A Role for the PPARgamma in Cancer Therapy
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Updated: Jul 4, 2026

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Published on: January 22, 2018
Moray J Campbell1, Carsten Carlberg, H Phillip Koeffler
1Department of Pharmacology and Therapeutics, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Abstract:
In 1997, the first published reports highlighted PPARgamma as a novel cancer therapeutic target regulating differentiation of cancer cells. A subsequent flurry of papers described these activities more widely and fuelled further enthusiasm for differentiation therapy, as the ligands for the PPARgamma were seen as well tolerated and in several cases well-established in other therapeutic contexts. This initial enthusiasm and promise was somewhat tempered by contradictory findings in several murine cancer models and equivocal trial findings. As more understanding has emerged in recent years, a renaissance has occurred in targeting PPARgamma within the context of either chemoprevention or chemotherapy. This clarity has arisen in part through a clearer understanding of PPARgamma biology, how the receptor interacts with other proteins and signaling events, and the mechanisms that modulate its transcriptional actions. Equally greater translational understanding of this target has arisen from a clearer understanding of in vivo murine cancer models. Clinical exploitation will most likely require precise and quantifiable description of PPARgamma actions, and resolution of which targets are the most beneficial to target combined with an understanding of the mechanisms that limits its anticancer effectiveness.
Insights
Peroxisome proliferator-activated receptor gamma (PPARgamma) shows promise as a cancer therapeutic target for differentiation therapy. Recent research clarifies its role in chemoprevention and chemotherapy, enhancing its clinical potential.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Peroxisome proliferator-activated receptor gamma (PPARgamma) was identified in 1997 as a cancer therapeutic target regulating cancer cell differentiation.
- Initial enthusiasm for PPARgamma ligands in differentiation therapy was tempered by contradictory findings in preclinical models and clinical trials.
- Recent advances have led to a resurgence in targeting PPARgamma for cancer chemoprevention and chemotherapy.
Purpose of the Study:
- To review the evolving understanding of PPARgamma's role in cancer therapy.
- To highlight the recent renaissance in targeting PPARgamma for chemoprevention and chemotherapy.
- To discuss the translational insights gained from improved understanding of PPARgamma biology and preclinical models.
Main Methods:
- Review of published literature on PPARgamma in cancer therapy.
- Analysis of PPARgamma biology, including protein interactions and signaling pathways.
- Evaluation of findings from murine cancer models and clinical trials.
Main Results:
- PPARgamma's complex role in cancer has been clarified through a deeper understanding of its biology and transcriptional modulation.
- Improved translational insights from in vivo murine cancer models have emerged.
- The potential for PPARgamma targeting in both chemoprevention and chemotherapy is increasingly recognized.
Conclusions:
- Targeting PPARgamma represents a promising strategy for cancer chemoprevention and chemotherapy.
- Further research is needed to precisely define PPARgamma's actions and optimize its clinical application.
- Understanding the mechanisms limiting PPARgamma's anticancer effectiveness is crucial for successful clinical exploitation.
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