Collecting duct-specific deletion of peroxisome proliferator-activated receptor gamma blocks thiazolidinedione-induced fluid retention

Proc Natl Acad Sci U S A. 2005 Jun 28;102(26):9406-11. doi: 10.1073/pnas.0501744102. Epub 2005 Jun 14.

Abstract

The peroxisome proliferator-activated receptor subtype gamma (PPARgamma) ligands, namely the synthetic insulin-sensitizing thiazolidinedione (TZD) compounds, have demonstrated great potential in the treatment of type II diabetes. However, their clinical applicability is limited by a common and serious side effect of edema. To address the mechanism of TZD-induced edema, we generated mice with collecting duct (CD)-specific disruption of the PPARgamma gene. We found that mice with CD knockout of this receptor were resistant to the rosiglitazone- (RGZ) induced increases in body weight and plasma volume expansion found in control mice expressing PPARgamma in the CD. RGZ reduced urinary sodium excretion in control and not in conditional knockout mice. Furthermore, RGZ stimulated sodium transport in primary cultures of CD cells expressing PPARgamma and not in cells lacking this receptor. These findings demonstrate a PPARgamma-dependent pathway in regulation of sodium transport in the CD that underlies TZD-induced fluid retention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aldosterone / metabolism
  • Animals
  • Biological Transport
  • Body Weight
  • Coloring Agents / pharmacology
  • Diabetes Mellitus, Type 2 / metabolism
  • Evans Blue / pharmacology
  • Gene Deletion
  • Genotype
  • Heterozygote
  • Hypoglycemic Agents / pharmacology
  • Immunohistochemistry
  • Integrases / metabolism
  • Kidney / metabolism
  • Kidney Tubules, Collecting / drug effects*
  • Kidney Tubules, Collecting / metabolism*
  • Mice
  • Mice, Knockout
  • Mice, Transgenic
  • Microscopy, Fluorescence
  • Microscopy, Phase-Contrast
  • Nephrons / metabolism
  • PPAR gamma / genetics*
  • PPAR gamma / physiology*
  • Promoter Regions, Genetic
  • Radioimmunoassay
  • Rosiglitazone
  • Sodium / metabolism
  • Thiazolidinediones / pharmacology*

Substances

  • Coloring Agents
  • Hypoglycemic Agents
  • PPAR gamma
  • Thiazolidinediones
  • Rosiglitazone
  • Evans Blue
  • Aldosterone
  • Sodium
  • 2,4-thiazolidinedione
  • Cre recombinase
  • Integrases