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Therapeutic implications of peroxisome proliferator-activated receptors in non-small cell lung cancer

Li Nie1, Xinliang Zou2,3,4, Huaxi Liu5

  • 1School of Medicine, Chongqing University, Chongqing, 400030, China.

Discover Oncology
|July 20, 2026
PubMed

Insights

Peroxisome proliferator-activated receptors (PPARs) show dual roles in non-small cell lung cancer (NSCLC), acting as either tumor suppressors or promoters. Understanding their context-dependent functions is key for developing targeted NSCLC therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Metabolism

Background:

  • Non-small cell lung cancer (NSCLC) is a leading cause of cancer mortality, with persistent challenges in drug resistance and treatment outcomes.
  • Peroxisome proliferator-activated receptors (PPARs), including PPARα, PPARβ/δ, and PPARγ, are transcription factors regulating lipid metabolism and inflammation, with dysregulated expression in NSCLC.
  • The dual role of PPAR isoforms in NSCLC (tumor-suppressive vs. tumor-promoting) creates complexity, influenced by cellular context, metabolic state, and genetic background.

Purpose of the Study:

  • To critically review the isoform-specific functions and molecular mechanisms of PPARs in NSCLC.
  • To summarize preclinical and clinical advances in PPAR-targeted strategies for NSCLC prevention and treatment.
  • To provide a framework for developing precision therapies that address the context-dependent nature of PPAR signaling in NSCLC.

Main Methods:

  • Literature review of preclinical and clinical studies on PPARs in NSCLC.
  • Analysis of molecular mechanisms underlying PPAR isoform functions in different NSCLC contexts.
  • Evaluation of current and emerging PPAR-targeted therapeutic strategies, including combinations with immunotherapy.

Main Results:

  • PPARs integrate metabolic, inflammatory, and immune signals, highlighting their role at the intersection of metabolism and anti-tumor immunity in NSCLC.
  • Conflicting evidence exists regarding PPAR isoform functions, with all three potentially exerting tumor-suppressive or tumor-promoting effects.
  • Clinically available PPAR agonists are under investigation in combination therapies, emphasizing the need for biomarker-guided patient selection.

Conclusions:

  • The context-dependent duality of PPAR signaling in NSCLC necessitates a nuanced approach for therapeutic development.
  • Understanding PPAR isoform-specific functions and mechanisms is crucial for advancing precision medicine in NSCLC.
  • Further research is needed to bridge translational gaps and optimize PPAR-targeted strategies for NSCLC treatment and prevention.

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