Results of the present study suggested an antiinflammatory role for PPARγ in the setting of hyperoxia-induced lung injury. We determined that the PPARγ ligand 15d-PGJ2 significantly reduced hyperoxia-induced inflammation, whereas in vivo partial silencing of PPARγ by siRNA treatment significantly exacerbated O2-induced pulmonary inflammation. The results are consistent with recent observations that PPARγ functions not only in adipogenesis and glucose/lipid metabolism but also exerts antiinflammatory effects. Moreover, our results using Nrf2−/− and Nrf2+/+ mice suggest that the antiinflammatory effects of PPARγ in the lung seems to be at least in part Nrf2-dependent.
The antiinflammatory role of PPARγ was first demonstrated in macrophage or monocyte activation and inflammatory cytokine production, which resulted in altered native and acquired immune responses (
46). Subsequently, studies on experimental models of inflammatory bowel diseases, renal disorders, periodontitis, and various cancers have supported PPARγ as a potential therapeutic target for tissue inflammation and carcinogenesis (
47–
51). PPARγ is ubiquitously found in most cell types and tissues including immune system (
18–
21). The amount of PPARγ in monocytes is relatively low (
52) but increases during differentiation into macrophages (
46,
53), which corresponds to the role for PPARγ agonists in monocyte-macrophage differentiation (
52,
54). Other inflammatory and immune cells including neutrophils, dendritic cells, B and T lymphocytes, eosinophils, natural killer cells, and mast cells are also identified as sources for PPARγ (
18,
19,
55–
59). Augmented PPARγ expression has been detected in airway epithelium, bronchial submucosa, and smooth muscle of asthmatics (
60). The up-regulation of PPARγ in lung tissues was coincident with markers of apoptosis (caspase-3), airway remodeling (Ki67), and collagen deposition in these asthma patients (
60). Supporting the implication for PPARγ in asthma pathogenesis, a
PPARG polymorphism haplotype (Pro12Ala, C1431T) was found to be associated with increased risk for asthma exacerbation (
61).
The mechanism underlying antiinflammatory effects of PPARγ in multiple tissues has been under investigation. It is known that PPARγ antagonizes signal transducing kinases or transcriptional regulators, such as activator protein-1, nuclear factor of activated T cell, and NF-κB (
62). PPARγ also transrepresses inflammatory mediators, such as tumor necrosis factor-α; inducible nitric oxide synthase; IL-1β; chemokine receptors (e.g., chemokine receptors-7); adhesion molecules; and matrix metalloproteinase-9 (
63,
64). Moreover, PPARγ can potentiate inflammatory cell apoptosis (
65,
70,
71) and transactivate antiinflammatory mediators including IL-10 (
68). Enhanced pulmonary p65 NF-κB and IL-6 and reduced inflammatory cell apoptosis in mice with suppressed pulmonary PPARγ determined in the current study supports the antiinflammatory mechanisms through PPARγ in ALI.
Less well-known are the regulatory mechanisms of PPARγ expression. We tested the hypothesis that Nrf2 regulates PPARγ through binding to its promoter ARE sites, and this interaction is important in protecting the lung against hyperoxia-induced injury. We initially found that lung PPARγ was more highly expressed and activated in
Nrf2+/+ mice than in
Nrf2−/− mice basally and after hyperoxia exposure, which suggested that PPARγ expression was at least partially dependent on
Nrf2. To address the molecular mechanism through which Nrf2 regulated PPARγ, we initially used bioinformatic tools (
34). This analysis identified a number of potentially important promoter AREs in
Pparg that could bind Nrf2, and we focused our efforts on the -784 ARE because it had the highest PWM score with the greatest similarity to the consensus ARE sequence of all of the
Pparg AREs. Site-directed mutation and deletion experiments confirmed a significant role for the -784 ARE in Nrf2-mediated pulmonary PPARγ expression after hyperoxia. Although our analysis suggest the -784 site is a functionally important ARE, potential AREs further upstream in the promoter need to be tested.
Because conventional deletion of
Pparg resulted in embryonic lethality (
69,
70), animal studies on PPARγ have been done primarily using agonists/antagonists to determine its role in airway inflammation. Asthma and allergy models are under intense investigation, and thiazolidinediones (e.g., rosiglitazone, ciglitazone, and pioglitazone) reduced eosinophilic inflammation and allergic symptoms by various allergens in mice (
26,
58,
71–
73). Studies using the agonists or adenovirus carrying
Pparg cDNA in mice also determined that enhanced PTEN and suppressed phosphorylated Akt/phosphoinositol 3 kinase and NF-κB was involved in the antiasthmatic effect of PPARγ on eosinophilia and airway hyperresponsiveness (
66). Similar protective effects of PPARγ were observed in ALI models including carrageenin-induced pleurisy (
32) and lipopolysaccharide-induced neutrophilia and airway hyperresponsiveness (
67,
74,
75). PPARγ ligands also have antifibrogenic potential in murine airways. For example, administration of thiazolidinediones or 15d-PGJ
2 inhibited bleomycin-induced pulmonary injury and fibrosis in mice (
33,
76). PPARγ agonists are postulated to act through cell cycle arrest and TGF-β1 inhibition for myofibroblast differentiation and collagen deposition (
76,
77). Enhanced PPARγ was protective against respiratory syncytial virus infection in lung airway epithelial cell lines, and reduced ICAM-1 expression and NF-κB activation was associated with this effect (
78). Overall, these observations strongly indicate that PPARγ is an important down-regulator of airway inflammation and injury.
Maternal
Pparg deletion in mice (conditional knockout mice) caused inflammatory milk production because of repression of 12-lipoxygenase and elevation of lipid oxidation enzymes in lactating mammary gland, which resulted in skin inflammation and hair loss of nursing offspring (
79). This observation suggested that PPARγ-mediated tissue protection may be associated with antioxidant defense mechanisms. In airways, PPARγ agonists modulated nicotinamide adenine dinucleotide phosphate hydrogen oxidase and reduced reactive oxygen species production of asthmatic mice (
60,
80). Because murine Nrf2 is known to contribute to the pulmonary protection from allergy, sepsis, emphysema, ALI-ARDS, viral infection, or fibrosis, and PPARγ has shown defensive roles in these disease models (
7–
16), it is hypothesized that PPARγ- and Nrf2-mediated molecular events are closely associated in airway protection against oxidants. Supporting this concept, ALI induced by carrageenin was exacerbated in
Nrf2−/− mice relative to
Nrf2+/+ mice, and administration of 15d-PGJ
2 reversed the augmented airway inflammation and protein hyperpermeability in
Nrf2+/+ mice caused by a cyclooxygenase-2 inhibitor, which led to depletion of lung 15d-PGJ
2 and Nrf2-dependent antioxidants (
81). Rosiglitazone and 15d-PGJ
2 also reduced pulmonary injury caused by bleomycin in mice (
28,
33).
Although we found that Nrf2 modulates pulmonary PPARγ through its ARE, we also found that Nrf2 expression was attenuated in the lung with decreased PPARγ levels by siRNA silencing. This indicates that PPARγ could act on upstream signal pathways for Nrf2 activation. In support of this function, accumulating evidence has indicated that PPARγ agonists induce antioxidant and defense genes encoding GST-α, HO-1, and CD36 through regulation of Nrf2 (
43–
45). The current study also supported this concept, first by showing suppressed Nrf2 expression and ARE binding activity after PPARγ silencing, and then by elucidating potential PPAR binding motifs in the
Nrf2 promoter. Although further investigations are desirable to determine whether PPARγ regulates Nrf2 expression directly or indirectly, it is likely that these two redox sensitive transcriptional factors regulate each other through autoregulatory mechanisms for pulmonary protection against oxidative stress.
Conclusion
Our results provide the first evidence that PPARγ is an ARE-driven Nrf2 effector molecule that contributes significantly to protection against oxidative lung injury. Our observations provide new insights into the therapeutic potential of PPARγ or its agonist in airway oxidative and inflammatory disorders including ALI-ARDS and bronchopulmonary dysplasia.