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Published on: July 28, 2010
Peroxisome proliferator-activated receptor gamma pathway targeting in carcinogenesis: implications for
1Department of Otolaryngology and University of Minnesota Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota 55455, USA. ondre002@umn.edu
Abstract:
The peroxisome proliferator-activated receptor (PPAR) gamma is one member of the nuclear receptor superfamily that contains in excess of 80 described receptors. PPARgamma activators are a diverse group of agents that range from endogenous fatty acids or derivatives (linolenic, linoleic, and 15-deoxy-Delta(12,14)-prostaglandin J(2)) to Food and Drug Administration-approved thiazolidinedione drugs [pioglitazone (Actos) and rosiglitazone (Avandia)] for the treatment of diabetes. Once activated, PPARgamma will preferentially bind with retinoid X receptor alpha and signal antiproliferative, antiangiogenic, and prodifferentiation pathways in several tissue types, thus making it a highly useful target for down-regulation of carcinogenesis. Although PPAR-gamma activators show many anticancer effects on cell lines, their advancement into human advanced cancer clinical trials has met with limited success. This article will review translational findings in PPARgamma activation and targeting in carcinogenesis prevention as they relate to the potential use of PPARgamma activators clinically as cancer chemoprevention strategies.
Insights
Peroxisome proliferator-activated receptor (PPAR) gamma activators show anticancer effects by down-regulating carcinogenesis. However, clinical trials for advanced cancers have had limited success, prompting a review of their potential in cancer chemoprevention.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- Peroxisome proliferator-activated receptor (PPAR) gamma is a nuclear receptor.
- PPARgamma activators include endogenous fatty acids and FDA-approved drugs like pioglitazone and rosiglitazone.
- Activated PPARgamma, in complex with retinoid X receptor alpha, initiates antiproliferative, antiangiogenic, and prodifferentiation pathways.
Purpose of the Study:
- To review translational findings on PPARgamma activation in carcinogenesis prevention.
- To explore the clinical potential of PPARgamma activators as cancer chemoprevention strategies.
Main Methods:
- Review of existing literature on PPARgamma activation and its effects on cancer cell lines.
- Analysis of translational research and clinical trial outcomes for PPARgamma activators in cancer.
Main Results:
- PPARgamma activators demonstrate significant anticancer effects in cell line studies.
- Clinical trials of PPARgamma activators for advanced cancers have yielded limited success.
Conclusions:
- Despite promising preclinical data, the clinical application of PPARgamma activators in advanced cancer treatment is challenging.
- Further research into PPARgamma activation is warranted for developing effective cancer chemoprevention strategies.
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