Abstract
The Angiotensin II Receptor Blocker (ARB) Telmisartan reduces inflammation through Angiotensin II AT1 receptor blockade and peroxisome proliferator-activated receptor gamma (PPARγ) activation. However, in a mouse microglia-like BV2 cell line, imitating primary microglia responses with high fidelity and devoid of AT1 receptor gene expression or PPARγ activation, Telmisartan reduced gene expression of pro-injury factors, enhanced that of anti-inflammatory genes, and prevented LPS-induced increase in inflammatory markers. Using global gene expression profiling and pathways analysis, we revealed that Telmisartan normalized the expression of hundreds of genes upregulated by LPS and linked with inflammation, apoptosis and neurodegenerative disorders, while downregulating the expression of genes associated with oncological, neurodegenerative and viral diseases. The PPARγ full agonist Pioglitazone had no neuroprotective effects. Surprisingly, the PPARγ antagonists GW9662 and T0070907 were neuroprotective and enhanced Telmisartan effects. GW9226 alone significantly reduced LPS toxic effects and enhanced Telmisartan neuroprotection, including downregulation of pro-inflammatory TLR2 gene expression. Telmisartan and GW9662 effects on LPS injury negatively correlated with pro-inflammatory factors and upstream regulators, including TLR2, and positively with known neuroprotective factors and upstream regulators. Gene Set Enrichment Analysis (GSEA) of the Telmisartan and GW9662 data revealed negative correlations with sets of genes associated with neurodegenerative and metabolic disorders and toxic treatments in cultured systems, while demonstrating positive correlations with gene sets associated with neuroprotection and kinase inhibition. Our results strongly suggest that novel neuroprotective effects of Telmisartan and GW9662, beyond AT1 receptor blockade or PPARγ activation, include downregulation of the TLR2 signaling pathway, findings that may have translational relevance.
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Acknowledgements
AGE was supported by the National Human Genome Research Institute Intramural Program, National Institutes of Health.
YR was a research technician at the Department of Pharmacology and Physiology, Georgetown University Medical Center.
SA was supported by a scholarship from the government of the Kingdom of Saudi Arabia and by the Master in Physiology Program at Georgetown University Medical Center.
EW was a PhD student, Department of Pharmacology and Physiology, Georgetown University Medical Center.
JMS was supported by a GX4002-705 grant from Partners in Research, Georgetown University Medical Center.
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AE performed the microarrays, conducted and analyzed the genome wide study, interpreted the results, and contributed to writing the manuscript.
YR, SA and EW performed the cells culture and qPCR experiments, interpreted the results and contributed to writing the manuscript.
JMS conceived the project, supervised the cell culture and qPCR experiments, interpreted the results, and contributed to writing the manuscript.
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Electronic supplementary material
Supplemental Fig. 1
Valsartan significantly reduces LPS-induced increase in IL-1β and IL-6 gene expression. A) Exposure to Valsartan (Val) 20 μM for 2 h significantly reduces the increase in IL-1β gene expression produced after 1 h of exposure to LPS (100 ng/ml). ANOVA F (3, 16) = 58.45, p < 0.0001. B) Exposure to Valsartan (Val) 20 μM for 2 h significantly reduces the increase in IL-6 gene expression produced after 1 h of exposure to LPS (100 ng/ml). ANOVA F (3, 16) = 83.36, p < 0.0001. Results are means ± SEM for three to five groups analyzed independently. Data were analyzed by one-way ANOVA with Newman-Keuls to correct for multiple comparisons. ****p < 0.0001 compared to DMSO; ####p < 0.0001 compared to Val; +p < 0.05 ++p < 0.01 compared to LPS. (PDF 1014 kb)
Supplemental Fig. 2
The PPARγ antagonist T0070907 eliminates the LPS-induced increase in IL-1β and IL6 cytokines gene expression. A) Exposure to the PPARγ antagonist T0070907 10 μM (T007) for 2 h eliminates the increase in IL-1β gene expression produced after 1 h of exposure to LPS (100 ng/ml). T0070907 effect reducing IL-1β gene expression after LPS treatment is stronger than the effect of 2-h pretreatment with Telmisartan (Telm) 10 μM. ANOVA F (6, 14) = 143.7, p < 0.0001. B) Exposure to the PPARγ antagonist T0070907 10 μM (T007) or to Telmisartan (Telm) 10 μM alone for 2 h eliminates the increase in IL-6 gene expression produced after 1 h of exposure to LPS (100 ng/ml). T0070907 potentiates the effect of Telmisartan reducing IL-6 gene expression. ANOVA F (6,14) =185.5, p < 0.0001 Results are means ± SEM for three to five groups analyzed independently. Data were analyzed by one-way ANOVA with Newman-Keuls to correct for multiple comparisons. ****p < 0.0001, ***p < 0.001, **p < 0.01, *p < 0.05 compared to DMSO; ####p < 0.0001, ##p < 0.01, #p < 0.05 compared to Telm; ++++p < 0.0001, +++p < 0.001, +p < 0.05 compared to T007; $$p < 0.0001 compared to LPS; %%%p < 0.001, %%p < 0.01 compared to LPS + Telm; &p < 0.05 compared to T007 + LPS. (PDF 1237 kb)
Supplemental Table 1
BV-2 Cell Check. The Cell Check was performed by IDEXX BioResearch, Columbia, MO. The sample was confirmed to be of mouse origin and no mammalian interspecies contamination was detected. A genetic profile was generated for the sample by using a panel of STR markers for genotyping. NA in the table indicates that a genetic profile has not been previously established for this cell line. The profile generated for this sample can be used for comparison of samples in the future and should be included as a reference profile in publications. (DOCX 14 kb)
Supplemental Table 2
List of primers used for qPCR. AT1: Angiotensin II receptor AT1; PPARγ: Peroxisome proliferator-activated receptor gamma; IL-1β: Interleukin-1 beta; IL-6: Interleukin-6; TNFα: Tumor necrosis factor alpha; Iκβα: nuclear factor of kappa light polypeptide gene enhancer in B-cells inhibitor, alpha; GAPDH: Glyceraldehyde-3-phosphate dehydrogenase. Primers for PPARɣ were purchased from IDT (Coralville, IO). All other primers were synthesized by BioServe (Beltsville, MD). (DOCX 15 kb)
Supplemental Table 3
Microarray data for all the 4 different comparisons. (DMSO+Telmisartan, DMSO+LPS, LPS + Telmisartan, LPS + Telmisartan+GW9662) with p-value, Fold Change and direction for all genes. Subsets of significantly differentially expressed genes, including statistical significance, fold change and direction, are presented in different spreadsheets in this order: all gene samples, upregulated by Telmisartan+DMSO, downregulated by Telmisartan+DMSO, 1) upregulated by LPS + DMSO, 2) downregulated by LPS + DMSO, 3) upregulated by Telmisartan+LPS, 4) downregulated by Telmisartan+LPS, 5) upregulated by Telmisartan+LPS + GW9662, 6) downregulated by Telmisartan+LPS + GW9662. Mouse gene symbols are based on the approved HUGO Gene Nomenclature Committee. Agtr1: AT1 receptor; Agtr1a: AT1A receptor; Agtr1b: AT1B receptor; Agtr2: AT2 receptor; Pparg: PPARγ. Tel: Telmisartan. GW: GW9662. An additional sheet has been added to present select genes expression values. (XLSX 4286 kb)
Supplemental Table 4
Microarray data of significantly differentially expressed genes between DMSO versus Telmisartan that are used for the IPA (Ingenuity Pathways Analysis). Different IPA outputs are presented in different spreadsheets: 1) list of genes upregulated or downregulated by Telmisartan, including statistical significance, fold change and direction, 2) Diseases and functions, 3) Upstream regulators, 4) Networks, 5) GSEA (Gene Set Enrichment Analysis) output for GSE75569 [61], 6) correlation of genes upregulated or downregulated by Telmisartan and in calories restricted mice [61]. 7) GSE37643, neuronal ceroid lipofuscinoses (CLN1) [63]. Downregulated genes are noted in blue, upregulated genes are noted in red. (XLSX 423 kb)
Supplemental Table 5
Microarray data of significantly differentially expressed genes between DMSO versus LPS that are used for the IPA (Ingenuity Pathways Analysis). Different IPA outputs are presented in different spreadsheets: 1) lists of genes upregulated or downregulated by LPS, 2) Canonical pathways, 3) Upstream regulators, 4) Diseases and Functions, 5) Networks. (XLSX 241 kb)
Supplemental Table 6
Microarray data of significantly differentially expressed genes between LPS versus LPS + Telmisartan that are used for the IPA (Ingenuity Pathways Analysis). Different IPA outputs are presented in different spreadsheets: 1) lists of genes upregulated or downregulated including statistical significance, fold change and direction, 2) Canonical pathways, 3) Diseases and functions, 4) Upstream regulator, 5) Networks. (XLSX 159 kb)
Supplemental Table 7
Microarray data of significantly differentially expressed genes between LPS + Telmisartan versus LPS + Telmisartan + GW9662 that are used for the IPA (Ingenuity Pathways Analysis). Different IPA outputs are presented in different spreadsheets. 1) List of genes upregulated or downregulated, including statistical significance, fold change and direction. 2) Canonic pathways. 3) Disease and Function. 4) Network. 5) Upstream regulators. (XLSX 101 kb)
Supplemental Table 8
GSEA complete results summary of the gene sets described in Fig. 5. Data represent, in order: 1) GSEA results summary of cultured astrocytes activated with FGF2 and then treated with MKK non-competitive inhibitor U0126 as reported in GSE6675 [114]. 2) GSEA results summary of neuroblastoma cell line SH-SY5Y treated with PDGF and pretreated with the ERK inhibitors U0126 and PD98059 (GSE7403, [117, 144]. 3). GSEA results summary of MCF-7 cell lines. 3a) GSEA results summary of MCF-7 cell lines stably overexpressing a constitutively active EGFR. 3b) GSEA results summary of MCF-7 cell lines stably overexpressing a constitutively active MEK (MAP2K1) [148]. 3c) GSEA results summary of MCF-7 cell lines stably overexpressing a constitutively active Raf1 (GSE3542, [148]. 4) GSEA results summary of GSE49329 murine microglia IL4 up by 2 folds [146]. 5) GSEA results summary of GSE67036 rat CGC upregulated by glutamate and downregulated by candesartan [14]. 6) GSE93695 rat striatum lid+PD98059 + down vs lid (GSE93695 [147]. (XLSX 1055 kb)
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Elkahloun, A.G., Rodriguez, Y., Alaiyed, S. et al. Telmisartan Protects a Microglia Cell Line from LPS Injury Beyond AT1 Receptor Blockade or PPARγ Activation. Mol Neurobiol 56, 3193–3210 (2019). https://doi.org/10.1007/s12035-018-1300-9
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DOI: https://doi.org/10.1007/s12035-018-1300-9