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Am J Physiol Heart Circ Physiol (November 4, 2004). doi:10.1152/ajpheart.00618.2004
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Submitted on June 22, 2004
Accepted on November 2, 2004

PPAR- {gamma} activation fails to provide myocardial protection in ischemia and reperfusion in pigs

Ya Xu1, Michael Gen1, Li Lu1, Jennifer Fox1, Sarah O. Weiss1, R. Dale Brown1, Daniel Perlov1, Hasan Ahmad1, Peili Zhu1, Clifford Greyson1, Carlin S. Long1, and Gregory G. Schwartz1*

1 Cardiology Section, VA Medical Center and University of Colorado Health Sciences Center, Denver, CO, USA

* To whom correspondence should be addressed. E-mail: Gregory.Schwartz{at}med.va.gov.

Peroxisome proliferator-activated receptor-gamma (PPAR-{gamma}) modulates substrate metabolism and inflammatory responses. In experimental myocardial ischemia and reperfusion (I/R) in rats, thiazolidinedione PPAR-{gamma} activators reduce infarct size and preserve left ventricular function. To date, only troglitazone has been shown to be protective in I/R in large animals. However, because troglitazone contains both {alpha}-tocopherol and thiazolidinedione moieties it remains uncertain whether PPAR-{gamma} activation per se is protective in myocardial I/R in large animals. To address this question, 56 pigs were treated orally for 8 weeks with troglitazone 75 mg/kg/d, rosiglitazone 3 mg/kg/d, {alpha}-tocopherol 73 mg/kg/d (equimolar to troglitazone dose), or received no treatment. Pigs were then anesthetized and subjected to 90 min low flow regional myocardial ischemia and 90 min reperfusion. Myocardial expression of PPAR-{gamma}, determined by ribonuclease protection assay, increased with troglitazone and rosiglitazone compared with no treatment. Rosiglitazone had no significant effect on myocardial contractile function (Frank-Starling relations), substrate uptake, or expression of pro-inflammatory cytokines during I/R, compared with untreated pigs. In contrast, pigs treated with troglitazone or {alpha}-tocopherol had greater preservation of myocardial contractile function and lactate uptake and attenuated cytokine expression, compared to untreated pigs. Multivariate analysis indicated that presence of an {alpha}-tocopherol moiety, but not a thiazolidinedione moiety in the test compound was significantly related to greater contractile function and lactate uptake and lower cytokine expression during I/R. We conclude that PPAR-{gamma} activation is not protective in a porcine model of myocardial I/R. The protective effects of troglitazone is attributable to its {alpha}-tocopherol moiety. These findings, in conjunction with prior rat studies, suggest interspecies differences in the response to PPAR-{gamma} activation in the heart.




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