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Review

Peroxisome proliferator-activated receptor-γ: therapeutic target for diseases beyond diabetes: quo vadis?

Pages 215-228 | Published online: 02 Mar 2005

Bibliography

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  • ••Overview of the molecular biology ofnuclear transcription factors and orphan receptors, best for newcomers to the area.
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  • ••Excellent overview of PPARs, PPARligands and the structural biology of PPAR receptors.
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  • •Good paper on the diversity of PPAR-y1 and -72 expression in human tissue.
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  • •First large comprehensive study on the incidence of heart failure in Type 2 diabetics treated with TZDs.
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  • PRESCRIBING INFORMATION: ACTOS® (pioglitazone hydrochloride) Tablets, Takeda Chemical Industries Ltd, Osaka, Japan.
  • PRESCRIBING INFORMATION: Avandia® (rosiglitazone maleate) Tablets, SmithKline Beecham Pharmaceuticals, Philadelphia, PA, USA.
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  • •Good review on the immunomodulatory roles of PPAR-y and PPAR-a.
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  • YANG WS, JENG CY, WU TJ etal.: Synthetic PPARy agonist, rosiglitazone, increases plasma levels of adiponectin in Type 2 diabetic patients. Diabetes Care (2002) 25:376–380.
  • GUSTAFSON B, JACK MM, CUSHMAN SW, SMITH U: Adiponectin gene activation by thiazolidinediones requires PPAR72, but not C/EBP a-evidence for differential regulation of the aP2 and adiponectin genes. Biochem. Biophys. Res. Commun. (2003) 308:933–939.
  • FULLERT S, SCHNEIDER E HAAK E etal.: Effects of pioglitazone in nondiabetic patients with arterial hypertension: a double-blind, placebo-controlled study. j Clin. Endocrinol Metab. (2002) 87:5503–5506.
  • •First study to show a blood pressure-lowering effect of a TZD in non-diabetic subjects.
  • RAJI A, SEELY EW, BEKINS SA, WILLIAMS GH, SIMONSON DC: Rosiglitazone improves insulin sensitivity and lowers blood pressure in hypertensive patients. Diabetes Care (2003) 26:172–178.
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  • BAKRIS G, VIBERTI G, WESTON WM,92.HEISE M, PORTER LE, FREED MI: Rosiglitazone reduces urinary albumin excretion in Type II diabetes. j Hum. Hypertens. (2003) 17:7–12.93.
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  • NATALI A, BALDEWEG S, TOSCHI E et al.: Rosiglitazone directly improves endothelial function in Type 2 diabetic patients. Diabetes (2002) 51\(Suppl. 2):573 (Abstract).
  • WINKLER K, KONRAD T, FULLERT S et al.: Pioglitazone reduces atherogenic dense LDL particles in nondiabetic patients with arterial hypertension: a double-blind, placebo-controlled study. Diabetes Care (2003) 26:2588–2594.
  • ••First clinical study to demonstrate anantiatherogenic effect in non-diabetic patients with hypertension, independent from lowering triglycerides.
  • WINKLER K, ABLETSHAUSER C, HOFFMANN MM et al.: Effect of fluvastatin slow-release on low density lipoprotein (LDL) subfractions in patients with Type 2 diabetes mellitus: baseline LDL profile determines specific mode of action. j Clin. Endocrinol Metab. (2002) 87:5485-5490. DIEP QN, EL MABROUK M, COHN JS et al: Structure, endothelial function, cell growth, and inflammation in blood vessels of angiotensin II-infused rats: role of PPARy. Circulation (2002) 105:2296-2302. LI M, PASCUAL G, GLASS CK: PPARy dependent repression of the inducible nitric oxide synthase gene. Mal Cell. Biol. (2000) 20:4699-4707. HANSSON GK, JONASSON L, HOLM J, CLAESSON-WELSH L: Class II MHC antigen expression in the atherosclerotic plaque: smooth muscle cells express HLA-DR, HLA-DQ and the invariant y chain. Clin. Exp. Immurrol (1986) 64:261-268. KWAK BR, MYIT S, MULHAUPT F et al.: PPARy but not PPARa ligands are potent repressors of major histocompatibility complex class II induction in atheroma-associated cells. Circ. Res. (2002) 90:356–362.
  • DIEP QN, EL MABROUK M, COHN JS et al: Structure, endothelial function, cell growth, and inflammation in blood vessels of angiotensin II-infused rats: role of PPARy. Circulation (2002) 105:2296–2302.
  • LI M, PASCUAL G, GLASS CK: PPARy dependent repression of the inducible nitric oxide synthase gene. Mol Cell. Biol. (2000) 20:4699–4707.
  • HANSSON GK, JONASSON L, HOLM J, CLAESSON-WELSH L: Class II MHC antigen expression in the atherosclerotic plaque: smooth muscle cells express HLA-DR, HLA-DQ and the invariant y chain. Clin. Exp. Immunol (1986) 64:261–268medical records. Clin. Thee (2002) 24:378–396.
  • •Good study demonstrating the beneficial effect of a TZD on vascular function in non-diabetics. directions. Curr. Opin. Lipidol (2003) 14:567-573. Excellent review of the basic science and clinical data on the antiatherosclerotic effects of TZDs.
  • KOSHIYAMA H, SHIMONO D, KUWAMURA N, MINAMIKAWA J, NAKAMURA Y: Inhibitory effect of pioglitazone on carotid arterial wall thickness in Type 2 diabetes. J. Clin. Endocrinol. Metab. (2001) 86:3452-3456. First demonstration that a TZD ameliorates atherosclerosis in Type 2 diabetics.
  • STAKOS DA, SCHUSTER DP, SPARKS EA, WOOLEY CF, OSEI K, BOUDOULAS H: Long-term cardiovascular effects of insulin sensitizer troglitazone on non-diabetic individuals with insulin resistance: double blind, prospective randomized study. J. Cardiol (2003) 41:183–190.
  • •Good clinical demonstration that a TZD improves vascular function in non-diabetic, insulin resistant patients.
  • MARX N, FROEHLICH J, SIAM L et al: Antidiabetic PPARy activator rosiglitazone reduces MIV1P-9 serum levels in Type 2 diabetic patients with coronary artery disease. Arterioscler. Thromb. Vase. Biol. (2003) 23:283–288.
  • SCHONBECK U, LIBBY P: CD40 signaling and plaque instability. Circ. Res. (2001) 89:1092–1103.
  • MARX N, IMHOF A, FROEHLICH J et al.: Effect of rosiglitazone treatment on soluble CD4OL in patients with Type 2 diabetes and coronary artery disease. Circulation (2003) 107: 1954-1957.
  • SPOELSTRA-DE MAN AM, BROUWER CB, STEHOUWER CD, SMULDERS YM: Rapid progression of albumin excretion is an independent predictor of cardiovascular mortality in patients with Type 2 diabetes and microalbuminuria. Diabetes Care (2001) 24:2097–2101.
  • BAKRIS G, VIBERTI G, WESTON WM, HEISE M, PORTER LE, FREED MI: Rosiglitazone reduces urinary albumin excretion in Type II diabetes. J. Hum. Hypertens. (2003) 17:7–12.
  • NAKAMURA T, USHIYAMA C, OSADA S, HARA M, SHIMADA N, KOIDE H: Pioglitazone reduces urinary podocyte excretion in Type 2 diabetes patients with microalbuminuria. Metabolism (2001) 50:1193–1196.
  • TAKAGI T, AKASAKA T, YAMAMURO A et al.: Impact of insulin resistance on neointimal tissue proliferation after coronary stent implantation. Intravascular ultrasound studies. J. Diabetes Complications (2002) 16:50–55.
  • TAKAGI T, YAMAMURO A, TAMITA K et al.: Impact of troglitazone on coronary stent implantation using small stents in patients with Type 2 diabetes mellitus. Am. Cardiol (2002) 89:318–322.
  • CHOI SH, CHOI DH, KO YK etal.: Preventive effects of rosiglitazone on restenosis after coronary stenting in patients with Type 2 diabetes. Diabetes (2003) 52\(Suppl. 1) (Abstract).
  • •First demonstration that rosiglitazone prevents coronary artery restenosis rates.
  • TAKAGI T, YAMAMURO A, TAMITA K et al: Pioglitazone reduces neointimal tissue proliferation after coronary stent implantation in patients with Type 2 diabetes mellitus: an intravascular ultrasound scanning study. Am. Heart J. (2003) 146:E5 (Abstract).
  • •First demonstration that pioglitazone prevents coronary artery restenosis.
  • SHIOMI T, TSUTSUI H, HAYASHIDANI S et al: Pioglitazone, a PPARy agonist, attenuates left ventricular remodeling and failure after experimental myocardial infarction. Circulation (2002) 106:3126–3132.
  • •Good study demonstrating the cardioprotective effect of a TZD, implying a potential therapeutic benefit in heart failure.
  • YUE TL, CHEN J, BAO W et al: In vivo myocardial protection from ischemia/ reperfusion injury by the PPARy agonist rosiglitazone. Circulation (2001) 104:2588–2594.
  • •Good study demonstrating the cardioprotective effect of a TZD.
  • WAYMAN NS, HATTORI Y, McDONALD MC et al: Ligands of PPARy and PPARa reduce myocardial infarct size. FASEB J. (2002) 16:1027–1040.
  • IGLARZ M, TOUYZ RM, VIEL EC et al: PPARa and y activators prevent cardiac fibrosis in mineralocorticoid-dependent hypertension. Hypertension (2003) 42:737–743.
  • YANG XY, WANG LH, CHEN T et al: Activation of human T lymphocytes is inhibited by PPARy agonists. PPARy co-association with transcription factor NFAT. J. Biol. Chem. (2000) 275:4541–4544.
  • ••Excellent basic science work demonstratingthat PPAR-y suppresses T-lymphocyte activation, binding directly to NFAT and preventing it from binding to its cognate DNA-binding domain.
  • KEEGAN BM, NOSEWORTHY JH: Multiple sclerosis. Ann. Rev Med. (2002) 53:285–302.
  • FEINSTEIN DL, GALEA E, GAVRILYUK V etal.: PPARy agonists prevent experimental autoimmune encephalomyelitis. Ann. Neural. (2002) 51:694–702.
  • NIINO M, IWABUCHI K, KIKUCHI S etal.: Amelioration of experimental autoimmune encephalomyelitis in C57BL/6 mice by an agonist of PPARy. Neuroimmunol (2001) 116:40–48.
  • •First demonstration of a therapeutic effect of a TZD in experimental autoimmune encephalomyelitis.
  • BRIGHT, JJ, NATARAJAN C, MUTHIAN G, BARAK Y, EVANS RM: PPARy-deficient heterozygous mice develop an exacerbated neural antigen-induced Thl response and experimental allergic encephalomyelitis. J. hiimuriol. (2003) 171:5743–5750.
  • •Good basic science study showing that experimental allergic encephalomyelitis is associated with PPAR-y deficiency.
  • PERSHADSINGH HA, SCHMIDT S, HENEKA MT et al: Pioglitazone treatment in a patient with chronic progressive multiple sclerosis. 2nd International Symposium on PPARs: From Basic Science to Clinical Applications. (2003) Florence, Italy (Abstract).
  • PERSHADSINGH HA, SPROUL JA, BENJAMIN E, FINNEGAN J, AMIN NM: Treatment of psoriasis with troglitazone therapy. Arch. Dermatol. (1998) 134:1304–1305.
  • •First demonstration of a therapeutic effect of a TZD in psoriasis.
  • MALHOTRA S, SHAFIQ P, PANDHI P, KUMAR B, JAIN R, AGGARWAL M: Pioglitazone versus placebo in patients with plaque psoriasis: Pilot trial study design and preliminary results. 31st Annual Meeting American Coll. Chia. Pharmacol. (2002) San Francisco, CA, USA (Abstract).
  • PERSHADSINGH HA, VENKATRAMAN M, CHITTIBOYINA A et al: Novel PPARy ligands for topical treatment of inflammatory and proliferative diseases of skin. 2nd International Symposium on PPARs: From Basic Science to Clinical Applications. (March 19–22, 2003), Florence, Italy, p44 (Abstract).
  • •First demonstration of a beneficial effect of a TZD in an animal model of atopic dermatitis.
  • HASHIMOTO Y, NAKAHARA K: Improvement of asthma after administration of pioglitazone. Diabetes Care. (2002) 25:401.
  • •First demonstration of a therapeutic effect of a TZD in asthma.
  • RAY A, COHN L: Th2 cells and GATA-3 in asthma: new insights into the regulation of airway inflammation. I Clin. Invest. (1999) 104:985–993.
  • WOERLY G, HONDA K, LOYENS M et al: PPARa and y down-regulate allergic inflammation and eosinophil activation. J. Exp. Med. (2003) 198:411–421.
  • DUBUQUOY L, JANSSON EA, DEEB S et al.: Impaired expression of PPARy in ulcerative colitis. Gastroenterology (2003) 124:1265–1276.
  • •Good study showing that PPAR-y is impaired in UC.
  • SAUBERMANN LJ, NAKAJIMA A, WADA K et al.: PPARy agonist ligands stimulate a Th2 cytokine response and prevent acute colitis. Inllamm. Bowel Dis. (2002) 8:330–339.
  • LEWIS JD, LICHTENSTEIN GR, STEIN RB et al.: An open-label trial of the PPARy ligand rosiglitazone for active ulcerative colitis. Am. j Gastroenterol (2001) 96:3323–3328.
  • •First demonstration of a therapeutic effect of a TZD on ulcerative colitis in non-diabetic subjects.
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