Peroxisome proliferator-activated receptor-gamma (PPAR gamma) is a key play
er in glucose metabolism. If PPAR gamma ligands modulate nitric oxide (NO)
synthesis in the vascular tissue, they may affect the process of plaque for
mation and postangioplasty restenosis, We investigated the effects of PPAR
gamma ligands on NO synthesis in vascular smooth muscle cells. Incubation o
f cultures with interleukin-1 beta (10 ng/mL) for 24 hours caused a signifi
cant increase in the production of nitrite, a stable metabolite of NO, in c
ultured rat vascular smooth muscle cells. The PPAR gamma agonists troglitaz
one and 15-deoxy-Delta(12,14)-prostaglandin J(2) (15d-PG J(2)) dose-depende
ntly inhibited nitrite production by interleukin-1 beta-stimulated vascular
smooth muscle cells. Decreased interleukin-1 beta-induced nitrite producti
on by the PPAR gamma agonists was accompanied by decreased inducible NO syn
thase mRNA and protein accumulation. Interleukin-1 beta induced nuclear fac
tor-kappa B activation in vascular smooth muscle cells, and both troglitazo
ne and 15d-PG J(2) markedly suppressed this nuclear factor-kappa B activati
on. PPAR gamma ligands inhibit NO synthesis in cytokine-stimulated vascular
smooth muscle cells, suggesting that these agonists may act directly on th
e vascular smooth muscle and influence the process of atherosclerosis and r
estenosis.