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.

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.

Related Concept Videos

G Protein-coupled Receptors01:15

G Protein-coupled Receptors

G Protein-Coupled Receptors or GPCRs are membrane-bound receptors that transiently associate with heterotrimeric G proteins and induce an appropriate response to sensory stimuli such as light, odors, hormones, cytokines, or neurotransmitters.
GPCRs are also called heptahelical, 7TM, or serpentine receptors, and consist of seven (H1-H7) transmembrane alpha-helices that span the bilayer to form a cylindrical core. The transmembrane helices are connected by three extracellular loops and three...
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists01:23

Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists

Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...