PMID- 18054742 OWN - NLM STAT- MEDLINE DCOM- 20080226 LR - 20111117 IS - 1521-690X (Print) IS - 1521-690X (Linking) VI - 21 IP - 4 DP - 2007 Dec TI - PPAR agonists: multimodal drugs for the treatment of type-2 diabetes. PG - 687-710 AB - Patients with type-2 diabetes mellitus (T2DM) are considered to be at particularly high risk for cardiovascular disease. Over the last decade, the members of the peroxisome proliferator-activated receptor (PPAR) subfamily of nuclear receptors have emerged as valuable pharmacological targets whose activation can normalize metabolic dysfunctions and reduce some cardiovascular risk factors associated with T2DM. PPARalpha agonists, such as the fibrates, can correct dyslipidemia. PPARgamma agonists, such as the thiazolidinediones, act as insulin sensitizers and improve insulin resistance in patients with T2DM. Because of restricted potency and certain side-effects of PPAR agonists, as well as the increasingly epidemic incidence of T2DM, there is a real need for the development of selective PPAR agonists with improved clinical efficacy. This chapter focuses on the PPAR agonists currently used in the clinic, as well as on the discovery and development of the next generation of PPAR agonists. FAU - Gross, Barbara AU - Gross B AD - Institut Pasteur de Lille, 1 rue du Prof Calmette, Lille, F-59019, France. FAU - Staels, Bart AU - Staels B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - Best Pract Res Clin Endocrinol Metab JT - Best practice & research. Clinical endocrinology & metabolism JID - 101120682 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Lipoproteins) RN - 0 (PPAR alpha) RN - 0 (PPAR delta) RN - 0 (PPAR gamma) RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - 0 (Thiazolidines) SB - IM MH - Animals MH - Blood Glucose/metabolism MH - Cardiovascular Diseases/prevention & control MH - Diabetes Mellitus, Type 2/*drug therapy MH - Homeostasis/drug effects MH - Humans MH - Insulin/physiology MH - Insulin Resistance/physiology MH - Lipid Metabolism/drug effects MH - Lipoproteins/metabolism MH - PPAR alpha/agonists/physiology MH - PPAR delta/agonists/physiology MH - PPAR gamma/agonists/physiology MH - Peroxisome Proliferator-Activated Receptors/*agonists MH - Thiazolidines/pharmacology RF - 108 EDAT- 2007/12/07 09:00 MHDA- 2008/02/27 09:00 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2008/02/27 09:00 [medline] PHST- 2007/12/07 09:00 [entrez] AID - S1521-690X(07)00088-7 [pii] AID - 10.1016/j.beem.2007.09.004 [doi] PST - ppublish SO - Best Pract Res Clin Endocrinol Metab. 2007 Dec;21(4):687-710. doi: 10.1016/j.beem.2007.09.004.