(Circulation. 1999;99:3125-3131.)
© 1999 American Heart Association, Inc.
Clinical Investigation and Reports |
Activators Inhibit Cytokine-Induced Vascular Cell Adhesion Molecule-1 Expression in Human Endothelial Cells
From the Vascular Medicine and Atherosclerosis Unit, Cardiovascular Division (N.M., G.K.S., P.L., J.P.) and the Vascular Research Division, Department of Pathology (T.C.), Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Correspondence to Jorge Plutzky, MD, Vascular Medicine and Atherosclerosis Unit, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Ave, Boston, MA 02115. E-mail jplutzky{at}rics.bwh.harvard.edu
| Abstract |
|---|
|
|
|---|
(PPAR
), a member of the
nuclear receptor family, regulates gene expression in response to
certain fatty acids and fibric acid derivatives. The present study
investigated PPAR
expression in human ECs and their regulation of
vascular cell adhesion molecule-1 (VCAM-1).
Methods and ResultsImmunohistochemistry revealed that human
carotid artery ECs express PPAR
. Pretreatment of cultured human ECs
with the PPAR
activators fenofibrate or WY14643
inhibited TNF-
induced VCAM-1 in a time- and
concentration-dependent manner, an effect not seen with PPAR
activators. Both PPAR
activators decreased
cytokine-induced VCAM-1 mRNA expression without altering
its mRNA half-life. Transient transfection of deletional VCAM-1
promoter constructs and electrophoretic mobility shift assays suggest
that fenofibrate inhibits VCAM-1 transcription in part by inhibiting
NF-
B. Finally, PPAR
activators significantly reduced
adhesion of U937 cells to cultured human ECs.
ConclusionsHuman ECs express PPAR
, a potentially important
regulator of atherogenesis through its transcriptional control of
VCAM-1 gene expression. Such findings also have implications regarding
the clinical use of lipid-lowering agents, like fibric acids, which can
activate PPAR
.
Key Words: atherosclerosis endothelium leukocytes
| Introduction |
|---|
|
|
|---|
and interleukin (IL)-1,10
have received much attention, less is known about the negative
regulation of adhesion molecule transcription. Such understanding may
provide important insight into plaque formation.
Certain polyunsaturated fatty acids, for example, docosahexaenoic
acid (DHA), can inhibit cytokine-induced VCAM-1 expression
in ECs, although the underlying mechanism remains
unclear.11 Interestingly, some polyunsaturated fatty acids
can activate the peroxisome proliferatoractivated
receptor-
(PPAR
), a nuclear receptor involved with
transcriptional responses to fatty acids. Fibric acid derivatives, such
as fenofibrate, are also thought to act as specific
activators for PPAR
.12 13 14 In addition to
PPAR
, the PPAR family also includes PPAR
and PPAR
. PPARs,
activated by binding of specific agonists, form heterodimers
with the retinoid X receptor and associate with PPAR response elements
in the promoter region of target genes whose expression they
regulate.15 We have demonstrated expression of PPAR
in
human ECs and identified plasminogen activator
inhibitor-1 as a potential PPAR
target gene in these
cells.16 Although PPAR
mRNA expression in human ECs has
been reported,17 its role in EC biology, including
candidate target genes, remains essentially unexplored.
We hypothesized that PPAR
might regulate VCAM-1 expression in human
ECs, thus potentially modulating leukocyte adhesion. To this end, we
investigated the presence of PPAR
in human ECs, studying the effect
of well-established PPAR
and PPAR
activators on
adhesion molecule expression in these cells.
| Methods |
|---|
|
|
|---|
was performed on acetone-fixed serial
cryostat sections of human carotid arteries (protocols approved by
Brigham and Women's Institutional Review Board) with a
polyclonal goat anti-human PPAR
antibody (Santa Cruz). ECs were
identified by staining with anti-CD31 antibodies (Dako). Sections were
blocked with PBS/5% serum, and incubated with appropriate biotinylated
secondary antibody (Vector Laboratories), then avidin-biotin-peroxidase
complex (Vectastain ABC kit). Antibody binding was visualized with True
Blue peroxidase substrate (Kirkegaard & Perry Laboratories) and
counterstained with Gill's hematoxylin or contrast red (Kirkegaard &
Perry Laboratories).
Cell Culture
Human saphenous vein ECs were isolated from explants from unused
portions of saphenous veins harvested at coronary artery bypass
surgery. Cells, cultured as described before,11 were
>99% von Willebrand factorpositive by flow cytometry,
exhibited typical EC cobblestone growth pattern, and were of low
passage number (p25). Bovine aortic ECs (BAECs) and human fibroblasts
were cultured in DMEM (Biowhittaker) containing 1% glutamine, 1%
penicillin-streptomycin, and 10% FCS. The hematopoietic cell line U937
was cultured in RPMI medium (Biowhittaker) containing 1% glutamine,
1% penicillin-streptomycin, and 10% FCS.
Preparation of Nuclear and Cytosolic Extracts and Western Blot
Analysis
For Western blotting, nuclear and cytosolic extracts of
107 cells were prepared as previously
described.18 Processed samples were applied to 10%
SDS-PAGE and transferred to nitrocellulose membranes (Millipore) by use
of semidry blotting.18 Membranes were treated overnight
with TBS-Tween/5% dry milk and incubated with goat anti-human PPAR
antibodies (Santa Cruz) for 1 hour. After washing, membranes were
incubated with horseradish peroxidaseconjugated rabbit anti-goat
monoclonal antibodies. Antigen detection was performed via
chemiluminescence (NEN); Nuclear extracts from human fibroblasts
transfected with a PPAR
expression construct (provided by Dr Bruce
Spiegelman, Dana Farber Cancer Institute, Boston, Mass) served as a
positive control.
Cell-Surface Enzyme Immunoassays
For determination of cell-surface expression of adhesion
molecules, ECs were pretreated with PPAR activators
[PPAR
activators: fenofibrate (Sigma) and WY14643
(Biomol); PPAR
activators:
15-deoxy-
12,14-prostaglandin
J2 (15d-PGJ2) (Calbiochem),
troglitazone (Parke-Davis), and BRL 49653 (SmithKline Beecham)] at the
times and concentrations indicated and then stimulated with the
specified cytokines (8 hours). Enzyme immunoassay (EIA) was
performed by incubating EC monolayers first with specific monoclonal
antibodies against VCAM-1 (E1/6), ICAM-1 (HU5/3), or E-selectin
(H18/7), then with biotinylated goat anti-mouse IgG (Vector
Laboratories), and finally with streptavidinalkaline phosphatase
(Zymed Laboratories). (All monoclonal antibodies were a generous gift
from Dr Michael Gimbrone, Brigham and Women's Hospital, Boston, Mass).
Cells were washed in PBS/1% BSA after each incubation step, and the
integrity of the cellular monolayer was ensured by phase-contrast
microscopy. Surface expression of each adhesion molecule was measured
spectrophotometrically at 410 nm 15 to 30 minutes after addition of the
chromogenic substrate (para-nitrophenylphosphate, Sigma).
Experiments were performed in triplicate for each condition.
Adhesion Assay
ECs were grown to confluence in 96-well plates, pretreated with
PPAR
activators for 24 hours, and stimulated with
TNF-
for 8 hours, then adhesion assays were
performed.19 Briefly, U937 cells were labeled with
2',7'-bis(2-carboxy)-fluorescein acetoxymethyl ester
(Molecular Probes) and then added, under rolling conditions (63 rpm,
23°C, 15 minutes), to a rinsed EC monolayer
(2x106 cells/mL) in RPMI medium/10% FCS/1
mmol/L CaCl2. Nonadherent cells were removed by
inverting the plate under rotation (20 minutes). After solubilization
of well contents, fluorescence intensity was measured in a
microtiter plate fluorimeter (Pandex, FCA). A standard curve using
dilutions of labeled U937 cells was determined, and results were
expressed as cells/cm2.
RNA Extraction and Northern Blot Analysis
For Northern blot experiments, human ECs were pretreated with
PPAR
activators for 24 hours and then stimulated with
the specified cytokines for 3 hours. Total RNA
(107 cells) was isolated by the guanidinium
thiocyanatephenol-chloroform method (RNAzol, Tel-Test) and 5 µg of
RNA used in standard Northern blot analysis with a VCAM-1
probe.
VCAM-1 mRNA half-life was determined by stimulating ECs with TNF-
for 3 hours before blocking transcription by treatment with actinomycin
D 5 µg/L. Cells then received fenofibrate for the times indicated;
mRNA levels were compared with those of untreated cells.
Transient Transfections
To investigate the effect of PPAR
activators on
VCAM-1 promoter activity, we transiently transfected BAECs with a
series of deletional VCAM-1 promoter constructs, all containing the
chloramphenicol acetyltransferase (CAT) reporter.20
[-755]F0.CAT is the putative full-length human VCAM-1 promoter
containing AP-1, GATA, and NF-
B binding sites. [-98]F3.CAT lacks
the AP-1 and GATA sites but retains NF-
B binding sites.
[-44]F4.CAT lacks NF-
B binding sites (Figure 5A
). BAECs,
which are more easily transfectable than human ECs, were cotransfected
via calcium phosphate precipitation21 with each reporter
construct (5 µg) and a pCMV.ß-GAL (4 µg) as an internal control.
Cells were stimulated (48 hours after transfection) with TNF-
10
µg/L with or without fenofibrate 100 µmol/L. BAECs were then
harvested after 36 hours, and lysates were subjected to CAT and
ß-galactosidase assay (Tropix) as described.22
Normalized CAT activity was calculated as the ratio of CAT activity to
ß-galactosidase activity. Results for each reporter construct were
expressed as multiples of induction compared with transfected,
unstimulated cells.
|
Electrophoretic Mobility Shift Assay
For electrophoretic mobility shift assays (EMSAs), human ECs
were preincubated for 24 hours with fenofibrate 100 µmol/L and
then stimulated for 2 hours with TNF-
10 µg/L before nuclear
extracts were prepared. The NF-
B oligonucleotide
(CCTGGGTTTCCCCTTGAAGGGATTTCCCTCC)
(Genosys Biotechnologies) spanning the 2 tandem NF-
B sites
(as underlined above) in the human VCAM-1 promoter was end-labeled with
[
-32P]ATP (3000 Ci/mmol) by T4
polynucleotide kinase (New England Biolabs) and purified
(Sephadex G-25 columns, Pharmacia LKB Biotechnology). Nuclear
extracts (5 µg) were incubated with the labeled NF-
B
oligonucleotide under standard
conditions.11 In the indicated experiments, nuclear
extracts were incubated with anti-p50 [polyclonal rabbit anti-p50
(NLS)X, Santa Cruz] or anti-p65 (polyclonal rabbit anti-p65 AX, Santa
Cruz) or nonspecific IgG before the addition of radiolabeled NF-
B
probes. DNA-protein complexes were electrophoretically separated (5%
nondenaturing polyacrylamide gel). Specificity was determined
by addition of an excess of unlabeled (cold) NF-
B
oligonucleotide to the nuclear extracts before
formation of DNA-protein complexes.
Assessment of Total Protein Synthesis
Total protein synthesis was assessed as
35S-methionine incorporation as described
previously.11
Statistical Analysis
Results of the experimental studies are reported as mean±SEM.
Differences were analyzed by 1-way ANOVA followed by Fisher's
protected least significant difference test. A value of
P<0.05 was regarded as significant.
| Results |
|---|
|
|
|---|
In Vivo and In Vitro
staining in the EC nuclei (Figure 1A
|
To demonstrate PPAR
expression in vitro in a homogeneous
population of human ECs, Western blot analysis of cultured
human saphenous vein ECs was performed. Consistent with the in
situ findings, PPAR
protein was detected in nuclear but not
cytosolic fractions. The identity of the detected band was confirmed by
comigration with a band from fibroblasts transfected with a PPAR
expression construct (Figure 1D
); untransfected fibroblasts
reveal no such band (data not shown).
PPAR
but Not PPAR
Activators Reduce EC Surface
Expression of VCAM-1
As expected, cell surface EIAs of human ECs revealed a marked
increase of VCAM-1 expression in response to stimulation with TNF-
10 µg/L. Pretreatment of ECs with the PPAR
activator
fenofibrate 100 µmol/L or WY14643 250 µmol/L reduced
VCAM-1 expression levels significantly, to 33±9% (P<0.01)
or 52±2% (P<0.01) of TNF-
stimulated cells,
respectively (Figure 2A
). Similar results
were obtained by flow cytometry (data not shown). None of 3 different
PPAR
activators (troglitazone, 10 µmol/L;
15d-PGJ2, 10 µmol/L; or BRL49653, 10 µmol/L);
significantly affected TNF-
induced VCAM-1 expression (Figure 2A
).
Treatment of unstimulated human ECs with PPAR
or PPAR
activators did not alter VCAM-1 expression (data not
shown). Fenofibrate did not affect EC viability (>95% excluded trypan
blue) or total protein synthesis (263±5x103
cpm/cm2 well in TNF-
treated cells versus
283±22x103 cpm/cm2 well
in TNF-
and fenofibrate-treated cells; P=NS).
|
Neither PPAR
nor PPAR
activators significantly
reduced the TNF-
induced cell surface expression of ICAM-1 (Figure 2B
, solid bars) or E-selectin (Figure 2B
, open bars) in
ECs.
Fenofibrate Reduces Cytokine-Induced VCAM-1 Expression in a
Time- and Concentration-Dependent Manner
To investigate the time- and concentration-dependence of PPAR
activator treatment on VCAM-1 expression, human ECs were
pretreated with fenofibrate for different times or concentrations
before stimulation with TNF-
and subsequent EIA determination of
VCAM-1 expression. Inhibition of TNF-
induced VCAM-1 expression
depended on the time of fenofibrate exposure, with a maximal reduction
after 24 hours of fenofibrate pretreatment (Figure 2C
). In
addition, fenofibrate inhibited VCAM-1 expression in human ECs induced
by TNF-
(Figure 2D
, solid bars) or IL-1
(Figure 2D
, open bars) in a concentration-dependent manner with a maximal reduction
at 100 µmol/L fenofibrate.
PPAR
Activators Inhibit the Adhesion of
Monocyte-Like Cells on Human ECs
To investigate the potential functional relevance of PPAR
activatorreduced VCAM-1 expression in human ECs, we
performed an in vitro adhesion assay using fluorescently labeled U937
cells and monolayers of human ECs. Stimulation of the EC monolayer with
TNF-
increased the number of adherent cells from
9.1±1.5x103 cells/cm2 to
73.2±2.4x103 cells/cm2
(P<0.01) (Figure 3B
).
Pretreatment of ECs with fenofibrate or WY14643 before TNF-
stimulation reduced U937 cell adhesion significantly, to
36.7±2.2x103 cells/cm2
(P<0.01) or 37.3±4.3x103
cells/cm2 (P<0.01), respectively
(Figure 3A
and 3B
). Preincubation of TNF-
stimulated ECs
with blocking anti-VCAM monoclonal antibody inhibited U937 cell
adhesion almost completely (data not shown).
|
PPAR
Activators Reduce Cytokine-Induced
VCAM-1 mRNA Levels in Human ECs
Northern blot analysis revealed increased VCAM-1
mRNA levels after 3 hours of stimulation of human ECs with TNF-
10
µg/L, which could be inhibited in a concentration-dependent manner by
pretreatment with the PPAR
activators fenofibrate or
WY14643 (Figure 4A
). Similar results were
seen when ECs were stimulated with IL-1
instead of TNF-
(data not
shown). In the presence of actinomycin D, fenofibrate did not
significantly reduce VCAM-1 mRNA half-life compared with control cells
(6.4±0.6 hours in control cells versus 6.4±1.1 hours in
fenofibrate-stimulated cells, P=NS), indicating that the
inhibitory effect of PPAR
activators on
VCAM-1 does not result from altered mRNA stability (Figure 4B
).
|
Fenofibrate Inhibits TNF-
Induced VCAM-1 Promoter
Activity
To determine potential sites of interaction of PPAR
activators with the VCAM-1 promoter, we performed transient
transfections of various deletional VCAM-1 promoter reporter CAT
constructs in bovine ECs (Figure 5A
).
After stimulation for 36 hours, CAT activity, as well as the activity
of a cotransfected ß-galactosidase construct, was measured (Figure 5B
).
TNF-
stimulation of cells transfected with the
full-length promoter construct (F0) led to a 5.9±1.6-fold increase in
normalized promoter activity (CAT/ß-galactosidase activity).
Treatment with fenofibrate significantly reduced this response to
2.4±0.4-fold (P<0.05 compared with TNF-
stimulated
cells). Transfection studies with a VCAM-1 promoter deletion construct
(F3) containing the 2 tandem NF-
B sites, but lacking the AP-1 and
GATA sites, revealed similar PPAR
agonist responsiveness.
Stimulation of transfected cells with TNF-
enhanced relative CAT
activity 3.4±0.6-fold; treatment with fenofibrate significantly
inhibited this increase to 1.4±0.2 (P<0.05 compared with
TNF-
stimulated cells). Transfection studies with the VCAM-1
deletion construct (F4), lacking the 2 NF-
B sites, revealed no
change in relative CAT activity after treatment with TNF-
or
fenofibrate. In the case of all constructs, treatment with fenofibrate
alone had no effect on relative CAT activity compared with control,
consistent with the absence of consensus PPAR response elements
in the VCAM promoter.
Fenofibrate Inhibits TNF-
Induced NF-
B Activation
EMSAs that used radiolabeled oligonucleotides
corresponding to the 2 tandem NF-
B sites in the VCAM-1 promoter were
performed to investigate whether PPAR
activators inhibit
NF-
B activation. Fenofibrate decreased the amount of shifted
complexes induced by TNF-
, which suggests that PPAR
activators directly inhibit NF-
B activation (Figure 5C
).
To further investigate these findings, supershift analysis was
performed to define fenofibrate effects on the NF-
B transcriptional
complex (Figure 5C
). As described by others, TNF-
induced
NF-
B activation involves the p50 and p65 subunits. Fenofibrate
treatment of similarly stimulated ECs resulted in a parallel decrease
in the amount of supershifted p50 and p65 complexes.
| Discussion |
|---|
|
|
|---|
in ECs of
human arteries and reduction of cytokine-induced VCAM-1
expression by PPAR
agonists through inhibition of NF-
B. This
inhibition of VCAM-1 expression by PPAR
activators
decreased adhesion of monocyte-like cells to stimulated ECs. PPAR
activators exhibited no such effects.
Initially, PPAR
was thought to be limited to tissues such as liver
and fat, in which it participates in the regulation of lipid, and in
particular fatty acid, metabolism.23 24 A
recent study demonstrated PPAR
expression in human vascular
smooth muscle cells with inhibition of IL-6,
cyclooxygenase-2, and prostaglandin
gene expression by the same PPAR
activators used here
(WY14643, fenofibrate).25 Human ECs, like vascular smooth
muscle cells, express both PPAR
and PPAR
,16 with
each PPAR probably having unique effects relevant to vascular biology
in these cellular settings. We have previously shown PPAR
expression
in ECs and suggested a role of PPAR
in the regulation of
plasminogen activator inhibitor-1
gene expression.16 We report here that PPAR
activation
does not appear to be involved in the regulation of adhesion molecule
expression (Figure 2
).
In contrast, 2 different established PPAR
activators,
fenofibrate and WY14643, inhibit cytokine-induced VCAM-1
expression in ECs. These agents probably act in ECs by activating
PPAR
. Both of these agonists have high binding affinities to PPAR
while selectively interacting with PPAR
, with little to no activity
on other PPAR isoforms.12 26 The fibrates used here
produced inhibitory effects at concentrations similar to
those that induced established PPAR
response genes, eg,
apolipoprotein A-II.27 In contrast, various PPAR
activators, among them the highly specific PPAR
agonist
BRL49653,12 26 added either before or after (data not
shown) cytokine treatment, had no effect on VCAM-1 levels.
Therefore, PPAR
activation by PPAR
agonists seems an unlikely
explanation for our results.
The reduction of VCAM-1 expression by PPAR
activators
appears at a transcriptional level because fenofibrate did not alter
VCAM-1 mRNA half-life but did inhibit TNF-
induced VCAM-1 promoter
activity. This effect appears to stem from inhibition of NF-
B
activation, as suggested by the reduction of CAT activity of the
promoter construct lacking NF-
B binding sites ([-44]F4) and gel
shift assays. The inhibition of NF-
B activation by PPAR
could
result from direct interference with NF-
B binding to the VCAM-1
promoter, as postulated for the interaction of NF-
B with the
estrogen receptor.28 Alternatively, the
inhibitory effects might occur through competitive binding
of transcriptional coactivators by PPAR
or by
PPAR
-induced transcription factors. Such "negative crosstalk"
has been suggested between other nuclear receptors and the
transcription factor AP-1.29 In fact, one such
coactivator, p300, involved in VCAM-1
expression30 reportedly interacts with
PPAR
.31 Our data also do not exclude a PPAR
effect
on I
B or an effect on the transcription of NF-
B subunits p50 and
p65.
The genes encoding ICAM-1 and E-selectin have NF-
B sites in
their promoter; nonetheless, PPAR
activators did not
alter ICAM-1 or E-selectin expression. This result may be explained in
several ways. It could derive from the distinct nature of the VCAM-1
promoter, either its NF-
B sites or another undefined VCAM-1
transcriptional element,32 ie, the interferon regulatory
factor-1 site. We saw no effect of fenofibrate on the known TNF-
induction of interferon regulatory factor-1 expression in ECs (data not
shown).22 Other mechanisms might include competition for
transcriptional coactivators as described above.
Interestingly, retinoic acid, acting through the retinoic acid
receptor, another nuclear receptor family member, also appears to
inhibit activation of the NF-
B site of the VCAM-1 promoter, but not
NF-
B activation of either the ICAM-1 or E-selectin
promoters.33
Inhibition of VCAM-1 expression in human ECs by PPAR
activators, with a consequent decrease in monocyte
adherence to ECs, has important implications regarding atherogenic
mechanisms as well as the treatment of atherosclerosis,
especially given the similarity of fenofibrate concentrations used here
and those achieved in patients.34 Human angiographic
studies have reported that fenofibrate treatment reduces
coronary artery stenoses.35
Epidemiological36 as well as experimental
work37 38 suggests that the intake of polyunsaturated
fatty acids, some of them also known PPAR
agonists,12
reduces the incidence of cardiovascular events. Given
the likely involvement of VCAM-1 in monocyte recruitment to early
atherosclerotic lesions,6 our findings suggest PPAR
as
a potential mediator of critical inflammatory processes in the vessel
wall.
| Acknowledgments |
|---|
| Footnotes |
|---|
Received December 31, 1998; revision received April 6, 1999; accepted April 6, 1999.
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E. Cernuda-Morollon, F. Rodriguez-Pascual, P. Klatt, S. Lamas, and D. Perez-Sala PPAR Agonists Amplify iNOS Expression While Inhibiting NF-{kappa}B: Implications for Mesangial Cell Activation by Cytokines J. Am. Soc. Nephrol., September 1, 2002; 13(9): 2223 - 2231. [Abstract] [Full Text] [PDF] |
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S. Sethi, O. Ziouzenkova, H. Ni, D. D. Wagner, J. Plutzky, and T. N. Mayadas Oxidized omega-3 fatty acids in fish oil inhibit leukocyte-endothelial interactions through activation of PPARalpha Blood, July 30, 2002; 100(4): 1340 - 1346. [Abstract] [Full Text] [PDF] |
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J. A. Beckman, M. A. Creager, and P. Libby Diabetes and Atherosclerosis: Epidemiology, Pathophysiology, and Management JAMA, May 15, 2002; 287(19): 2570 - 2581. [Abstract] [Full Text] [PDF] |
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P. Delerive, K. De Bosscher, W. Vanden Berghe, J.-C. Fruchart, G. Haegeman, and B. Staels DNA Binding-Independent Induction of I{kappa}B{alpha} Gene Transcription by PPAR{alpha} Mol. Endocrinol., May 1, 2002; 16(5): 1029 - 1039. [Abstract] [Full Text] [PDF] |
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O. Barbier, I. P. Torra, Y. Duguay, C. Blanquart, J.-C. Fruchart, C. Glineur, and B. Staels Pleiotropic Actions of Peroxisome Proliferator-Activated Receptors in Lipid Metabolism and Atherosclerosis Arterioscler Thromb Vasc Biol, May 1, 2002; 22(5): 717 - 726. [Abstract] [Full Text] [PDF] |
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N. Marx, B. Kehrle, K. Kohlhammer, M. Grub, W. Koenig, V. Hombach, P. Libby, and J. Plutzky PPAR Activators as Antiinflammatory Mediators in Human T Lymphocytes: Implications for Atherosclerosis and Transplantation-Associated Arteriosclerosis Circ. Res., April 5, 2002; 90(6): 703 - 710. [Abstract] [Full Text] [PDF] |
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G. J. Etgen, B. A. Oldham, W. T. Johnson, C. L. Broderick, C. R. Montrose, J. T. Brozinick, E. A. Misener, J. S. Bean, W. R. Bensch, D. A. Brooks, et al. A Tailored Therapy for the Metabolic Syndrome : The Dual Peroxisome Proliferator-Activated Receptor-{alpha}/{gamma} Agonist LY465608 Ameliorates Insulin Resistance and Diabetic Hyperglycemia While Improving Cardiovascular Risk Factors in Preclinical Models Diabetes, April 1, 2002; 51(4): 1083 - 1087. [Abstract] [Full Text] [PDF] |
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R. Cunard, M. Ricote, D. DiCampli, D. C. Archer, D. A. Kahn, C. K. Glass, and C. J. Kelly Regulation of Cytokine Expression by Ligands of Peroxisome Proliferator Activated Receptors J. Immunol., March 15, 2002; 168(6): 2795 - 2802. [Abstract] [Full Text] [PDF] |
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R. B. Clark The role of PPARs in inflammation and immunity J. Leukoc. Biol., March 1, 2002; 71(3): 388 - 400. [Abstract] [Full Text] [PDF] |
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D. P. Kelly The Pleiotropic Nature of the Vascular PPAR Gene Regulatory Pathway Circ. Res., November 23, 2001; 89(11): 935 - 937. [Full Text] [PDF] |
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P. Amarenco Hypercholesterolemia, lipid-lowering agents, and the risk for brain infarction Neurology, September 1, 2001; 57(90002): S35 - 44. [Abstract] [Full Text] |
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K. Fujimoto, T. Imaizumi, H. Yoshida, S. Takanashi, K. Okumura, and K. Satoh Interferon-gamma Stimulates Fractalkine Expression in Human Bronchial Epithelial Cells and Regulates Mononuclear Cell Adherence Am. J. Respir. Cell Mol. Biol., August 1, 2001; 25(2): 233 - 238. [Abstract] [Full Text] [PDF] |
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X. Xu, M. Otsuki, H. Saito, S. Sumitani, H. Yamamoto, N. Asanuma, H. Kouhara, and S. Kasayama PPAR{alpha} and GR Differentially Down-Regulate the Expression of Nuclear Factor-{kappa}B-Responsive Genes in Vascular Endothelial Cells Endocrinology, August 1, 2001; 142(8): 3332 - 3339. [Abstract] [Full Text] [PDF] |
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P. Libby Current Concepts of the Pathogenesis of the Acute Coronary Syndromes Circulation, July 17, 2001; 104(3): 365 - 372. [Full Text] [PDF] |
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H. Bloomfield Rubins, J. Davenport, V. Babikian, L. M. Brass, D. Collins, L. Wexler, S. Wagner, V. Papademetriou, G. Rutan, and S. J. Robins Reduction in Stroke With Gemfibrozil in Men With Coronary Heart Disease and Low HDL Cholesterol : The Veterans Affairs HDL Intervention Trial (VA-HIT) Circulation, June 12, 2001; 103(23): 2828 - 2833. [Abstract] [Full Text] [PDF] |
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V. Pasceri, J. Chang, J. T. Willerson, and E. T. H. Yeh Modulation of C-Reactive Protein-Mediated Monocyte Chemoattractant Protein-1 Induction in Human Endothelial Cells by Anti-Atherosclerosis Drugs Circulation, May 29, 2001; 103(21): 2531 - 2534. [Abstract] [Full Text] [PDF] |
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A. Tedgui and Z. Mallat Anti-Inflammatory Mechanisms in the Vascular Wall Circ. Res., May 11, 2001; 88(9): 877 - 887. [Abstract] [Full Text] [PDF] |
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C. S. Elangbam, R. D. Tyler, and R. M. Lightfoot Peroxisome Proliferator-activated Receptors in Atherosclerosis and Inflammation--An Update Toxicol Pathol, February 1, 2001; 29(2): 224 - 231. [Abstract] [PDF] |
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M. Otsuki, H. Saito, X. Xu, S. Sumitani, H. Kouhara, T. Kishimoto, and S. Kasayama Progesterone, but Not Medroxyprogesterone, Inhibits Vascular Cell Adhesion Molecule-1 Expression in Human Vascular Endothelial Cells Arterioscler Thromb Vasc Biol, February 1, 2001; 21(2): 243 - 248. [Abstract] [Full Text] [PDF] |
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J. Plutzky and P. M. Ridker Statins for Stroke: The Second Story? Circulation, January 23, 2001; 103(3): 348 - 350. [Full Text] [PDF] |
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B. P. Neve, D. Corseaux, G. Chinetti, C. Zawadzki, J.-C. Fruchart, P. Duriez, B. Staels, and B. Jude PPAR{{alpha}} Agonists Inhibit Tissue Factor Expression in Human Monocytes and Macrophages Circulation, January 16, 2001; 103(2): 207 - 212. [Abstract] [Full Text] [PDF] |
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N. Marx, N. Mackman, U. Schonbeck, N. Yilmaz, V. Hombach, P. Libby, and J. Plutzky PPAR{{alpha}} Activators Inhibit Tissue Factor Expression and Activity in Human Monocytes Circulation, January 16, 2001; 103(2): 213 - 219. [Abstract] [Full Text] [PDF] |
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Rainer de Martin, M. Hoeth, R. Hofer-Warbinek, and J. A. Schmid The Transcription Factor NF-{kappa}B and the Regulation of Vascular Cell Function Arterioscler Thromb Vasc Biol, November 1, 2000; 20 (11): e83 - e88. [Abstract] [Full Text] [PDF] |
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H. Takano, T. Nagai, M. Asakawa, T. Toyozaki, T. Oka, I. Komuro, T. Saito, and Y. Masuda Peroxisome Proliferator-Activated Receptor Activators Inhibit Lipopolysaccharide-Induced Tumor Necrosis Factor-{alpha} Expression in Neonatal Rat Cardiac Myocytes Circ. Res., September 29, 2000; 87(7): 596 - 602. [Abstract] [Full Text] [PDF] |
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N. Marx, F. Mach, A. Sauty, J. H. Leung, M. N. Sarafi, R. M. Ransohoff, P. Libby, J. Plutzky, and A. D. Luster Peroxisome Proliferator-Activated Receptor-{gamma} Activators Inhibit IFN-{gamma}-Induced Expression of the T Cell-Active CXC Chemokines IP-10, Mig, and I-TAC in Human Endothelial Cells J. Immunol., June 15, 2000; 164(12): 6503 - 6508. [Abstract] [Full Text] [PDF] |
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V. Pasceri, H. D. Wu, J. T. Willerson, and E. T. H. Yeh Modulation of Vascular Inflammation In Vitro and In Vivo by Peroxisome Proliferator-Activated Receptor-{gamma} Activators Circulation, January 25, 2000; 101(3): 235 - 238. [Abstract] [Full Text] [PDF] |
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P. Delerive, K. De Bosscher, S. Besnard, W. Vanden Berghe, J. M. Peters, F. J. Gonzalez, J.-C. Fruchart, A. Tedgui, G. Haegeman, and B. Staels Peroxisome Proliferator-activated Receptor alpha Negatively Regulates the Vascular Inflammatory Gene Response by Negative Cross-talk with Transcription Factors NF-kappa B and AP-1 J. Biol. Chem., November 5, 1999; 274(45): 32048 - 32054. [Abstract] [Full Text] [PDF] |
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P. Delerive, P. Gervois, J.-C. Fruchart, and B. Staels Induction of Ikappa Balpha Expression as a Mechanism Contributing to the Anti-inflammatory Activities of Peroxisome Proliferator-activated Receptor-alpha Activators J. Biol. Chem., November 17, 2000; 275(47): 36703 - 36707. [Abstract] [Full Text] [PDF] |
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P. Gervois, N. Vu-Dac, R. Kleemann, M. Kockx, G. Dubois, B. Laine, V. Kosykh, J.-C. Fruchart, T. Kooistra, and B. Staels Negative Regulation of Human Fibrinogen Gene Expression by Peroxisome Proliferator-activated Receptor alpha Agonists via Inhibition of CCAAT Box/Enhancer-binding Protein beta J. Biol. Chem., August 31, 2001; 276(36): 33471 - 33477. [Abstract] [Full Text] [PDF] |
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N. Marx, B. Kehrle, K. Kohlhammer, M. Grub, W. Koenig, V. Hombach, P. Libby, and J. Plutzky PPAR Activators as Antiinflammatory Mediators in Human T Lymphocytes: Implications for Atherosclerosis and Transplantation-Associated Arteriosclerosis Circ. Res., April 5, 2002; 90(6): 703 - 710. [Abstract] [Full Text] [PDF] |
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D. M. Flavell, Y. Jamshidi, E. Hawe, I. Pineda Torra, M.-R. Taskinen, M. H. Frick, M. S. Nieminen, Y. A. Kesaniemi, A. Pasternack, B. Staels, et al. Peroxisome Proliferator-Activated Receptor {alpha} Gene Variants Influence Progression of Coronary Atherosclerosis and Risk of Coronary Artery Disease Circulation, March 26, 2002; 105(12): 1440 - 1445. [Abstract] [Full Text] [PDF] |
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