Division of Nephrology, Department of Medicine, Faculty of Medical Sciences, School of Medicine, University of Fukui, Fukui, Japan.
1] Division of Nephrology, Department of Medicine, Faculty of Medical Sciences, School of Medicine, University of Fukui, Fukui, Japan [2] Department of Clinical Laboratories and Nephrology, University of Fukui Hospital, Fukui, Japan.
Hypertens Res. 2014 May;37(5):422-31. doi: 10.1038/hr.2013.157. Epub 2013 Dec 19.
Telmisartan, an angiotensin II receptor type 1 blocker (ARB), was recently reported to promote lipolysis in mice by acting as a peroxisome proliferator-activated receptor (PPAR)-δ activator, although in clinical studies, it has also been recognized to activate PPAR-γ as a major cause of its pleiotropic actions. The aim of this study was to investigate whether telmisartan activates endogenous PPAR-δ and thereby exerts anti-fibrotic effects in human mesangial cells (HMC). Immunohistochemical analysis of human renal biopsy specimens revealed that PPAR-δ protein was detected in the HMC of glomeruli with moderately proliferative changes. In the HMC, both GW0742, an authentic PPAR-δ agonist, and telmisartan enhanced PPAR response element (PPRE)-luciferase activity dose dependently, and these increases were blunted by GSK0660, a specific PPAR-δ antagonist, but not by GW9662, a PPAR-γ antagonist. Telmisartan also upregulated the expression of PPAR-δ target genes related to fatty acid oxidation; that is, heart type-fatty acid-binding protein and uncoupling protein-2. These effects were inhibited by both PPAR-δ antagonism and PPAR-δ gene silencing. Transforming growth factor-β1 (TGF-β1) increased the expression of plasminogen activator inhibitor-1 (PAI-1), TGF-β1 and collagen IV. The PAI-1 expression was mediated, at least in part by the phosphorylation of extracellular signal-regulated kinases (ERKs). Telmisartan suppressed TGF-β1-stimulated PAI-1 and collagen IV expression and ERK phosphorylation, and these effects were weakened by PPAR-δ antagonism, whereas eprosartan, a non-PPAR activating ARB, did not affect TGF-β1-stimulated PAI-1 expression. These results indicate that in HMC telmisartan activates endogenous PPAR-δ and may prevent TGF-β1-induced fibrotic changes by reducing ERK phosphorylation in a PPAR-δ-dependent manner, and thus, might be useful for treating hypertensive patients with renal and metabolic disorders.
替米沙坦是一种血管紧张素 II 受体 1 型阻滞剂(ARB),最近有报道称,它通过作为过氧化物酶体增殖物激活受体(PPAR)-δ 激活剂促进小鼠脂肪分解,尽管在临床研究中,它也被认为激活了 PPAR-γ,这是其多效作用的主要原因。本研究旨在探讨替米沙坦是否激活内源性 PPAR-δ,从而在人肾小球系膜细胞(HMC)中发挥抗纤维化作用。对人肾活检标本的免疫组织化学分析显示,PPAR-δ 蛋白在肾小球中具有中度增生性改变的 HMC 中被检测到。在 HMC 中,GW0742(一种真正的 PPAR-δ 激动剂)和替米沙坦均剂量依赖性地增强 PPAR 反应元件(PPRE)-荧光素酶活性,这些增加被特异性 PPAR-δ 拮抗剂 GSK0660 但不是 PPAR-γ 拮抗剂 GW9662 减弱。替米沙坦还上调了与脂肪酸氧化相关的 PPAR-δ 靶基因的表达;即心脏型脂肪酸结合蛋白和解偶联蛋白 2。这些作用被 PPAR-δ 拮抗和 PPAR-δ 基因沉默所抑制。转化生长因子-β1(TGF-β1)增加了纤溶酶原激活物抑制剂-1(PAI-1)、TGF-β1 和胶原 IV 的表达。PAI-1 的表达至少部分是通过细胞外信号调节激酶(ERK)的磷酸化介导的。替米沙坦抑制 TGF-β1 刺激的 PAI-1 和胶原 IV 表达和 ERK 磷酸化,这些作用被 PPAR-δ 拮抗减弱,而非激活 PPAR 的 ARB 厄贝沙坦则不影响 TGF-β1 刺激的 PAI-1 表达。这些结果表明,替米沙坦在 HMC 中激活内源性 PPAR-δ,并可能通过以 PPAR-δ 依赖的方式减少 ERK 磷酸化来防止 TGF-β1 诱导的纤维化变化,因此可能对治疗伴有肾脏和代谢紊乱的高血压患者有用。
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