Objective: Advanced glycation end products (AGEs) play a pivotal role in the initiation and progression of osteoarthritis (OA). Peroxisome proliferator-activated receptor-G (PPARG) has been shown to exhibit anti-inflammatory and anticatabolic properties and to be protective in animal models of OA. This study was aimed to investigate the possible protective effect of the PPARG agonist pioglitazone on AGE-induced chondrocyte damage. Methods: Cultured chondrocytes were stimulated with AGEs in the presence or absence of an antibody against the receptor for AGEs (anti-RAGE), an inhibitor of NF-TB (pyrrolidine dithiocarbamate) and pioglitazone. The RNA expression levels of TNF-E, matrix metalloproteinase (MMP)-13 and PPARG were detected by RT-PCR. The expression of nuclear p65 was determined by Western blot analysis. Results: Upregulation of TNF-E and MMP-13 as well as downregulation of PPARG were induced by AGEs in a time- and dose-dependent manner. The maximum effect was induced by 100 Vg/ml AGEs. This effect can be inhibited by anti-RAGE. Pioglitazone dose-dependently inhibited the expression of TNF-E and MMP-13 induced by AGEs, which was combined with the inhibition of nuclear p65 expression. Conclusion: The PPARG agonist pioglitazone modulates TNF-E and MMP-13 expression in cultured rabbit chondrocytes via NF-TB signaling. It indicates that pioglitazone may have therapeutic potential in OA. i 2014 S. Karger AG, Basel

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