PMID- 20158098 OWN - NLM STAT- MEDLINE DCOM- 20100326 LR - 20110727 IS - 0047-1852 (Print) IS - 0047-1852 (Linking) VI - 68 IP - 2 DP - 2010 Feb TI - [A target of PPARgamma agonist: diabetes mellitus]. PG - 284-93 AB - The members of the PPARgamma agonists, such as the thiazolidinediones, act as insulin sensitizer and improve insulin resistance. Several clinical studies have evaluated the efficacy of PPARgamma agonists in the management of insulin resistance and type 2 diabetes mellitus (T2DM). They are believed to improve insulin resistance by stimulating differentiation of small adipocytes, normalizing serum adipocytokine profile, and protecting pancreatic beta cells. They also possess powerful anti-atherogenic potency through amelioration of lipid profile and their anti-inflammatory effects. The PROactive study demonstrated that pioglitazone protects against hard end-point of macrovascular events in T2DM patients with previous macrovascular disease. A number of studies have also proven the potency of PPARgamma agonists in the prevention of onset of T2DM. FAU - Hashiramoto, Mitsuru AU - Hashiramoto M AD - Division of Diabetes and Endocrinology, Department of Medicine, Kawasaki Medical School. FAU - Kaku, Kohei AU - Kaku K LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Nihon Rinsho JT - Nihon rinsho. Japanese journal of clinical medicine JID - 0420546 RN - 0 (PPAR gamma) SB - IM MH - Animals MH - Diabetes Mellitus, Type 2/*drug therapy MH - Humans MH - PPAR gamma/*agonists RF - 51 EDAT- 2010/02/18 06:00 MHDA- 2010/03/27 06:00 CRDT- 2010/02/18 06:00 PHST- 2010/02/18 06:00 [entrez] PHST- 2010/02/18 06:00 [pubmed] PHST- 2010/03/27 06:00 [medline] PST - ppublish SO - Nihon Rinsho. 2010 Feb;68(2):284-93.