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translocation attenuates NF-
B and TNF-
activation after renal ischemia-reperfusion injury1Graduate Institute of Clinical Medicine, College of Medicine, Taipai Medical University, and ; 2Department of Internal Medicine, Taipei Medical University Hospital, Taipei; ; 3Graduate Institute of Pharmacology and Toxicology, Tzu Chi University, Hualien; and ; 4Institute of Biomedical Sciences, Academia, Sinica, Taiwan
Submitted February 5, 2009 ; accepted in final form July 21, 2009
Prostacyclin and peroxisome proliferator-activated receptors (PPAR) protect against ischemia-reperfusion (I/R) injury by the induction of an anti-inflammatory pathway. In this study, we examined the prostacyclin-enhanced protective effect of PPAR
in I/R-induced kidney injury. PPAR-
reduced the NF-
B-induced overexpression of TNF-
and apoptosis in cultured kidney cells. In a murine model, pretreating wild-type (WT) mice with a PPAR-
activator, docosahexaenoic acid (DHA), significantly reduced I/R-induced renal dysfunction (lowered serum creatinine and urea nitrogen levels), apoptotic responses (decreased apoptotic cell number and caspase-3, -8 activation), and NF-
B activation. By comparison, I/R-induced injury was exacerbated in PPAR-
knockout mice. This indicated that PPAR-
attenuated renal I/R injury via NF-
B-induced TNF-
overexpression. Overexpression of prostacyclin using an adenovirus could also induce PPAR-
translocation from the cytosol into the nucleus to inhibit caspase-3 activation. This prostacyclin/PPAR-
pathway attenuated TNF-
promoter activity by binding to NF-
B. Using a cAMP inhibitor (CAY10441) and a prostacyclin receptor antibody, we also found that there was another prostacyclin/IP receptor/cAMP pathway that could inhibit TNF-
production. Taken together, our results demonstrate for the first time that prostacyclin induces the translocation of PPAR-
from the cytosol into the nucleus and attenuates NF-
B-induced TNF-
activation following renal I/R injury. Treatments that can augment prostacyclin, PPAR-
, or the associated signaling pathways may ameliorate conditions associated with renal I/R injury.
arachidonic acid; IP receptor; cAMP; docosahexaenoic acid; caspase
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