Fenofibrate, a Peroxisome Proliferator-Activated Receptor α Activator, Suppresses Experimental Autoimmune Myocarditis by Stimulating the Interleukin-10 Pathway in Rats

  • Maruyama Seitaro
    First Department of Internal Medicine, Niigata University School of Medicine
  • Kato Kiminori
    First Department of Internal Medicine, Niigata University School of Medicine
  • Kodama Makoto
    First Department of Internal Medicine, Niigata University School of Medicine
  • Hirono Satoru
    First Department of Internal Medicine, Niigata University School of Medicine
  • Fuse Koichi
    First Department of Internal Medicine, Niigata University School of Medicine
  • Nakagawa Osamu
    First Department of Internal Medicine, Niigata University School of Medicine
  • Nakazawa Mikio
    Department of Pharmacology, Niigata University School of Medicine
  • Miida Takashi
    Department of Laboratory Medicine, Niigata University School of Medicine
  • Yamamoto Tadashi
    Department of Pathology, Institute of Nephrology, Niigata University School of Medicine
  • Watanabe Kenichi
    Department of Clinical Parmacology, Niigata College of Pharmacy
  • Aizawa Yoshifusa
    First Department of Internal Medicine, Niigata University School of Medicine

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  • Fenofibrate, a Peroxisome Proliferator-Activated Receptor α Activator, Suppresses Experimental Autoimmune Myocarditis by Stimulating the Interleukin-10 Pathway in Rats

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Abstract

Experimental autoimmune myocarditis (EAM) in rats is an animal model of human giant cell myocarditis and postmyocarditis dilated cardiomyopathy. As the heart consumes large amounts of energy, heart diseases such as myocarditis and dilated cardiomyopathy are associated with abnormal fatty acid metabolism. Peroxisome proliferator-activated receptor α (PPARα) is a regulator of the oxidative degradation of fatty acids. To investigate the role of PPARα in EAM, fenofibrate (a PPARα activator) was administered to rats with EAM for 4 weeks. Reductions in the ratios of both ventricular weight to body weight and the area of inflammatory lesions to the total area of heart sections were observed in fenofibrate-treated rats when compared with controls. Fenofibrate ameliorated changes in serum albumin and sialic acid, which are markers of inflammation. Cardiac expression of interleukin-10 (IL-10) mRNA was more pronounced in the fenofibrate group than in the control group (1.3±0.2 vs 0.7±0.1; p<0.01), and the area of intact myocardium correlated with the IL-10 mRNA level (p=0.0297, r=0.620). We suggest that PPARα activators may prevent the progression of myocarditis through increased expression of the gene encoding the anti-inflammatory cytokine IL-10, although the mechanisms involved remain to be determined.

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