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J Am Coll Cardiol, 2008; 52:869-881, doi:10.1016/j.jacc.2008.04.055 (Published online 2 July 2008).
© 2008 by the American College of Cardiology Foundation
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The Peroxisome Proliferator-Activated Receptor-{gamma} Agonist Pioglitazone Represses Inflammation in a Peroxisome Proliferator-Activated Receptor-{alpha}–Dependent Manner In Vitro and In Vivo in Mice

Gabriela Orasanu, MD*,{ddagger}, Ouliana Ziouzenkova, PhD*,{ddagger}, Pallavi R. Devchand, PhD*,{ddagger}, Vedika Nehra, MS*,{ddagger}, Osama Hamdy, MD{dagger},{ddagger}, Edward S. Horton, MD{dagger},{ddagger} and Jorge Plutzky, MD*,{ddagger},*

* Cardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts
{dagger} Clinical Research Center, Joslin Diabetes Center, Boston, Massachusetts
{ddagger} Harvard Medical School, Boston, Massachusetts


Figure 1
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Figure 1 Pioglitazone Reduces TNF{alpha}-Induced VCAM-1 mRNA Expression in a Dose- and Time-Dependent Manner in HSVECs

(A) Northern blot analysis of tumor necrosis factor (TNF){alpha}-induced vascular cell adhesion molecule (VCAM)-1 messenger ribonucleic acid (mRNA) expression was performed on human saphenous vein endothelial cells (HSVECs) pre-treated in the absence or presence of pioglitazone (PIO) (18 h) at the concentrations shown before TNF{alpha} stimulation (10 ng/ml, 10 h). The effects of the PPAR{alpha} agonist WY14643 (100 µM) are provided for comparison. One representative Northern blot (n = 3) is shown. (B) The effect of the pioglitazone concentrations on VCAM-1/glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA was quantified from the Northern blots seen in panel A (n = 3, #p < 0.05, TNF{alpha}-induced vs. vehicle, *p < 0.05, pioglitazone/TNF{alpha} vs. TNF{alpha} alone, Mann-Whitney U test). (C) The time-dependent effects of pioglitazone exposure (10 µM) on TNF{alpha}-induced VCAM-1 expression was tested in HSVECs using Northern blotting. Results are shown as a percent of the TNF{alpha} effect alone at 3 h, mean ± SD (n = 3; *p < 0.05). (D) The effect of pioglitazone versus vehicle on the human VCAM-1 promoter transiently transfected into bovine aortic endothelial cells before TNF{alpha} stimulation are shown (left). For comparison, the effect of the PPAR{alpha} agonist WY14643 on the VCAM-1 promoter is also shown (right). All responses were normalized to β-galactosidase (pCMV-β-Gal) (n = 3 per each treatment, #p < 0.05 TNF{alpha} vs. vehicle; *p < 0.05 pioglitazone or WY14643 vs. TNF{alpha} alone, Mann-Whitney U test).

 

Figure 2
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Figure 2 Pioglitazone Represses TNF{alpha}-Induced VCAM-1 Expression in a PPAR{alpha}-Dependent Manner

Endothelial cells (ECs) isolated from PPAR{alpha}+/+ (A) and PPAR{alpha}–/– (B) mouse hearts were pre-treated with WY14643, rosiglitazone (BRL), or pioglitazone at the concentrations shown (18 h) before mouse TNF{alpha} stimulation and subsequent to Northern blotting for VCAM-1 mRNA and GAPDH expression. One representative blot of 3 is shown. Northern blotting for VCAM-1 expression was repeated in the presence of the dose range of pioglitazone shown in EC from PPAR{alpha}+/+ (C) and PPAR{alpha}–/– (D) mice. (E) Quantification of the effects of pioglitazone on VCAM-1 mRNA in PPAR{alpha}+/+ and PPAR{alpha}–/– EC relative to GAPDH mRNA expression (n = 3, #p < 0.05 TNF{alpha} vs. vehicle; *p < 0.05 pioglitazone/TNF{alpha} vs. TNF{alpha} alone, Mann-Whitney U test). Abbreviations as in Figure 1.

 

Figure 3
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Figure 3 PPAR{alpha} Is Required for Pioglitazone-Mediated Repression of TNF{alpha}-Induced Endothelial VCAM-1 mRNA Expression

Northern blot analysis was performed on total RNA isolated from PPAR{alpha}–/– endothelial cells transfected either with PPAR{alpha}-containing pSG5 overexpression vector (A) or pSG5 alone (B) before stimulation with TNF{alpha} in either the absence or presence of WY (100 µM) or pioglitazone (10 µM), with subsequent probing for VCAM-1 or GAPDH expression. (C) Quantification of the VCAM-1 mRNA response to pioglitazone relative to GAPDH mRNA expression levels (n = 3, #p < 0.05 TNF{alpha} vs. vehicle; *p < 0.05 pioglitazone/TNF{alpha} vs. TNF{alpha} alone; {dagger}p < 0.05 WY14643/TNF{alpha} vs. TNF{alpha} alone, Mann-Whitney U test). (D) Cells were transfected in panels A and B but with a concentration gradient of pSG5-PPAR{alpha} as shown before TNF{alpha} stimulation in either the absence or presence of pioglitazone 10 µM (n = 3, *p < 0.05 pioglitazone/TNF{alpha} vs. TNF{alpha} alone). Abbreviations as in Figure 1.

 

Figure 4
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Figure 4 Pioglitazone Induces Known PPAR{alpha} Target Gene Expression and PPAR{alpha}-LBD Activation in ECs

(A) Northern blot analysis in HSVECs was performed for the PPAR{alpha} target gene acyl-CoA-oxidase (ACO) and compared with GAPDH in HSVEC pre-treated (16 h) with pioglitazone or WY14643 at the concentrations shown before TNF{alpha} stimulation. (B) Western blot analysis for I{kappa}B{alpha} expression was performed on total protein extracts (50 µg) from HSVECs treated with either pioglitazone (10 µM) or WY14643 (250 µM) before stimulation with human TNF{alpha}. (C) Standard LBD activation assays were performed in bovine aortic endothelial cells stimulated with pioglitazone at the concentrations shown (0.01 to 100 µM). (D) PPAR{alpha}-ligand binding domain (LBD) assays were done as before but responses were compared in NIH/3T3 (fibroblasts), HEK293 (human kidney epithelial), Hep-G2 (hepatic), and bovine aortic endothelial cell lines before stimulation with pioglitazone or WY14643 (both 10 µM). Values are expressed as luciferase/β-Gal activity mean ± SD (n = 3, *p < 0.05 bovine aortic endothelial cells vs. NIH/3T3, *vs. HEK293, ***vs. Hep-G2, both Student t and Mann-Whitney U tests). Abbreviations as in Figure 1.

 

Figure 5
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Figure 5 Pioglitazone Induces I{kappa}B{alpha} Protein Expression In Vivo in a PPAR{alpha}-Dependent Manner

PPAR{alpha}+/+ (A) and PPAR{alpha}–/– (B) mice were treated with pioglitazone (20 mg/kg, 7 days via gavage) before livers were harvested and total protein extracted for Western blot analysis of I{kappa}B{alpha} and glyceraldehyde-3-phosphate dehydrogenase protein levels. Each lane represents a single mouse. (C) The effects of pioglitazone (solid bars) and vehicle (open bars) on I{kappa}B{alpha} protein expression were quantified and normalized to glyceraldehyde-3-phosphate dehydrogenase expression. Mean values ± SD are shown (n = 4 mice/group. *p < 0.05 pioglitazone vs. vehicle, Mann-Whitney U test).

 

Figure 6
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Figure 6 Pioglitazone Decreases LPS-Induced Soluble VCAM-1 in PPAR{alpha}+/+ But Not PPAR{alpha}–/– Mice In Vivo

PPAR{alpha}+/+ and PPAR{alpha}–/– mice were treated with pioglitazone or vehicle alone before lipopolysacharide (LPS) injection (n = 9/genotype as in Methods section). Soluble vascular adhesion molecule-1 (sVCAM-1) levels in PPAR{alpha}+/+ and PPAR{alpha}–/– mice are shown at baseline (*p < 0.007 PPAR{alpha}–/– vs. PPAR{alpha}+/+ mice) and after LPS injection in mice treated with either vehicle or pioglitazone (PIO) (PPAR{alpha}+/+, n = 9, #p < 0.002 LPS/vehicle vs. vehicle; {ddagger}p < 0.01 pioglitazone/LPS vs. vehicle/LPS) and in PPAR{alpha}–/– mice (n = 9, {dagger}p < 0.05 vehicle/LPS vs. vehicle; [p = NS] nonsignificant pioglitazone/LPS vs. vehicle/LPS, significance determined using Mann-Whitney U test). The mean serum sVCAM-1 concentration of each group ± SD is shown.

 




 
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