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Circulation Research. 1998;83:1097-1103

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(Circulation Research. 1998;83:1097-1103.)
© 1998 American Heart Association, Inc.


Original Contributions

Peroxisome Proliferator-Activated Receptor Gamma Activators Inhibit Gene Expression and Migration in Human Vascular Smooth Muscle Cells

Nikolaus Marx, Uwe Schönbeck, Mitchell A. Lazar, Peter Libby, , Jorge Plutzky

From the Vascular Medicine and Atherosclerosis Unit, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School (N.M., U.S., P.L., J.P.), Boston, Mass, and the Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, and the Department of Genetics, University of Pennsylvania School of Medicine (M.A.L.), Philadelphia, Pa.

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}bustoff.bwh.harvard.edu

Abstract—Migration of vascular smooth muscle cells (VSMCs) plays an important role in atherogenesis and restenosis after arterial interventions. The expression of matrix metalloproteinases (MMPs), particularly MMP-9, contributes to VSMC migration. This process requires degradation of basal laminae and other components of the arterial extracellular matrix. Peroxisome proliferator-activated receptors (PPARs), members of the nuclear receptor family, regulate gene expression after activation by various ligands. Recent studies have suggested opposing effects of PPAR gamma (PPAR{gamma}) activation on atherogenesis. The present study tested the hypotheses that human VSMCs express PPAR alpha (PPAR{alpha}) and PPAR{gamma} and that PPAR agonists in VSMCs modulate MMP-9 expression and activity, as well as VSMC migration. Human VSMCs expressed PPAR{alpha} and PPAR{gamma} mRNA and protein. Treatment of VSMCs with the PPAR{gamma} ligands troglitazone and the naturally occurring 15-deoxy-{Delta}12,14-prostaglandin J2 (15d-PGJ2) decreased phorbol 12-myristate 13-acetate–induced MMP-9 mRNA and protein levels, as well as MMP-9 gelatinolytic activity in the supernatants in a concentration-dependent manner. Six different PPAR{alpha} activators lacked such effects. Addition of prostaglandin F2{alpha}, known to limit PPAR{gamma} activity, diminished the MMP-9 inhibition seen with either troglitazone or 15d-PGJ2, further implicating PPAR{gamma} in these effects. Finally, troglitazone and 15d-PGJ2 inhibited the platelet-derived growth factor-BB–induced migration of VSMCs in vitro in a concentration-dependent manner. PPAR{gamma} activation may regulate VSMC migration and expression and activity of MMP-9. Thus, PPAR{gamma} activation in VSMCs, via the antidiabetic agent troglitazone or naturally occurring ligands, may act to counterbalance other potentially proatherosclerotic PPAR{gamma} effects.


Key Words: gene expression • vascular smooth muscle cell • migration • peroxisome proliferator-activated receptor gamma • troglitazone




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HypertensionHome page
M. Mendez and M. C. LaPointe
PPAR{gamma} Inhibition of Cyclooxygenase-2, PGE2 Synthase, and Inducible Nitric Oxide Synthase in Cardiac Myocytes
Hypertension, October 1, 2003; 42(4): 844 - 850.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
N. Satoh, Y. Ogawa, T. Usui, T. Tagami, S. Kono, H. Uesugi, H. Sugiyama, A. Sugawara, K. Yamada, A. Shimatsu, et al.
Antiatherogenic Effect of Pioglitazone in Type 2 Diabetic Patients Irrespective of the Responsiveness to Its Antidiabetic Effect
Diabetes Care, September 1, 2003; 26(9): 2493 - 2499.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
M Hetzel, D Walcher, M Grub, H Bach, V Hombach, and N Marx
Inhibition of MMP-9 expression by PPAR{gamma} activators in human bronchial epithelial cells
Thorax, September 1, 2003; 58(9): 778 - 783.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Z. Yuan, Y. Liu, Y. Liu, J. Zhang, C. Kishimoto, Y. Wang, A. Ma, and Z. Liu
Peroxisome proliferation-activated receptor-{gamma} ligands ameliorate experimental autoimmune myocarditis
Cardiovasc Res, September 1, 2003; 59(3): 685 - 694.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
D. Bruemmer, F. Yin, J. Liu, J. P. Berger, T. Sakai, F. Blaschke, E. Fleck, A. J. Van Herle, B. M. Forman, and R. E. Law
Regulation of the Growth Arrest and DNA Damage-Inducible Gene 45 (GADD45) by Peroxisome Proliferator-Activated Receptor {gamma} in Vascular Smooth Muscle Cells
Circ. Res., August 22, 2003; 93 (4): e38 - e47.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Taba, M. Miyagi, Y. Miwa, H. Inoue, F. Takahashi-Yanaga, S. Morimoto, and T. Sasaguri
15-Deoxy-{Delta}12,14-prostaglandin J2 and laminar fluid shear stress stabilize c-IAP1 in vascular endothelial cells
Am J Physiol Heart Circ Physiol, June 5, 2003; 285(1): H38 - H46.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
K.-H. Mak and D. P. Faxon
Clinical studies on coronary revascularization in patients with type 2 diabetes
Eur. Heart J., June 2, 2003; 24(12): 1087 - 1103.
[Abstract] [Full Text] [PDF]


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Mol. Endocrinol.Home page
D. Bruemmer, F. Yin, J. Liu, J. P. Berger, T. Kiyono, J. Chen, E. Fleck, A. J. Van Herle, B. M. Forman, and R. E. Law
Peroxisome Proliferator-Activated Receptor {gamma} Inhibits Expression of Minichromosome Maintenance Proteins in Vascular Smooth Muscle Cells
Mol. Endocrinol., June 1, 2003; 17(6): 1005 - 1018.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. S. Welch, M. Ricote, T. E. Akiyama, F. J. Gonzalez, and C. K. Glass
PPAR{gamma} and PPAR{delta} negatively regulate specific subsets of lipopolysaccharide and IFN-{gamma} target genes in macrophages
PNAS, May 27, 2003; 100(11): 6712 - 6717.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
Z. T. Bloomgarden
Inflammation and Insulin Resistance
Diabetes Care, May 1, 2003; 26(5): 1619 - 1623.
[Full Text] [PDF]


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Mayo Clin Proc.Home page
F. Zangeneh, Y. C. Kudva, and A. Basu
Insulin Sensitizers
Mayo Clin. Proc., April 1, 2003; 78(4): 471 - 479.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
N. Marx, J. Froehlich, L. Siam, J. Ittner, G. Wierse, A. Schmidt, H. Scharnagl, V. Hombach, and W. Koenig
Antidiabetic PPAR{gamma}-Activator Rosiglitazone Reduces MMP-9 Serum Levels in Type 2 Diabetic Patients With Coronary Artery Disease
Arterioscler Thromb Vasc Biol, February 1, 2003; 23(2): 283 - 288.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
J. Martinez-Gonzalez, J. Rius, A. Castello, C. Cases-Langhoff, and L. Badimon
Neuron-Derived Orphan Receptor-1 (NOR-1) Modulates Vascular Smooth Muscle Cell Proliferation
Circ. Res., January 10, 2003; 92(1): 96 - 103.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. Iglarz, R. M. Touyz, F. Amiri, M.-F. Lavoie, Q. N. Diep, and E. L. Schiffrin
Effect of Peroxisome Proliferator-Activated Receptor-{alpha} and -{gamma} Activators on Vascular Remodeling in Endothelin-Dependent Hypertension
Arterioscler Thromb Vasc Biol, January 1, 2003; 23(1): 45 - 51.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Shiomi, H. Tsutsui, S. Hayashidani, N. Suematsu, M. Ikeuchi, J. Wen, M. Ishibashi, T. Kubota, K. Egashira, and A. Takeshita
Pioglitazone, a Peroxisome Proliferator-Activated Receptor-{gamma} Agonist, Attenuates Left Ventricular Remodeling and Failure After Experimental Myocardial Infarction
Circulation, December 10, 2002; 106(24): 3126 - 3132.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
U. Kintscher, C. Lyon, S. Wakino, D. Bruemmer, X. Feng, S. Goetze, K. Graf, A. Moustakas, B. Staels, E. Fleck, et al.
PPAR{alpha} Inhibits TGF-{beta}-Induced {beta}5 Integrin Transcription in Vascular Smooth Muscle Cells by Interacting With Smad4
Circ. Res., November 29, 2002; 91 (11): e35 - e44.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
Z.-W. Hu, R. Kerb, X.-Y. Shi, T. Wei-Lavery, and B. B. Hoffman
Angiotensin II Increases Expression of Cyclooxygenase-2: Implications for the Function of Vascular Smooth Muscle Cells
J. Pharmacol. Exp. Ther., November 1, 2002; 303(2): 563 - 573.
[Abstract] [Full Text] [PDF]


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Eur Heart J SupplHome page
C. Kluft, R. Kleemann, and M.P.M. de Maat
How best to counteract the enemies? By controlling inflammation in the coronary circulation
Eur. Heart J. Suppl., November 1, 2002; 4(suppl_G): G53 - G65.
[Abstract] [PDF]


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HypertensionHome page
M. Ishibashi, K. Egashira, K.-i. Hiasa, S. Inoue, W. Ni, Q. Zhao, M. Usui, S. Kitamoto, T. Ichiki, and A. Takeshita
Antiinflammatory and Antiarteriosclerotic Effects of Pioglitazone
Hypertension, November 1, 2002; 40(5): 687 - 693.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
S. Goetze, A. Bungenstock, C. Czupalla, F. Eilers, P. Stawowy, U. Kintscher, C. Spencer-Hansch, K. Graf, B. Nurnberg, R. E. Law, et al.
Leptin Induces Endothelial Cell Migration Through Akt, Which Is Inhibited by PPAR{gamma}-Ligands
Hypertension, November 1, 2002; 40(5): 748 - 754.
[Abstract] [Full Text] [PDF]


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CirculationHome page
Y. Sakomura, H. Nagashima, Y. Aoka, K. Uto, A. Sakuta, S. Aomi, H. Kurosawa, T. Nishikawa, and H. Kasanuki
Expression of Peroxisome Proliferator-Activated Receptor-{gamma} in Vascular Smooth Muscle Cells Is Upregulated in Cystic Medial Degeneration of Annuloaortic Ectasia in Marfan Syndrome
Circulation, September 24, 2002; 106(12_suppl_1): I-259 - I-263.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
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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Circ. Res.Home page
D. Bishop-Bailey, T. Hla, and T. D. Warner
Intimal Smooth Muscle Cells as a Target for Peroxisome Proliferator-Activated Receptor-{gamma} Ligand Therapy
Circ. Res., August 9, 2002; 91(3): 210 - 217.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. M. Haffner, A. S. Greenberg, W. M. Weston, H. Chen, K. Williams, and M. I. Freed
Effect of Rosiglitazone Treatment on Nontraditional Markers of Cardiovascular Disease in Patients With Type 2 Diabetes Mellitus
Circulation, August 6, 2002; 106(6): 679 - 684.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
P. A. Watson, C. Vinson, A. Nesterova, and J. E.-B. Reusch
Content and Activity of cAMP Response Element-Binding Protein Regulate Platelet-Derived Growth Factor Receptor-{alpha} Content in Vascular Smooth Muscles
Endocrinology, August 1, 2002; 143(8): 2922 - 2929.
[Abstract] [Full Text] [PDF]


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CirculationHome page
Q. N. Diep, M. El Mabrouk, J. S. Cohn, D. Endemann, F. Amiri, A. Virdis, M. F. Neves, and E. L. Schiffrin
Structure, Endothelial Function, Cell Growth, and Inflammation in Blood Vessels of Angiotensin II-Infused Rats: Role of Peroxisome Proliferator-Activated Receptor-{gamma}
Circulation, May 14, 2002; 105(19): 2296 - 2302.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
C. M. Komar and T. E. Curry Jr
Localization and Expression of Messenger RNAs for the Peroxisome Proliferator-Activated Receptors in Ovarian Tissue from Naturally Cycling and Pseudopregnant Rats
Biol Reprod, May 1, 2002; 66(5): 1531 - 1539.
[Abstract] [Full Text]


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Circ. Res.Home page
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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J. Biol. Chem.Home page
A. Sugawara, A. Uruno, M. Kudo, Y. Ikeda, K. Sato, Y. Taniyama, S. Ito, and K. Takeuchi
Transcription Suppression of Thromboxane Receptor Gene by Peroxisome Proliferator-activated Receptor-gamma via an Interaction with Sp1 in Vascular Smooth Muscle Cells
J. Biol. Chem., March 15, 2002; 277(12): 9676 - 9683.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
T. Shibata, M. Kondo, T. Osawa, N. Shibata, M. Kobayashi, and K. Uchida
15-Deoxy-Delta 12,14-prostaglandin J2. A PROSTAGLANDIN D2 METABOLITE GENERATED DURING INFLAMMATORY PROCESSES
J. Biol. Chem., March 15, 2002; 277(12): 10459 - 10466.
[Abstract] [Full Text] [PDF]


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CirculationHome page
N. Frey and E. N. Olson
Modulating Cardiac Hypertrophy by Manipulating Myocardial Lipid Metabolism?
Circulation, March 12, 2002; 105(10): 1152 - 1154.
[Full Text] [PDF]


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J CARDIOVASC PHARMACOL THERHome page
B. Molavi, N. Rasouli, and J. L. Mehta
Peroxisome Proliferator-Activated Receptor Ligands as Antiatherogenic Agents: Panacea or Another Pandora's Box?
Journal of Cardiovascular Pharmacology and Therapeutics, March 1, 2002; 7(1): 1 - 8.
[Abstract] [PDF]


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J. Immunol.Home page
A. Diab, C. Deng, J. D. Smith, R. Z. Hussain, B. Phanavanh, A. E. Lovett-Racke, P. D. Drew, and M. K. Racke
Peroxisome Proliferator-Activated Receptor-{gamma} Agonist 15-Deoxy-{Delta}12,1412,14-Prostaglandin J2 Ameliorates Experimental Autoimmune Encephalomyelitis
J. Immunol., March 1, 2002; 168(5): 2508 - 2515.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Y. Oyama, N. Akuzawa, R. Nagai, and M. Kurabayashi
PPAR{gamma} Ligand Inhibits Osteopontin Gene Expression Through Interference With Binding of Nuclear Factors to A/T-Rich Sequence in THP-1 Cells
Circ. Res., February 22, 2002; 90(3): 348 - 355.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
B. R. Kwak, S. Myit, F. Mulhaupt, N. Veillard, N. Rufer, E. Roosnek, and F. Mach
PPAR{gamma} but not PPAR{alpha} Ligands Are Potent Repressors of Major Histocompatibility Complex Class II Induction in Atheroma-Associated Cells
Circ. Res., February 22, 2002; 90(3): 356 - 362.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
S. Arima, K. Kohagura, K. Takeuchi, Y. Taniyama, A. Sugawara, Y. Ikeda, M. Abe, K. Omata, and S. Ito
Biphasic Vasodilator Action of Troglitazone on the Renal Microcirculation
J. Am. Soc. Nephrol., February 1, 2002; 13(2): 342 - 349.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
W. A. Hsueh and R. E. Law
PPAR{gamma} and Atherosclerosis: Effects on Cell Growth and Movement
Arterioscler Thromb Vasc Biol, December 1, 2001; 21(12): 1891 - 1895.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Fu, J. Zhang, X. Zhu, D. E. Myles, T. M. Willson, X. Liu, and Y. E. Chen
Peroxisome Proliferator-activated Receptor gamma Inhibits Transforming Growth Factor beta -induced Connective Tissue Growth Factor Expression in Human Aortic Smooth Muscle Cells by Interfering with Smad3
J. Biol. Chem., November 30, 2001; 276(49): 45888 - 45894.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
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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EndocrinologyHome page
C. M. Komar, O. Braissant, W. Wahli, and T. E. Curry Jr.
Expression and Localization of PPARs in the Rat Ovary During Follicular Development and the Periovulatory Period
Endocrinology, November 1, 2001; 142(11): 4831 - 4838.
[Abstract] [Full Text] [PDF]