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Obesity Studies

PPARα Agonists Suppress Osteopontin Expression in Macrophages and Decrease Plasma Levels in Patients With Type 2 Diabetes

  1. Takafumi Nakamachi1,
  2. Takashi Nomiyama1,
  3. Florence Gizard1,
  4. Elizabeth B. Heywood1,
  5. Karrie L. Jones1,
  6. Yue Zhao1,
  7. Lucia Fuentes234,
  8. Kohzo Takebayashi5,
  9. Yoshimasa Aso5,
  10. Bart Staels234,
  11. Toshihiko Inukai5 and
  12. Dennis Bruemmer1
  1. 1Division of Endocrinology and Molecular Medicine, Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, Kentucky
  2. 2Department of Atherosclerosis, Institut Pasteur de Lille, Lille, France
  3. 3INSERM, U545, Lille, France
  4. 4Faculte de Pharmacie et Faculte de Medecine, Universite de Lille 2, Lille, France
  5. 5Department of Medicine, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaya, Japan
  1. Address correspondence and reprint requests to Dennis Bruemmer, MD, University of Kentucky College of Medicine, Department of Internal Medicine, Division of Endocrinology and Molecular Medicine, Wethington Health Sciences Building, Room 575, 900 South Limestone St., Lexington, KY 40536-0200. E-mail: dennis.bruemmer{at}uky.edu
Diabetes 2007 Jun; 56(6): 1662-1670. https://doi.org/10.2337/db06-1177
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  • FIG. 1.
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    FIG. 1.

    PPARα ligands inhibit OPN expression in human macrophages. A: Human THP-1 monocytes were left untreated (—) or incubated with either vehicle (DMSO) or the PPARα ligand bezafibrate (250 μmol/l) for 24 h before stimulation with 100 nmol/l PMA, 50 ng/ml TNF-α, 100 ng/ml IL-6, or 50 μg/ml oxidized LDL in the presence of the ligand. Cells were harvested after 48 h and analyzed for OPN mRNA by real-time RT-PCR. OPN mRNA expression levels were normalized to the housekeeping gene TATA-binding protein and expressed as percentage of increase over untreated cells from three independently performed experiments (mean ± SEM; *P < 0.05 vs. the vehicle DMSO). B: Cells were pretreated with the indicated PPARα ligand and stimulated with 100 nmol/l PMA as described in A. At 72 h after stimulation, the supernatant was analyzed for OPN secretion by enzyme-linked immunosorbent assay. Results are presented as means ± SEM from three independently performed experiments (*P < 0.05 vs. vehicle). C: Cells were harvested after 48 h and analyzed for OPN and 36B4 mRNA expression by Northern blotting. The blot depicted is representative of three independently performed experiments.

  • FIG. 2.
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    FIG. 2.

    PPARα agonists inhibit OPN promoter activity. RAW 264.7 macrophages were transiently transfected with a full-length OPN promoter construct. Transfected macrophages were pretreated for 12 h with vehicle (DMSO) or the indicated PPARα agonist and stimulated with PMA (100 nmol/l) in the presence of the agonist. After 24 h, luciferase activities were analyzed as described in research design and methods. Data are expressed as normalized luciferase activity and presented as means ± SEM from three independently performed experiments (*P < 0.05 vs. vehicle).

  • FIG. 3.
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    FIG. 3.

    PPARα agonists suppress OPN promoter activity by negative interference with AP-1 signaling pathways. A: RAW 264.7 macrophages were transiently transfected with the full-length wild-type or AP-1–mutated OPN promoter. Following transfection, macrophages were pretreated for 12 h with 50 μmol/l WY14643 and stimulated for 24 h with 100 nmol/l PMA as indicated. B: RAW 264.7 macrophages were transfected with the OPN promoter construct alone or cotransfected with the empty pCMV vector (400 ng) or pCMV-c-Fos (200 ng) and pCMV-c-Jun (200 ng) expression vectors. After transfection, cells were treated as described in A. C: RAW 264.7 macrophages were transfected with an AP-1–driven heterologous promoter. Transfected macrophages were pretreated for 12 h with vehicle (DMSO) or the indicated PPARα agonist and stimulated for 24 h with 100 nmol/l PMA in the presence of the agonist. Following stimulation, luciferase activities were analyzed. Data are expressed as normalized luciferase activity and presented as means ± SEM from three independently performed experiments (*P < 0.05 vs. vehicle).

  • FIG. 4.
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    FIG. 4.

    PPARα agonists inhibit AP-1 binding to the proximal OPN promoter. RAW 264.7 macrophages were pretreated for 24 h with vehicle (DMSO), 50 μmol/l WY14643, or 250 μmol/l bezafibrate and stimulated with 100 nmol/l PMA for 24 h. ChIP assays were performed using c-Fos and phospho–c-Jun antibodies. Total extract (input) and rabbit IgG were used as controls. Ethidium bromide–stained agarose gels shown are representative of three independently performed experiments.

  • FIG. 5.
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    FIG. 5.

    PPARα agonists inhibit c-Fos and phospho–c-Jun expression. RAW 264.7 macrophages were left untreated (—) or incubated with either vehicle (DMSO) or the indicated PPARα agonist for 24 h before stimulation with 100 nmol/l PMA in the presence of the ligand. Following stimulation for 3 h, nuclear extracts were isolated and analyzed for c-Fos (A) and phospho–c-Jun (B) protein expression. Quantification was performed by densitometry and normalization to Histone H3 of three independently performed experiments. Results are presented as means ± SEM (*P < 0.05 vs. vehicle). c-Fos (C) and c-Jun (D) mRNA expression levels were analyzed by real-time RT-PCR following stimulation with PMA for 30 min. Quantification was performed from three independently performed experiments and normalization to the housekeeping gene TATA-binding protein. Data are expressed as percentage of increase over unstimulated cells and presented as means ± SEM (*P < 0.05 vs. vehicle).

  • FIG. 6.
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    FIG. 6.

    The inhibition of OPN by PPARα ligands is mediated through a receptor-dependent mechanism. Peritoneal macrophages from wild-type (A) and PPARα-deficient (B) mice were pretreated with the PPARα ligands bezafibrate (250 μmol/l), fenofibric acid (250 μmol/l), or GW9578 (500 nmol/l) for 24 h before stimulation with 100 nmol/l PMA. mRNA was isolated after 24 h and analyzed for OPN expression by real-time RT-PCR. Quantification was performed from three independently performed experiments and normalization to the housekeeping gene cyclophilin. Data are expressed as percentage of increase over unstimulated cells and presented as means ± SEM (*P < 0.05 vs. vehicle).

  • FIG. 7.
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    FIG. 7.

    Bezafibrate decreases OPN plasma levels in patients with type 2 diabetes. Ten patients with type 2 diabetes and dyslipidemia were treated for 28 days with 400 mg bezafibrate/day. Plasma OPN levels were measured by enzyme-linked immunosorbent assay before and after treatment. A: Median, interquartile range, and percentiles 10.0 and 90.0 before and after treatment (P = 0.0059). B: The individual changes in OPN plasma levels before and after treatment with bezafibrate.

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  • TABLE 1

    Characteristics of the study subjects before and after bezafibrate treatment

    CharacteristicsBaseline28 days after treatmentP
    Sex (female/male)(6/4)——
    Age (years)61.6 ± 10.7——
    BMI (kg/m2)25.3 ± 4.725.1 ± 5.90.19
    Cholesterol (mg/dl)
        Triglycerides195.0 (164–230)93.0 (86–142)0.005
        Total227.5 (226–232)212.5 (169–230)0.03
        LDL129.5 (118–164)121.0 (104–147)0.31
        HDL47.5 (44–54)55.0 (49–59)0.0007
    Glucose (mg/dl)145.8 (123–163)144.5 (126–163)0.28
    A1C (%)8.2 (7.1–9.4)8.2 (6.2–9.1)0.21
    Blood pressure (mmHg)
        Systolic132 (122–136)129 (112–132)0.21
        Diastolic70 (70–80)70 (64–72)0.14
    • Data are means ± SD or median (interquartile range).

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PPARα Agonists Suppress Osteopontin Expression in Macrophages and Decrease Plasma Levels in Patients With Type 2 Diabetes
Takafumi Nakamachi, Takashi Nomiyama, Florence Gizard, Elizabeth B. Heywood, Karrie L. Jones, Yue Zhao, Lucia Fuentes, Kohzo Takebayashi, Yoshimasa Aso, Bart Staels, Toshihiko Inukai, Dennis Bruemmer
Diabetes Jun 2007, 56 (6) 1662-1670; DOI: 10.2337/db06-1177

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PPARα Agonists Suppress Osteopontin Expression in Macrophages and Decrease Plasma Levels in Patients With Type 2 Diabetes
Takafumi Nakamachi, Takashi Nomiyama, Florence Gizard, Elizabeth B. Heywood, Karrie L. Jones, Yue Zhao, Lucia Fuentes, Kohzo Takebayashi, Yoshimasa Aso, Bart Staels, Toshihiko Inukai, Dennis Bruemmer
Diabetes Jun 2007, 56 (6) 1662-1670; DOI: 10.2337/db06-1177
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