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Dexmedetomidine inhibits LPS-induced inflammatory responses through peroxisome proliferator-activated receptor gamma (PPARγ) activation following binding to α2 adrenoceptors.

Abstract
Over the past decade, dexmedetomidine (DEX) has been found to possess an anti-inflammatory effect. However, the local anti-inflammatory mechanism of DEX has not been fully clarified. Some intracellular inflammatory pathways lead to negative feedback during the inflammatory process. The cyclooxygenase (COX) cascade synthesizes prostaglandins (PGs) and plays a key role in inflammation, but is known to also have anti-inflammatory properties through an alternative route of a PGD2 metabolite, 15-deoxy-delta-12,14-prostaglandin J2 (15d-PGJ2), and its receptor, peroxisome proliferator-activated receptor gamma (PPARγ). Therefore, we hypothesized that DEX inhibits LPS-induced inflammatory responses through 15d-PGJ2 and/or PPARγ activation, and evaluated the effects of DEX on these responses. The RAW264.7 mouse macrophage-like cells were pre-incubated with DEX, followed by the addition of LPS to induce inflammatory responses. Concentrations of TNFα, IL-6, PGE2, and 15d-PGJ2 in the supernatants of the cells were measured, and gene expressions of PPARγ and COX-2 were evaluated in the cells. Furthermore, we evaluated whether a selective α2 adrenoceptor antagonist, yohimbine or a selective PPARγ antagonist, T0070907, reversed the effects of DEX on the LPS-induced inflammatory responses. DEX inhibited LPS-induced TNFα, IL-6, and PGE2 productions and COX-2 mRNA expression, and the effects of DEX were reversed by yohimbine. On the other hand, DEX significantly increased 15d-PGJ2 production and PPARγ mRNA expression, and yohimbine reversed these DEX's effects. Furthermore, T0070907 reversed the anti-inflammatory effects of DEX on TNFα and IL-6 productions in the cells. These results suggest that DEX inhibits LPS-induced inflammatory responses through PPARγ activation following binding to α2 adrenoceptors.
AuthorsMaki Fujimoto, Hitoshi Higuchi, Yuka Honda-Wakasugi, Saki Miyake, Yukiko Nishioka, Akiko Yabuki-Kawase, Shigeru Maeda, Takuya Miyawaki
JournalEuropean journal of pharmacology (Eur J Pharmacol) Vol. 892 Pg. 173733 (Feb 05 2021) ISSN: 1879-0712 [Electronic] Netherlands
PMID33220278 (Publication Type: Journal Article)
CopyrightCopyright © 2020 Elsevier B.V. All rights reserved.
Chemical References
  • 15-deoxyprostaglandin J2
  • ADRB2 protein, mouse
  • Adrenergic alpha-2 Receptor Agonists
  • Anti-Inflammatory Agents
  • Interleukin-6
  • Lipopolysaccharides
  • PPAR gamma
  • Pparg protein, mouse
  • Receptors, Adrenergic, beta-2
  • Tnf protein, mouse
  • Tumor Necrosis Factor-alpha
  • interleukin-6, mouse
  • lipopolysaccharide, E coli O55-B5
  • Dexmedetomidine
  • Ptgs2 protein, mouse
  • Cyclooxygenase 2
  • Dinoprostone
  • Prostaglandin D2
Topics
  • Adrenergic alpha-2 Receptor Agonists (metabolism, pharmacology)
  • Animals
  • Anti-Inflammatory Agents (metabolism, pharmacology)
  • Cyclooxygenase 2 (genetics, metabolism)
  • Dexmedetomidine (metabolism, pharmacology)
  • Dinoprostone (metabolism)
  • Inflammation (chemically induced, metabolism, prevention & control)
  • Interleukin-6 (metabolism)
  • Lipopolysaccharides (toxicity)
  • Macrophages (drug effects, metabolism, pathology)
  • Mice
  • PPAR gamma (agonists, genetics, metabolism)
  • Prostaglandin D2 (analogs & derivatives, metabolism)
  • Protein Binding
  • RAW 264.7 Cells
  • Receptors, Adrenergic, beta-2 (drug effects, metabolism)
  • Signal Transduction
  • Tumor Necrosis Factor-alpha (metabolism)

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