Telmisartan is the most effective ARB to increase adiponectin via PPARa in adipocytes

Telmisartan and irbesartan are angiotensin II receptor blockers (ARBs) and reportedly stimulate adiponectin secretion from adipocytes via partial peroxisome proliferator-activated receptor gamma (PPAR gamma) activation. However, quantitative evaluation among different ARBs has not been performed. Adiponectin exerts strong protection against a number of pathological events by suppressing cell death, inhibiting inflammation, and enhancing cell survival, while leptin promotes inflammation, oxidative stress, atherogenesis, and thrombosis. The aim of this study was to identify the most effective ARB enhancing adiponectin secretion without raising leptin secretion from human white adipocytes (HWAs). Among seven ARBs (azilsartan, candesartan, irbesartan, losartan, olmesartan, telmisartan, and valsartan), telmisartan was the most effective ARB for the increase of adiponectin secretion and irbesartan was the second, whereas the other ARBs at 1 mu M had no effect on adiponectin secretion. GW9662, a PPAR gamma antagonist, completely blocked pioglitazone (PPAR gamma agonist)-induced adiponectin secretion and mRNA expression, whereas it unexpectedly blocked neither telmisartan- nor irbesartan-induced adiponectin secretion and mRNA expression but rather increased them. GW6471, PPAR alpha antagonist, and siRNA for PPAR alpha suppressed telmisartan- and irbesartan-induced adiponectin secretion, suggesting that PPAR alpha is the main target of these ARBs to increase adiponectin secretion in HWAs. Leptin secretion was not affected by any ARBs at 1 mu M and GW9662 significantly decreased the basal secretion of leptin, suggesting that basal leptin secretion is regulated in a PPAR gamma-dependent manner. We conclude that telmisartan is the most effective ARB to increase adiponectin secretion via PPAR alpha without raising leptin secretion from HWAs.

Automated summary

This study found that telmisartan is the most effective ARB for increasing adiponectin secretion without raising leptin secretion from human white adipocytes (HWAs). The other seven ARBs had no effect on adiponectin secretion.