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# 1 of 7 April 30, 2008 06:05 (EDT)
Bradley Bale
I am relieved.
PDG2's main metabolite is 15-deoxyprostaglandin J2 which is a potent ligand of PPAR gamma. Ideal candidates for niacin therapy are insulin resistant patients. It should be beneficial to turn on PPAR gamma in these patients. Niacin's effect here may help explain the evidence for its apparent extra benefit in diabetics. Cordaptive would reduce this benefit by blocking PDG2. This would be a subtle signal compared to the lipid benefits and might take years of use before the adverse signal from this was strong enough for epidemiologists to recognize it. I believe the FDA made a good decision.
Cardiovascular Pathology Volume 17, Issue 4, July-August 2008, Pages 219-225
Original Article
Effect of niacin on adipocyte leptin in hypercholesterolemic rabbits
Jun Yang , a, , Shui-ping Zhaoa, , Jing Lia and Shao-zhuang Donga
aDepartment of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, PR China
Abstract
Background
Leptin may play an important role in the development of atherosclerosis. Several transcription genes [including peroxisome proliferator-activated receptor ? (PPAR?) and CD36] involved in lipid and glucose metabolism and inflammatory processes may correlate to leptin expression. The aim of this study was to investigate the effect of niacin on serum leptin levels in hypercholesterolemic rabbits and the expression of leptin, PPAR?, and CD36 in adipocytes from hypercholesterolemic rabbits.
Methods
Eighteen rabbits fed with high-cholesterol diet for 8 weeks were randomly divided into two groups: (a) high-cholesterol group (n=6), which is maintained on high-cholesterol diet for 6 weeks, and (b) niacin group (n=6), which receives the same cholesterol diet plus niacin (200 mg/kg/day) for 6 weeks. The control group (n=6) was fed with normal diet for 14 weeks. Subcutaneous adipose was collected for RNA analysis. The direct effect of niacin on leptin release was assayed in hypercholesterolemic rabbit adipocytes. Leptin levels in serum and adipocyte culture supernatant were measured via enzyme-linked immunosorbent assay. RT-PCR was used to evaluate leptin, PPAR?, and CD36 mRNA expression in adipose and adipocytes.
Results
Compared with the control group, rabbits fed with high-cholesterol diets showed higher levels of serum total cholesterol, low-density lipoprotein cholesterol, and leptin, all of which were significantly reduced by niacin treatment. After 6 weeks of treatment with niacin, the leptin level was significantly decreased by 21.8% (6.87±1.58 vs. 8.79±1.45, P