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PPAR-γ Partial Agonists in Disease-Fate Decision with Special Reference to Cancer
Sangeeta Ballav1, Bini Biswas1, Vishal Kumar Sahu1
1Cancer and Translational Research Centre, Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Tathawade, Pune 411033, India.
Abstract:
Peroxisome proliferator-activated receptor-γ (PPAR-γ) has emerged as one of the most extensively studied transcription factors since its discovery in 1990, highlighting its importance in the etiology and treatment of numerous diseases involving various types of cancer, type 2 diabetes mellitus, autoimmune, dermatological and cardiovascular disorders. Ligands are regarded as the key determinant for the tissue-specific activation of PPAR-γ. However, the mechanism governing this process is merely a contradictory debate which is yet to be systematically researched. Either these receptors get weakly activated by endogenous or natural ligands or leads to a direct over-activation process by synthetic ligands, serving as complete full agonists. Therefore, fine-tuning on the action of PPAR-γ and more subtle modulation can be a rewarding approach which might open new avenues for the treatment of several diseases. In the recent era, researchers have sought to develop safer partial PPAR-γ agonists in order to dodge the toxicity induced by full agonists, akin to a balanced activation. With a particular reference to cancer, this review concentrates on the therapeutic role of partial agonists, especially in cancer treatment. Additionally, a timely examination of their efficacy on various other disease-fate decisions has been also discussed.
Insights
Peroxisome proliferator-activated receptor-γ (PPAR-γ) agonists offer therapeutic potential for diseases like cancer. Safer partial agonists provide balanced activation, avoiding toxicity associated with full agonists.
Area of Science:
- Molecular biology
- Pharmacology
- Disease mechanisms
Background:
- Peroxisome proliferator-activated receptor-γ (PPAR-γ), a key transcription factor discovered in 1990, plays a crucial role in various diseases, including cancer, type 2 diabetes, and autoimmune disorders.
- Ligands determine PPAR-γ's tissue-specific activation, but the precise mechanisms remain debated, with weak activation by natural ligands and over-activation by synthetic full agonists.
Purpose of the Study:
- To review the therapeutic role of partial PPAR-γ agonists, particularly in cancer treatment.
- To examine the efficacy of partial agonists in modulating various disease pathways and potentially offering a safer therapeutic approach.
Main Methods:
- Literature review focusing on PPAR-γ activation mechanisms and ligand-receptor interactions.
- Analysis of studies investigating the therapeutic applications of partial PPAR-γ agonists in preclinical and clinical settings.
- Comparative assessment of partial versus full agonists regarding efficacy and toxicity profiles.
Main Results:
- Partial PPAR-γ agonists demonstrate potential for balanced receptor activation, mitigating the toxicity associated with full agonists.
- Evidence suggests therapeutic benefits of partial agonists in various disease contexts, with a specific focus on their role in cancer treatment.
- Modulation of PPAR-γ activity through partial agonists represents a promising strategy for managing complex diseases.
Conclusions:
- Fine-tuning PPAR-γ activity with partial agonists offers a promising therapeutic avenue, balancing efficacy with reduced toxicity.
- Partial PPAR-γ agonists represent a valuable tool for developing novel treatments for cancer and other significant diseases.
- Further systematic research into PPAR-γ ligand-receptor interactions is warranted to fully exploit the therapeutic potential of partial agonists.
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