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PPARdelta regulates multiple proinflammatory pathways to suppress atherosclerosis.

Abstract
Lipid homeostasis and inflammation are key determinants in atherogenesis, exemplified by the requirement of lipid-laden, foam cell macrophages for atherosclerotic lesion formation. Although the nuclear receptor PPARdelta has been implicated in both systemic lipid metabolism and macrophage inflammation, its role as a therapeutic target in vascular disease is unclear. We show here that orally active PPARdelta agonists significantly reduce atherosclerosis in apoE(-/-) mice. Metabolic and gene expression studies reveal that PPARdelta attenuates lesion progression through its HDL-raising effect and anti-inflammatory activity within the vessel wall, where it suppresses chemoattractant signaling by down-regulation of chemokines. Activation of PPARdelta also induces the expression of regulator of G protein signaling (RGS) genes, which are implicated in blocking the signal transduction of chemokine receptors. Consistent with this, PPARdelta ligands repress monocyte transmigration and macrophage inflammatory responses elicited by atherogenic cytokines. These results reveal that PPARdelta antagonizes multiple proinflammatory pathways and suggest PPARdelta-selective drugs as candidate therapeutics for atherosclerosis.
AuthorsGrant D Barish, Annette R Atkins, Michael Downes, Peter Olson, Ling-Wa Chong, Mike Nelson, Yuhua Zou, Hoosang Hwang, Heonjoong Kang, Linda Curtiss, Ronald M Evans, Chih-Hao Lee
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 105 Issue 11 Pg. 4271-6 (Mar 18 2008) ISSN: 1091-6490 [Electronic] United States
PMID18337509 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Apolipoproteins E
  • Chemokines
  • Cholesterol, HDL
  • PPAR delta
Topics
  • Animals
  • Apolipoproteins E (deficiency, genetics, metabolism)
  • Atherosclerosis (genetics, metabolism, prevention & control)
  • Cell Line
  • Chemokines (metabolism)
  • Cholesterol, HDL (blood)
  • Gene Expression Regulation
  • Humans
  • Inflammation (genetics, metabolism)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Oligonucleotide Array Sequence Analysis
  • PPAR delta (genetics, metabolism)
  • Signal Transduction

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