PMID- 31210335 OWN - NLM STAT- MEDLINE DCOM- 20200925 LR - 20200925 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 23 IP - 11 DP - 2019 Jun TI - Metformin inhibits LPS-induced inflammatory response in VSMCs by regulating TLR4 and PPAR-gamma. PG - 4988-4995 LID - 18090 [pii] LID - 10.26355/eurrev_201906_18090 [doi] AB - OBJECTIVE: This study aims to explore whether the inhibitory role of metformin could inhibit LPS-induced inflammatory response in vascular smooth muscle cells (VSMCs) and its underlying mechanism. MATERIALS AND METHODS: VSMCs were extracted from aorta of Sprague Dawley rats. MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide) assay was performed to detect VSMCs viability after treatment with different concentrations of metformin. Levels of monocyte chemoattractant protein-1 (MCP-1), interleukin 6 (IL-6) and tumor necrosis factor-alpha (TNF-alpha) in VSMCs were detected by ELISA (enzyme-linked immunosorbent assay) and qRT-PCR (quantitative Real time-polymerase chain reaction). Protein and mRNA levels of toll like receptor 4 (TLR4) and peroxisome proliferators activated receptor gamma (PPAR-gamma) in VSMCs were detected by Western blot and qRT-PCR, respectively. Finally, VSMCs were treated with the PPAR-gamma antagonist GW9662 and inflammatory indicators in cells were detected. RESULTS: No significant difference in VSMCs viability was found after 0-2 mM metformin treatment or 500 mug/L LPS induction for 24 h. After 500 mug/L LPS induction in VSMCs for 24 h, levels of MCP-1, TNF-alpha and IL-6 were remarkably elevated. Both mRNA and protein levels of TLR4 in VSMCs were upregulated after 500 mug/L LPS induction for 24 h, which were remarkably reversed by the treatment of different concentrations of metformin. Knockdown of TLR4 remarkably inhibited LPS-induced inflammatory response in VSMCs, manifesting as decreased levels of MCP1, TNF-alpha and IL-6, which were further downregulated after combination treatment of TLR4 knockdown and 20 mM metformin. Furthermore, both mRNA and protein levels of PPAR-gamma in VSMCs were downregulated after 500 mug/L LPS induction for 24 h, which were remarkably reversed by the treatment of different concentrations of metformin. GW9662 treatment resulted in elevated expressions of MCP-1, TNF-alpha and IL-6, which were reversed by metformin treatment. CONCLUSIONS: Metformin can effectively inhibit the mRNA and protein expressions of IL-6, MCP-1, and TNF-alpha in LPS-induced VSMCs. The anti-inflammatory effects of metformin inhibit the inflammatory response through downregulating rely on the downregulation of TLR4 expression and upregulation ofng PPAR-gamma activity. FAU - Qu, R-N AU - Qu RN AD - Department of Pharmacy, China-Japan Union Hospital of Jilin University, Changchun, China. quruoning@163.com. FAU - Qu, W AU - Qu W LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Il6 protein, rat) RN - 0 (Interleukin-6) RN - 0 (Lipopolysaccharides) RN - 0 (PPAR gamma) RN - 0 (Tlr4 protein, rat) RN - 0 (Toll-Like Receptor 4) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Atherosclerosis/drug therapy/immunology MH - Cells, Cultured MH - Chemokine CCL2/immunology/metabolism MH - Down-Regulation/drug effects/immunology MH - Drug Evaluation, Preclinical MH - Endothelium, Vascular/immunology MH - Humans MH - Interleukin-6/immunology/metabolism MH - Lipopolysaccharides/immunology MH - Male MH - Metformin/*pharmacology/therapeutic use MH - Muscle, Smooth, Vascular/*cytology/drug effects/immunology MH - Myocytes, Smooth Muscle/*drug effects/immunology MH - PPAR gamma/metabolism MH - Primary Cell Culture MH - Rats MH - Signal Transduction/*drug effects/immunology MH - Toll-Like Receptor 4/metabolism MH - Tumor Necrosis Factor-alpha/immunology/metabolism MH - Up-Regulation/drug effects/immunology EDAT- 2019/06/19 06:00 MHDA- 2020/09/26 06:00 CRDT- 2019/06/19 06:00 PHST- 2019/06/19 06:00 [entrez] PHST- 2019/06/19 06:00 [pubmed] PHST- 2020/09/26 06:00 [medline] AID - 18090 [pii] AID - 10.26355/eurrev_201906_18090 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2019 Jun;23(11):4988-4995. doi: 10.26355/eurrev_201906_18090.