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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Atherosclerosis
2015 ; 242
(1
): 56-64
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Atherosclerosis following renal injury is ameliorated by pioglitazone and
losartan via macrophage phenotype
#MMPMID26184694
Yamamoto S
; Zhong J
; Yancey PG
; Zuo Y
; Linton MF
; Fazio S
; Yang H
; Narita I
; Kon V
Atherosclerosis
2015[Sep]; 242
(1
): 56-64
PMID26184694
show ga
OBJECTIVE: Chronic kidney disease (CKD) amplifies atherosclerosis, which involves
renin-angiotensin system (RAS) regulation of macrophages. RAS influences
peroxisome proliferator-activated receptor-? (PPAR?), a modulator of atherogenic
functions of macrophages, however, little is known about its effects in CKD. We
examined the impact of combined therapy with a PPAR? agonist and angiotensin
receptor blocker on atherogenesis in a murine uninephrectomy model. METHODS:
Apolipoprotein E knockout mice underwent uninephrectomy (UNx) and treatment with
pioglitazone (UNx + Pio), losartan (UNx + Los), or both (UNx + Pio/Los) for 10
weeks. Extent and characteristics of atherosclerotic lesions and macrophage
phenotypes were assessed; RAW264.7 and primary peritoneal mouse cells were used
to examine pioglitazone and losartan effects on macrophage phenotype and
inflammatory response. RESULTS: UNx significantly increased atherosclerosis.
Pioglitazone and losartan each significantly reduced the atherosclerotic burden
by 29.6% and 33.5%, respectively; although the benefit was dramatically augmented
by combination treatment which lessened atherosclerosis by 55.7%. Assessment of
plaques revealed significantly greater macrophage area in UNx + Pio/Los (80.7 ±
11.4% vs. 50.3 ± 4.2% in UNx + Pio and 57.2 ± 6.5% in UNx + Los) with more
apoptotic cells. The expanded macrophage-rich lesions of UNx + Pio/Los had more
alternatively activated, Ym-1 and arginine 1-positive M2 phenotypes (Ym-1: 33.6 ±
8.2%, p < 0.05 vs. 12.0 ± 1.1% in UNx; arginase 1: 27.8 ± 0.9%, p < 0.05 vs. 11.8
± 1.3% in UNx). In vitro, pioglitazone alone and together with losartan was more
effective than losartan alone in dampening lipopolysaccharide-induced cytokine
production, suppressing M1 phenotypic change while enhancing M2 phenotypic
change. CONCLUSION: Combination of pioglitazone and losartan is more effective in
reducing renal injury-induced atherosclerosis than either treatment alone. This
benefit reflects mitigation in macrophage cytokine production, enhanced
apoptosis, and a shift toward an anti-inflammatory phenotype.
|Angiotensin Receptor Antagonists/administration &
dosage/pharmacology/*therapeutic use
[MESH]