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il\VOLVEMENT OF RETII\OIC ACID II{ - MSpace at the University of ...

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tre<strong>at</strong>ment was found to <strong>at</strong>tenu<strong>at</strong>e inducible nitric oxide synthase (NOS2) activ<strong>at</strong>ion in<br />

cultured r<strong>at</strong> cardíac myocytes and microvascular endo<strong>the</strong>lial cells' This indic<strong>at</strong>es th<strong>at</strong><br />

retinoic acid may play a significant role in <strong>the</strong> prevention <strong>of</strong> NOS2-induced myocardial<br />

and coronary inflamm<strong>at</strong>ion and dysfunction (Grosjean et al. 2001).<br />

A number <strong>of</strong> syn<strong>the</strong>tic rexinoids (RXR selective retinoids) are found to effect <strong>the</strong><br />

post-transl<strong>at</strong>ional modific<strong>at</strong>ion <strong>of</strong> lipoprotein lipase (LPL) in skeletal and cardiac muscle<br />

tissues isol<strong>at</strong>ed from diabetic r<strong>at</strong>s. Rexinoid-induced LPL modific<strong>at</strong>ion in skeletal and<br />

cardiac tissues will result in an increase in plasma triglyceride levels without affecting <strong>the</strong><br />

activity <strong>of</strong> LPL in adipose tissues (Davies et al. 2001). These findings indic<strong>at</strong>e th<strong>at</strong> since<br />

LPL is a g<strong>at</strong>ekeeper enzyme controlling <strong>the</strong> delivery <strong>of</strong> f<strong>at</strong>ty acids to tissues, <strong>the</strong><br />

decreased LPL activity in muscle tissues will result, in <strong>the</strong> long run, in a depletion <strong>of</strong><br />

lipid stores in heart and muscle, th<strong>at</strong> will in turn lead to improvement in <strong>the</strong> insulin<br />

sensitivity in muscles (Davies et al. 2001). Retinoic acid also exhibits its effects on <strong>the</strong><br />

process <strong>of</strong> <strong>at</strong>herosclerosis. A study by Claudel et al. 2001 has shown th<strong>at</strong> administr<strong>at</strong>ion<br />

<strong>of</strong> syn<strong>the</strong>tic forms <strong>of</strong> retinol (rexinoids) to apoprotein E knockout mice was not only able<br />

to reduce <strong>the</strong> occurrence <strong>of</strong> <strong>at</strong>herosclerosis in heart and coronary vessels, but was also<br />

able to cause a reduction in <strong>the</strong> size <strong>of</strong> <strong>the</strong> existing plaques (Claudel et al. 2001). This<br />

mày be achieved though a heterodymeric binding <strong>of</strong> RXR's with peroxisome<br />

prolifer<strong>at</strong>ion activ<strong>at</strong>or receptor y (PPAR y), which will cause <strong>the</strong> activ<strong>at</strong>ion <strong>of</strong> tissue<br />

lipoprotein lipase (Claudel et al. 2001).<br />

Retinoids are also implic<strong>at</strong>ed in <strong>the</strong> regul<strong>at</strong>ion <strong>of</strong> angiogenesis. A study by<br />

Gaetano et al. (2001) has shown th<strong>at</strong> <strong>the</strong> administr<strong>at</strong>ion <strong>of</strong> <strong>the</strong> RAR cr specific agonist<br />

was able to induce <strong>the</strong> production <strong>of</strong> fibroblast growth factor-Z (FGF-2) in endo<strong>the</strong>lial<br />

49

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