PPARγ signaling and metabolism: the good, the bad and the future
Open accessAbstract
Thiazolidinediones (TZDs) are potent insulin sensitizers that act through the nuclear receptor peroxisome proliferator-activated receptor-γ (PPARγ) and are highly effective oral medications for type 2 diabetes. However, their unique benefits are shadowed by the risk for fluid retention, weight gain, bone loss and congestive heart failure. This raises the question as to whether it is possible to build a safer generation of PPARγ-specific drugs that evoke fewer side effects while preserving insulin-sensitizing potential. Recent studies that have supported the continuing physiologic and therapeutic relevance of the PPARγ pathway also provide opportunities to develop newer classes of molecules that reduce or eliminate adverse effects. This review highlights key advances in understanding PPARγ signaling in energy homeostasis and metabolic disease and also provides new explanations for adverse events linked to TZD-based therapy.
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PPARγ is a transcription factor involved in glucose homeostasis, adipocyte differentiation, and lipid metabolism.
“PPARγ is a transcription factor involved in glucose homeostasis, adipocyte differentiation, and lipid metabolism.41,42”
From Transcriptomic signatures of calcific aortic valve stenosis severity in human tricuspid and bicuspid aortic valves (2025) · cites this paper as [41]
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“The increased PPARγ expression in ATS fibroblasts was confirmed by WB, which showed high levels of a 53 kDa band corresponding to PPARγ1, which was almost undetectable in the controls, and a 57 kDa band corresponding to PPARγ2, which was not well detected in the control fibroblasts (Fig.”
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- Authors
- Ahmadian, M., Suh, J. M., Hah, N., Liddle, C., Atkins, A. R., Downes, M., & Evans, R. M.
- Affiliations
- Salk Institute for Biological Studies (US)
- The University of Sydney (AU)
- Corresponding author
- Evans, Ronald M
- ORCID
- Venue
- Nature Medicine
- Published
- 2013-05
- Volume
- 19
- Issue
- 5
- Pages
- 557-566
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC3870016
- OpenAlex
- W2073578030
- Cited by
- 2,016
- References
- 144
- Citations by year
- 2026: 160 · 2025: 193 · 2024: 158 · 2023: 174 · 2022: 171 · 2021: 155 · 2020: 163 · 2019: 138 · 2018: 131 · 2017: 160 · 2016: 144 · 2015: 131 · 2014: 111 · 2013: 25
- FWCI
- 12.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Howard Hughes Medical Institute
- National Heart, Lung, and Blood Institute (HL105278, R01HL105278, HL-088093, P01HL088093)
- National Institute of Diabetes and Digestive and Kidney Diseases (R37DK057978, DK057978, R01DK057978, R24DK090962, DK090962, P30DK063491)
- National Institute of Environmental Health Sciences (P42ES010337, ES 010337)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- PPARγ signaling, thiazolidinediones, type 2 diabetes, insulin sensitizers, adverse drug reactions, fluid retention, congestive heart failure, bone loss, weight gain, energy homeostasis, metabolic disorders, drug safety
- MeSH terms
- Adipose Tissue, Animals, Fatty Acids, Fibroblast Growth Factors, Homeostasis, Humans, Hypoglycemic Agents, Insulin, Protein Processing, Post-Translational, Signal Transduction, Thiazolidinediones, PPAR gamma, Mice, Molecular Targeted Therapy
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