Cited by 139Peroxisome Proliferator-Activated ReceptorsParaoxonase enzyme and polymorphismsAdipose Tissue and Metabolism

The opportunities and challenges of peroxisome proliferator-activated receptors ligands in clinical drug discovery and development

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Hong, Fan, Xu, Pengfei, Zhai, Yonggong·2018·International Journal of Molecular Sciences

Abstract

Peroxisome proliferator-activated receptors (PPARs) are a well-known pharmacological target for the treatment of multiple diseases, including diabetes mellitus, dyslipidemia, cardiovascular diseases and even primary biliary cholangitis, gout, cancer, Alzheimer’s disease and ulcerative colitis. The three PPAR isoforms (α, β/δ and γ) have emerged as integrators of glucose and lipid metabolic signaling networks. Typically, PPARα is activated by fibrates, which are commonly used therapeutic agents in the treatment of dyslipidemia. The pharmacological activators of PPARγ include thiazolidinediones (TZDs), which are insulin sensitizers used in the treatment of type 2 diabetes mellitus (T2DM), despite some drawbacks. In this review, we summarize 84 types of PPAR synthetic ligands introduced to date for the treatment of metabolic and other diseases and provide a comprehensive analysis of the current applications and problems of these ligands in clinical drug discovery and development.

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Cited by

Sorted by citations

Authors
Hong, F., Xu, P., & Zhai, Y.
Affiliations
Beijing Normal University (CN)
Corresponding author
  • Xu, Pengfei
  • Zhai, Yonggong
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2018-07-27
Volume
19
Issue
8
Pages
2189
ISSN
1422-0067 (ISSN-L)
OpenAlex
W2883888207
Cited by
139
References
16
Citations by year
2026: 7 · 2025: 16 · 2024: 7 · 2023: 18 · 2022: 15 · 2021: 27 · 2020: 28 · 2019: 19 · 2018: 2
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Natural Science Foundation of China (31571164, 31271207)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
  • Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
Keywords
peroxisome proliferator-activated receptors, PPAR ligands, PPARα, PPARδ, PPARγ, fibrates, thiazolidinediones, type 2 diabetes, dyslipidemia, drug discovery, drug development, metabolic disorders, glycolipid metabolism
MeSH terms
Animals, Anti-Inflammatory Agents, Hypolipidemic Agents, Disease Models, Animal, Humans, Ligands, Metabolic Diseases, Molecular Conformation, Protein Isoforms, Peroxisome Proliferator-Activated Receptors, Mice, Rats, Drug Discovery, Molecular Targeted Therapy

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