在糖尿病心血管风险中PPAR系统的作用及其他方面
Massimiliano Ruscica1,2, Chiara Macchi1, Alberto Corsini1
1Department of Pharmacological and Biomolecular Sciences "Rodolfo Paoletti", Università degli Studi di Milano.
Current opinion in endocrinology, diabetes, and obesity
|November 20, 2025
概括
过酶增殖器激活受体 (PPARs) 影响代谢的恒常性. 虽然PPAR-α激动剂对心血管有有限的益处,但PPAR激动剂具有治疗糖尿病和肝硬化等代谢疾病的潜力.
科学领域:
- 内分泌学 在内分泌学.
- 代谢调节 代谢调节 代谢调节
- 分子生物学分子生物学
背景情况:
- 过氧体增殖器激活受体 (PPARs) 是调节代谢平衡的关键转录因子.
- PPARs在管理糖尿病和肝脏肥胖症等代谢障碍方面发挥着关键作用.
研究的目的:
- 审查PPAR-α,PPAR-β/δ和PPAR-γ异型对糖尿病代谢疾病的影响.
- 提供与PPAR激动剂相关的治疗潜力和挑战的概述.
主要方法:
- 关于PPAR异型和代谢疾病的研究文献综述.
- 对临床试验数据和临床前证据的分析.
主要成果:
- 在PROMINENT试验中,选择性PPAR-α激动剂 (例如,pemafibrate) 显示出有限的心血管益处,但可能有利于外围动脉疾病.
- 对PPAR-γ的部分激动剂和选择性调节剂的开发旨在减少不良影响.
- 泛PPAR激动性可能是必要的,以显著改善代谢功能障碍相关的脂肪肝炎.
结论:
- PPAR激动剂表现出多样化的效果,具有显著副作用的风险一般较低.
- PPAR激动剂代表着越来越多的兴趣领域,在代谢疾病中扩大治疗应用.
相关概念视频
Coronary Artery Disease I: Introduction
843
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
843
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Regulation of the Cardiovascular System
3.5K
The regulation of the cardiovascular system allows the body to adapt to various demands and maintain homeostasis.
The regulation of the cardiovascular system involves the autonomic nervous system (ANS), baroreceptors, and chemoreceptors, ensuring that heart rate and blood pressure are appropriately modulated in response to varying physiological demands.
The ANS comprises two main divisions: the sympathetic and parasympathetic nervous systems. The sympathetic nervous system enhances...
The regulation of the cardiovascular system involves the autonomic nervous system (ANS), baroreceptors, and chemoreceptors, ensuring that heart rate and blood pressure are appropriately modulated in response to varying physiological demands.
The ANS comprises two main divisions: the sympathetic and parasympathetic nervous systems. The sympathetic nervous system enhances...
3.5K
Carbohydrate Metabolism
13.7K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
13.7K
Atherosclerosis III: Management
290
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
290
Psychoneuroimmunology: Cardiovascular Disease
363
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
363

