Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions

Peroxisome proliferator-activated receptors (PPARs) belong to the nuclear family of ligand activated transcriptional factors and comprise three different isoforms, PPAR-α, PPAR-β/δ, and PPAR-γ. The main role of PPARs is to regulate the expression of genes involved in lipid and glucose metabolism. Se...

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Main Authors: Wang-Soo Lee, Jaetaek Kim
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:PPAR Research
Online Access:http://dx.doi.org/10.1155/2015/271983
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author Wang-Soo Lee
Jaetaek Kim
author_facet Wang-Soo Lee
Jaetaek Kim
author_sort Wang-Soo Lee
collection DOAJ
description Peroxisome proliferator-activated receptors (PPARs) belong to the nuclear family of ligand activated transcriptional factors and comprise three different isoforms, PPAR-α, PPAR-β/δ, and PPAR-γ. The main role of PPARs is to regulate the expression of genes involved in lipid and glucose metabolism. Several studies have demonstrated that PPAR agonists improve dyslipidemia and glucose control in animals, supporting their potential as a promising therapeutic option to treat diabetes and dyslipidemia. However, substantial differences exist in the therapeutic or adverse effects of specific drug candidates, and clinical studies have yielded inconsistent data on their cardioprotective effects. This review summarizes the current knowledge regarding the molecular function of PPARs and the mechanisms of the PPAR regulation by posttranslational modification in the heart. We also describe the results and lessons learned from important clinical trials on PPAR agonists and discuss the potential future directions for this class of drugs.
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spelling doaj-art-6bc12fe6d2264841a7ac37a6aa578d6b2025-02-03T01:23:00ZengWileyPPAR Research1687-47571687-47652015-01-01201510.1155/2015/271983271983Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future DirectionsWang-Soo Lee0Jaetaek Kim1Division of Cardiology, Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul 06973, Republic of KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul 06973, Republic of KoreaPeroxisome proliferator-activated receptors (PPARs) belong to the nuclear family of ligand activated transcriptional factors and comprise three different isoforms, PPAR-α, PPAR-β/δ, and PPAR-γ. The main role of PPARs is to regulate the expression of genes involved in lipid and glucose metabolism. Several studies have demonstrated that PPAR agonists improve dyslipidemia and glucose control in animals, supporting their potential as a promising therapeutic option to treat diabetes and dyslipidemia. However, substantial differences exist in the therapeutic or adverse effects of specific drug candidates, and clinical studies have yielded inconsistent data on their cardioprotective effects. This review summarizes the current knowledge regarding the molecular function of PPARs and the mechanisms of the PPAR regulation by posttranslational modification in the heart. We also describe the results and lessons learned from important clinical trials on PPAR agonists and discuss the potential future directions for this class of drugs.http://dx.doi.org/10.1155/2015/271983
spellingShingle Wang-Soo Lee
Jaetaek Kim
Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions
PPAR Research
title Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions
title_full Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions
title_fullStr Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions
title_full_unstemmed Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions
title_short Peroxisome Proliferator-Activated Receptors and the Heart: Lessons from the Past and Future Directions
title_sort peroxisome proliferator activated receptors and the heart lessons from the past and future directions
url http://dx.doi.org/10.1155/2015/271983
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