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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on August 25, 2005; DOI: 10.1124/jpet.105.090993


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*Cardiomyopathy
*Heart Attack


Received for publication June 15, 2005.
Revised August 11, 2005.
Accepted for publication August 24, 2005.

Rosiglitazone protects against ischemia/reperfusion-induced leukocyte adhesion in the Zucker diabetic fatty rat

Douglas G. Johns 1*, Zhaohui Ao 1, Marianne Eybye 1, Alan Olzinski 1, Melissa Costell 1, Susan Gruver 1, Stephen A. Smith 1, Stephen A. Douglas 1, Colin H. Macphee 1

1 GlaxoSmithKline

* Address correspondence to: E-mail: douglas.g.johns{at}gsk.com

Abstract

Increased susceptibility to atherosclerosis increases the risk of mortality in type 2 diabetic patients. Leukocyte adhesion to the endothelium is a critical step in atherogenesis. In addition to its insulin-sensitizing effects, rosiglitazone (RSG) possesses anti-inflammatory properties. The effects of RSG, however, on the initial phase of leukocyte recruitment (rolling, adhesion) have not been studied in vivo. This study tested the hypothesis that RSG treatment of Zucker diabetic fatty (ZDF) rats inhibits ischemia-reperfusion-induced leukocyte adhesion to the endothelium. Male ZDF rats (16 wk) were treated with RSG (3mg/kg/d, p.o.) 7d before experimentation. Leukocyte-endothelial interactions in cremaster venules were recorded using intravital microscopy prior to 30min of ischemia and during a 90min reperfusion period. While blood pressure, plasma glucose and insulin were not different between treatment groups, RSG treatment was associated with reduced leukocyte rolling and inhibition of leukocyte adhesion throughout the reperfusion period (P<0.01). Cremaster mRNA expression of VCAM-1 was reduced by 35% in RSG-treated animals (P<0.01), whereas P- and E-selectin and ICAM-1 were unchanged. Immunostaining for P-selectin, E-selectin, and VCAM-1 was reduced by 21%, 61%, and 50%, respectively (for all, P<0.05) in RSG-treated animals. Inhibition of ischemia/reperfusion-induced leukocyte adhesion might contribute to the utility of RSG as a therapy for atherosclerosis.


Key words: Intravital microscopy, Ischemia-reperfusion, PPAR-gamma agonists, Rosiglitazone, Zucker diabetic fatty rat, leukocyte


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