Cited by 198Diabetes Treatment and ManagementPeroxisome Proliferator-Activated ReceptorsPharmacology and Obesity Treatment

Thiazolidinedione safety

Kung, Jacqueline, Henry, Robert R·2012·Expert Opinion on Drug Safety

Abstract

INTRODUCTION: Thiazolidinediones (TZDs) initially showed great promise as unique receptor-mediated oral therapy for type 2 diabetes, but a host of serious side effects, primarily cardiovascular, have limited their utility. It is crucial at this point to perform a risk-benefit analysis to determine what role TZDs should play in our current treatment of type 2 diabetes and where the future of this class of drugs is headed. AREAS COVERED: This review provides a comprehensive overview of the literature from 2000 onward reporting the known side effects of rosiglitazone and pioglitazone, with commentary on the quality of the data available, putative mechanism of each side effect and clinical significance. Finally, a perspective on the future of the TZDs as a class is provided. EXPERT OPINION: The current TZDs are first-generation, non-specific activators of peroxisome proliferator-activated receptor (PPAR) gamma, resulting in a wide array of deleterious side effects that currently limit their use. However, the development of highly targeted selective PPAR gamma modulators (SPPARγMs) and dual PPAR gamma/alpha agonists is on the horizon.

Integrity signals

Registry

Crossref · 10.1517/14740338.2012.691963

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89 of 89 references verified0 citation errors · 0 not checkable

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Authors
Kung, J., & Henry, R. R.
Affiliations
  • Tufts University (US)
  • University of California San Diego (US)
Venue
Expert Opinion on Drug Safety
Published
2012-05-22
Volume
11
Issue
4
Pages
565-579
ISSN
  • 1474-0338 (ISSN-L)
  • 1744-764X
OpenAlex
W4236897356
Cited by
198
References
89
Citations by year
2026: 6 · 2025: 6 · 2024: 11 · 2023: 10 · 2022: 10 · 2021: 13 · 2020: 13 · 2019: 14 · 2018: 14 · 2017: 11 · 2016: 24 · 2015: 24 · 2014: 13 · 2013: 23 · 2012: 6
FWCI
2.90
Type
journal article
Language
en
Open access
closed
Locations
  • Expert Opinion on Drug Safety (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 › Pharmacology › Pharmacology and Obesity Treatment
Keywords
thiazolidinediones, rosiglitazone, pioglitazone, type 2 diabetes, drug safety, adverse effects, cardiovascular risk, PPARγ agonists, risk-benefit assessment
MeSH terms
Urinary Bladder Neoplasms, Diabetes Mellitus, Type 2, Heart Failure, Humans, Hypoglycemic Agents, Liver, Macular Edema, Myocardial Infarction, Thiazolidinediones, PPAR alpha, PPAR gamma, Fractures, Bone

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