Peroxisome Proliferator–Activated Receptor Induces NADPH Oxidase Activity in Macrophages, Leading to the Generation of LDL with PPAR- Activation Properties

Peroxisome proliferator–activated receptors (PPARs) are nuclear receptors controlling lipid and glucose metabolism as well as inflammation. PPARs are expressed in macrophages, cells that also generate reactive oxygen species (ROS). In this study, we investigated whether PPARs regulate ROS production in macrophages. Different PPAR, but not PPARagonists, increased the production of ROS (H2O2 and O2 .) in human and murine macrophages. PPARactivation did not induce cellular toxicity, but significantly decreased intracellular glutathione levels. The increase in ROS production was not attributable to inherent prooxidant effects of the PPARagonists tested, but was mediated by PPAR, because the effects were lost in bone marrow–derived macrophages from PPAR/ mice. The PPAR–induced increase in ROS was attributable to the induction of NADPH oxidase, because (1) preincubation with the NADPH oxidase inhibitor diphenyleneiodinium prevented the increase in ROS production; (2) PPARagonists increased O2 . production measured by superoxide dismutase–inhibitable cytochrome c reduction; (3) PPARagonists induced mRNA levels of the NADPH oxidase subunits p47, p67, and gp91 and membrane p47 protein levels; and (4) induction of ROS production was abolished in p47 / and gp91 / macrophages. Finally, induction of NADPH oxidase by PPARagonists resulted in the formation of oxidized LDL metabolites that exert PPAR–independent proinflammatory and PPAR–dependent decrease of lipopolysaccharide-induced inducible nitric oxide synthase expression in macrophages. These data identify a novel mechanism of autogeneration of endogenous PPARligands via stimulation of NADPH oxidase activity. (Circ Res. 2004;95:1174-1182.)