Victor N A, Wanderi E W, Gamboa J, Zhao X, Aronowski J, Deininger K, Lust W D, Landreth G E, Sundararajan S
Department of Neurology, Case Western Reserve University, 11100 Euclid Ave., Cleveland, Ohio 44106, USA.
Eur J Neurosci. 2006 Sep;24(6):1653-63. doi: 10.1111/j.1460-9568.2006.05037.x.
Stroke is a devastating disease with limited treatment options. Recently, we found that the peroxisome proliferator-activated receptor-gamma (PPARgamma) agonists troglitazone and pioglitazone reduce injury and inflammation in a rat model of transient cerebral ischemia. The mechanism of this protection is unclear, as these agents can act through PPAR-gamma activation or through PPAR-gamma-independent mechanisms. Therefore, we examined PPAR-gamma expression, DNA binding and transcriptional activity following stroke. In addition, we used a PPAR-gamma antagonist, T0070907, to determine the role of PPAR-gamma during ischemia. Using immunohistochemical techniques and real-time PCR, we found low levels of PPAR-gamma mRNA and PPAR-gamma immunoreactivity in nonischemic brain; however, PPAR-gamma expression dramatically increased in ischemic neurons, peaking 24 h following middle cerebral artery occlusion. Interestingly, we found that in both vehicle- and agonist-treated brains, DNA binding was reduced in the ischemic hemisphere relative to the contralateral hemisphere. Expression of a PPAR-gamma target gene, lipoprotein lipase, was also reduced in ischemic relative to nonischemic brain. Both DNA binding and lipoprotein lipase expression were increased by the addition of the PPAR-gamma agonist rosiglitazone. Finally, we found that rosiglitazone-mediated protection after stroke was reversed by the PPAR-gamma antagonist T0070907. Interestingly, infarction size was also increased by T0070907 in the absence of PPAR-gamma agonist, suggesting that endogenous PPAR-gamma ligands may mitigate the effects of cerebral ischemia.
中风是一种治疗选择有限的毁灭性疾病。最近,我们发现过氧化物酶体增殖物激活受体γ(PPARγ)激动剂曲格列酮和吡格列酮可减轻短暂性脑缺血大鼠模型中的损伤和炎症。这种保护机制尚不清楚,因为这些药物可通过激活PPARγ或通过PPARγ非依赖机制发挥作用。因此,我们研究了中风后PPARγ的表达、DNA结合及转录活性。此外,我们使用PPARγ拮抗剂T0070907来确定PPARγ在缺血过程中的作用。利用免疫组化技术和实时PCR,我们发现非缺血脑中PPARγ mRNA和PPARγ免疫反应性水平较低;然而,缺血神经元中PPARγ表达显著增加,在大脑中动脉闭塞后24小时达到峰值。有趣的是,我们发现,在给予载体和激动剂治疗的脑中,与对侧半球相比,缺血半球的DNA结合均减少。与非缺血脑相比,缺血脑中PPARγ靶基因脂蛋白脂肪酶的表达也降低。添加PPARγ激动剂罗格列酮可增加DNA结合和脂蛋白脂肪酶表达。最后,我们发现PPARγ拮抗剂T0070907可逆转罗格列酮介导的中风后保护作用。有趣的是,在没有PPARγ激动剂的情况下,T0070907也会增加梗死面积,这表明内源性PPARγ配体可能减轻脑缺血的影响。