Y. Kawahito et al., 15-deoxy-Delta(12,14)-PGJ(2) induces synoviocyte apoptosis and suppresses adjuvant-induced arthritis in rats, J CLIN INV, 106(2), 2000, pp. 189-197
Peroxisome proliferator-activated receptors (PPARs) are members of the nucl
ear hormone receptor superfamily and have a dominant regulatory role in adi
pocyte and monocyte differentiation. PPAR-gamma agonists are also negative
regulators of macrophage activation and have modulatory effects on tumorige
nesis. In this study we demonstrate that synovial tissue localized expressi
on of PPAR-gamma in patients with rheumatoid arthritis (RA). We detected ma
rkedly enhanced expression of PPAR-gamma in macrophages, as well as modestl
y enhanced expression in the synovial lining layer, fibroblasts, and endoth
elial cells. Activation of the PPAR-gamma by 15-deoxy-Delta(12,14)-prostagl
andin J(2) (15d-PGJ(2)) and the synthetic PPAR-gamma ligand (troglitazone)
induced RA synoviocyte apoptosis in vitro. Moreover, intraperitoneal admini
stration of these PPAR-gamma ligands ameliorated adjuvant-induced arthritis
with suppression of pannus formation and mononuclear cell infiltration in
female Lewis rats. Antiinflammatory effects of 15d-PGJ(2) were more potent
than troglitazone. These findings suggest that PPAR-gamma may be an importa
nt immunoinflammatory mediator and its ligands, especially 15d-PGJ(2), may
be useful in the treatment of RA.