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Refocusing Peroxisome Proliferator Activated Receptor-α: A New Insight for Therapeutic Roles in Diabetes
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Abstract:
Although glucose-lowering treatment shows some risk lowering effects in cardiovascular diseases, risks of macrovascular and microvascular complications have still remained, and development of new therapeutic strategies is needed. Recent data have shown that peroxisome proliferator activated receptor-α (PPAR-α) plays a pivotal role in the regulation of lipid homeostasis, fatty acid oxidation, cellular differentiation, and immune response such as inflammation or vascularization related to diabetic complication. This review will re-examine the metabolic role of PPAR-α, summarize data from clinical studies on the effect of PPAR-α agonist in diabetes, and will discuss the possible therapeutic role of PPAR-α activation.
Insights
New therapeutic strategies targeting peroxisome proliferator activated receptor-alpha (PPAR-α) show promise for managing diabetic complications. PPAR-α activation may offer a novel approach to address remaining cardiovascular risks in diabetes.
Area of Science:
- Endocrinology and Metabolism
- Molecular Biology
- Cardiovascular Research
Background:
- Despite glucose-lowering treatments, macrovascular and microvascular complications persist in diabetes.
- Peroxisome proliferator activated receptor-alpha (PPAR-α) is implicated in lipid metabolism and inflammation relevant to diabetic complications.
Purpose of the Study:
- To review the metabolic functions of PPAR-α.
- To summarize clinical data on PPAR-α agonists in diabetes.
- To discuss the therapeutic potential of PPAR-α activation for diabetic complications.
Main Methods:
- Literature review of metabolic roles of PPAR-α.
- Analysis of clinical studies investigating PPAR-α agonists in diabetic patients.
- Discussion of the implications of PPAR-α activation in diabetes.
Main Results:
- PPAR-α regulates key metabolic pathways including lipid homeostasis and fatty acid oxidation.
- Clinical studies provide insights into the efficacy and safety of PPAR-α agonists.
- PPAR-α activation influences inflammatory and vascular processes linked to diabetic pathology.
Conclusions:
- PPAR-α plays a significant role in metabolic regulation pertinent to diabetes.
- PPAR-α agonists represent a potential therapeutic avenue for managing diabetic complications.
- Further research is warranted to fully elucidate and optimize PPAR-α targeted therapies.
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