Cited by 2,016Peroxisome Proliferator-Activated ReceptorsAdipose Tissue and MetabolismAdipokines, Inflammation, and Metabolic Diseases

PPARγ signaling and metabolism: the good, the bad and the future

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Ahmadian, Maryam, Suh, Jae Myoung, Hah, Nasun, Liddle, Christopher, Atkins, Annette R, Downes, Michael, Evans, Ronald M·2013·Nature Medicine

Abstract

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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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
Venue
Nature Medicine
Published
2013-05
Volume
19
Issue
5
Pages
557-566
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
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
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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