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Published on: November 14, 2025
PPAR-gamma: therapeutic target for ischemic stroke
Juraj Culman1, Yi Zhao, Peter Gohlke
1Institute of Pharmacology, University Hospital of Schleswig-Holstein, Campus Kiel, Hospitalstrasse 4, 24105 Kiel, Germany.
Abstract:
The peroxisome proliferator activated receptors (PPARs), which belong to the nuclear receptor superfamily, are key regulators of glucose and fat metabolism. The PPAR-gamma isoform is involved in the regulation of cellular glucose uptake, protection against atherosclerosis and control of immune reactions. In addition, the activation of PPAR-gamma effectively attenuates neurodegenerative and inflammatory processes in the brain. Here, we review a novel aspect of beneficial and clinically relevant PPAR-gamma actions: neuroprotection against ischemic injury mediated by intracerebral PPAR-gamma, which is expressed in neurons and microglia. Together with the recent observation that the PPAR-gamma ligand pioglitazone reduces the incidence of stroke in patients with type 2 diabetes, this review supports the concept that activators of PPAR-gamma are effective drugs against ischemic injury.
Insights
Peroxisome proliferator activated receptors (PPARs), specifically PPAR-gamma, offer neuroprotection against brain injury. Activating PPAR-gamma may be a promising therapeutic strategy for stroke and other neurological conditions.
Area of Science:
- Neuroscience
- Molecular Biology
- Pharmacology
Background:
- Peroxisome proliferator activated receptors (PPARs) are nuclear receptors regulating metabolism.
- The PPAR-gamma isoform influences glucose uptake, atherosclerosis, and immune responses.
- PPAR-gamma activation is known to reduce neuroinflammation and neurodegeneration.
Purpose of the Study:
- To review the neuroprotective effects of intracerebral PPAR-gamma against ischemic injury.
- To highlight the clinical relevance of PPAR-gamma activators in neurological conditions.
Main Methods:
- Review of existing literature on PPAR-gamma function in the brain.
- Analysis of studies investigating PPAR-gamma expression in neurons and microglia.
- Examination of clinical data on PPAR-gamma ligands and stroke incidence.
Main Results:
- Intracerebral PPAR-gamma, expressed in neurons and microglia, mediates neuroprotection.
- PPAR-gamma activation attenuates neuroinflammatory and neurodegenerative processes.
- The PPAR-gamma ligand pioglitazone is associated with reduced stroke incidence in type 2 diabetes patients.
Conclusions:
- PPAR-gamma plays a crucial role in protecting the brain from ischemic damage.
- Activators of PPAR-gamma represent a potential therapeutic avenue for treating ischemic brain injury.
- Targeting PPAR-gamma may offer a novel strategy for stroke prevention and treatment.
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