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in cystic fibrosis lung epitheliumDepartments of 1Pediatrics, 2Physiology & Biophysics, and 3Molecular Biology & Microbiology, School of Medicine, Case Western Reserve University, Cleveland, Ohio
Submitted 15 April 2008 ; accepted in final form 13 June 2008
The pathophysiology of cystic fibrosis (CF) inflammatory lung disease is not well understood. CF airway epithelial cells respond to inflammatory stimuli with increased production of proinflammatory cytokines as a result of increased NF-
B activation. Peroxisome proliferator-activated receptor-
(PPAR
) inhibits NF-
B activity and is reported to be reduced in CF. If PPAR
participates in regulatory dysfunction in the CF lung, perhaps PPAR
ligands might be useful therapeutically. Cell models of CF airway epithelium were used to evaluate PPAR
expression and binding to NF-
B at basal and under conditions of inflammatory stimulation by Pseudomonas aeruginosa or TNF
/IL-1β. An animal model of CF was used to evaluate the potential of PPAR
agonists as therapeutic agents in vivo. In vitro, PPAR
agonists reduced IL-8 and MMP-9 release from airway epithelial cells in response to PAO1 or TNF
/IL-1β stimulation. Less NF-
B bound to PPAR
in CF than normal cells, in two different assays; PPAR
agonists abrogated this reduction. PPAR
bound less to its target DNA sequence in CF cells. To test the importance of the reported PPAR
inactivation by phosphorylation, we observed that inhibitors of ERK, but not JNK, were synergistic with PPAR
agonists in reducing IL-8 secretion. In vivo, administration of PPAR
agonists reduced airway inflammation in response to acute infection with P. aeruginosa in CF, but not wild-type, mice. In summary, PPAR
inhibits the inflammatory response in CF, at least in part by interaction with NF-
B in airway epithelial cells. PPAR
agonists may be therapeutic in CF.
nuclear factor-
B; cytokines; disease models; animal; in vitro; lung diseases; Pseudomonas aeruginosa
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