OR 3.1; 95 % CI 0.757 - 12.790). The analysis of all studied subjects showed that there was a weak negative correlation between PAI-1 level and age (r = -0.4; P = 0.000). High PAI-1 level was found more frequent in younger (40 - 58 years old) than in the older subjects (60 - 84 years old) (20% vs. 9.8 %) (p=0.004).

Conclusion The result of this preliminary study suggested an association between PAI-1 level and ischemic stroke in younger age. Further study with larger subjects is recommended to confirm this association. (Med J Indones 2009;19:158-63)

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References

Gorelick PB. New horizons for stroke prevention: PROGRESS and HOPE. The Lancet. 2002;1:149-56.

Stiko A, Hervio L, Loskutoff DJ. Plasminogen activator inhibitors. In: Colman RW, Hirsh J, Marder VJ, Clowes AW, George JN, editors. Hemostasis and Thrombosis: Basic Principles and Clinical Practice Vol 1. 4thed. Philadelphia: Lippincott Williams and Wilkins; 2001. p. 355-65.

Salomaa V, Stinson V, Kark JD, Folsom AR, Davis CE, Wu KK. Association of fibrinolytic parameters with early atherosclerosis (the ARIC study). Circulation. 1995;91:284-90.

Simmonds RE, Hermida J, Rezende SM, Lane DA. Haemostatic genetic risk factors in arterial thrombosis. Thrombosis and Haemostasis. 2001;86:374-85.

Sakata T, Mannami T, Baba S, et al. Potential of free-form TFPI and PAI-1 to be useful markers of early atherosclerosis in a Japanese general population (the Suita Study): association with intimal-medial thickness of carotid arteries. Atherosclerosis. 2004;176:355-60.

Cortellaro M, Cofrancesco E, Boschetti C; et al. Increased fibrin turnover and high PAI-1 activity as predictors of ischemic events in atherosclerotic patients, a case control study. Arteriosclerosis and Thrombosis 1993;13:1412-7.

Lindgren A, Lindoff C, Norrving B, Astedt B, Johansson B. Tissue plasminogen activator and plasminogen activator inhibitor-1 in stroke patients. Stroke. 1996;27:1066-71.

Vaughan D. Angiotensin and vascular fibrinolytic balance. American Journal Hypertension. 2002;15:3S-8S.

Margaglione M, Cappucci G, Addedda M; et al. PAI-1 plasma levels in a general population without clinical evidence of atherosclerosis: relation to enviromental and genetic determinants. Arteriosclerosis, Thrombosis and Vascular Biology. 1998;18:562-67.

Kohler H, Grant PJ. Plasminogen activator inhibitor type 1 and coronary artery disease. N England J Med. 2000;342:1792-801.

Binder BR, Christ G, Grubber F, et al. Plasminogen activator inhibitor 1: physiological and pathophysiological roles. News Physiol Sci. 2002; 17: 56-61.

Nordt TK, Sawa H, Fujii S, Sobel BE. Induction of plasminogen activator inhibitor type-1 (PAI-1) by proinsulin and insulin in vivo. Circulation. 1995; 91: 764-70.

Brown NJ, Murphey LJ, Srikuma N, Koschachuhanan N, Williams GH, Vaughan DE. Interactive effect PAI-1 4G/5G genotype and salt intake on PAI-1 antigen. Arteriosclerosis, Thrombosis and Vascular Biology. 2001;21:1071-7.

De Bono D. Significance of raised plasma concentrations of tissue-type plasminogen activator and plasminogen activator inhibitor in patients at risk from ischaemic heart disease. British Heart Journal. 1994;71:504-7.

Wiman B. Plasminogen activator inhibitor 1 (PAI-1) in plasma: its role in thrombotic disease. Thrombosis and Haemostasis. 1995; 74: 71-6.

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Published

2010-08-01

How to Cite

1.
Surjawan Y, Setiabudy RD, Suryaatmadja M, Ranakusuma TA. The association of plasminogen activator inhibitor-1 level with ischemic stroke (preliminary study). Med J Indones [Internet]. 2010Aug.1 [cited 2024Nov.19];19(3):158-63. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/403

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Clinical Research
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