Impairment of insulin action (insulin resistance) is frequently observed in Type II (non-insulin-dependent) diabetes mellitus as well as in wasting syndromes including neoplastic, inflammatory and chronically infectious diseases [1,2]. Previous studies suggest that inflammatory cytokines, such as tumour necrosis factor-a (TNF-a) [3], interleukin-1 (IL-1) [4], , leukaemia inhibitory factor (LIF) [6] and transforming growth factor-b (TGF-b) [7] are involved in the development of insulin resistance. Clinical studies have shown that TNF-a and IL-6 concentrations are increased in the sera of patients with several cancers and infectious diseases, in which insulin action is impaired [8]. Moreover, infusion of rats Diabetologia (1999) Abstract Aims/hypothesis. Previous studies show that inflammatory cytokines play a part in the development of insulin resistance. Thiazolidinediones were developed as insulin-sensitizing drugs and are ligands for the peroxisome proliferator-activated receptorg (PPARg). We hypothesized that the anti-diabetic mechanism of thiazolidinediones depends on the quantity of PPARg in the insulin resistant state in which inflammatory cytokines play a part. Methods. We isolated rat PPARg1 and g2 cDNAs and examined effects of various cytokines and thiazolidinediones on PPARg mRNA expression in rat mature adipocytes. Results. Various inflammatory cytokines, such as tumour necrosis factor-a (TNF-a), interleukin-1a (IL1a), IL-1b, IL-6 and leukaemia inhibitory factor decreased PPARg mRNA expression. In addition, hydrogen peroxide, lysophosphatidylcholine or phorbol 12-myristate 13-acetate also decreased the expression of PPARg. The suppression of PPARg mRNA expression caused by 10 nmol/l of TNF-a was reversed 60 % and 55 % by treatment with 10 ±4 mol/l of troglitazone and 10 ±4 mol/l of pioglitazone, respectively. The suppression of glucose transporter 4 mRNA expression caused by TNF-a was also reversed by thiazolidinediones. Associated with the change of PPARg mRNA expression, troglitazone improved glucose uptake suppressed by TNF-a. Conclusion/interpretation. Our study suggests that inflammatory cytokines could be factors that regulate PPARg expression for possible modulation of insulin resistance. In addition, we speculate that the regulation of PPARg mRNA expression may contribute to the anti-diabetic mechanism of thiazolidinediones. [Diabetologia (1999) 42: 702±710]