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INFLAMMATION AND CYTOKINES
via the increase in TNF-
releaseDepartment of Surgery, North Shore University Hospital and Long Island Jewish Medical Center and The Feinstein Institute for Medical Research, Manhasset, New York
Submitted 14 May 2007 ; accepted in final form 1 November 2007
The nuclear receptor peroxisome proliferator-activated receptor-
(PPAR-
) is anti-inflammatory in a cell-based system and in animal models of endotoxemia. We have shown that PPAR-
gene expression is downregulated in macrophages after lipopolysaccharide (LPS) stimulation. However, it remains unknown whether hepatic PPAR-
is altered in sepsis and, if so, whether LPS directly downregulates PPAR-
. To study this, rats were subjected to sepsis by cecal ligation and puncture (CLP). Hepatic tissues were harvested at 5, 10, and 20 h after CLP. PPAR-
gene expression and protein levels were determined by RT-PCR and Western blot analysis, respectively. The results showed that PPAR-
gene expression decreased at 10 and 20 h and that its proteins levels were reduced at 20 h after CLP. PPAR-
levels were also decreased in animals that were administered LPS. To determine the direct effects of LPS on PPAR-
downregulation, LPS binding agent polymyxin B (PMB) was administered intramuscularly after CLP. The administration of PMB significantly reduced plasma levels of endotoxin, but it did not prevent the downregulation of PPAR-
expression. We found that circulating levels of TNF-
still remained significantly elevated in PMB-treated septic animals. We, therefore, hypothesize that the decrease of PPAR-
expression is TNF-
dependent. To investigate this, Kupffer cells (KCs) were isolated from normal rats and stimulated with LPS or TNF-
. TNF-
significantly attenuated PPAR-
gene expression in KCs. Although LPS decreased PPAR-
in KCs, the downregulatory effect of LPS was blocked by the addition of TNF-
-neutralizing antibodies. Furthermore, the administration of TNF-
-neutralizing antibodies to animals before the onset of sepsis prevented the downregulation of PPAR-
in sepsis. We, therefore, conclude that LPS downregulates PPAR-
expression during sepsis via an increase in TNF-
release.
peroxisome proliferator-activated receptor-
; liver; Kupffer cells; tumor necrosis factor-
; lipopolysaccharide; cecal ligation and puncture
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