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Prospects for prevention and treatment of cancer with selective PPARgamma modulators (SPARMs)
M B Sporn1, N Suh, D J Mangelsdorf
1Dept of Pharmacology, Dartmouth Medical School, Hanover, NH 03755, USA. michael.sporn@dartmouth.edu
Abstract:
Peroxisome proliferator-activated receptor gamma (PPARgamma), a nuclear receptor and transcription factor that regulates the expression of many genes relevant to carcinogenesis, is now an important target for development of new drugs for the prevention and treatment of cancer. Deficient expression of PPARgamma can be a significant risk factor for carcinogenesis, although in some cases overexpression enhances carcinogenesis. Ligands for PPARgamma suppress breast carcinogenesis in experimental models and induce differentiation of human liposarcoma cells. By analogy to the selective estrogen receptor modulator (SERM) concept, it is suggested that selective PPARgamma modulators (SPARMs), designed to have desired effects on specific genes and target tissues without undesirable effects on others, will be clinically important in the future for chemoprevention and chemotherapy of cancer.
Insights
Peroxisome proliferator-activated receptor gamma (PPARgamma) is a key target for cancer drug development. Selective PPARgamma modulators (SPARMs) show promise for future cancer prevention and treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Peroxisome proliferator-activated receptor gamma (PPARgamma) is a nuclear receptor regulating genes involved in carcinogenesis.
- Altered PPARgamma expression is linked to cancer risk, with deficiency increasing risk and overexpression sometimes promoting it.
- PPARgamma ligands have demonstrated efficacy in suppressing breast cancer and inducing differentiation in liposarcoma cells.
Purpose of the Study:
- To explore the therapeutic potential of targeting PPARgamma in cancer.
- To introduce the concept of selective PPARgamma modulators (SPARMs) for cancer therapy.
- To highlight the future clinical importance of SPARMs in cancer chemoprevention and chemotherapy.
Main Methods:
- Review of existing research on PPARgamma's role in carcinogenesis.
- Analysis of experimental models demonstrating the effects of PPARgamma ligands.
- Conceptual development of selective PPARgamma modulators (SPARMs) analogous to SERMs.
Main Results:
- PPARgamma ligands suppress experimental breast carcinogenesis.
- PPARgamma ligands induce differentiation in human liposarcoma cells.
- The potential for targeted modulation of PPARgamma offers therapeutic advantages.
Conclusions:
- PPARgamma is a crucial molecular target for cancer therapy.
- Selective PPARgamma modulators (SPARMs) represent a promising strategy for future cancer treatment.
- SPARMs could offer targeted benefits in cancer chemoprevention and chemotherapy with potentially fewer side effects.
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