Cited by 12Diabetes Treatment and ManagementPeroxisome Proliferator-Activated ReceptorsDiabetes, Cardiovascular Risks, and Lipoproteins

Glitazones and the cardiovascular system.

Devchand, Pallavi R·2008·Current Opinion in Endocrinology, Diabetes & Obesity

Abstract

PURPOSE OF REVIEW: To chart recent progress on molecular mechanisms of rosiglitazone and pioglitazone in the cardiovascular system. RECENT FINDINGS: Several classes of oral antidiabetic drugs are available to treat type 2 diabetes, but glitazones offer the unique promise of insulin-sensitizing ability coupled with potential to reverse cardiovascular abnormalities associated with insulin resistance. Currently the two drugs used are rosiglitazone and pioglitazone, marketed as Avandia and Actos. Recent results of different metaanalyses were inconclusive as to whether rosiglitazone caused real adverse effects of myocardial ischemia. Thus, the US Food and Drugs Administration placed a black box warning on Avandia to signal potential of myocardial infarction and heart-related deaths, as a precautionary measure until analyses of all available data provide clarity. Also unresolved is the extent to which the two compounds share modes of action. SUMMARY: Type II diabetes affects more than 160 million people, approximately 5% of the world's population (http://www.who.org). Recently, questions have been raised about the cardiovascular safety of glitazone antidiabetic drugs. Clearly, there is an urgency to define molecular mechanisms of rosiglitazone and pioglitazone and understand how these drugs may impact patients.

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Crossref · 10.1097/med.0b013e3282f79b20

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47 of 47 references verified0 citation errors · 0 not checkable

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Authors
Devchand, P. R.
Affiliations
Brigham and Women's Hospital (US)
Corresponding author
Devchand, Pallavi R
Venue
Current Opinion in Endocrinology, Diabetes & Obesity
Published
2008-04
Volume
15
Issue
2
Pages
188-192
ISSN
1752-296X (ISSN-L)
OpenAlex
W2325322971
Cited by
12
References
47
Citations by year
2022: 1 · 2021: 1 · 2018: 1 · 2012: 1
FWCI
0.37
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Endocrinology Diabetes and Obesity (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
thiazolidinediones, rosiglitazone, pioglitazone, cardiovascular safety, myocardial infarction, type 2 diabetes, insulin resistance, insulin sensitization, molecular mechanisms, black box warning, adverse drug reactions
MeSH terms
Animals, Diabetes Mellitus, Type 2, Humans, Hypoglycemic Agents, Retinoids, Models, Animal, Thiazolidinediones, PPAR gamma

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