目的研究过氧化物酶体增殖物激活受体-γ(PPAR-γ)激活对心肌纤维化的影响是否与血管紧张素Ⅱ(Ang11)-Ets-1通路有关。方法体外培养大鼠心脏成纤维细胞(CFs),分为对照组、AngⅡ组、AngⅡ+不同浓度rosigli—tazone处理组、Angll+不同PPAR-γ激动剂组、AngⅡ+不同PPAR-1拮抗剂组,采用实时定量RT—qPCR、Westernblot等检测Ets-1、CTGFmRNA及蛋白表达,并测定TGF-B1和Smad2/3的表达及磷酸化水平。结果在CFs中,AngⅡ诱导Ets-1mRNA及蛋白表达(P〈0.05),上调Ets-1下游靶基因CTGF的蛋白的表达(P〈0.05),增加TGF-β1和Smad2/3的表达及磷酸化(P〈0.05)。PPAR-γ激动剂rosiglitazone,15d-PGJ2抑制AngⅡ诱导的Ets-1mRNA及蛋白的表达(P〈0.05),下调Ang11诱导的CTGF蛋白表达(P〈0.05),部分阻断AngⅡ诱导的TGF-β1的表达、Smad2/3的表达及磷酸化(P〈0.05)。PPAR-γ拮抗剂GW9662及BADGE均可阻断rosiglitazone对Ets-1及CTGF表达的抑制作用(P〈0.05)。结论PPAR-1激活主要通过TGF-β1/Smad2/3通路介导抑制Ang1I诱导的大鼠CFs转录因子Ets-1的过表达。
Objective To investigate whether peroxisome proliferator-activated receptor-γ (PPAR-γ) activation in- hibits cardiac fibrosis through the angiotensin Ⅱ (Ang Ⅱ)-Ets-1 pathway. Methods Primary cultured cardiac fi- broblasts (CFs) of rats were divided into these groups: control, Ang Ⅱ, Ang Ⅱ + rosiglitazone, Ang Ⅱ + other PPAR-γligands, Ang Ⅱ + PPAR-γantagonists. The change in expression of Ets-1, connective tissue growth factor (CTGF), transforming growth factor (TGF)-β1 and Smad2/3 was assessed by using real-time RT-PCR and west- ern blot. Results In growth-arrested CFs, Ang Ⅱ induced the expression of Ets-1 mRNA and protein(P 〈 0.05), up-regulated expression of Ets- 1 down stream target CTGF (P 〈 0.05 ) , enhanced the expression of TGF-β1 and the expression and phosphorylation of Smad2/3 (P 〈 0.05 ). PPAR-γ ligands rosiglitazone and 15d-PGJ2 attenuated the expression of Ang Ⅱ-induced Ets- 1 mRNA and protein (P 〈 0. 05), decreased the induction of CTGFby Ang Ⅱ ( P 〈 0.05 ) , inhibited expression of TGF-β1 duced by Ang Ⅱ (P 〈 0. 05 ). These suppressive effects nists GW9662 and BADGE ( P 〈 0. 05 ). Conclusions pression via the TGF-151/Smad2/3 signaling pathway. and the expression and phosphorylation of Smad2/3 in- on Ets-1 and CTGF were attenuated by PPAR-γ antago- Activation of PPAR-~ inhibits Ang Ⅱ-induced Ets-1 ex-pression via the TGF-β1/Smad2/3 signaling pathway.