PMID- 15181049 OWN - NLM STAT- MEDLINE DCOM- 20040719 LR - 20181130 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 89 IP - 6 DP - 2004 Jun TI - Evidence for a potent antiinflammatory effect of rosiglitazone. PG - 2728-35 AB - We have recently demonstrated a potent antiinflammatory effect of troglitazone, an agonist of peroxisome proliferator-activated receptor gamma (PPARgamma) and a partial agonist of PPARalpha in both the nondiabetic obese and diabetic obese subjects. We have now investigated the antiinflammatory actions of rosiglitazone, a selective PPARgamma agonist. Eleven nondiabetic obese subjects and 11 obese diabetic subjects were each given 4 mg of rosiglitazone daily for a period of 6 wk. Fasting blood samples were obtained at 0, 1, 2, 4, 6, and 12 wk (6 wk after the cessation of rosiglitazone). Eight obese subjects and five obese diabetic subjects were also included in the study as control groups. Fasting blood samples were obtained from the control groups at 0, 1, 2, 4, and 6 wk only. Nuclear factor kappaB (NFkappaB)-binding activity in mononuclear cells, plasma monocyte chemoattractant protein-1 (MCP-1), TNF-alpha, soluble intercellular adhesion molecule-1, C-reactive protein (CRP), and serum amyloid A (SAA) were measured. Blood glucose concentration changed significantly at 6 wk only in the obese diabetic subjects after rosiglitazone treatment for 6 wk, whereas insulin concentration decreased significantly at 6 wk in both groups. NFkappaB-binding activity in mononuclear cell nuclear extract fell in both obese and obese diabetic subjects (P < 0.02). Rosiglitazone treatment resulted in a reduction in plasma MCP-1 and CRP in both groups (P < 0.05). Plasma TNF-alpha and SAA concentrations were inhibited significantly in the obese group (P < 0.05) but not in the obese diabetic subjects. NFkappaB-binding activity and plasma MCP-1, CRP, SAA, and TNF-alpha did not change in the obese and obese diabetic control groups. We conclude that rosiglitazone, a selective PPARgamma agonist, exerts an antiinflammatory effect at the cellular and molecular level, and in plasma. These observations may have implications for atherogenesis in the long term in subjects treated with rosiglitazone and possibly other thiazolidinediones. FAU - Mohanty, Priya AU - Mohanty P AD - Division of Endocrinology, Diabetes and Metabolism, State University of New York, and Kaleida Health, Buffalo, New York 14209, USA. FAU - Aljada, Ahmad AU - Aljada A FAU - Ghanim, Husam AU - Ghanim H FAU - Hofmeyer, Deborah AU - Hofmeyer D FAU - Tripathy, Devjit AU - Tripathy D FAU - Syed, Tufail AU - Syed T FAU - Al-Haddad, Waddah AU - Al-Haddad W FAU - Dhindsa, Sandeep AU - Dhindsa S FAU - Dandona, Paresh AU - Dandona P LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Blood Glucose) RN - 0 (Chemokine CCL2) RN - 0 (Hypoglycemic Agents) RN - 0 (I-kappa B Proteins) RN - 0 (Insulin) RN - 0 (NF-kappa B) RN - 0 (Thiazolidinediones) RN - 0 (Transcription Factor RelA) RN - 0 (Tumor Necrosis Factor-alpha) RN - 05V02F2KDG (Rosiglitazone) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Aged MH - Anti-Inflammatory Agents/*administration & dosage MH - Blood Glucose MH - C-Reactive Protein/metabolism MH - Chemokine CCL2/blood MH - Diabetes Mellitus/*drug therapy/immunology/metabolism MH - Diabetes Mellitus, Type 2/*drug therapy/immunology/metabolism MH - Female MH - Humans MH - Hypoglycemic Agents/*administration & dosage MH - I-kappa B Proteins/metabolism MH - Insulin/blood MH - Insulin Resistance MH - Intercellular Adhesion Molecule-1/blood MH - Leukocytes, Mononuclear/metabolism MH - Male MH - Middle Aged MH - NF-kappa B/metabolism MH - *Obesity MH - Rosiglitazone MH - Solubility MH - Thiazolidinediones/*administration & dosage MH - Transcription Factor RelA MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2004/06/08 05:00 MHDA- 2004/07/20 05:00 CRDT- 2004/06/08 05:00 PHST- 2004/06/08 05:00 [pubmed] PHST- 2004/07/20 05:00 [medline] PHST- 2004/06/08 05:00 [entrez] AID - 89/6/2728 [pii] AID - 10.1210/jc.2003-032103 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2004 Jun;89(6):2728-35. doi: 10.1210/jc.2003-032103.