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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on December 20, 2005; DOI: 10.1124/jpet.105.095125


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Received for publication September 2, 2005.
Revised December 16, 2005.
Accepted for publication December 19, 2005.

Peroxisome Proliferator-Activated Receptor Gamma Down-Regulates Receptor for Advanced Glycation End Products and Inhibits Smooth Muscle Cell Proliferation in a Diabetic and Non-diabetic Rat Carotid Artery Injury Model

Kai Wang 1*, Zhongmin Zhou 1, Ming Zhang 1, Liming Fan 1, Farhad Forudi 1, Xiaorong Zhou 1, Wu Qu 2, A . Michael Lincoff 1, Ann Marie Schmidt 3, Eric J. Topol 4, Marc S. Penn 1

1 The Cleveland Clinic Foundation 2 College of Physicians & Surgeons, 3 College of Physicians & Surgeons 4 The Cleveland Clinic Foundation, Cleveland

* Address correspondence to: E-mail: wangk{at}ccf.org

Abstract

Diabetes is associated with an increase in circulating advanced glycosylation end-products (AGEs) and the increased expression of the receptor for AGEs (RAGE). Inhibition of AGE:RAGE binding through the administration of soluble RAGE (sRAGE) has been shown to decrease neointimal hyperplasia. Peroxisome proliferator-activated receptor {gamma}(PPAR {gamma}), which inhibits neointimal hyperplasia, has been shown to decrease RAGE expression in cultured endothelial cells. We hypothesized that PPAR{gamma} agonists inhibit neointimal hyperplasia via down-regulation of RAGE in vivo. Methods and Results. Pretreatment of rat aortic smooth muscle cells (SMCs) with PPAR{gamma} agonist rosiglitazone significantly down-regulated RAGE expression and inhibited SMC proliferation in response to the RAGE agonist S100. In vivo studies showed that rosiglitazone decreased RAGE expression and SMC proliferation at 7 days following carotid arterial injury in both diabetic and non-diabetic rats. At 21 days following injury, neointimal formation was significantly decreased in both diabetic and non-diabetic animals that received rosiglitazone. To determine if inhibition of neointimal formation by PPAR{gamma} activation could fully be accounted for by its down-regulation of RAGE, we compared the results obtained in animals treated with sRAGE, PPAR{gamma} activator, and sRAGE+PPAR{gamma} activator. Consistent with PPAR{gamma} working through its effects on RAGE, we found that the addition of PPAR{gamma} activator to sRAGE did not result in any further decrease in neointimal formation. Conclusion. These data demonstrate for the first time that PPAR{gamma} agonists inhibit RAGE expression at sites of arterial injury, and suggest that down-regulation of RAGE by the PPAR{gamma} activation inhibits neointimal formation in response to arterial injury.


Key words: PPAR, RAGE, animal model, arterial injury, inflammation, restenosis


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