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Angiotensin II receptor blocker telmisartan enhances running endurance of skeletal muscle through activation of the PPAR-?/AMPK pathway.


ABSTRACT: Clinical trials have shown that angiotensin II receptor blockers reduce the new onset of diabetes in hypertensives; however, the underlying mechanisms remain unknown. We investigated the effects of telmisartan on peroxisome proliferator activated receptor ? (PPAR-?) and the adenosine monophosphate (AMP)-activated protein kinase (AMPK) pathway in cultured myotubes, as well as on the running endurance of wild-type and PPAR-?-deficient mice. Administration of telmisartan up-regulated levels of PPAR-? and phospho-AMPK? in cultured myotubes. However, PPAR-? gene deficiency completely abolished the telmisartan effect on phospho-AMPK?in vitro. Chronic administration of telmisartan remarkably prevented weight gain, enhanced running endurance and post-exercise oxygen consumption, and increased slow-twitch skeletal muscle fibres in wild-type mice, but these effects were absent in PPAR-?-deficient mice. The mechanism is involved in PPAR-?-mediated stimulation of the AMPK pathway. Compared to the control mice, phospho-AMPK? level in skeletal muscle was up-regulated in mice treated with telmisartan. In contrast, phospho-AMPK? expression in skeletal muscle was unchanged in PPAR-?-deficient mice treated with telmisartan. These findings highlight the ability of telmisartan to improve skeletal muscle function, and they implicate PPAR-? as a potential therapeutic target for the prevention of type 2 diabetes.

SUBMITTER: Feng X 

PROVIDER: S-EPMC3823201 | biostudies-literature | 2011 Jul

REPOSITORIES: biostudies-literature

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Angiotensin II receptor blocker telmisartan enhances running endurance of skeletal muscle through activation of the PPAR-δ/AMPK pathway.

Feng Xiaoli X   Luo Zhidan Z   Ma Liqun L   Ma Shuangtao S   Yang Dachun D   Zhao Zhigang Z   Yan Zhencheng Z   He Hongbo H   Cao Tingbing T   Liu Daoyan D   Zhu Zhiming Z  

Journal of cellular and molecular medicine 20100514 7


Clinical trials have shown that angiotensin II receptor blockers reduce the new onset of diabetes in hypertensives; however, the underlying mechanisms remain unknown. We investigated the effects of telmisartan on peroxisome proliferator activated receptor γ (PPAR-δ) and the adenosine monophosphate (AMP)-activated protein kinase (AMPK) pathway in cultured myotubes, as well as on the running endurance of wild-type and PPAR-δ-deficient mice. Administration of telmisartan up-regulated levels of PPAR  ...[more]

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