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KMID : 0870420130170030089
Korean Journal of Hepato-Biliary-Pancreatic Surgery
2013 Volume.17 No. 3 p.89 ~ p.108
Fenofibrate, a peroxisome proliferator-activated receptor ¥á-agonist, blocks lipopolysaccharide-induced inflammatory pathways in mouse liver
Won Tae-Wan

Abstract
Backgrounds/Aims
During the acute phase response, cytokines induce marked alterations in lipid metabolism including an increase in serum triglyceride levels and a decrease in hepatic fatty acid oxidation, in bile acid synthesis, and in high-density lipoprotein levels.

Methods
Peroxisome proliferator-activated receptors (PPARs: PPAR¥á, ¥â/¥ä, and ¥ã) regulate fatty acid metabolism, glucose homeostasis, cell proliferation, differentiation and inflammation. Proinflammatory profiles including tumor necrosis factor ¥á (TNF-¥á), interleukin-1¥â (IL-1¥â), and interleukin-6 (IL-6) are the important pathological factors in inflammatory responses during the pathological progression of the acute phase response. Lipopolysaccarides (LPS) induced the expression of TNF-¥á, IL-1¥â, and IL-6. LPS-induced inflammation decrease the expression of peroxisome proliferator-activated receptor ¥á (PPAR¥á), PPAR¥â/¥ä, PPAR¥ã, and coactivators PPAR¥ã co-activator 1 ¥á (PGC-1¥á), PGC-1¥â messenger RNA (mRNA) in the liver of Balb/c mouse. In addition, LPS-induced inflammation diminishes the protein level of PPAR¥á, PPAR¥â/¥ä, and PPAR¥ã. Proinflammatory cytokines including TNF¥á, IL-1¥â, and IL-6 are the principal reducer of PPARs. However, the knockout mouse model against TNF¥á and IL-6 does not block decrease of PPARs in serum and liver. The mice were pretreated with fenofibrate at 100 mg/kg for 2 days.

Results
These treatment protocols increased the amount of PPARs mRNA in the liver. Fenofibrate inhibited LPS-induced TNF-¥á, IL-1¥â, and IL-6 production in the serum and liver. Similar results were obtained when human hepatoma HepG2 cells exposed to LPS were co-incubated with fenofibrate. LPS-treated HepG2 cells decreased expression of I¥êB. Moreover, activation of PPARs abrogated LPS-induced degradation of I¥êB, thus suppressing LPS-induced NF-¥êB activities.

Conclusions
Therefore, fenofibrate decreases the expression and secretion of TNF-¥á, IL-1¥â, and IL-6 via the NF-¥êB signaling pathway, thus serving as therapeutic targets to attenuate inflammation that is involved in hepatic pathological progression.
KEYWORD
Peroxisome proliferator activated receptors ¥á agonist
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