The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes

Pharmaceutical agonists of peroxisome proliferator-activated receptors (PPARs) are widely used in the management of type 2 diabetes, chiefly as lipid-lowering agents and oral hypoglycaemic agents. Although most of the focus has been placed on their cardiovascular effects, both positive and negative,...

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Main Authors: M. C. Thomas, K. A. Jandeleit-Dahm, C. Tikellis
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:PPAR Research
Online Access:http://dx.doi.org/10.1155/2012/456529
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author M. C. Thomas
K. A. Jandeleit-Dahm
C. Tikellis
author_facet M. C. Thomas
K. A. Jandeleit-Dahm
C. Tikellis
author_sort M. C. Thomas
collection DOAJ
description Pharmaceutical agonists of peroxisome proliferator-activated receptors (PPARs) are widely used in the management of type 2 diabetes, chiefly as lipid-lowering agents and oral hypoglycaemic agents. Although most of the focus has been placed on their cardiovascular effects, both positive and negative, these agents also have significant renoprotective actions in the diabetic kidney. Over and above action on metabolic control and effects on blood pressure, PPAR agonists also appear to have independent effects on a number of critical pathways that are implicated in the development and progression of diabetic kidney disease, including oxidative stress, inflammation, hypertrophy, and podocyte function. This review will examine these direct and indirect actions of PPAR agonists in the diabetic kidney and explore recent findings of clinical trials of PPAR agonists in patients with diabetes.
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spelling doaj-art-3d7aacc5ea274d2f9b9136cb8e98e95b2025-02-03T01:09:24ZengWileyPPAR Research1687-47571687-47652012-01-01201210.1155/2012/456529456529The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in DiabetesM. C. Thomas0K. A. Jandeleit-Dahm1C. Tikellis2Division of Diabetic Complications, Baker IDI Heart and Diabetes Institute, P.O. Box 6492, Melbourne, VIC 8008, AustraliaDivision of Diabetic Complications, Baker IDI Heart and Diabetes Institute, P.O. Box 6492, Melbourne, VIC 8008, AustraliaDivision of Diabetic Complications, Baker IDI Heart and Diabetes Institute, P.O. Box 6492, Melbourne, VIC 8008, AustraliaPharmaceutical agonists of peroxisome proliferator-activated receptors (PPARs) are widely used in the management of type 2 diabetes, chiefly as lipid-lowering agents and oral hypoglycaemic agents. Although most of the focus has been placed on their cardiovascular effects, both positive and negative, these agents also have significant renoprotective actions in the diabetic kidney. Over and above action on metabolic control and effects on blood pressure, PPAR agonists also appear to have independent effects on a number of critical pathways that are implicated in the development and progression of diabetic kidney disease, including oxidative stress, inflammation, hypertrophy, and podocyte function. This review will examine these direct and indirect actions of PPAR agonists in the diabetic kidney and explore recent findings of clinical trials of PPAR agonists in patients with diabetes.http://dx.doi.org/10.1155/2012/456529
spellingShingle M. C. Thomas
K. A. Jandeleit-Dahm
C. Tikellis
The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes
PPAR Research
title The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes
title_full The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes
title_fullStr The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes
title_full_unstemmed The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes
title_short The Renoprotective Actions of Peroxisome Proliferator-Activated Receptors Agonists in Diabetes
title_sort renoprotective actions of peroxisome proliferator activated receptors agonists in diabetes
url http://dx.doi.org/10.1155/2012/456529
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