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The therapeutic potential of Rosiglitazone in modulating scar formation through PPAR-γ pathway
Qing-Qing Fang1, Yang-Jun Gu2, Yong Wang1
1Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, PR China.
Abstract:
The prevention and treatment of scars has always posed a challenge in the medical field. Researchers have reached the consensus that safe, effective and affordable treatments are needed. Here, by conducting non-targeted metabolomics and RNA sequencing experiments, we revealed that a significant number of metabolites and genes related to glucose and lipid metabolism underwent changes during scar formation, with peroxisome proliferator-activated receptor-γ (PPAR-γ) exerting a profound influence. Considering that rosiglitazone is a selective orally active PPAR-γ receptor agonist, scar models were induced in rats, and rosiglitazone was administered at different dosages. We characterized rosiglitazone as a crucial mediator in a rat scar model in vivo and in vitro in two models of transforming growth factor β1(TGF-β1) stimulated fibroblasts (NIH 3T3 and 3T3 L1). Functionally, activation of PPAR-γ with rosiglitazone effectively impedes fibrosis and mitigates scar formation. Rosiglitazone also inhibits some inflammatory factors, and downregulates triglyceride, lactic acid, glycogen and lactic dehydrogenase levels in rat scars. Conversely, rosiglitazone increases adenosine triphosphate (ATP) production and increases free fatty acid levels and the activity of acetyl-CoA carboxylase, fatty acid synthetase, succinate dehydrogenase. Collectively, these findings shed light on the underlying mechanisms and suggest that the use of rosiglitazone could be a promising therapeutic approach to alleviate fibrosis and reduce scar formation.
Insights
Rosiglitazone, a PPAR-γ agonist, effectively reduces scar formation by modulating glucose and lipid metabolism. This study highlights its potential as a novel therapeutic for scar treatment.
Area of Science:
- Biochemistry
- Dermatology
- Pharmacology
Background:
- Scar prevention and treatment remain a significant medical challenge.
- There is a need for safe, effective, and affordable scar therapies.
- Metabolic pathways, particularly glucose and lipid metabolism, are implicated in scar development.
Purpose of the Study:
- To investigate the role of peroxisome proliferator-activated receptor-γ (PPAR-γ) in scar formation.
- To evaluate the efficacy of rosiglitazone, a PPAR-γ agonist, in mitigating scar formation.
- To elucidate the underlying mechanisms of rosiglitazone's action on scar tissue.
Main Methods:
- Non-targeted metabolomics and RNA sequencing were employed to analyze scar tissue.
- Scar models were established in rats, and rosiglitazone was administered.
- In vitro studies used transforming growth factor β1 (TGF-β1) stimulated fibroblasts (NIH 3T3 and 3T3 L1).
Main Results:
- Activation of PPAR-γ by rosiglitazone significantly impeded fibrosis and reduced scar formation in vivo and in vitro.
- Rosiglitazone downregulated inflammatory factors, triglyceride, lactic acid, glycogen, and lactate dehydrogenase levels.
- Rosiglitazone increased adenosine triphosphate (ATP) production, free fatty acid levels, and the activity of key metabolic enzymes.
Conclusions:
- Rosiglitazone demonstrates significant potential as a therapeutic agent for scar reduction.
- Modulation of glucose and lipid metabolism via PPAR-γ activation is a key mechanism in scar mitigation.
- These findings provide a mechanistic basis for using rosiglitazone to alleviate fibrosis and reduce scar formation.
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