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The Role of Peroxisome Proliferator-Activated Receptor Gamma and Atherosclerosis: Post-translational Modification and
Liqin Yin1, Lihui Wang2, Zunhan Shi1
1School of Kinesiology, Shanghai University of Sport, Shanghai, China.
Abstract:
Atherosclerosis is the hallmark of cardiovascular disease (CVD) which is a leading cause of death in type 2 diabetes patients, and glycemic control is not beneficial in reducing the potential risk of CVD. Clinically, it was shown that Thiazolidinediones (TZDs), a class of peroxisome proliferator-activated receptor gamma (PPARγ) agonists, are insulin sensitizers with reducing risk of CVD, while the potential adverse effects, such as weight gain, fluid retention, bone loss, and cardiovascular risk, restricts its use in diabetic treatment. PPARγ, a ligand-activated nuclear receptor, has shown to play a crucial role in anti-atherosclerosis by promoting cholesterol efflux, repressing monocytes infiltrating into the vascular intima under endothelial layer, their transformation into macrophages, and inhibiting vascular smooth muscle cells proliferation as well as migration. The selective activation of subsets of PPARγ targets, such as through PPARγ post-translational modification, is thought to improve the safety profile of PPARγ agonists. Here, this review focuses on the significance of PPARγ activity regulation (selective activation and post-translational modification) in the occurrence, development and treatment of atherosclerosis, and further clarifies the value of PPARγ as a safe therapeutic target for anti-atherosclerosis especially in diabetic treatment.
Insights
Peroxisome proliferator-activated receptor gamma (PPARγ) agonists show promise in reducing cardiovascular disease (CVD) risk in type 2 diabetes. Regulating PPARγ activity offers a safer therapeutic target for anti-atherosclerosis treatments.
Area of Science:
- Molecular biology
- Endocrinology
- Cardiovascular research
Background:
- Atherosclerosis is a major cause of death in type 2 diabetes, with glycemic control offering limited benefit.
- Thiazolidinediones (TZDs), PPARγ agonists, reduce CVD risk but have adverse effects.
- PPARγ plays a key role in preventing atherosclerosis by regulating cholesterol efflux and inflammatory cell infiltration.
Purpose of the Study:
- To review the significance of regulating peroxisome proliferator-activated receptor gamma (PPARγ) activity in atherosclerosis.
- To explore selective activation and post-translational modification of PPARγ for improved safety.
- To highlight PPARγ as a safe therapeutic target for anti-atherosclerosis, particularly in diabetic patients.
Main Methods:
- Literature review focusing on PPARγ's role in atherosclerosis.
- Analysis of PPARγ agonists, including Thiazolidinediones (TZDs).
- Examination of PPARγ post-translational modifications and selective activation strategies.
Main Results:
- PPARγ activation is crucial for anti-atherosclerotic effects, including promoting cholesterol efflux and inhibiting inflammatory cell migration.
- Selective activation of PPARγ targets may improve the safety profile of PPARγ agonists.
- Regulation of PPARγ activity is significant in the development and treatment of atherosclerosis.
Conclusions:
- PPARγ is a critical regulator in preventing atherosclerosis.
- Targeting PPARγ through selective activation and post-translational modification presents a promising therapeutic strategy.
- PPARγ represents a valuable and potentially safer target for anti-atherosclerosis therapies in type 2 diabetes.
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