PMID- 21036914 OWN - NLM STAT- MEDLINE DCOM- 20110128 LR - 20200930 IS - 1522-1504 (Electronic) IS - 1040-0605 (Linking) VI - 300 IP - 1 DP - 2011 Jan TI - Restoration of PPARgamma reverses lipid accumulation in alveolar macrophages of GM-CSF knockout mice. PG - L73-80 LID - 10.1152/ajplung.00128.2010 [doi] AB - Pulmonary alveolar proteinosis (PAP) is a lung disease characterized by a deficiency of functional granulocyte macrophage colony-stimulating factor (GM-CSF) resulting in surfactant accumulation and lipid-engorged alveolar macrophages. GM-CSF is a positive regulator of PPARgamma that is constitutively expressed in healthy alveolar macrophages. We previously reported decreased PPARgamma and ATP-binding cassette transporter G1 (ABCG1) levels in alveolar macrophages from PAP patients and GM-CSF knockout (KO) mice, suggesting PPARgamma and ABCG1 involvement in surfactant catabolism. Because ABCG1 represents a PPARgamma target, we hypothesized that PPARgamma restoration would increase ABCG1 and reduce macrophage lipid accumulation. Upregulation of PPARgamma was achieved using a lentivirus expression system in vivo. GM-CSF KO mice received intratracheal instillation of lentivirus (lenti)-PPARgamma or control lenti-eGFP. Ten days postinstillation, 79% of harvested alveolar macrophages expressed eGFP, demonstrating transduction. Alveolar macrophages showed increased PPARgamma and ABCG1 expression after lenti-PPARgamma instillation, whereas PPARgamma and ABCG1 levels remained unchanged in lenti-eGFP controls. Alveolar macrophages from lenti-PPARgamma-treated mice also exhibited reduced intracellular phospholipids and increased cholesterol efflux to HDL, an ABCG1-mediated pathway. In vivo instillation of lenti-PPARgamma results in: 1) upregulating ABCG1 and PPARgamma expression of GM-CSF KO alveolar macrophages, 2) reducing intracellular lipid accumulation, and 3) increasing cholesterol efflux activity. FAU - Malur, Anagha AU - Malur A AD - East Carolina Univ., Greenville, NC 27834, USA. FAU - Baker, Anna D AU - Baker AD FAU - McCoy, Almedia J AU - McCoy AJ FAU - Wells, Greg AU - Wells G FAU - Barna, Barbara P AU - Barna BP FAU - Kavuru, Mani S AU - Kavuru MS FAU - Malur, Achut G AU - Malur AG FAU - Thomassen, Mary Jane AU - Thomassen MJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101029 PL - United States TA - Am J Physiol Lung Cell Mol Physiol JT - American journal of physiology. Lung cellular and molecular physiology JID - 100901229 RN - 0 (ABCG1 protein, human) RN - 0 (ATP Binding Cassette Transporter, Subfamily G, Member 1) RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (Lipids) RN - 0 (PPAR gamma) RN - 0 (Pulmonary Surfactants) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - ATP Binding Cassette Transporter, Subfamily G, Member 1 MH - ATP-Binding Cassette Transporters/genetics/metabolism MH - Animals MH - Cholesterol/metabolism MH - Granulocyte-Macrophage Colony-Stimulating Factor/deficiency/*genetics/physiology MH - Humans MH - Lipids/physiology MH - Macrophages, Alveolar/metabolism/pathology MH - Mice MH - Mice, Knockout MH - PPAR gamma/*genetics/metabolism/therapeutic use MH - Pulmonary Alveolar Proteinosis/drug therapy/genetics/metabolism MH - Pulmonary Surfactants/metabolism EDAT- 2010/11/03 06:00 MHDA- 2011/02/01 06:00 CRDT- 2010/11/02 06:00 PHST- 2010/11/02 06:00 [entrez] PHST- 2010/11/03 06:00 [pubmed] PHST- 2011/02/01 06:00 [medline] AID - ajplung.00128.2010 [pii] AID - 10.1152/ajplung.00128.2010 [doi] PST - ppublish SO - Am J Physiol Lung Cell Mol Physiol. 2011 Jan;300(1):L73-80. doi: 10.1152/ajplung.00128.2010. Epub 2010 Oct 29.