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VIA THE INCREASE IN TNF-
RELEASE
1 Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Manhasset, New York, United States
* To whom correspondence should be addressed. E-mail: pwang{at}nshs.edu.
The nuclear receptor, peroxisome proliferator-activated receptor-
(PPAR-
), is anti-inflammatory 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, respectively. The results showed that PPAR-
gene expression decreased at 10 and 20 h and its proteins levels were reduced at 20 h after CLP. To determine the direct effect of LPS on PPAR-
downregulation, LPS binding agent polymyxin B (PMB) was administered intramuscularly after CLP. Administration of PMB significantly reduced plasma levels of endotoxin and partially attenuated TNF-
gene expression in hepatic tissues, 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 TNF-
directly decreases PPAR-
expression. To investigate this, Kupffer cells were isolated from normal rats and stimulated with LPS or TNF-
. Both LPS and TNF-
significantly attenuated PPAR-
gene expression in Kupffer cells. The downregulatory effect of LPS on PPAR-
was blocked by adding TNF-
neutralizing antibodies in the culture. We therefore conclude that LPS downregulates Kupffer cell PPAR-
expression in sepsis via the increase in TNF-
release.
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