Review Article

The Prothrombotic Tendency in Metabolic Syndrome: Focus on the Potential Mechanisms Involved in Impaired Haemostasis and Fibrinolytic Balance

Figure 3

Control of PAI-1 synthesis and release in adipose tissue. It is underlined the role of thrombospondin-1 (TSP1), an adipokine which activates transforming growth factor-β (TGF-β), and consequently PAI-1 synthesis and release in adipose tissue. TGF-β is also activated by high glucose and angiotensin II (Ang II). The synthesis of PAI-1, which exerts prothrombotic and proatherogenic actions, is increased also by TNF-α and insulin.
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