PMID- 28152574 OWN - NLM STAT- MEDLINE DCOM- 20170505 LR - 20181113 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 188 IP - 2 DP - 2017 May TI - Glucocorticoids improve endothelial function in rheumatoid arthritis: a study in rats with adjuvant-induced arthritis. PG - 208-218 LID - 10.1111/cei.12938 [doi] AB - To determine the effect of glucocorticoids (GCs) on endothelial dysfunction (ED) and on traditional cardiovascular (CV) risk factors in the adjuvant-induced arthritis (AIA) rat model. At the first signs of AIA, a high dose (HD) [10 mg/kg/day, intraperitoneally (i.p.), GC-HD] or low dose (LD) (1 mg/kg/day, i.p., GC-LD) of prednisolone was administered for 3 weeks. Endothelial function was studied in aortic rings relaxed with acetylcholine (Ach) with or without inhibitors of nitric oxide synthase (NOS), cyclooxygenase 2 (COX-2), arginase, endothelium derived hyperpolarizing factor (EDHF) and superoxide anions ( O2- degrees ) production. Aortic expression of endothelial NOS (eNOS), Ser1177-phospho-eNOS, COX-2, arginase-2, p22(phox) and p47(phox) was evaluated by Western blotting analysis. Arthritis scores, blood pressure, heart rate and blood levels of cytokines, triglycerides, cholesterol and glucose were measured. GC-HD but not GC-LD reduced arthritis score significantly and improved Ach-induced relaxation (P < 0.05). The positive effect of GC-HD resulted from increased NOS activity and EDHF production and decreased COX-2/arginase activities and O2- degrees production. These functional effects relied upon increased phospho-eNOS expression and decreased COX-2, arginase-2 and nicotinamide adenine dinucleotide phosphate (NADPH) oxidase expression. Despite the lack of effect of GC-LD on ED, it increased NOS and EDHF and down-regulated O2- degrees pathways but did not change arginase and COX-2 pathways. GC-HD increased triglycerides levels and blood pressure significantly (P < 0.05). Both doses of GCs decreased to the same extent as plasma interleukin (IL)-1beta and tumour necrosis factor (TNF)-alpha levels (P < 0.05). Our data demonstrated that subchronic treatment with prednisolone improved endothelial function in AIA via pleiotropic effects on endothelial pathways. These effects occurred independently of the deleterious cardiometabolic effects and the impact of prednisolone on systemic inflammation. CI - (c) 2017 British Society for Immunology. FAU - Verhoeven, F AU - Verhoeven F AD - PEPITE EA4267, FHU INCREASE, Universite Bourgogne Franche-Comte, Besancon, France. AD - Service de Rhumatologie, CHRU Besancon, France. FAU - Totoson, P AU - Totoson P AD - PEPITE EA4267, FHU INCREASE, Universite Bourgogne Franche-Comte, Besancon, France. FAU - Maguin-Gate, K AU - Maguin-Gate K AD - PEPITE EA4267, FHU INCREASE, Universite Bourgogne Franche-Comte, Besancon, France. FAU - Prigent-Tessier, A AU - Prigent-Tessier A AD - INSERM U1093, Universite Bourgogne Franche-Comte, Dijon, France. FAU - Marie, C AU - Marie C AD - INSERM U1093, Universite Bourgogne Franche-Comte, Dijon, France. FAU - Wendling, D AU - Wendling D AD - Service de Rhumatologie, CHRU Besancon, France. AD - EA 4266, Universite Bourgogne Franche-Comte, Besancon, France. FAU - Moretto, J AU - Moretto J AD - PEPITE EA4267, FHU INCREASE, Universite Bourgogne Franche-Comte, Besancon, France. FAU - Prati, C AU - Prati C AD - PEPITE EA4267, FHU INCREASE, Universite Bourgogne Franche-Comte, Besancon, France. AD - Service de Rhumatologie, CHRU Besancon, France. FAU - Demougeot, C AU - Demougeot C AD - PEPITE EA4267, FHU INCREASE, Universite Bourgogne Franche-Comte, Besancon, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170309 PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Biological Factors) RN - 0 (Blood Glucose) RN - 0 (Cytokines) RN - 0 (Glucocorticoids) RN - 0 (Triglycerides) RN - 0 (endothelium-dependent hyperpolarization factor) RN - 11062-77-4 (Superoxides) RN - 97C5T2UQ7J (Cholesterol) RN - 9PHQ9Y1OLM (Prednisolone) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 3.5.3.1 (Arginase) RN - N9YNS0M02X (Acetylcholine) SB - IM MH - Acetylcholine/pharmacology MH - Animals MH - Aorta/physiopathology MH - Arginase/pharmacology MH - Arthritis MH - Arthritis, Experimental/*drug therapy MH - Arthritis, Rheumatoid/*drug therapy/physiopathology MH - Biological Factors/metabolism MH - Blood Glucose/analysis MH - Blood Pressure MH - Cardiovascular Diseases/diagnosis MH - Cholesterol/blood MH - Cyclooxygenase 2/pharmacology MH - Cytokines/blood MH - Endothelium, Vascular/*drug effects/*physiology MH - Glucocorticoids/*administration & dosage MH - Heart Rate MH - Male MH - Prednisolone/*administration & dosage MH - Random Allocation MH - Rats MH - Superoxides/metabolism MH - Triglycerides/blood PMC - PMC5383443 OTO - NOTNLM OT - adjuvant-induced arthritis OT - endothelial dysfunction OT - glucocorticoids OT - mechanisms EDAT- 2017/02/06 06:00 MHDA- 2017/05/06 06:00 PMCR- 2018/05/01 CRDT- 2017/02/03 06:00 PHST- 2017/01/24 00:00 [accepted] PHST- 2017/02/06 06:00 [pubmed] PHST- 2017/05/06 06:00 [medline] PHST- 2017/02/03 06:00 [entrez] PHST- 2018/05/01 00:00 [pmc-release] AID - CEI12938 [pii] AID - 10.1111/cei.12938 [doi] PST - ppublish SO - Clin Exp Immunol. 2017 May;188(2):208-218. doi: 10.1111/cei.12938. Epub 2017 Mar 9.