Atherosclerosis and cardiovascular risk reduction with PPAR agonists

被引:19
作者
Kuusisto J. [1 ]
Andrulionyte L. [1 ]
Laakso M. [1 ]
机构
[1] Department of Medicine, University of Kuopio, Kuopio University Hospital, FIN-70211 Kuopio
关键词
Rosiglitazone; Pioglitazone; PPAR Agonist; Cardiovascular Risk Reduction; Helsinki Heart Study;
D O I
10.1007/s11883-007-0033-4
中图分类号
学科分类号
摘要
Peroxisome proliferator-activated receptors (PPARs) are transcriptional factors belonging to the nuclear receptor superfamily. Three isoforms, PPARα, PPARγ, and PPARδ, which are encoded by separate genes, have been identified. The PPARs act as gene regulators of various metabolic pathways in energy and lipid metabolism, glucose homeostasis, adipogenesis, and inflammation. Two key classes of synthetic compounds, fibrates and thiazolidinediones (glitazones), activate PPARα and PPARγ, respectively. Both of these drugs have several properties that prevent atherosclerosis in the vascular wall and reduce the levels of risk factors for cardiovascular disease. However, clinical trials have not produced convincing evidence that cardiovascular disease is prevented with the use of PPARα and PPARγ agonists. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码:274 / 280
页数:6
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