IntroductionHuman peripheral polymorphonucleocytes (PMNs) represent the predominant cellular component at sites of acute inflammation. These cells serve a critical role in host defense with transendothelial migration of PMNs being a crucial component of the immune/ inflammatory response. 1 In addition to their phagocytic activity, PMNs produce mediators such as reactive oxygen intermediates, cytokines/chemokines, and enzymes. 1,2 The directed migration, or chemotaxis, of PMNs occurs in response to a variety of molecules, including formylmethionyl-leucyl-phenylalanine (fMLP), a bacterial peptide, and chemokines such as IL-8, which are released from sites of inflammation or injury. fMLP and IL-8 bind to receptors on PMNs, resulting in both G-protein-dependent and -independent responses. 3 Emerging evidence indicates that sepsis, most commonly caused by bacteria, results in impaired host defenses, including a reduced ability of PMNs to migrate appropriately. [4][5][6] Moreover, higher mortality rates have been observed in patients with sepsis-induced immune deactivation. 7 Mechanistic pathways resulting in altered leukocyte function during sepsis, however, remain incompletely understood.Peroxisome proliferator-activated receptors (PPARs) are ligandactivated transcription factors belonging to the nuclear hormone receptor family. Three PPAR subtypes (␣, , and ␥), each with a specific pattern of expression, have been identified. PPAR-␥ also exists in 2 isoforms, PPAR-␥1 and PPAR-␥2, with the human PPAR-␥2 protein consisting of 28 additional amino acids compared with PPAR-␥1. Ligands for PPAR-␥ include a variety of compounds, both natural and synthetic. Most of the natural ligands are fatty acids or fatty acid derivatives. Synthetic ligands for PPAR-␥ include the antidiabetic thiazolidinediones such as troglitazone.PPAR-␥ is highly expressed in adipose tissue and plays a crucial role in adipocyte differentiation, 8 but it is also expressed in a variety of tissue and cell types, including a majority of those in the hematopoietic system. In cells of the immune system, treatment with PPAR-␥ ligands typically results in the down-regulation of inflammatory responses. 9 For example, activation of PPAR-␥ in macrophages results in inhibition of cytokine, nitric oxide, and hydrogen peroxide production. 10 Freshly isolated human peripheral PMNs were previously shown to express PPAR-␥ mRNA. 11 Treatment of human PMNs with PPAR-␥ ligands results in decreased adhesion-dependent H 2 O 2 production 12 and blocks up-regulation of the CD11b/CD18 adhesion complex. 13 However, no previous study has examined regulation of PPAR-␥ expression in human PMNs or the specific role this transcription factor may play in the migration of these cells. In this study, we assessed the expression and regulation of PPAR-␥ in PMNs and investigated the effect of PPAR-␥ activation on the ability of PMNs to migrate in response to chemoattractants. Furthermore, we investigated the expression of PPAR-␥ in PMNs during the septic response and the effects on che...