The PPARβ/δ agonist GW501516 attenuates peritonitis in peritoneal fibrosis via inhibition of TAK1-NFκB pathway in rats

Inflammation. 2014 Jun;37(3):729-37. doi: 10.1007/s10753-013-9791-z.

Abstract

Peritoneal fibrosis is a common consequence of long-term peritoneal dialysis (PD), and peritonitis is a factor in its onset. Agonist-bound peroxisome proliferator-activated receptors (PPARs) function as key regulators of energy metabolism and inflammation. Here, we examined the effects of PPARβ/δ agonist GW501516 on peritonitis in a rat peritoneal fibrosis model. Peritoneal fibrosis secondary to inflammation was induced into uremic rats by daily injection of Dianeal 4.25% PD solutions along with six doses of lipopolysaccharide before commencement of GW501516 treatment. Normal non-uremic rats served as control, and all rats were fed with a control diet or a GW501516-containing diet. Compared to control group, exposure to PD fluids caused peritoneal fibrosis that was accompanied by increased mRNA levels of monocyte chemoattractant protein-1, tumor necrotic factor-α, and interleukin-6 in the uremic rats, and these effects were prevented by GW501516 treatment. Moreover, GW501516 was found to attenuate glucose-stimulated inflammation in cultured rat peritoneal mesothelial cells via inhibition of transforming growth factor-β-activated kinase 1 (TAK1), and nuclear factor kappa B (NFκB) signaling pathway (TAK1-NFκB pathway), a main inflammation regulatory pathway. In conclusion, inhibition of TAK1-NFκB pathway with GW501516 may represent a novel therapeutic approach to ameliorate peritonitis-induced peritoneal fibrosis for patients on PD.

MeSH terms

  • Animals
  • Cells, Cultured
  • Chemokine CCL2 / genetics
  • Dietary Supplements
  • Disease Models, Animal
  • Glucose
  • I-kappa B Kinase / antagonists & inhibitors
  • Inflammation / drug therapy
  • Inflammation / immunology
  • Interleukin-6 / genetics
  • Lipopolysaccharides
  • MAP Kinase Kinase Kinases / antagonists & inhibitors*
  • Male
  • PPAR delta / agonists
  • PPAR-beta / agonists
  • Peritoneal Dialysis / adverse effects
  • Peritoneal Fibrosis / drug therapy*
  • Peritoneal Fibrosis / pathology
  • Peritonitis / drug therapy*
  • Peritonitis / pathology
  • RNA, Messenger / genetics
  • Rats
  • Rats, Sprague-Dawley
  • Thiazoles / pharmacology*
  • Transcription Factor RelA / antagonists & inhibitors*
  • Tumor Necrosis Factor-alpha / genetics
  • Uremia / drug therapy
  • Uremia / pathology

Substances

  • Ccl2 protein, rat
  • Chemokine CCL2
  • GW 501516
  • Interleukin-6
  • Lipopolysaccharides
  • PPAR delta
  • PPAR-beta
  • RNA, Messenger
  • Rela protein, rat
  • Thiazoles
  • Transcription Factor RelA
  • Tumor Necrosis Factor-alpha
  • I-kappa B Kinase
  • MAP Kinase Kinase Kinases
  • MAP kinase kinase kinase 7
  • Glucose