[en] Peroxisomal proliferator-activated receptors (PPARs) belong to a nuclear receptor superfamily of ligand-activated transcription factors. The PPAR-gamma isoform is expressed in human T lymphocytes, and oral administration of PPAR-gamma agonists ameliorates the clinical course and histopathological features in experimental autoimmune encephalomyelitis, an animal model for multiple sclerosis, suggesting a potential role for PPAR-gamma agonists in the treatment of autoimmune diseases. To assess a potential therapeutic role of PPAR-gamma agonists in multiple sclerosis, we compared the immunomodulatory effects of the thiazolidinedione (TZD) drugs pioglitazone (PIO) and ciglitazone and the non-TZD PPAR-gamma agonist GW347845 on human T leukemia cells (Jurkat cells) and phytohemagglutinin (PHA)-stimulated peripheral blood mononuclear cells (PBMCs) derived from 21 multiple sclerosis patients and 12 healthy donors. PIO, ciglitazone, and GW347845 suppressed PHA-induced T cell proliferation by 40-50% and secretion of interferon-gamma and tumor necrosis factor alpha, by 30-50%. Inhibition of proliferation was increased to approximately 80% and that of proinflammatory cytokine secretion, to 80-90% when PBMCs were first preincubated with PPAR-gamma agonists and re-exposed at the time of PHA stimulation, indicating a sensitizing effect of PPAR-gamma agonists. Inhibition of proliferation was also observed in the tetanus toxoid-specific T cell line KHS.TT2, albeit to a lesser extent. The antiproliferative effects of PIO and GW347845 were accompanied by a decrease of cell viability. Electron microscopy and Western blot analysis revealed DNA condensation and down-regulation of bcl-2, suggesting the induction of apoptosis in activated T lymphocytes. In summary, the data support the potential use of PPAR-gamma agonists as immunomodulatory, therapeutic agents for autoimmune diseases.
Disciplines :
Neurology
Author, co-author :
Schmidt, Stephan; Department of Neurology, University of Bonn, Germany
Moric, Edin; Department of Neurology, University of Bonn, Bonn, Germany
Schmidt, Martina; Department of Neurology, University of Bonn, Bonn, Germany
Sastre, Magdalena; Department of Neurology, University of Bonn, Bonn, Germany
Feinstein, Douglas L; Department of Anesthesiology, University of Illinois, Chicago, IL, United States
HENEKA, Michael ; Department of Neurology, University of Bonn, Bonn, Germany ; Neurologische Univ. Klin. Bonn, 53105 Bonn, Germany
External co-authors :
yes
Language :
English
Title :
Anti-inflammatory and antiproliferative actions of PPAR-gamma agonists on T lymphocytes derived from MS patients.
Martin, R., McFarland, H. F., McFarlin, D. E. (1992) Immunological aspects of demyelinating diseases. Annu. Rev. Immunol. 10, 153-187.
Hohlfeld, R., Meinl, E., Weber, F., Zipp, F., Schmidt, S., Sotgiu, S., Goebels, N., Voltz, R., Spuler, S., Iglesias, A., Wekerle, H. (1995) The role of autoimmune T lymphocytes in the pathogenesis of multiple sclerosis. Neurology 45 (Suppl. 6), S33-S38.
Hohlfeld, R. (1997) Biotechnological agents for the immunotherapy of multiple sclerosis. Principles, problems and perspectives. Brain 120, 865-916.
Niino, M. K., Iwabuchi, K., Kikuchi, S., Ato, M., Morohashi, T., Ogata, A., Tashiro, K., Onoe, K. (2001) Amelioration of experimental autoimmune encephalomyelitis in C57BL/6 mice by an agonist of peroxisome-proliferator-activated receptor-γ. J. Neuroimmunol. 116, 40-48.
Feinstein, D. L., Galea, E., Gavriluk, V., Brosnan, C. F., Whitacre, C. C., Dumitrescu-Ozimek, L., Landreth, G. E., Pershadsingh, H. A., Weinberg, C., Heneka, M. T. (2002) PPAR-γ agonists prevent experimental autoimmune encephalomyelitis. Ann. Neurol. 51, 694-702.
Natarjan, C., Bright, J. J. (2002) Peroxisome proliferator-activated receptor-γ agonists inhibit experimental allergic encephalomyelitis by blocking IL-12 production, IL-12 signaling and Th1 differentiation. Genes Immun. 3, 59-70.
Willson, T. M., Brown, P. J., Sternbach, D. D., Henke, B. R. (2000) The PPARs: from orphan receptors to drug discovery. J. Med. Chem. 43, 527-550.
Heneka, M. T., Feinstein, D. L., Galea, E., Gleichmann, M., Wullner, U., Klockgether, T. (1999) Peroxisome proliferator-activated receptor γ agonists protect cerebellar granule cells from cytokine-induced apoptotic cell death by inhibition of inducible nitric oxide synthase. J. Neuroimmunol. 100, 156-168.
Heneka, M. T., Klockgether, T., Feinstein, D. (2000) Peroxisome proliferator-activated receptor-γ ligands reduce neuronal inducible nitric oxide synthase expression and cell death in vivo. J. Neurosci. 20, 6862-6867.
Combs, C. K., Johnson, D. E., Karlo, J. C., Cannady, S. B., Landreth, G. E. (2000) Inflammatory mechanisms in Alzheimer's disease: inhibition of β-amyloid-stimulated proinflammatory responses and neurotoxicity by PPARγ agonists. J. Neurosci. 20, 558-567.
Landreth, G. E., Heneka, M. T. (2001) Anti-inflammatory actions of peroxisome proliferator-activated receptor γ agonists in Alzheimer's disease. Neurobiol. Aging 22, 937-944.
Wang, P., Anderson, P. O., Chen, S., Paulsson, K. M., Sjögren, H. O., Li, S. (2001) Inhibition of the transcription factors AP-1 and NF-κB in CD4 T cells by peroxisome proliferator-activated receptor γ ligands. Int. Immunopharmacol. 1, 803-812.
Harris, S. G., Phipps, R. P. (2001) The nuclear receptor PPAR γ is expressed by mouse T lymphocytes and PPAR γ agonists induce apoptosis. Eur. J. Immunol. 31, 1098-1105.
Harris, S. G., Phipps, R. P. (2002) Prostaglandin D2, its metabolite 15-d-PGJ2, and peroxisome proliferator activated receptor-γ agonists induce apoptosis in transformed, but not normal, human T lineage cells. Immunology 105, 23-34.
Clark, R. B., Bishop-Bailey, D., Estrada-Hernandez, T., Hla, T., Puddington, L., Padula, S. J. (2000) The nuclear receptor PPARγ and immuno-regulation: PPARγ mediates inhibition of helper T cell responses. J. Immunol. 164, 1364-1371.
Clark, R. B. (2002) The role of PPARs in inflammation and immunity. J. Leukoc. Biol. 71, 388-400.
Yang, X. Y., Wang, L. H., Chen, T., Hodge, D. R., Resau, J. H., DaSilva, L., Farrar, W. L. (2000) Activation of human T lymphocytes is inhibited by peroxisome proliferator-activated receptor γ (PPARγ) agonists. J. Biol. Chem. 275, 4541-4544.
Poser, C. M., Paty, D. W., Scheinberg, L., McDonald, W. I., Davis, F. A., Ebers, G. C., Johnson, K. P., Sibley, W. A., Silberberg, D. H., Tourtellotte, W. W. (1983) New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann. Neurol. 13, 227-231.
McDonald, W.I., Compston, A., Edan, G., Goodkin, D., Hartung, H.P., Lublin, F.D., McFarland, H.F., Paty, D.W., Polman, C.H., Reingold, S.C., Sandberg-Wollheim, M., Sibley, W., Thompson, A., van den Noort, S., Weinshenker, B.Y., Wolinsky, J.S. (2001) Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann. Neurol. 50, 121-127
Pette, M., Fujita, K., Kitze, B., Whitaker, J. N., Albert, E., Kappos, L., Wekerle, H. (1990) Myelin basic protein specific T lymphocyte lines from MS patients and healthy individuals. Neurology 40, 1770-1776.
Magaud, J. P., Sargent, L., Mason, D. Y. (1988) Detection of human white cell proliferative responses by immunoenzymatic measurement of bromodeoxyuridine uptake. J. Immunol. Methods 106, 95-100.
Huong, P. L. T., Kolk, A. H. J., Eggelte, T. A., Verstijnen, C. P., Gilis, H., Hendriks, J. T. (1991) Measurement of antigen-specific lymphocyte proliferation using 5-bromo-deoxyuridine incorporation. J. Immunol. Methods 140, 243-248.
Berger, J., Moller, D. E. (2002) The mechanisms of action of PPARs. Annu. Rev. Med. 53, 409-435.
Kielian, T., Drew, P. D., (2003) Effects of peroxisome proliferator-activated receptor-γ agonists on central nervous system inflammation. J. Neurosci. Res. 71, 315-325.
Jiang, C., Ting, A. T., Seed, B. (1998) PPAR-γ agonists inhibit production of monocyte inflammatory cytokines. Nature 391, 82-86
Cunard, R., Ricote, M., DiCampli, D., Archer, D. C., Kahn, D. A., Glass, C. K., Kelly, C. J. (2002) Regulation of cytokine expression by ligands of peroxisome proliferator-activated receptors. J. Immunol. 168, 2795-2802.
Marx, N., Mach, F., Suaty, A., Leung, J. H., Sarafi, M. N., Ransohoff, R., Libby, P., Plutzky, J., Luster, A. D. (2000) Peroxisome proliferator-activated receptor-γ activators inhibit IFN-γ-induced expression of the T cell-active CXC chemokines IP-10, Mig, and I-TAC in human endothelial cells. J. Immunol. 164, 6503-6508.