PMID- 14691289 OWN - NLM STAT- MEDLINE DCOM- 20040114 LR - 20230216 IS - 0023-6837 (Print) IS - 0023-6837 (Linking) VI - 83 IP - 12 DP - 2003 Dec TI - Pioglitazone, a peroxisome proliferator-activated receptor-gamma agonist, attenuates myocardial ischemia/reperfusion injury in a rat model. PG - 1715-21 AB - Thiazolidinediones are insulin-sensitizing drugs, ligands for peroxisome proliferator-activated receptor-gamma (PPAR-gamma), which play an important role in the modulation of inflammatory responses. Myocardial ischemia/reperfusion (MI/R) injury is associated with inflammation, in which various cells, particularly monocytes and macrophages, are involved. This study examined the effects of the thiazolidinedione peroxisome proliferator-activated receptor-gamma ligand, pioglitazone, in a rat model of MI/R injury. Pioglitazone at 3 mg/kg/day or the vehicle was administered for 7 days before rats were subjected to 30 minutes of coronary ligation followed by 24 hours of reperfusion. The mRNA expression [monocyte chemoattractant protein-1 (MCP-1) and intercellular adhesion molecule-1] in the ischemic region, the number of infiltrating macrophages in the ischemic region, and the myocardial infarct size were examined. The inhibitory effects of pioglitazone on activated macrophages were studied in vitro. Phorbol 12-myristate 13-acetate-induced MCP-1 production, in the absence or presence of pioglitazone, were assayed in cultured macrophages. Compared with the control group, (1). mRNA levels of MCP-1 and intercellular adhesion molecule-1 and the number of infiltrating macrophages in the ischemic region were significantly lower in the pioglitazone-treated group; and (2). myocardial infarct size was significantly smaller in the pioglitazone-treated group. Phorbol 12-myristate 13-acetate-stimulated cultured macrophages in the presence of pioglitazone produced significantly lower levels of MCP-1 than the stimulated control in the absence of pioglitazone. These observations demonstrate that pioglitazone has anti-inflammatory effects in MI/R injury that are independent of its insulin-sensitizing effect. FAU - Ito, Haruyasu AU - Ito H AD - The Department of Cardiovascular Medicine, Kyoto University, Graduate School of Medicine, Kyoto, Japan. FAU - Nakano, Atsushi AU - Nakano A FAU - Kinoshita, Makoto AU - Kinoshita M FAU - Matsumori, Akira AU - Matsumori A LA - eng PT - Journal Article PL - United States TA - Lab Invest JT - Laboratory investigation; a journal of technical methods and pathology JID - 0376617 RN - 0 (Chemokine CCL2) RN - 0 (Hypoglycemic Agents) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (Thiazolidinediones) RN - 0 (Transcription Factors) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - NI40JAQ945 (Tetradecanoylphorbol Acetate) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Animals MH - Chemokine CCL2/genetics/metabolism MH - Disease Models, Animal MH - Hypoglycemic Agents/*therapeutic use MH - Intercellular Adhesion Molecule-1/genetics/metabolism MH - Macrophage Activation/drug effects MH - Macrophages/drug effects/metabolism MH - Male MH - Myocardial Infarction/pathology/*prevention & control MH - Myocardial Reperfusion Injury/metabolism/pathology/*prevention & control MH - Pioglitazone MH - RNA, Messenger/metabolism MH - Rats MH - Rats, Wistar MH - Receptors, Cytoplasmic and Nuclear/*agonists MH - Tetradecanoylphorbol Acetate/pharmacology MH - Thiazolidinediones/*therapeutic use MH - Transcription Factors/*agonists EDAT- 2003/12/24 05:00 MHDA- 2004/01/15 05:00 CRDT- 2003/12/24 05:00 PHST- 2003/12/24 05:00 [pubmed] PHST- 2004/01/15 05:00 [medline] PHST- 2003/12/24 05:00 [entrez] AID - S0023-6837(22)03424-9 [pii] AID - 10.1097/01.lab.0000106724.29121.da [doi] PST - ppublish SO - Lab Invest. 2003 Dec;83(12):1715-21. doi: 10.1097/01.lab.0000106724.29121.da.