PPARγ agonists do not directly enhance basal or insulin-stimulated Na+ transport via the epithelial Na+ channel.

Selective agonists of peroxisome proliferator-activated receptor gamma (PPARγ) are anti-diabetic drugs that enhance cellular responsiveness to insulin. However, in some patients, fluid retention, plasma volume expansion, and edema have been observed. It is well established that insulin regulates Na⁺ reabsorption via the epithelial sodium channel (ENaC) located in the distal tubule. Therefore, we hypothesized that these agonists may positively modulate insulin-stimulated ENaC activity leading to increased Na⁺ reabsorption and fluid retention. Using electrophysiological techniques, dose–response curves for insulin-mediated Na⁺ transport in the A6, M-1, and mpkCCD_cl4 cell lines were performed. Each line demonstrated hormone efficacy within physiological concentration ranges and, therefore, can be used to monitor clinically relevant effects of pharmacological agents which may affect electrolyte transport. Immunodetection and quantitative PCR analyses showed that each cell line expresses viable and functional PPARγ receptors. Despite this finding, two PPARγ agonists, pioglitazone and GW7845 did not directly enhance basal or insulin-stimulated Na⁺ flux via ENaC, as shown by electrophysiological methodologies. These studies provide important results, which eliminate insulin-mediated ENaC activation as a candidate mechanism underlying the fluid retention observed with PPARγ agonist use. [ABSTRACT FROM AUTHOR]